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Section 718 (Telemedicine): Virtual Health Outcomes From Regional Health Command Europe.

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Military Health System telehealth services show high patient and provider satisfaction. Understanding virtual health outcomes is crucial for meeting reporting requirements and expanding telehealth initiatives.

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Area of Science:

  • Health Services Research
  • Telemedicine
  • Military Health Systems

Background:

  • Section 718 of the FY17 NDAA mandates reporting of telemedicine outcomes.
  • Existing systems (MDR, M2) offer limited telemedicine analysis capabilities.
  • Gaps exist in understanding patient/provider attitudes and specialty-specific telehealth usage.

Purpose of the Study:

  • To analyze synchronous virtual health (VH) encounters and survey data from CY 2016.
  • To assess patient and provider satisfaction with telehealth services.
  • To identify specialty-specific VH utilization patterns.

Main Methods:

  • Retrospective descriptive analysis of synchronous VH encounters.
  • Utilized data from three internally developed telehealth surveys.
  • Analyzed data from 2,962 unique patients and 142 providers across 27 specialties.

Main Results:

  • 3,778 synchronous VH visits were completed.
  • Patient satisfaction was 98%; provider satisfaction ranged from 91% to 93%.
  • VH utilization varied significantly by specialty, from <1% to 39.9%.

Conclusions:

  • Synchronous VH requires comprehensive data sources for Section 718 reporting.
  • Understanding telehealth outcomes supports current and future virtual health efforts.
  • Insights gained can aid other military treatment facilities implementing VH.