Improved access and care through the implementation of virtual Hallway, a consultation platform in Nova Scotia: preliminary findings from a feasibility evaluation

  • 0Nova Scotia Health, 90 Lovett Lake Crt, Suite 201, B3S 0H6, Halifax, NS, Canada.

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Summary

This summary is machine-generated.

Virtual Hallway (VH) significantly reduced specialist referrals and demonstrated strong return on investment. Providers reported high satisfaction and intent to continue using this virtual health platform.

Area Of Science

  • Health Informatics
  • Telemedicine
  • Healthcare Management

Background

  • Virtual Hallway (VH) is an online platform designed to connect primary care providers with specialists for synchronous phone consultations.
  • VH aims to reduce the need for in-person specialist referrals and improve the quality of referrals through efficient documentation and scheduling.
  • A feasibility study was conducted in Nova Scotia, Canada, to evaluate VH's utilization, economic value, and user experience.

Purpose Of The Study

  • To assess the utilization and economic value (cost-benefit analysis) of the Virtual Hallway platform.
  • To evaluate healthcare provider and specialist experiences and satisfaction with the Virtual Hallway platform.
  • To determine the impact of Virtual Hallway on reducing in-person specialist referrals and improving patient access to clinical direction.

Main Methods

  • The study employed post, cross-sectional, and cost-benefit designs, collecting data via administrative records, surveys, and cost data.
  • Utilization was measured by the number of completed consults and active healthcare professionals on the VH platform.
  • Data analysis included descriptive statistics and a cost-benefit analysis with probabilistic sensitivity analysis.

Main Results

  • Approximately 84% of Virtual Hallway consultations successfully averted the need for in-person specialist referrals.
  • The platform demonstrated a return on investment of 1.8, indicating benefits exceeded costs.
  • Provider satisfaction was high: 92% of specialists and 96% of primary care providers were satisfied or highly satisfied, with 97% intending to continue use and recommend VH.

Conclusions

  • Virtual Hallway was positively received by healthcare providers, showing high satisfaction and a reduced need for in-person referrals.
  • The platform proved to be a cost-effective solution, offering significant value for money.
  • Further research is recommended to explore the broader impact of virtual health services on healthcare resource utilization across diverse patient populations.