NHPCO NewsLine Summer 2020 - 13
context of COVID-19, it might be
a somewhat different discussion
than what would you do if you
had cancer for a few years and
you weren't getting better. This is
a different circumstance. See the
NHPCO COVID-19 Shared
Decision Making tool.
A virtual visit could be triggered by
the need for a follow-up that could
be required under your hospice
conditions of participation or just
good medicine. It could be time for
a monthly check in or it could be to
manage symptoms or to
coordinate care. It could be for
psychosocial or spiritual counseling.
It could be to hold a family meeting
with family members that are in
different places. It could be to
provide feedback, education, and
support to caregivers.
Back in 1998, the University of Kansas worked with a local rural
hospice provider to do a pilot telehealth demonstration project. It did
not take off. First, it was expensive to do; technology cost more back in
1998 than it does now. And there were attitudes about technology that
made it hard for patients and families and staff to adopt.
When they repeated the demo in 2017, they used mobile tablets and
cloud-based video conferencing. They used it for direct patient care.
They used it for family support, and they used it for administrative
encounters including things like interdisciplinary team meetings.
What they found from the staff was this was seen as strengthening
communication and strengthening relationships among patients,
family, and staff. And it saved the hospice money, particularly money
spent on travel going back and forth for visits. When they asked the
staff how they felt about this in 2017, three quarters of them believed
this would save travel time and enhance their job performance. And
81% believed that this would meet their needs as well as patient's
needs. It suggests that even before the COVID-19 outbreak, we are in a
different moment now where telehealth is more affordable and more
acceptable to people than it might have been a decade or two ago.
And it can be used not only for
patient and family interaction. It
could be team meetings, it could
be because we have information
we need to give out around some
change in policy and how we are
delivering care, for example. Or it
could be education.
When we think about what
makes an effective virtual
visit, the ideal is to use
both the audio and visual
components.
Newsline / Summer 2020
13
NHPCO NewsLine Summer 2020
Table of Contents for the Digital Edition of NHPCO NewsLine Summer 2020
NHPCO NewsLine Summer 2020 - intro
NHPCO NewsLine Summer 2020 - 1
NHPCO NewsLine Summer 2020 - 2
NHPCO NewsLine Summer 2020 - 3
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