Home Mayo Clinic Study Reveals 30% Reduction in Neonatal ICU Admissions Through Telemedicine Support for Small Hospitals

Mayo Clinic Study Reveals 30% Reduction in Neonatal ICU Admissions Through Telemedicine Support for Small Hospitals

Dec 02, 2016 08:00 CST Updated 08:00

Recently, Mayo (Mayo) A study on multiple births conducted by the clinic showed that telemedicine technology can help NICU specialists at small hospitals reduce the need for intensive care in newborns by 30%.


Furthermore, the Mayo Clinic conducted a study on another instance of telemedicine technology assisting small hospitals in providing treatment. The study found that experts could help avoid transfers to large hospitals with Neonatal Intensive Care Units (NICUs) in one-third of multiple-birth cases by providing online guidance. Telemedicine holds significant potential in pediatrics and neonatal care. VCBeat (WeChat ID: vcbeat) has compiled a list of hospitals and startups that have established pediatric telemedicine platforms.


Mayo Clinic: Telehealth Platforms Hold Significant Value in Pediatric and Neonatal Care


Recently, the Mayo Clinic Proceedings published a 20-month study. The principal investigatorPh.D. in Neonatal and Perinatal PharmacologyJennifer FangA team of seven clinicians analyzed 84 deliveries completed at six hospitals with remote assistance from neonatologists.


“In this way, neonatologists can remotely assess newborns and guide local care teams through resuscitation,” said Jennifer Fang in a press release issued by the clinic. “This allows one-third of infants to remain with their families at their local hospitals. It ensures that patients receive the appropriate level of care in the right setting, thereby enhancing the value of care while generating significant cost savings.”


“In multiple births, the care provided by healthcare professionals in the immediate aftermath significantly impacts neonatal health outcomes,” she stated. “Therefore, learning to leverage telemedicine to enhance the quality of care is crucial.”


Fang also attributed the study’s encouraging outcomes to the collaboration between the local care team and specialists. “Other studies have similarly shown that teamwork and communication are critical in neonatal emergencies. We aimed to assess the impact of telemedicine technologies on teamwork and communication,” she said. “These findings demonstrate the acceptability and clinical impact of such telemedicine programs in community hospitals.”


This study proposes a new argument,This means that small hospitals or rural hospitals, with the assistance of telemedicine platforms, can independently treat more patients and avoid transferring them to larger hospitals.. The process of transferring patients is not only time-consuming and labor-intensive, but also disrupts treatment and hinders community hospitals from providing high-quality care.


It has been proven that,Telemedicine Platforms Hold Significant Value in Pediatric and Neonatal Care, it has expanded the scope of services for a subspecialty. In the United States, there are fewer healthcare professionals specializing in subspecialties, and they typically practice only in the largest urban hospitals.


For example, the University of Mississippi Medical Center’s telehealth rapid-care platform has similarly alleviated pressure on hospital emergency departments and supported healthcare systems in remote areas in treating their local patients. Hospitals in the Jackson area are leveraging telemedicine to transform care delivery, reduce strain on their own emergency departments, help rural hospitals retain more patients, and generate additional revenue.


“This has had a ‘tremendous impact’ on the University of Mississippi Medical Center (UMMC) and many remote hospitals across the state,” said Tearsanee Davis, Nursing Director at the UMMC Telehealth Center.


The UMMC Telemedicine Platform connects physicians in the UMMC Emergency Department with nurse practitioners in hospitals across the state’s remote areas, enabling them to “convene” via real-time audio-video technology to provide patient care.


Davis and Rumbaugh pointed out that the platform not only reduced the pressure on UMMC but also provided patients with better opportunities to receive care within their own communities. This helps local hospitals improve their reputation, enhance clinical outcomes, and increase medical revenue.


Children's Hospital of Philadelphia:Connecting Remote Community Physicians with Philadelphia Pediatricians for Guidance


The same scenario is unfolding at the Children’s Hospital of Philadelphia (CHOP), which will provide pediatric specialist consultations to the Indian Health Service (IHS)—a move that could mark the first step toward system-wide implementation of telemedicine.


A Pilot Telemedicine Program Launched in the Southwest to Enable Physicians in Remote Navajo Communities to Receive Guidance from Pediatricians in Philadelphia


If the teleconsultation program proves successful, it will become a standard for delivering medical services to Native American communities across the United States—from Alaska to Arizona—that are geographically remote and underserved, thereby improving clinical outcomes for hundreds of thousands of children.


Mary L. Smith, Vice President of the Hospital Information System (HIS), stated in a newly published article that partnership agreements “enable the design and development of specialized pediatric services and consultations for patients residing in remote areas and those unable to travel long distances to see specialists at the hospital.”


“Access to specialized pediatric care is severely limited in many parts of the United States, and many communities suffer from a lack of timely consultations and services,” said Joseph W. St. Geme, MD, Physician-in-Chief and Chair of Pediatrics at CHOP. “These medical consultations are provided directly, safely, and effectively by experts in the field of pediatrics to IHS healthcare facilities. This important initiative will enable children in remote communities to benefit from such expert medical consultations.”


While recognizing the growing importance of telemedicine as a means of connecting healthcare providers with consulting specialists, the initiative also scores HIS’s latest measures to improve access to medical services for all its members.


Even in neonatal intensive care units (NICUs), major hospitals are adopting such technologies. In Texas,A medical institution has established a video consultation system that enables its pediatricians to connect with rural hospitals at any time, providing consultative services for neonatal health issues across all departments.


Shannon Medical Center: Introducing “Super Specialists”Assist in Neonatal Treatment


Shannon Medical Center, located in San Angelo with a population of slightly under 100,000, is a 400-bed hospital. Shannon Medical Center has partnered with Cook Children’s Medical Center in Fort Worth. Through this partnership, Cook Children’s Medical Center, based in Fort Worth, has introduced “super-specialists” to assist with neonatal care, serving under the capacity of Shannon Medical Center’s Chief Medical Officer.


The hospital has installed a webcam and video conferencing station in its Neonatal Intensive Care Unit (NICU), enabling immediate connectivity with specialists at Cook Children’s. Funded by the Children’s Miracle Network, this mobile device can be deployed anywhere within the hospital, including the Emergency Department.


Doug Schultz recently told the news website NewsOK while showcasing the platform, “In Shannon, we have nine board-certified pediatricians who have all undergone advanced hands-on training in caring for sick infants. But sometimes we need super-specialists, such as neonatologists, pediatric cardiologists, pediatric geneticists, and pediatric surgeons, and due to the size of San Angelo, we do not have such specialists.”


He said, “Additionally, the ability for family members to meet and speak with Cook’s physicians helps reassure parents about their child’s condition and demonstrates our commitment at Shannon Medical Center to providing the best possible care for our pediatric patients.”


Due to the specialized expertise of pediatric specialists, there is substantial demand for their services, with most practicing within large healthcare systems and population centers. For rural healthcare providers or small hospitals, real-time access to pediatric specialist resources can provide assistance during or after childbirth, and even offer prenatal consultations.


NeoCare Solutions:Parents can connect with "Neonatal Experts" via mobile devices


Meanwhile, a mobile health startup named NeoCare Solutions has created a telemedicine platform that enables trained healthcare professionals to serve as intermediaries between parents and infants in neonatal intensive care units (NICUs). These experts provide “coaching” to parents during the first year after birth, collaborating with NICU staff to address any questions and report on the baby’s condition.


At a Tuesday afternoon session of the 2016 HIMSS Annual Conference (HIMSS16), Donna Sexton, Director of Employee Benefits at Costco, stated, “We understand how painful this is for parents.” She noted that 2,600 infants—described as “future Costco employees”—were born in 2014, and some of these infants required care in the neonatal intensive care unit (NICU).


Jeffrey Jacques from the Medical Affairs Department added, “It was indeed a very complex and difficult period.” After working in the Neonatal Intensive Care Unit (NICU), Jeffrey Jacques founded his own company. He described it as “a passive and overwhelming process for parents,” and stated that he aimed to create a support system for parents who were unsure how to care for their infants in such situations or after discharge.


According to Jacques, 10% of infants born in the United States each year require care in a neonatal intensive care unit (NICU), affecting approximately 500,000 families. Whether admitted for prematurity or other health issues, these infants may suffer long-term consequences, with average annual medical costs of $32,000 and total expenses easily exceeding $500,000.


Through this project, parents can connect with a “Neonatal Specialist” via mobile devices. The Neonatal Specialist is a well-trained clinical care manager who operates independently of the healthcare system and provides guidance and support. Through this client application (and occasional phone calls when necessary), the specialist advises parents on what to look for, how to document their infant’s progress, how to communicate with staff in the Neonatal Intensive Care Unit (NICU), and other matters.