Telehealth for the Interprofessional Team: Wisdom from the Field

The benefits of telehealth are clear: when high-quality care is safe and convenient, people are more likely to seek it. In the wake of the COVID-19 pandemic, providers are experiencing exponential growth in patient desire for telehealth options. This course outlines the standards and best practices to use as a roadmap for designing a top-notch telehealth practice.

In this session learners will learn from a panel of clinicians who share their experiences with practicing via telehealth, discuss implications of using technology, and offer guidance on skills and standards necessary to met the demand for care delivered via telehealth now and in the future. 

ELEMENTS OF COMPETENCE

This activity changes learner competence and focuses on these elements:

  • American Board of Medical Specialties: Patient care and procedural skills and interpersonal communication skills
  • National Academy of Medicine: Providing patient-centered care
  • Center for the Advancement of Pharmacy Education: Communication and patient-centered care
  • Interprofessional Education Collaborative and Nursing: Roles/responsibilities and teams and teamwork

Intended Audience

We designed this course for advance practice nurses, nurses, pharmacists, physicians, physician assistants, social workers, and others who use telehealth within their clinical practice.

Learning Objectives

By the end of the course, professionals as members of the healthcare team will be able to:

  1. Explain the differences between delivering in-person versus telehealth care, including the risks, benefits, and appropriate use(s) for each telehealth modality and when to initiate or transition a telehealth encounter to a different telehealth modality or in-person care.
  2. Prepare the interprofessional healthcare team, to engage patients via telehealth, and develop clear team roles and responsibilities to deliver a successful telehealth encounter.
  3. Describe tips for completing a remote assessment.
  4. Identify physical findings that can and cannot be obtained via remote care and discuss how to collaborate with the patient to acquire findings.
  5. Incorporate a patient’s observed personal environment into the evaluation and leverage it to augment the clinical assessment, treatment plan, and therapeutic relationship.
  6. Incorporate patient-generated data into a clinical assessment, treatment plan and evaluation, while understanding data limitations and documentation requirements.
  7. Discuss strategies for effective communication with patients and members of the interprofessional healthcare team when delivering care via telehealth.
  8. Conduct a "teach back" review.
  9. Explain the risks to patient safety that are introduced by specific telehealth modalities when care is provided across distance and/or time.
  10. Anticipate and recognize when to switch telehealth modalities and/or escalate to in-person care based on the clinical scenario.
  11. Respond to behavioral and medical emergencies during telehealth exchanges with both accompanied and unaccompanied patients.
  12. Assess patients’ needs, preferences, and potential cultural, social, and linguistic barriers when considering telehealth.
  13. Recognize the impact that personal biases have on patient care and outcomes.
  14. Describe how technology can mitigate or exacerbate health inequities.
  15. Identify areas to improve upon telehealth visits in your practice.
Course summary
Available credit: 
  • 2.50 AAPA Category 1 CME
  • 2.50 ACPE Contact Hours - Pharmacist
  • 2.50 AMA PRA Category 1 Credit
  • 2.50 ANCC Contact Hours
  • 2.50 ACE Credits
  • 2.50 University of Wisconsin–Madison Continuing Education Hours
    • 2.50 Approved for AMA PRA Category 1 Credit™
Registration opens: 
12/07/2021
Course expires: 
12/06/2022
Cost:
$35.00
Rating: 
0

Agenda

Session

Learning Objectives

Wisdom from the Field

Our panel of clinicians share their experience practicing via telehealth. They discuss the implications of using technology, and offer guidance on skills and standards necessary to meet the demand for care delivered via telehealth now and in the future.

Panelists

~ Ann Lanham, MSN

~ David Schneider, MD, MS, FACS

~ Megan Neuman, MD


~ Marc Sherry, PT, DPT, LAT, CSCS, PES


~ Amy Schmitz (Facilitator)
Using Telehealth: Patient and Practice Readiness
  1. Explain the differences between delivering in-person versus telehealth care, including the risks, benefits, and appropriate use(s) for each telehealth modality and when to initiate or transition a telehealth encounter to a different telehealth modality or in-person care.
  2. Prepare the interprofessional healthcare team, to engage patients via telehealth, and develop clear team roles and responsibilities to deliver a successful telehealth encounter.
Remote Clinical Evaluation and Care
  1. Describe tips for completing a remote assessment. 
  2. Identify physical findings that can and cannot be obtained via remote care and discuss how to collaborate with the patient to acquire findings.
  3. Incorporate a patient’s observed personal environment into the evaluation and leverage it to augment the clinical assessment, treatment plan, and therapeutic relationship.
  4. Incorporate patient-generated data into a clinical assessment, treatment plan and evaluation, while understanding data limitations and documentation requirements.
Communication Using Telehealth
  1. Discuss strategies for effective communication with patients and members of the interprofessional healthcare team when delivering care via telehealth.
  2. Conduct a "teach back" review.
Patient Safety
  1. Explain the risks to patient safety that are introduced by specific telehealth modalities when care is provided across distance and/or time.
  2. Anticipate and recognize when to switch telehealth modalities and/or escalate to in-person care based on the clinical scenario.
  3. Respond to behavioral and medical emergencies during telehealth exchanges with both accompanied and unaccompanied patients.
Access and Equity
  1. Assess patients’ needs, preferences, and potential cultural, social, and linguistic barriers when considering telehealth
  2. Recognize the impact that personal biases have on patient care and outcomes.
  3. Describe how technology can mitigate or exacerbate health inequities.
Summary and Q&AIdentify areas to improve upon telehealth
visits in your practice.

MODERATORS, PANELISTS & SPEAKERS


Ann Lanham, MSN, RN

Ann Lanham, MSN, RN the Nursing Patient Education Manager with the University of Wisconsin Hospitals and Clinics Authority.


Megan Neuman, MD

Megan Neuman, MD is with UW Health Pediatrics and Adolescent Medicine. She is a Wisconsin native earning her medical degree at the University of Wisconsin School of Medicine and Public Health, Madison, WI. After completing her residency at Oregon Health and Sciences University, Portland, OR she worked as a pediatrician at Legacy Health in Portland in primary care as well as in the newborn nursery. Prior to coming to Madison, she was working in Sturgeon Bay, WI. Dr. Neuman is also a certified lactation consultant with a particular interest in the care of newborns and infants. Children and adolescents of all ages present different kinds of joys and challenges, and she is happy to see them all! In her free time, she enjoys outdoor activities of all kinds, including rowing, biking, running, and hiking.


Amy Schmitz

Amy Schmitz is the Telehealth Manager with the with the University of Wisconsin Hospitals and Clinics Authority.


David Schneider, MD

David Schneider, MD 

Dr. Schneider received his medical degree and held a Research Fellowship in Burn & Shock Trauma Loyola Stritch School of Medicine in Chicago. He received a master of Clinical Research Methods from the Department of Preventive Medicine & Epidemiology, Loyola Stritch School of Medicine. Dr. Schneider has also held a Fellowship in Endocrine Surgery with the University of Wisconsin School of Medicine and Public Health. He is an Assistant Professor with the Division of Endocrine Surgery with the University of Wisconsin School of Medicine and Public Health and is a member of UW Health’s Physician Informatics Team and co-leader of the Clinical Informatics Community of Practice. 

Dr. Schneider holds dual board certification in Surgery and Clinical Informatics, and is a member of multiple specialty societies including the American Association of Endocrine Surgeons, the American Thyroid Association, the American Medical Informatics Association. He specializes in Endocrine Surgery, treating diseases of the thyroid, parathyroid, and adrenal glands. He utilizes several state of the art techniques to treat endocrine disorders (radioguided parathyroidectomy, minimally invasive parathyroidectomy, laparoscopic adrenalectomy, retroperitoneal adrenalectomy, minimally invasive thyroidectomy, four-gland parathyroid exploration, and treatment of recurrent or persistent hyperparathyroidism).


Marc Sherry, DPT

Marc Sherry, PT, DPT, LAT, CSCS, PES serves as the Rehabilitation Manager with the University of Wisconsin Hospitals and Clinics Authority.

PLANNING COMMITTEE 

Sue Gaard, MS, RN*
University of Wisconsin–Madison, School of Nursing

Katherine Hartkopf, PharmD
UW Health
Kristen Panther, ANP, RN
UW Health

Michele Glynn, DNP*
UW Health

Lindsey Kregel, PA
UW Health
Kim Riese, MSHI
UW Health

Barbara Pinekenstein, DNP, RN-BC, FAAN*
University of Wisconsin–Madison, School of Nursing

Ann Lanham, MSN, RN
UW Health
Marc Sherry, DPT
UW Health

Brooke Ramsey, MSN*
UW Health

Leanne Marso, DNP, RN
UW Health
Linda Sparks, MBA
UW Health

Rebecca Rankin, MS, RN*
UW Health

Megan Neuman, MD
UW Health
David Schneider, MD
UW Health

Thomas Brazelton, MD
UW Health

Holly Pagel, MSW
University of Wisconsin–Madison
 

POLICY ON DISCLOSURE

It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) to identify, mitigate and disclose all relevant financial relationships with ineligible companies* held by the  speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education (CE).  In addition, speakers, presenters and authors must disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation.

For this accredited continuing education activity all relevant financial relationships have been mitigated and detailed disclosures are listed below.

*Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on, patients. The ACCME does not consider providers of clinical services directly to patients to be ineligible companies.

The University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirements. The University of Wisconsin fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact info@icep.wisc.edu

Name

Role

Financial Relationship Disclosures

Discussion of Unlabeled/Unapproved uses of drugs/devices in presentation?

Nina Berge, BA

UW-Madison NPD Staff

No relevant relationships with ineligible companies to disclose

No

Thomas Brazelton, MD

Planner

No relevant relationships with ineligible companies to disclose

No

Emily Comstock

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Sue Gaard, MS, RN

Co-Course Director, Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Michele Glynn, DNP

Co-Course Director, Planner

No relevant relationships with ineligible companies to disclose

No

Shelby Gomez, PharmD

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Katherine Hartkopf, PharmD

Planner

No relevant relationships with ineligible companies to disclose

No

Lindsey Kregel, PA

Planner

No relevant relationships with ineligible companies to disclose

No

Ann Lanham, MSN

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Grace Leonard, EdM

UW-Madison NPD Staff

No relevant relationships with ineligible companies to disclose

No

Christopher Manakas, MD

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Leanne Marso, DNP

Planner

No relevant relationships with ineligible companies to disclose

No

Suyapa Meza

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Tracy Mrochek, MPA, RN

UW-Madison NPD Staff

No relevant relationships with ineligible companies to disclose

No

Megan Neuman, MD

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Holly Pagel, MSW

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Kristen Panther, ANP

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Barb Pinekenstein, DNP

Co-Course Director, Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Mariah Quinn, MD

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Brooke Ramsey, MSN

Co-Course Director, Planner

No relevant relationships with ineligible companies to disclose

No

Rebecca Rankin, MS

Co-Course Director, Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Kim Riese, BSN, MSHI

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Joanna Ruchala, MD

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Peggy Rynearson, BA

UW-Madison NPD Staff

No relevant relationships with ineligible companies to disclose

No

Brent Schmaling

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Amy Schmitz

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

David Schneider, MD

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Marc Sherry, DPT

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Linda Sparks, MBA

Planner, Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Laura Stoller

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Jonathan Takahashi, MD, MPH

Speaker/Author

No relevant relationships with ineligible companies to disclose

No

Discloser List CME Internal Report

Accreditation Statement

In support of improving patient care, the University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statements

American Medical Association (AMA)

The University of Wisconsin–Madison ICEP designates this enduring material for a maximum of 2.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA Credit Designation Statement

The University of Wisconsin–Madison ICEP has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This enduring activity is designated for 2.5 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation

American Nurses Credentialing Center (ANCC)

The University of Wisconsin–Madison ICEP designates this enduring material for a maximum of 2.5 ANCC contact hours.

Accreditation Council for Pharmacy Education (ACPE)

The University of Wisconsin–Madison ICEP designates this enduring material for a maximum of 2.5 hour of knowledge-based CPE credit. Credit can be earned by successfully completing the activity, the assessment and the evaluation. Credit will be provided to NABP CPE Monitor within 60 days after the activity completion.

Universal Activity Number (UAN):  JA0000358-0000-21-127-H04-P;  JA0000358-0000-22-019-H04-P

ASWB Approved Continuing Education (ACE) – Social Work Credit

As a Jointly Accredited Organization, the University of Wisconsin – Madison ICEP is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Wisconsin–Madison ICEP maintains responsibility for this course. Social workers completing this course receive 2.5 enduring continuing education credits.

Continuing Education Units (CEUs)

The University of Wisconsin–Madison, as a member of the University Continuing Education Association (UCEA), authorizes this enduring material for 2.5 continuing education units (CEUs) or 0.25 hours. 

Available Credit

  • 2.50 AAPA Category 1 CME
  • 2.50 ACPE Contact Hours - Pharmacist
  • 2.50 AMA PRA Category 1 Credit
  • 2.50 ANCC Contact Hours
  • 2.50 ACE Credits
  • 2.50 University of Wisconsin–Madison Continuing Education Hours
    • 2.50 Approved for AMA PRA Category 1 Credit™

Cost:
$35.00
Please login or register to take this course.

For non-UW/UW Health and affiliates: To receive the $95 cost for all three courses (you save $10), you need to register for all three courses and use the coupon code tele21 at checkout. 

QUESTIONS?

REGISTRATION 

help@icep.wisc.edu or call 608-262-7226

COURSE INFORMATION

Sue Gaard, MS, RN
University of Wisconsin–Madison, School of Nursing

Required Hardware/software

Free, current version of Chrome, Firefox, Safari, or Microsoft Edge with audio and video capabilities. Some older browsers and Internet Explorer could produce error messages or not display the content correctly.