Distance Management of High-Risk Obstetrical Patients

Project Details -
Completed

The purpose of this grant was to develop a technology plan to improve access to maternal-fetal medicine (MFM) services provided on Woman's Hospital's main campus and at clinic locations at other hospitals throughout the state. The project utilized existing relationships with two smaller hospitals to address differences in readiness and organizational structure. It focused on developing telemedicine capabilities for real-time remote diagnostic ultrasound and consult services to women with high-risk pregnancies to increase physician and patient access and reduce physician travel time and costs. Representatives from partners and Woman's Hospital guided the project and were organized in three teams, tasked with exploring clinical, technology, and financial issues. Four planning meetings were designed to assess progress, review plans, and direct further activities. The technical, manpower, clinical, and financial readiness of each partner was determined. Successful proof of concept was established for an electronic consult with attached patient data from referring hospitals' information systems and for transmission of real-time ultrasound imaging. Policies and procedures governing high-risk obstetrical telemedicine and other administrative parameters were established. Clinical outcomes measurements, a survey tool, and protocols were identified.