TeleWound Care Practice - No Wound Left Behind
Last updated
Share PrintThe National TeleWound Care Practice delivers a national standard for sites to stand up new TeleWound programs. TeleWound Care brings specialty wound care to Veterans irrespective of where they are. Through TeleWound Care, early intervention is provided, to avoid complications such as increased infection and amputation.
Origin:
October 2015, James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee)
Adoptions:
4 successful, 6 in-progress
Partners:
Diffusion of Excellence
Recent Updates
Overview
The problem
The solution
No Wound Left Behind’s primary objective is to increase wound care services at a location that is convenient for the patient. The TeleWound Care Specialty Supplement is the authoritative document on Veterans Health Administration TeleWound Care implementation. It includes standard clinical guidance on implementing and monitoring high-quality virtual wound care. See more
The results
The workgroup first put these new protocols into operation in VISN 15. The VISN’s Telehealth Lead worked wi ... Throughout 2019, the National TeleWound Care Workgroup advanced the clinical protocols in the TeleWound Care Specialty Supplement and determined how the use of current, vetted technology, such as 3D imaging, would fit into the wound care encounter.
The workgroup first put these new protocols into operation in VISN 15. The VISN’s Telehealth Lead worked with Facility Telehealth Coordinators, or FTCs, in the VISN who were launching new TeleWound Care programs. Leveraging the Clinical Resource Hub, or CRH, model, the Telehealth Lead outfitted these facilities with 3D imaging capabilities for TeleWound Care. The graphic on-screen shows how this CRH model is designed and can work at any VISN.
The VISN 15 trial validated the use of the CRH model, showing that this approach fostered communication among neighboring sites and reduced the risk of siloed efforts. This success enabled CRH expansion of specialty care in VISN 15 in fiscal 2020, including provision of technology and staffing. The Office of Rural Health provided funding for both the expansion and the technology. See more
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
Images
Above:
TeleWound Care is provided using a holistic approach which provides coordination of care using Telehealth technologies across multiple specialties, services & across the continuum of care.
Above:
National TeleWound Care Practice advances the use of 3-D imaging in the TeleWound encounter.
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Ankle Brachial Index (ABI), a noninvasive test to assess blood flow to the lower legs.
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WCUC Char 4 code for national tracking of TeleWound care in wound clinics and specialty services.
Videos
Above:
Aranz Silhouette - 3D Imaging Camera - Silhouette Product Tour (Vendor Video)
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How to perform a measurement with the MESI ABPI MD (Vendor Video)In the following video, you will learn how to perform an ABI measurement using the MESI ABPI MD, how to place the cuffs correctly and how to interpret the results.
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Parable Health 3D imaging solution
Implementation
Timeline
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Month 1
VISN Leadership AlignmentTelehealth Services Agreement (TSA) -
Month 2
TeleWound Program Development -
Month 3
TeleWound Equipment Resourcing -
Month 4
TeleProvider, TelePresenter and TeleImager Training -
Month 5
TeleWound Equipment Setup and Installation -
Month 6
TeleWound Program Operationalization
Core Resources
Files
- TeleWound_Vignette.pdf TeleWound Vignette
Risks and mitigations
| Risk | Mitigation |
|---|---|
| TeleWound Provider availability | Establish your TeleWound healthcare team as a critical first step. |
| TeleWound clinic space resourcing | Establish and define a shared space and time for your TeleWound Clinic. |
| TeleWound equipment resourcing | If you have an existing TeleDermatology Program, you can leverage the same equipment to develop a TeleWound Program Baseline at your facility. |
Contact
Comment
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Email NWLBI@va.gov with questions about this innovation.
About
Origin story
Original team
Dr. Mona Baharestani
Nursing Team Lead
Mr. Broderick Flynn
3D Imaging Team Lead
Ms. Carol Westfall
Telehealth Services Team Lead
Dr. Jeffrey Robbins
Podiatry Team Lead
I am Wound care NP interested in building a tele wound program John Cochran VA in VISN 15