|Title:||Incorporating Virtual Telehealth into the Oxygen Clinic in Tallaght University Hospital (TUH).|
|Author(s):||Cunneen S. Scallan C. Baily-Scanlan M. Cullen J. Moloney E. Lane S. Donnelly S. C. Subramaniam A. Varghese C.|
|Institution:||Tallaght University Hospital|
|Poster:||Click to view poster|
|Category:||General Respiratory and Sleep|
|Abstract:||The implementation of telemedicine services was necessitated internationally due to Covid-19 restrictions. A guidance document was published on the incorporation of virtual telehealth into oxygen clinics and TUH piloted the first virtual oxygen clinic in Ireland. |
Patients on the waiting list were triaged, prioritised and further categorised based on their suitability for a virtual assessment (VA). VAs took place over the phone and patientMpower SpO2 monitors were used for remote monitoring. The one minute sit-to-stand test was used in place of the six minute walk test.
The pilot ran over a 3-month period and 66 patients attended the oxygen clinic during this time; 50% of attendances were VAs. Only patients who required an intervention that had to be completed face-to-face attended the hospital. Of the 33 VAs, the requirement for a subsequent face-to-face appointment was low (n=2), highlighting the efficacy of the triage system. Patients who received a VA reported they had no preference regarding virtual or face to-face appointments (n=10) or that they preferred VA (n=23).
The incorporation of VAs improved access to the oxygen clinic during Covid-19 and has resulted in a change in practice. Prioritisation, categorisation and VAs will continue to be a vital aspect of waiting list management going forward, with patients only attending for face-to-face appointments if they cannot be assessed virtually.
1. Murphy, D., Curtis, S., Cunneen, S., Cribbin, E. National Clinical Programme for Respiratory (COPD & Asthma) Guidance for the process of incorporating Virtual Teleheath into existing Oxygen Clinics. (2020).
2. Bohannon RW, Crouch R. 1-minute Sit to stand Test: Systematic Review of Procedures, Performance, and Clininetric Properties. Journal of Cardiopulmonary Rehabilitation and Prevention 2019; 39(1): 2-8.