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Clinical Workflow

In clinician-​assisted settings such as acute care, long-​term care, clinics and others, collaboration between bedside clinicians and remote specialists improves the effectiveness of telemedicine.  The clinical workflow capabilities of REACH 5.0 are designed to foster collaboration among the entire care team and help guide patient evaluation, diagnosis and treatment decisions.  Clinical workflows in REACH extend far beyond basic operational workflow (such as defining when a specialist should join a consultation), to map out treatment protocols and provide immediate alerts that help the care team discern between basic warnings and true contraindications.

Collaboration has been well documented as a best practice and one of the keys to success in telestroke treatment. With our prior system however, the bedside ED team felt like they simply put the telemedicine cart in front of the patient and turned it on. Now, using the shared workflow in the REACH software system, the ED bedside team is empowered to participate and actively contributes during each consultation. This enhanced collaboration seems to truly help the bedside team become more effective in their stroke treatment roles while at the same time recreating the bedside experience for the remote specialists. 

In a word, our results with this system are phenomenal.”

– Robert Brown, Stroke Program Coordinator, Tennova Health

Specialty-​Specific Clinical Workflows

Disease-​specific clinical workflows in REACH are tailored to each treatment specialty.  Workflows in REACH are comprised of REACH Clinical Widget® applications, with each widget containing data and treatment protocols for a key aspect of the consultation.  Used in concert, widgets form the clinical workflow for each specialty and allow the workflow to be tailored to each patient encounter.  This flexibility allows healthcare providers to support a multitude of specialties on a single telemedicine platform.  Widget-​based workflows also enable each physician to utilize only the tools needed within their specialties and structure each consultation to their personal preferences.

  • Behavioural-Health-Widgets

Treatment Team Collaboration

The objective of workflow-​facilitated collaboration within REACH is to recreate the bedside experience, as if each member of the treatment team were in the same room with the patient.  To achieve this, all treatment team members, bedside as well as remote specialists, participate in the workflow process.  As each team member enters information, the updates are highlighted for the other team members.  Similarly, when warnings are generated by the system, all team members are alerted.  Additionally, all members of the treatment team can document their observations within the workflow.

 

Treatment workflows and the resulting documentation in REACH are tailored to each setting of care.  Some examples include:

In the Ambulance

The treatment workflow can begin in the ambulance, before a patient arrives at the hospital.  As a web-​based system, a standard tablet such as an iPad, Android or Surface, or a laptop can be used to initiate the treatment session in REACH.  The REACH Clinical Widgets enable the initial collection of vital signs and start of the audio/​video connection with the remote specialist.  With the initiation of these and other critical steps in the ambulance, valuable minutes can be saved in time-​sensitive, urgent treatment situations.

In the ED 

Workflows for emergency treatment utilize the REACH Clinical Widgets to guide physicians through a disease-​specific assessment and treatment plan. Throughout the process, key data needed to make an accurate treatment recommendation is always visible.  Countdown timers help keep the treatment team focused in time-​sensitive situations.  The collaborative workflow with configurable alerts helps the treatment team quickly and confidently complete the diagnosis and make the optimal treatment decision.

Post-​Acute

In the clinic or rehab settings, such as for follow-​up sessions after treatment in the ED, different widgets are typically used to facilitate the shared clinical workflow.  For instance, as the patient’s data is pulled from the EMR system, it is accessed during the consultation through widgets including those for treatment history and prior lab values. Disease-​specific assessment widgets may be used again, along with others such as for current lab values.  At the conclusion of the session, the updated patient information is pushed back up to the local and remote EMR systems to maintain a cumulative record of the patient’s treatment.

This unique workflow approach, designed by clinicians for clinicians, is proven to enhance the effectiveness of telemedicine consultations.

Contact Us to learn more about REACH clinical workflow.

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