ºÝºÝߣ

ºÝºÝߣShare a Scribd company logo

ClinicalStandards

?
?
Beth Abate Bacon
Beth Abate Bacon

Carena partners with health systems to create virtual clinics that deliver high-quality virtual care using board-certified physicians and nurse practitioners. Carena's experienced team adheres to strict clinical standards and guidelines to ensure safe and effective care that is an extension of partners' operations. Carena providers undergo extensive training and their prescribing practices, including lower antibiotic prescription rates, demonstrate a commitment to quality care and outcomes.

1 of 4
Download to read offline
CARENA VIRTUAL CLINIC Clinical Standards and Experience
YOUR PARTNER FOR QUALITY CARE At Carena, we partner with health systems to create virtual clinics that deliver the highest quality patient care. Carena¡¯s extensive experience as a pioneer in telemedicine ensures the practice of safe, evidence- based virtual medicine. Your virtual clinic is a natural extension of your current operations and brand. The clinicians who provide care can be your own staff members. Or, to get up and running quickly, the board-certified, employed medical virtualists at Carena are available to provide 24/7 quality care. Whether you use your providers or ours, all clinicians and staff members working in a Carena virtual clinic adhere to the highest quality clinical protocols, training, and support. Our virtual care criteria and treatment guidelines for urgent and primary care are built right into the system. Health systems committed to the highest level of clinical quality choose Carena to ensure great outcomes for their patients via computer, phone, or tablet. DEDICATED MEDICAL GROUP When our health system partners choose to staff their virtual clinic with Carena medical providers, they are confident that their patients are being treated by an expert team of board certified family physicians and advanced registered nurse practitioners. Our team is unified in their passion to deliver the highest quality virtual healthcare. Our team of employed providers are specialists in the field of telemedicine who have dedicated their clinical careers to virtual care delivery. Our providers are licensed to provide care in your state. They are salaried with incentives tied to patient satisfaction and adherence to guidelines¡ª not volume of visits. We do not work with moonlighters who could be working for another system. Quality of care is as important to us as it is to our health system partners. VIRTUAL PRACTICE GUIDELINES The Carena Virtual Practice Guidelines (VPGs) are the result of an analysis of 35,000 Carena house call encounters and national standards of practice with an emphasis on patient safety, clinical quality and evidence-based medicine. The VPGs are integrated into every virtual clinic we build. This point-of-care clinical documentation software ensures that every health system that partners with Carena efficiently and safely delivers Virtual Visits consistently. Our VPGs also provide a basis for clinical and actuarial review and study. Figure A. Your patients receive appropriate care, whether through our virtual clinic or, if necessary, referred elsewhere in your system. Our virtualists complete visits for 64% of all inquiries. The other 36% are referred to Urgent Care, Emergency Departments, or primary care physicians. 64% completed virtually 36% other REFERRALS 18% Urgent Care 12% PCP 6% ED
QUALITY ASSURANCE AND IMPROVEMENT PROGRAM Carena medical providers emphasize clinical quality and patient safety. Our Quality Assurance And Improvement Program (QAIP) ensures that all providers maintain the highest standard of clinical care. Our QAIP has been approved and certified by the Washington State Department of Health. Some of the measures of Carena¡¯s robust QAIP program include: ? Clinical Appropriateness of Virtual Visit ? Adherence to Virtual Practice Guidelines ? Quality of Documentation ? Ongoing monitoring of prescribing practices and antibiotic stewardship We are dedicated to improvement. A five-member clinician committee performs blinded reviews of random and targeted diagnoses and produces quarterly reports which are used to inform and improve clinical procedures going forward. PROVIDER TRAINING AND COLLABORATION Expert training and support ensure the delivery of high quality, safe, and evidence-based virtual medicine. Our comprehensive provider training program, Carena University, helps to ensure high standards. Ongoing clinical collaboration among the virtualist team is also essential for outstanding patient care. The team¡¯s interactions have fostered a culture dedicated to delivering exceptional virtual care. Responsible Prescription Practices We ensure the clinical appropriateness of every virtual visit and constantly monitor our prescribing and antibiotic stewardship practices. Our providers prescribe antibiotics wisely¡ªup to 25% less often than the national average. Your providers can learn the best practices of telemedicine by attending Carena University. Figure B. Top 15 Virtual Diagnoses & Management Rates C ystitis Sinusitis U RI Pharyngitis C ough/Bronchitis C onjunctivitis O talgia Rash G astroenteritis V iralSyndrom e Skin Infection Fever Back & N eck Pain A bdom inalPain A llergy/U rticaria 14% FrequencyofDiagnosis Completed Virtual Visit Referred for in-person Visit 12% 10% 8% 6% 4% 2% 0%
ANTIBIOTIC PRESCRIBING PRACTICES Carena providers take particular care with the prescription of antibiotics. Historically, our providers prescribe medication in approximately 40% of all Virtual Visits. In an era of antibiotic over-prescription and bacterial resistance, Carena¡¯s overall antibiotic prescribing rate remains consistently lower than national average. For the diagnosis of Upper Respiratory Infection (URI), for example, Carena¡¯s Virtual Antibiotic prescribing rate is only 1% for cough and 4% for bronchitis. COMMITMENT TO GREAT OUTCOMES Patient outcomes are as important to us as they are to you. Our team is dedicated to helping customers get results. Our procedures include follow-up patient calls, regular chart reviews, and bi-weekly meetings to assess cases. We carefully consider our patient survey scores for continuous improvement. It¡¯s all part of our constant commitment to improving outcomes. Figure C. Carena¡¯s antibiotic prescribing rates are between 30% and 50% lower than nationally reported clinic-based averages for Acute Respiratory Tract Infections (¡°ARTI¡±, which includes diagnostic groups for cough, bronchitis, otitis, URI, sinusitis, and pharyngitis). Figure D. Our virtual clinics deliver positive outcomes. 94% of patients who have completed virtual visits report that their issue was either resolved (46%) or better (48%). 82% of visitors required no subsequent care. Results compiled from completed virtual visits. 70% 80% Carena Completed Virtual Visist Grover 2012 Lee 2014 Grijalva 2009 38% 69% 73% 48% Acute Respiratory Tract Infection (ARTI) Antibiotic Prescribing Rates 60% 50% 40% 30% 20% 10% 0% 46% Resolved 48% Better 4% No Change 2% Worse Subsequent Care Required82% None 12% PCP 3% UC 3% Other 0% ER Clinical Status Sources: Grover ML, Mookadam M, Rutkowski RH, et al. Acute respiratory tract infection: A practice examines its antibiotic prescribing habits. Journal of Fam Practice. 2012;61(6);330-35. Grijalva CG, Nuorti JP, Griffin MR. Antibiotic Prescription Rates in Acute Respiratory Tract Infections in US Ambulatory Settings. JAMA. 2009;302(7):758-766. Lee GC, Reveles KR, Attridge RT, et al. Outpatient antibiotic prescribing in the United States: 2000-2010. BMC Medicine. 2014. FOR MORE INFORMATION, CONTACT US AT: 1 (800) 572¨C2103 sales@carenamd.com www.carenamd.com ? 2015 Carena, Inc. All rights reserved. 150224-01-01

More Related Content

ClinicalStandards

  • 1. CARENA VIRTUAL CLINIC Clinical Standards and Experience
  • 2. YOUR PARTNER FOR QUALITY CARE At Carena, we partner with health systems to create virtual clinics that deliver the highest quality patient care. Carena¡¯s extensive experience as a pioneer in telemedicine ensures the practice of safe, evidence- based virtual medicine. Your virtual clinic is a natural extension of your current operations and brand. The clinicians who provide care can be your own staff members. Or, to get up and running quickly, the board-certified, employed medical virtualists at Carena are available to provide 24/7 quality care. Whether you use your providers or ours, all clinicians and staff members working in a Carena virtual clinic adhere to the highest quality clinical protocols, training, and support. Our virtual care criteria and treatment guidelines for urgent and primary care are built right into the system. Health systems committed to the highest level of clinical quality choose Carena to ensure great outcomes for their patients via computer, phone, or tablet. DEDICATED MEDICAL GROUP When our health system partners choose to staff their virtual clinic with Carena medical providers, they are confident that their patients are being treated by an expert team of board certified family physicians and advanced registered nurse practitioners. Our team is unified in their passion to deliver the highest quality virtual healthcare. Our team of employed providers are specialists in the field of telemedicine who have dedicated their clinical careers to virtual care delivery. Our providers are licensed to provide care in your state. They are salaried with incentives tied to patient satisfaction and adherence to guidelines¡ª not volume of visits. We do not work with moonlighters who could be working for another system. Quality of care is as important to us as it is to our health system partners. VIRTUAL PRACTICE GUIDELINES The Carena Virtual Practice Guidelines (VPGs) are the result of an analysis of 35,000 Carena house call encounters and national standards of practice with an emphasis on patient safety, clinical quality and evidence-based medicine. The VPGs are integrated into every virtual clinic we build. This point-of-care clinical documentation software ensures that every health system that partners with Carena efficiently and safely delivers Virtual Visits consistently. Our VPGs also provide a basis for clinical and actuarial review and study. Figure A. Your patients receive appropriate care, whether through our virtual clinic or, if necessary, referred elsewhere in your system. Our virtualists complete visits for 64% of all inquiries. The other 36% are referred to Urgent Care, Emergency Departments, or primary care physicians. 64% completed virtually 36% other REFERRALS 18% Urgent Care 12% PCP 6% ED
  • 3. QUALITY ASSURANCE AND IMPROVEMENT PROGRAM Carena medical providers emphasize clinical quality and patient safety. Our Quality Assurance And Improvement Program (QAIP) ensures that all providers maintain the highest standard of clinical care. Our QAIP has been approved and certified by the Washington State Department of Health. Some of the measures of Carena¡¯s robust QAIP program include: ? Clinical Appropriateness of Virtual Visit ? Adherence to Virtual Practice Guidelines ? Quality of Documentation ? Ongoing monitoring of prescribing practices and antibiotic stewardship We are dedicated to improvement. A five-member clinician committee performs blinded reviews of random and targeted diagnoses and produces quarterly reports which are used to inform and improve clinical procedures going forward. PROVIDER TRAINING AND COLLABORATION Expert training and support ensure the delivery of high quality, safe, and evidence-based virtual medicine. Our comprehensive provider training program, Carena University, helps to ensure high standards. Ongoing clinical collaboration among the virtualist team is also essential for outstanding patient care. The team¡¯s interactions have fostered a culture dedicated to delivering exceptional virtual care. Responsible Prescription Practices We ensure the clinical appropriateness of every virtual visit and constantly monitor our prescribing and antibiotic stewardship practices. Our providers prescribe antibiotics wisely¡ªup to 25% less often than the national average. Your providers can learn the best practices of telemedicine by attending Carena University. Figure B. Top 15 Virtual Diagnoses & Management Rates C ystitis Sinusitis U RI Pharyngitis C ough/Bronchitis C onjunctivitis O talgia Rash G astroenteritis V iralSyndrom e Skin Infection Fever Back & N eck Pain A bdom inalPain A llergy/U rticaria 14% FrequencyofDiagnosis Completed Virtual Visit Referred for in-person Visit 12% 10% 8% 6% 4% 2% 0%
  • 4. ANTIBIOTIC PRESCRIBING PRACTICES Carena providers take particular care with the prescription of antibiotics. Historically, our providers prescribe medication in approximately 40% of all Virtual Visits. In an era of antibiotic over-prescription and bacterial resistance, Carena¡¯s overall antibiotic prescribing rate remains consistently lower than national average. For the diagnosis of Upper Respiratory Infection (URI), for example, Carena¡¯s Virtual Antibiotic prescribing rate is only 1% for cough and 4% for bronchitis. COMMITMENT TO GREAT OUTCOMES Patient outcomes are as important to us as they are to you. Our team is dedicated to helping customers get results. Our procedures include follow-up patient calls, regular chart reviews, and bi-weekly meetings to assess cases. We carefully consider our patient survey scores for continuous improvement. It¡¯s all part of our constant commitment to improving outcomes. Figure C. Carena¡¯s antibiotic prescribing rates are between 30% and 50% lower than nationally reported clinic-based averages for Acute Respiratory Tract Infections (¡°ARTI¡±, which includes diagnostic groups for cough, bronchitis, otitis, URI, sinusitis, and pharyngitis). Figure D. Our virtual clinics deliver positive outcomes. 94% of patients who have completed virtual visits report that their issue was either resolved (46%) or better (48%). 82% of visitors required no subsequent care. Results compiled from completed virtual visits. 70% 80% Carena Completed Virtual Visist Grover 2012 Lee 2014 Grijalva 2009 38% 69% 73% 48% Acute Respiratory Tract Infection (ARTI) Antibiotic Prescribing Rates 60% 50% 40% 30% 20% 10% 0% 46% Resolved 48% Better 4% No Change 2% Worse Subsequent Care Required82% None 12% PCP 3% UC 3% Other 0% ER Clinical Status Sources: Grover ML, Mookadam M, Rutkowski RH, et al. Acute respiratory tract infection: A practice examines its antibiotic prescribing habits. Journal of Fam Practice. 2012;61(6);330-35. Grijalva CG, Nuorti JP, Griffin MR. Antibiotic Prescription Rates in Acute Respiratory Tract Infections in US Ambulatory Settings. JAMA. 2009;302(7):758-766. Lee GC, Reveles KR, Attridge RT, et al. Outpatient antibiotic prescribing in the United States: 2000-2010. BMC Medicine. 2014. FOR MORE INFORMATION, CONTACT US AT: 1 (800) 572¨C2103 sales@carenamd.com www.carenamd.com ? 2015 Carena, Inc. All rights reserved. 150224-01-01