Page 160 - Business Development Orientation Binder

ii. Measurements within target range = VNSNY’s Telehealth staff may
conduct Welcome/Check In Call
iii. Measurements outside of target range = patient receives Interactive Voice
Response (IVR) phone call English, Spanish, Russian
iv. All languages qualify for Telehealth other languages will receive translator
telephone assist
v. Patient responds to IVR questions and based on answers, may receive a
phone call from VNSNY’s Telehealth Nurse

4. Documentation
a. Referral comments
i. Patient assessed for Telehealth, appropriate & agreeable or
ii. Patient assessed for Telehealth, appropriate but not agreeable or
iii. Patient assessed for Telehealth, not appropriate because… or
iv. Unable to assess patient in hospital for Telehealth appropriateness;
please assess on first visit
v. Telehealth equipment ordered via EOS

5. Order equipment
a. For all Telehealth patients: Telehealth Monitor and Scale and BP Cuff and BP
Stabilograph Monitor
b. For patients with Stage 4 Heart Failure with or without home oxygen: Pulse
oximeter
c. Always order the Blue Tooth with Glucometer and Strips

Role of Telehealth Partner: (AMC Health) delivers equipment, sets-up & trains 1-2 days after
hospital discharge
 Calls patient to arrange equipment installation date and time
 Obtains patient’s written consent
 Delivers and installs monitoring equipment
 Provides patient / caregiver instructions on use of equipment
 Informs patient caregiver Telehalth is not a 911 service
 AMC’s Customer Service Phone: 877- 262-2240 for equipment questions/concerns

Role of the VNSNY Telehealth Nurse
 Reviews transmitted measurements 7 days/wk
 Contacts patient when measurements are outside of parameters or trending negatively
 Provides patient/care giver teaching as needed
 Communicates Telehealth alerts to field clinician and CFM
 Collaborates with field clinician, CFM, provider and
 Sends physician trend reports or telehealth readings
 VNSNY’s Tehehealth Phone: 212-609-1741 for clinical questions/concerns

Role of the field clinician
• Field clinician makes home visit 1 day after hospital discharge
• Reinforces patient/caregiver teaching on use and importance of Telehealth monitoring
• Accesses VNSNY’s Telehealth Results Portal to review patient’s measurements
• Collaborates with the Telehealth nurse, the physician, the CFM and the patient to coordinate
care and intervene as needed
• Requests discontinuation of Telehealth when no longer clinically necessary

7/28/16