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Virtual HIV Care Teams in a Rural Setting

Hynes D, Young A, Ohl M, Houston T, Goldstein M. Virtual HIV Care Teams in a Rural Setting. Presented at: American Medical Informatics Association Annual Symposium; 2013 Nov 17; Washington, DC.


This panel focuses on the use and impact of health information technology (HIT) to address complex care within the Department of Veterans Affairs (VA). We highlight specific HIT approaches, including innovative and interactive uses of the VA's electronic health record, databases, and information systems; personal health record; and applications of automated systems for intervention, evaluation, and tracking patient care. Examples include patient-facing, health care team-facing and health system-facing technologies to support clinical care with systematic research-based evaluations. These processes demonstrate both the innovation and synergy of a range of HIT approaches in dynamic health care settings developed for patients, health care teams, and managers. Attendees will: 1) Become familiar with the VA Quality Enhancement Research Initiative (QUERI) and the role of informatics in advancing the program's impact; 2) Learn about a range of innovative patient-facing, health care team-facing and health system-facing technologies to support clinical care; and 3) Understand the value of systematic evaluation of health information technologies and how research and clinical care can be synergistic in advancing healthcare quality. We hope that this material stimulates systematic application of innovative HIT in health care within and beyond the VA. Panelists Description: The VA Quality Enhancement Research Initiative (QUERI) utilizes a range of health information technology (HIT) approaches to support clinical care with systematic research-based evaluations. Dr. Hynes will provide an overview of the VA QUERI and HIT approaches, and panelists will highlight the use of these technologies to advance complex care within the VA. 1) Mental Health-QUERI: Patient-Facing Kiosks - Alexander S. Young, MD, MSHS Using innovative patient facing kiosks, data were captured directly from Veterans at 4 healthcare centers in 3 states. Dr. Young will discuss how these data supported implementation of timely, evidence-based services compared with usual care, and improved weight, employment, treatment, and outcomes. 2) HIV/Hepatitis QUERI: Telehealth Strategies in SCAN-ECHO - Michael Ohl, MD, MSPH Focused on geographically dispersed providers caring for veterans with HIV infection in a rural setting, Project SCAN ECHO allows for specialists to electronically connect with primary care providers in rural and remote locations. Dr. Ohl will discuss integration of telehealth and use of population registries to support clinical collaboration.

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