Medicine Grand Rounds - Implementing Telemedicine in a Chronic Care Model

Friday, May 29, 2020, 8:00 AM - Monday, May 29, 2023, 9:00 AM

AMA PRA Category 1 Credits™ (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Dr. Shah reminds us that telemedicine has been utilized for over fifty years in places such as jails and nursing homes, and explores why it has not been more widely adopted as a tool for patient care. He defines common terminology (sites, fees, laws) and explains why it can be difficult to set up a workable platform. In his Gastroenterology Motility practice, Dr. Shah demonstrates improved access and decreased “time to test”, both of which are positives for patients. He also discussed the difficulty with broadband coverage, reimbursement and decreased satisfaction with care decisions. He emphasizes the need for team engagement and exploring in-home devices for predicting a successful telemedicine practice.

Presenter
Eric D. Shah, MD
Assistant Professor of Medicine
Geisel School of Medicine at Dartmouth
Director, Gastrointestinal Motility, Esophageal, and Swallowing Disorders Center
Section of Gastroenterology
Dartmouth-Hitchcock Medical Center

About our presenter: 
Dr. Eric Shah combined his MD and MBA programs at Texas Tech University and completed his residency in internal medicine at Cedars Sinai.  He was the inaugural Editorial Fellow with Gastroenterology, the flagship journal of the American Gastroenterological Association and his work focuses on helping patients have greater and more affordable access to GI motility care across large health systems.

Learning Outcome(s)
Participants will be able to define telemedicine and common terminology, describe the evidence and knowledge gaps in deploying telemedicine within chronic care models and recognize inequities in access to telemedicine.

Disclosure
In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.


* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and is on the Scientific Advisory Board for Allurion.


Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Bibliographic References
See presentation for bibliographic sources to allow for further study.

Dartmouth Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:
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            5. Complete and Submit the Evaluation.

Provider Contact Information
For questions of the activity or regarding accreditation:

Center for Learning and Professional Development
Dartmouth Health
[email protected]