NewYork-Presbyterian adds more telepsychiatry, express care services

By Tom Sullivan
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NewYork-Presbyterian has revealed a pair of new telemedicine options for psychiatric and express care services that build out its existing NYP OnDemand telehealth suite.

NYP went live with Express Care at its Columbia University Medical Center, which replaces in-person encounters with a video visit to slash admission-to-discharge times from an average 2.5 hours to 31 minutes, according to NYP chief innovation officer Dr. Peter Fleischut. The appointments take place on-site and enable patients to see specialists from 10 NYP hospitals.

NYP also launched a telepsychiatry service so emergency department patients don’t have to come back in for a follow-up visit; this option reduced wait times from 24 hours down to under 60 minutes.

Telepsychiatry and Express Care (which NYP counts along with urgent care services as one prong) are two pieces of NYP’s five-pronged approach, CIO Daniel Barchi said. The others include second opinions, virtual follow-up visits and telestroke.

The second opinion service enables patients to get the viewpoint of another doctor across 80 specialties, while clinicians use the follow-up tool to conduct virtual visits for post-surgery and other select situations.

When someone calls 911 from anywhere in Manhattan, NYP can send its fifth prong: a mobile telestroke unit in an ambulance equipped with a CT scan machine to diagnose and, if need be, treat the patient on the spot.
 
Fleischut said the telestroke set-up can save as many as 70 minutes of treatment time, or about 140 million brain cells. 


CIO Daniel Barchi and chief innovation officer Dr. Peter Fleischut will participate in a joint Healthcare IT News and NewYork-Presbyterian #HealthyTechTalk​ Tweet chat on June 8, 2017 at 1 p.m. EST.

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“Developing people and processes and working with technology has allowed us to scale NYP OnDemand and change how go about delivering care,” Fleischut added.

For its approach, NYP takes a best-of-breed to technologies, including American Well’s telehealth platform, Grand Rounds tools for the second opinions piece, Cisco products for peer-to-peer interactions, among others.

“We pick the right technology for what we’re doing,” Barchi said. “Technology is not the focus of the energy and efforts — that’s improving patient experience and satisfaction.”

Moving forward, NYP aims to make 20 percent of all visits virtual. “We’ve grown 100 percent in volume every month,” Fleischut said, since it originally piloted NYP OnDemand in 2015.

Barchi added that the ability to reach out to patients across the US enables NewYork-Presbyterian doctors and specialists to focus on being doctors and specialists.