No, the cost of the telemedicine cart and the video platform software is included in the monthly price.
No, there are unlimited telemedicine consults and unlimited telephone consults for potentially avoidable hospitalization diagnosis and Acute Changes of Condition.
Yes, Curavi is a whole-house model. The Telemedicine service is available to short-term residents and long-term care residents as long as their rooms are located within the facility’s IT network infrastructure.
In our experience, the attending physicians have responded in a very positive manner. Either at the conclusion of the consult or the end of the shift, the Curavi telemedicine physician sends the attending physician of record a clinical summary, as well as a reminder to see the note in the medical record. This allows the attending physicians to stay informed, and the opportunity to prevent a potentially avoidable hospitalization during evening and weekend hours.
The team of Geriatricians from the University of Pittsburgh and UPMC that are designated as Curavi Telemedicine Physicians will complete consults with trained facility staff. The Curavi Telemedicine Physicians will provide coverage Monday – Friday from 6 PM – 12 AM and Saturday/Sunday/Holidays from 8 AM – 2 PM.
No, telemedicine will only be used when a doctor or a designated nurse practitioner is unable to see a resident that has an acute change of condition during the evening or on the weekend.
No, all residents that require hospital-level care either before or following a telemedicine consultation will be sent if medically indicated, and the decision is consistent with the resident/families wishes and care plan goals.
The facility staff will enter some basic information into the CuraviCare software and then scan and send documents using the CuraviCart to the Curavi Telemedicine Physician on call. The documents requested include: medication administration record (MAR), most recent physician progress note, hospital discharge summary, POLST/goals of care and recent labs.
Yes, you may schedule a follow up for a resident who is at high risk for a change of condition, or who needs to be seen as a follow-up to managing a change of condition earlier in the day. To do so, Curavi recommends that you put an order on the chart to “Consult a Curavi Telemedicine Physician for evaluation on [date].”
You will be required to sign verbal orders that were given by the geriatrician during the telemedicine consult in accordance with the facility’s policy and procedure.
Either at the conclusion of the consult or the end of the shift, the Curavi telemedicine physician will send the attending of record a clinical summary, as well as a reminder to see the note in the medical record.
Curavi has an Acute Change of Condition telemedicine protocol to help nurses in the facility determine when it is appropriate to use Curavi.
Residents and families want to be involved in their care. Direct communication between the patient and provider is inhibited when we use the telephone. Using telemedicine, two-way live video-conferencing provides an opportunity for the resident and family to participate in their care, increasing the quality and safety of resident care.
Everyone has a unique part to play in a telemedicine program.
Tele-Presenter: The individual (LPN/RN/CNA/NP) at the SNF who participates in the telemedicine consult:
- Prepares the resident
- Prepares the room
- Supports the provider in the remote evaluation of a residents condition
- Coordinates follow-up
- Notifies Curavi with any technical or training needs
Front line nursing staff, managers and the attending of record can request a telemedicine consultation on behalf of the resident.
A Curavi trained telepresenter, the resident and, if notified and present, a loved one.
A tele-presenter is an individual who is trained in the use of CuraviCart and CuraviCare. A tele-presenter facilitates the live video conference by assisting the resident and the physician during the telemedicine encounter.
Responsible for ensuring the consult request is submitted, the room is ready and is comfortable, the tele-presenter uses the CuraviCart’s diagnostic devices at the telemedicine physician’s request.
LPN’s, CNA’s and RN’s can be tele-presenters depending on the extent of the examination that is required and the need for verbal orders. Always follow your facility’s policy and scope of practice and ensure you are adequately trained before using telemedicine.
Tele-presenters receive, at a minimum, one hour of hands-on training with the CuraviCart and CuraviCare. At the end of the training they must pass a competency assessment. Curavi Telemedicine Physicians and trainers can be made available for mock consults to help support confidence and skill retention.
On average, consults take 25 minutes.
Curavi Physicians are on demand to provide video consultations.
We encourage telemedicine consults to take place when the family is present.
Residents and family have been known to come up and hug the telemedicine cart to say thank you. SNF staff and the Curavi telemedicine physicians are trained on how to ensure the comfort and privacy of residents during a telemedicine consult.
All Curavi telemedicine physicians go through a standardized education program. Physicians must pass a competency assessment before providing telemedicine services.
All physicians providing telemedicine are credentialed in each skilled nursing facility and therefore can give direct orders. In addition, they have a medical license to practice in that state and carry malpractice insurance.
Residents appreciate the quick and easy access to a physician that telemedicine allows. You can help the resident understand what to expect by providing him or her with a patient brochure.
According to the CDC and the AHRQ, potentially avoidable hospitalization are “admissions to a hospital for certain acute illnesses (e.g., dehydration) or worsening chronic conditions (e.g., diabetes) that might not have required hospitalization had these conditions been managed successfully by primary care providers in outpatient settings.” Learn More
SBAR is a standardized way providers can communicate to one another. Communicating in a standardized way of stating the Situation, Background, Assessment and Recommendations is known to enhance patient safety. Curavi trains the SNF staff to communicate on telemedicine using the SBAR format.
Telemedicine is an easy way to connect with doctors who may not be on-site during evenings and weekends. If you have an urgent need to see a doctor after hours, telemedicine allows you to see, hear and speak with a trained geriatric specialist through a secure video conference. This allows you to stay in the comfort of your own room and helps to avoid unnecessary trips to the hospital.
The CuraviCart, a portable medical cart, can be rolled right up to your bedside. With the help of a nurse or assistant, a doctor is able to examine you using the audio and video tools on the cart.
Curavi enables you to be examined by a doctor from the comfort of your own bed. This means that you may be able to avoid the stress of unnecessary trips to the hospital when you are not feeling well. Curavi also allows you to be treated by caregivers who know you and your needs.
If the facility participates in Curavi, you can see a doctor right at your bedside or at a designated place within your facility. Ask your nurse to learn more or send us a message at firstname.lastname@example.org.
You can ask the hospital case manager or call the facility. Even your primary care physician may participate.
Privacy and security of your personal health information is our top priority at Curavi Health. We do not record your visit. Your health records are stored according to federal HIPPA regulations and shared with your nursing facility after a consult.
It depends on the facility. Some facilities use their own physician groups to provide after-hours coverage using telemedicine. In many facilities, you will be seen by one of the Curavi Telemedicine Physicians. These doctors are from the University of Pittsburgh Division of Geriatric Medicine, ranked #12 in the nation by S. News & World Report.
Curavi Telemedicine Physicians have access to your health record. After a visit, a clinical note is shared with the nursing facility to be placed in your health record.