Marilyn Sherrill and her guests, Dr. Matthew Lyon and Dr. Max Bursey, take a deep look at Augusta University Medical Center’s successes and challenges regarding Interhospital transfers.      

Guest speakers:

Max Bursey, DO

Matthew Lyon, MD

Moderator:

Show Notes:

[01:36] Georgia is unique in that it has a large number of rural hospitals, requiring a large number of interhospital transfers for high acuity cases.

[03:50] Telemedicine and ED-based critical care services have aided rural hospital quality of care and decreased the need for transfers.

[05:48] These two services have evolved from intervention in the ED only to a holistic program of care for patients in rural hospitals.

[07:38] The ED ICU service provides inpatient level care to patients waiting on an ICU bed and “short-stay” ICU patients, and works closely with the telemedicine critical care to prevent and manage transfers.

[09:53] Telemedicine interacts with Emtala in ways that allow rural hospitals to admit and keep a broader selection of patients.

[11:13] Challenges have included the need for training providers on the use of telemedicine, and training and staffing ICU-level nurses in the ED ICU and in rural hospitals.

[13:53] Starting slow and adequately training staff are important best practices.

[16:03] Telemedicine isn’t going anywhere and should be utilized fully, and included in the work of the ED.

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