Department of Psychiatry and Behavioral Medicine, Brody School of Medicine at East Carolina University, 600 Moye Blvd, Greenville, NC, 27834, USA.
Psychiatr Q. 2018 Jun;89(2):489-495. doi: 10.1007/s11126-017-9551-6.
Telepsychiatry is a viable option for providing psychiatric care to those who are currently underserved or who lack access to services. While the current technology is adequate for most uses, and continues to advance, there remain barriers to its widespread utilization. One such barrier when working with different healthcare systems is that they utilize different electronic medical record systems (EMRs). This paper describes the experience of the North Carolina Statewide Telepsychiatry Program (NC-STeP) with this problem and how the program successfully resolved it by establishing a web portal that connects participating hospital emergency departments and remote psychiatric providers to share secure electronic health information regarding patient encounters across different EMRs. The Portal also facilitates scheduling, status tracking, and reporting on each patient encounter, as well as delivers the necessary data for the billing to process charges for each consult and to administrators for the operation of the program. The portal effectively bridges the needs of the multiple actors in the telepsychiatry virtual encounter. It provides an efficient experience for the patient and the point-of-care provider, a reliable document exchange for the psychiatric provider, and effective record keeping for the billing and government entities.
远程精神病学是为目前服务不足或无法获得服务的人提供精神保健的可行选择。虽然目前的技术足以满足大多数用途，并在不断发展，但它的广泛应用仍然存在障碍。在与不同的医疗保健系统合作时，其中一个障碍是它们使用不同的电子病历系统 (EMR)。本文介绍了北卡罗来纳州全州远程精神病学计划 (NC-STeP) 在这方面的经验，以及该计划如何通过建立一个网络门户成功解决了这个问题，该门户将参与医院急诊科和远程精神科提供商连接起来，以共享有关患者在不同 EMR 中的就诊的安全电子健康信息。该门户还便于安排、跟踪每个患者就诊的状态，并报告，以及为计费提供必要的数据，以处理每次咨询的费用，并为管理员提供计划的运营数据。该门户有效地满足了远程精神病学虚拟就诊中多个参与者的需求。它为患者和护理点提供者提供了高效的体验，为精神科提供者提供了可靠的文档交换，为计费和政府实体提供了有效的记录保存。
