Introduction: The transition from the Neonatal Intensive Care Unit (NICU) to home is a challenging time for caregivers of infants requiring complex care. Caregivers can use telemedicine to access providers shortly after discharge for further guidance and support. Specific Aims: 1) To improve the transition from hospital to home for patients and families. 2) To reinforce education of caregivers on patient condition, discharge therapies, medications, feeds, and medical equipment use. 3) To assess the potential value of telemedicine …

Background: Brain MRI is an important tool in the diagnosis and management of neonates with possible brain injury. In our large quaternary care neonatal intensive care unit (NICU), MRIs are performed for the identification of white matter lesions in preterm infants, prognostication in hypoxic ischemic encephalopathy, peri-operative evaluation of patients with meningomyeloceles and hydrocephalus among other indications. Patients are often sedated in order to obtain high quality images, but sedation carries risks of complications. As part of the development of a Neonatal …

INTRODUCTION: A gap in the literature exists regarding comparative efficacy of a telemedicine visit with the in-office visit. Little data exists in the field of sports medicine in terms of the ability of a telemedicine visit to provide the clinician and patient with adequate information to replace office visits safely and accurately for adolescent arthroscopy patients. The purpose of this study was to evaluate the efficacy and feasibility of a telemedicine visit compared to routine post-operative visits for adolescents that …

Approximately 350 adolescents have arthroscopic orthopaedic knee surgery at our institution per year. This study evaluated the efficacy of a telehealth (virtual) visit in clients between the ages of 10 and 20 years following this type of procedure performed at an outpatient surgery center. The study compared in-office visits to telemedicine visits done within 24 hours of each other, and demonstrated that home telemedicine visits have similar results when range of motion, incision color, and effusion size are evaluated. Additionally, this study demonstrated the preference for postoperative telemedicine appointments and established the feasibility of the telemedicine visit as a first postoperative follow-up in a clinic staffed by nurse practitioners or physician assistants.

Infants undergoing tracheostomy placement at tertiary and quaternary children's hospitals require complex multidisciplinary follow up. Few studies have analyzed the burden of outpatient care that these patients face after discharge. Additionally, little attention has been paid to the type and frequency of subspecialty outpatient services utilized most frequently in this unique patient population. To determine the burden of outpatient subspecialty services among patients who underwent tracheostomy before the age of one year. Additionally, to identify the most common pediatric subspecialty fields caring …