As part of its efforts to make the VA more responsive to
veterans’ health care needs, the VA announced last week that it is creating 5
VA Mental Health Telehealth Clinical Resource Centers.
The VA sees telehealth services as a vital part of their
efforts to improve and increase access to care for veterans, especially those
in remote areas. Telehealth services can make it easier for veterans to obtain
certain types of specialty care, and in some cases remove the need to travel to
the nearest regional medical center. Currently, over 677,000 veterans receive
healthcare from the VA through telehealth services.
Telehealth services fall primarily into 3 types: Clinical
Video Telehealth, Home Telehealth, and Store and Forward Telehealth.
Clinical Video Telehealth (CVT) uses real-time interactive
video conferencing to allow healthcare providers to diagnose, manage care, and
even treat patients remotely. For example, using CVT, a speech pathologist can
work with a stroke patient in a remote location, making it easier for the
patient to get needed treatment without having to travel long distances. Similarly,
a surgeon can provide pre- and post-operative diagnoses as well as real-time surgical
consultations. CVT is currently being used by over 45 medical specialties,
including cardiology, neurology, primary care, nutrition, rehabilitation… and
the list continues to grow.
Home Telehealth allows providers to manage the care of veterans
with chronic conditions, such as diabetes, through the use of in-home or mobile
monitoring and/or video messaging.
Store and Forward Telehealth (SFT) uses data, imaging, and
video technologies to gather and store patients’ clinical information which can
then be forwarded to or retrieved by providers at another VA location for
evaluation. The results of the information generated by SFT are documented in
the patient’s record.
The five new VA Mental Telehealth Clinical Resource Centers
announced last week will use all three of these telehealth technologies to
provide mental health assessments and care to veterans with limited access to
VA facilities. Veterans in need of mental health care can be connected in
real-time to providers who may be miles away.
One VA Mental Telehealth Clinical Resource Center is already
up and running in West Haven, Connecticut. Additional centers are being built in
Salt Lake City, UT; Charleston, SC; and Pittsburgh, PA. The last center will
consist of a group of facilities in Seattle, WA; Boise, ID; and Portland, OR.
These facilities are all expected to be up and running this summer.
Telehealth services make it possible for veterans to receive
the care they need without the expense and inconvenience of traveling to a
regional medical center. If it is determined that a veteran needs to be seen in
person or be hospitalized, those arrangements can be made using CVT. More
information on the VA’s telehealth programs can be found at www.telehealth.va.gov/real-time/.
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