Shawn Farrell
Boston, Massachusetts, United States
1K followers
500+ connections
About
Results-oriented senior healthcare executive with 20+ years of diverse leadership…
Experience
Education
Publications
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Case 2: Specialized Collaboration in Unexpected and Special Circumstances
Children's Health Fund
"Waltzman, Wang, and Farrell present a case in which telehealth systems address crisis needs, while also enhancing relationships among institutions. Such institutional collaboration provides a size and scope of distributed services that would be difficult to establish at a community-based provider level alone."
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The Status of Telestroke in the United States: A Survey of Currently Active Stroke Telemedicine Programs
Stroke
Background and Purpose—Little is known about adoption or success of telestroke networks outside of published or federally funded programs. Under contract to the Health Resource Services Administration, we conducted an environmental scan of telestroke programs in the United States.
Methods—An analyst contacted all potential programs identified in comprehensive online searches, interviewed respondents, and collected response data about structural and functional components of currently…Background and Purpose—Little is known about adoption or success of telestroke networks outside of published or federally funded programs. Under contract to the Health Resource Services Administration, we conducted an environmental scan of telestroke programs in the United States.
Methods—An analyst contacted all potential programs identified in comprehensive online searches, interviewed respondents, and collected response data about structural and functional components of currently operating telestroke programs.
Results—Among 97 potential programs contacted, 56 programs had confirmed telestroke activity, and 38 programs (68%) from 27 states participated. Hospital and community characteristics of nonparticipating programs were similar to those of participating ones. The top 3 clinical needs met by the telestroke were emergency department consultation (100%), patient triage (83.8%), and inpatient teleconsultation (46.0%). Telestroke programs were in operation a median of 2.44 years (interquartile range, 1.36–3.44 years); 94.6% used 2-way, real-time interactive video plus imaging, but only 44% used dedicated telemedicine consultation software. The mean number of spokes per hub increased significantly from 2007 to 2008 to 2009 (3.78 versus 7.60; P<0.05), and >80% of spoke sites were rural or small hospitals. Reimbursement was absent for >40% of sites. Sites rated inability to obtain physician licensure (27.77%), lack of program funds (27.77%), and lack of reimbursement (19.44%) as the most important barriers to program growth.
Conclusions—Telestroke is a widespread and growing practice model. Important barriers to expansion amenable to change relate to organizational, technical, and educational domains and external economic and regulatory forces.Other authors -
Honors & Awards
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Adam Rule Pediatric Telehealth Award
American Telemedicine Association
Organizations
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American Telemedicine Association
Pediatric Subcommittee Secretary (May 2015 to Present)
- Present
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