Targeting Access to Kidney Care Via Telehealth: The VA Experience

Susan T. Crowley; Justin Belcher; Devasmita Choudhury; Cassandra Griffin; Raymond Pichler; Brooks Robey; Rajeev Rohatgi; Bessie Mielcarek; Department of Medicine, Section of Nephrology, VA Connecticut Healthcare System, West Haven, CT; Department of Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, CT; Department of Medicine, Section of Nephrology, Salem VA Medical Center, Salem, VA; Department of Medicine, Section of Nephrology, Virginia Tech Carilion School of Medicine, Roanoke, VA; Department of Medicine, Section of Nephrology, VA Puget Sound Healthcare System, Seattle, WA; Division of Nephrology, University of Washington School of Medicine, Seattle, WA; Department of Medicine, Section of Nephrology, VA White River Junction VAMC, White River Junction, VT; Department of Medicine, Section of Nephrology, Dartmouth School of Medicine, Hanover, NH; Department of Medicine, Section of Nephrology, VA Northport Healthcare Systems, Northport, NY; and Department of Medicine, Section of Nephrology

doi:10.1053/j.ackd.2016.11.005

Targeting Access to Kidney Care Via Telehealth: The VA Experience

Susan T. Crowley, Justin Belcher, Devasmita Choudhury, Cassandra Griffin, Raymond Pichler, Brooks Robey, Rajeev Rohatgi, Bessie Mielcarek, Department of Medicine, Section of Nephrology, VA Connecticut Healthcare System, West Haven, CT; Department of Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, CT; Department of Medicine, Section of Nephrology, Salem VA Medical Center, Salem, VA; Department of Medicine, Section of Nephrology, Virginia Tech Carilion School of Medicine, Roanoke, VA; Department of Medicine, Section of Nephrology, VA Puget Sound Healthcare System, Seattle, WA; Division of Nephrology, University of Washington School of Medicine, Seattle, WA; Department of Medicine, Section of Nephrology, VA White River Junction VAMC, White River Junction, VT; Department of Medicine, Section of Nephrology, Dartmouth School of Medicine, Hanover, NH; Department of Medicine, Section of Nephrology, VA Northport Healthcare Systems, Northport, NY; and Department of Medicine, Section of Nephrology

Internal Medicine

Research output: Contribution to journal › Review article › peer-review

31 Scopus citations

Abstract

The Veterans Affairs (VA) is the largest integrated health care system in the United States and is responsible for the care of a population with a disproportionately high rate of CKD. As such, ensuring access to kidney health services is a VA imperative. One facet of the VA's strategy to reduce CKD is to leverage the use of teletechnology to expand the VA's outreach to Veterans with kidney disease. A wide array of teletechnology services have been deployed to both pull in Veterans and push out kidney health services to Veterans in their preferred health care venue. Teletechnology, thus, expands Veteran choice, facilitates their access to care, and furthers the goal of delivering patient-centered kidney specialty care. The VA has demonstrated the feasibility of virtual delivery of kidney specialty care services and education via synchronous and asynchronous approaches. The challenges ahead include determining the relative health care value of kidney telehealth services, identifying Veterans most likely to benefit from specific technologies and optimizing the adoption of effective kidney telehealth services by both providers and patients alike to ensure optimal and timely kidney health care delivery.

Original language	English (US)
Pages (from-to)	22-30
Number of pages	9
Journal	Advances in Chronic Kidney Disease
Volume	24
Issue number	1
DOIs	https://doi.org/10.1053/j.ackd.2016.11.005
State	Published - Jan 1 2017

Keywords

Access to health care
Health services
Kidney disease
Patient education as topic
Telemedicine

ASJC Scopus subject areas

Nephrology

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10.1053/j.ackd.2016.11.005

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Crowley, S. T., Belcher, J., Choudhury, D., Griffin, C., Pichler, R., Robey, B., Rohatgi, R., Mielcarek, B., & Department of Medicine, Section of Nephrology, VA Connecticut Healthcare System, West Haven, CT; Department of Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, CT; Department of Medicine, Section of Nephrology, Salem VA Medical Center, Salem, VA; Department of Medicine, Section of Nephrology, Virginia Tech Carilion School of Medicine, Roanoke, VA; Department of Medicine, Section of Nephrology, VA Puget Sound Healthcare System, Seattle, WA; Division of Nephrology, University of Washington School of Medicine, Seattle, WA; Department of Medicine, Section of Nephrology, VA White River Junction VAMC, White River Junction, VT; Department of Medicine, Section of Nephrology, Dartmouth School of Medicine, Hanover, NH; Department of Medicine, Section of Nephrology, VA Northport Healthcare Systems, Northport, NY; and Department of Medicine, Section of Nephrology (2017). Targeting Access to Kidney Care Via Telehealth: The VA Experience. Advances in Chronic Kidney Disease, 24(1), 22-30. https://doi.org/10.1053/j.ackd.2016.11.005

Crowley, ST, Belcher, J, Choudhury, D, Griffin, C, Pichler, R, Robey, B, Rohatgi, R, Mielcarek, B & Department of Medicine, Section of Nephrology, VA Connecticut Healthcare System, West Haven, CT; Department of Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, CT; Department of Medicine, Section of Nephrology, Salem VA Medical Center, Salem, VA; Department of Medicine, Section of Nephrology, Virginia Tech Carilion School of Medicine, Roanoke, VA; Department of Medicine, Section of Nephrology, VA Puget Sound Healthcare System, Seattle, WA; Division of Nephrology, University of Washington School of Medicine, Seattle, WA; Department of Medicine, Section of Nephrology, VA White River Junction VAMC, White River Junction, VT; Department of Medicine, Section of Nephrology, Dartmouth School of Medicine, Hanover, NH; Department of Medicine, Section of Nephrology, VA Northport Healthcare Systems, Northport, NY; and Department of Medicine, Section of Nephrology 2017, 'Targeting Access to Kidney Care Via Telehealth: The VA Experience', Advances in Chronic Kidney Disease, vol. 24, no. 1, pp. 22-30. https://doi.org/10.1053/j.ackd.2016.11.005

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abstract = "The Veterans Affairs (VA) is the largest integrated health care system in the United States and is responsible for the care of a population with a disproportionately high rate of CKD. As such, ensuring access to kidney health services is a VA imperative. One facet of the VA's strategy to reduce CKD is to leverage the use of teletechnology to expand the VA's outreach to Veterans with kidney disease. A wide array of teletechnology services have been deployed to both pull in Veterans and push out kidney health services to Veterans in their preferred health care venue. Teletechnology, thus, expands Veteran choice, facilitates their access to care, and furthers the goal of delivering patient-centered kidney specialty care. The VA has demonstrated the feasibility of virtual delivery of kidney specialty care services and education via synchronous and asynchronous approaches. The challenges ahead include determining the relative health care value of kidney telehealth services, identifying Veterans most likely to benefit from specific technologies and optimizing the adoption of effective kidney telehealth services by both providers and patients alike to ensure optimal and timely kidney health care delivery.",

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Targeting Access to Kidney Care Via Telehealth: The VA Experience

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