Tag Archives: TriageLogic

Vendor Spotlight On TriageLogic


TriageLogic

Adapting to the Demands of Healthcare with High-quality Solutions for Nurse Triage and Remote Patient Care

In 2006 by Charu Raheja, Ph.D., founded TriageLogic with the purpose of using modern nurse telehealth technology and medical expertise to improve access to healthcare. Their goal is to ensure everyone receives the same standard of care regardless of where they live. Ravi Raheja, MD, serves as the medical director and COO, overseeing all nursing and technology operations in the company to ensure patients receive the highest level of care.

Over the last thirteen years, TriageLogic has stayed true to its mission and continues to provide innovative nurse telehealth technology and mobile applications. TriageLogic also operates one of the largest URAC-accredited healthcare call centers in the United States. As healthcare has evolved, TriageLogic has continued to adapt and release new product lines to meet the changing needs of the industry.

The year 2020 has challenged our healthcare system, causing many medical professionals to work around the clock to implement emergency remote support solutions for patients. TriageLogic has been proud to assist with the COVID-19 pandemic by quickly adapting and creating easy-to-implement solutions for hospitals, medical organizations, and health centers to use for patient care during the COVID-19 crisis.

The following lists some of the solutions available for clients:

Nurse Triage On Call

TriageLogic maintains one of the most sophisticated URAC accredited nurse triage systems in the United States. Their call center software allows clients to customize orders after nurses evaluate the symptoms presented by patients. Nurses can share handouts with patients on behalf of doctors, and MDs can communicate securely with nurses using HIPAA-compliant texting. The company quickly ramped up its services and software implementation as it observed a call volume increase by as much as 35 percent due to COVID-19.

Customized Coronavirus-Trained Hotline and Patient Triage System

These hotlines include a combination of online systems and a remote call center telephony with triage protocols. By partnering with physicians, TriageLogic helps millions of concerned callers, evaluate their symptoms, and coordinate testing for thousands of patients.

Remote Call Center with a Phone System for Doctors and Nurses

TriageLogic can set up nurses and doctors to work remotely, including connecting all staff to a call center-grade, HIPAA-compliant phone system. This system allows organizations to keep their clinical staff at home and coordinate as a team as if they were in the office. From front desk staff to nurses and doctors, the entire team stays together while working remotely, including scheduling visits and conducting telehealth visits. Using secure phone lines keeps patient information confidential.

Nurse Triage Software with Up-To-Date Protocols (including COVID-19)

MyTriageChecklist is a fast-to-train, web-enabled software from TriageLogic that provides continuity in patient care and education. It takes less than an hour to implement, does not store any sensitive patient information, and offers an easy-to-use interface to ensure nurses ask and consistently document all relevant questions related to patient symptoms.

It also includes triage protocols written by Dr. Schmitt and Dr. Thompson, which are updated in real-time. For example, COVID-19 protocols receive regular updates as information becomes available.

Remote Patient Monitoring (RPM)

As monitoring technologies continue to gain traction, the healthcare industry views RPM as a way to help control the cost of care for those with chronic diseases such as congestive heart failure, COPD, asthma, and diabetes.

However, the amount of data that’s generated by monitoring technologies is vast. TriageLogic has partnered with several device companies to create a full end-to-end monitoring system. The system makes it easy for doctors to monitor their chronically ill patients without adding administrative or clinical burden to their staff. TriageLogic can also create specific protocols for nurses to use based on devices and patient conditions.

Reporting Portal

Finally, all TriageLogic solutions come with a robust reporting portal to provide in-depth analytics on the outcomes from patient interaction. TriageLogic aims to stay ahead of the demands of healthcare and create ready-made and easy to implement solutions to continue helping providers give the best possible care to their patients.

TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. The TriageLogic group serves over 7,000 physicians and covers over 18 million lives nationwide.

Protocols Updated to Cover Coronavirus


TriageLogic

To address Coronavirus concerns, Doctors Schmitt and Thompson have updated their Clinical Content protocols. The coronavirus protocols include appropriate questions to screen patients who may be at risk as well as dispositions based on symptoms and exposure. The protocols also contain pertinent information from a public health reporting perspective to help prevent the spread of the virus. 

The coronavirus protocols include appropriate questions to screen patients who may be at risk as well as dispositions based on symptoms and exposure. Click To Tweet

Coronavirus is a respiratory disease caused by a new strain of coronavirus, first detected in China, has now been diagnosed throughout most of the world. The virus is named SARS-CoV-2, and the disease it causes has been named coronavirus disease 2019, abbreviated COVID-19. On January 30, 2020, the International Health Regulations Emergency Committee of the World Health Organization declared the outbreak a public health emergency of international concern. 

At this time, there is no vaccine to protect against COVID-19 and no medications approved to treat it. According to the CDC, nonpharmaceutical interventions are the most important response strategy. As the virus outbreak continues to evolve, TriageLogic will provide its clients with the latest information to allow for the best-possible patient care. 

TriageLogic

Contact TriageLogic if you have questions about their protocols or if you would like their triage nurses to be available to answer your patient phone calls. To learn more about COVID-19, see information from the World Health Organization

TriageLogic Implements Emergency COVID-19 Hotlines and Remote Care Solutions


TriageLogic

TriageLogic announced easy-to-implement solutions that hospitals, medical organizations, and health centers can use for patient care during the COVID-19 crisis. As the healthcare sector adapts to the coronavirus pandemic, many medical professionals work around the clock to implement emergency support solutions for patients who present worrying symptoms, as well as those who need help understanding the guidelines for care. 

A COVID19 hotline is available 24/7 to screen patient questions, provide information, and follow scripts on behalf of specific practices and medical groups. Click To Tweet

The following solutions have minimal implementation time requirements:

  • A Coronavirus-trained hotline is available 24/7 to screen patient questions, provide information, and follow scripts on behalf of specific practices and medical groups. With a significant increase in patient calls, the ability to discern which ones require additional medical attention and which are only seeking advice is paramount to a functional office staff. 
  • Nurse triage software with Covid-19 protocols, through MyTriageChecklist, is a fast-to-train, web-enabled software that provides continuity in patient care and education. It takes less than an hour to implement, does not store any sensitive patient information, and offers an easy-to-use interface to ensure nurses consistently ask and document all relevant questions related to patient symptoms. 
  • Remote call center with phone system can enable your certified nurses to work at any location connected to a call center-grade, HIPAA-compliant phone system. This allows an organization to keep their clinical staff at home and coordinate as a team to remotely evaluate patients.

“We are working around the clock to help our current clients as well as other health centers put processes in place to help patients and concerned callers. We are also working with remote monitoring companies to have a process in place to help patients at risk, or after a hospitalization at their homes,” said TriageLogic’s Ravi Raheja, MD.

TriageLogic

TriageLogic offers easy to implement solutions for healthcare organizations to address the COVID-19 crisis. This includes setting up information hotlines, giving nurses the tools to evaluate patients over the phone, and helping set up remote call center phone systems. Visit www.triagelogic.com for more information or email info@triagelogic.com.

Implementing Virtual Call Centers with Telehealth Systems to Address COVID-19


TriageLogic

TriageLogic announced a quick-to-deploy and easy-to-use telehealth system with a virtual call center that hospitals, medical organizations, and health centers can use for patient care during the COVID-19 crisis.

As health organizations adapt to the coronavirus pandemic, they look for a system they can deploy quickly for staff and nurses to work remotely to set up doctor visits, answer patient questions, evaluate their symptoms, and determine who needs further evaluation by a doctor. Team members can communicate with their physicians and set up two-way video visits using secure, HIPAA-compliant texting options that do not require the use of a mobile app. This allows the remote hospital associates to set up and coordinate telehealth visits for doctors instead of in-person visits.

Nurses can also be included in the solution by having COVID-19 and other medical protocols available in a web-based system. The information from the phone call can be exported to the hospital’s EMR system or be integrated with Salesforce.

TriageLogic was able to set up a telehealth system within a couple of days for our nurses and doctors to work remotely and continue their medical visits. Click To Tweet

TriageLogic can deploy the following solutions related to sending staff home:

  • Cloud-based HIPAA compliant call center telephony system for coordination of remote staff
  • Phone system to connect remote workers with queueing and full contact center capability
  • COVID-19 nurse triage protocols for use with existing EMR or CRM such as Salesforce
  • Web-based triage software with COVID-19 and other protocols
  • Coordination of telemedicine visits between non-clinical, nurses, and doctors in client EMR
  • TriageLogic assists in recommending efficient workflow and implementation of two-way video visits

Additional solutions such as a fully staffed COVID-19 hotline and remote patient monitoring are also available. “TriageLogic was able to set up a telehealth system within a couple of days for our nurses and doctors to work remotely and continue their medical visits,” said Melinda, director of PPM business operations for a large children’s hospital.

TriageLogic

Visit www.TriageLogic.com or email info@triagelogic.com for more information.

Emergency Medical and Continuity Remote Care Solutions to Address the Coronavirus Outbreak


TriageLogic

By Ravi K. Raheja, MD

The Covid-19 pandemic continues to change nearly all parts of our lives and businesses. As a result of this national emergency, medical professionals, hospitals, and organizations are working around the clock to implement emergency support solutions for patients presenting worrying symptoms as well as those who need help understanding the guidelines for care.  

This article focuses on emergency solutions that providers can implement quickly in this time of crisis.

Set-up a Virtual Doctor Office

We understand that virtual visits are going to be necessary to save time and decrease in-person patient contact. However, medical practices must consider how to create a system that allows medical visits to continue as if they were in the office. 

Here are some things to consider:

Doctors can evaluate patients over the phone and prescribe. Many practices already have the technology to see patients virtually, and there are several platforms available that healthcare providers, who do not yet have the technology, can implement quickly. When selecting a technology, choose a vendor that can provide HIPAA-safe calls, record information as needed, and make it easy to access without a mobile application.

Medical practices must consider how to create a system that allows medical visits to continue as if they were in the office.  Click To Tweet

Nurses play a vital role in helping contain the epidemic and alleviate the calls that go to the doctors. Nurses need to use triage protocols (including COVID-19 protocols) to evaluate and determine which patients require a consultation with a doctor. The protocols experience regular updates, written by doctors, as the latest information becomes available. These protocols are available for free from TriageLogic.

Software System

Look for a company that can quickly implement a virtual office that allows front desk, nurses, and doctors to continue working and operating remotely as if they were in an office. Vendors that have a record of working with doctors can implement these solutions quickly and affordably.

TriageLogic

Ravi K. Raheja, MD is the COO and medical director of the TriageLogic Group. Founded in 2005, TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. For more information visit www.triagelogic.com and www.continuwell.com or email support@triagelogic.com

Good Clinical Documentation and the Telephone Triage Nurse


TriageLogic

By Heather Jarvis

When it comes to documenting triage calls, there’s always a fine balance between effective communications and liability risk. Nurses want to—and need to—effectively communicate information and directions to patients and those who may see their notes after the call. However, triage nurses must also cover themselves when it comes to liability.

So, what elements make good call documentation? Here are three tips to make sure your calls are well documented.

There’s always a fine balance between effective communications and liability risk. Click To Tweet

1. Make Your Communication Clear

Read your notes out loud and ask yourself, would this make sense to anyone else who reads it? Have I used the appropriate words? Does it have a definitive beginning and end?

2. Make Your Communication Concise

Think about what your narrative will look like to others. This applies not only to the next caregiver but six months or a year later when your instructions may face review. Are your communications direct and to the point?

3. Make Your Communication Credible

Use appropriate terminology, punctuation, and abbreviations. Make sure that others would view your documentation as written by someone who is knowledgeable. Always stick to the facts. Avoid jargon or slang. If a patient says she has a tummy ache, put that information in quotes so it’s known these were the patient’s words. Nurse triage documentation is not the place for personal views.

Conclusion

It’s important to remember that a nurse is judged by a reasonable standard: what a reasonable nurse would have done under the same or similar circumstances. See the most recent guidelines and the benefits of protocols for both children and adult triage.

Every nurse wants to provide the best care, perfect care. But perfect care is not what the law requires. The law requires that a triage nurse provide reasonable care. Clear, concise, and credible documentation is always a best practice.

TriageLogic

Heather Jarvis is the communications and client engagement specialist at Triage Logic.

TriageLogic Offers Remote Patient Monitoring

TriageLogic announced it will apply its thirteen years of industry-leading phone triage experience in the emerging remote patient monitoring (RPM) market. As monitoring technologies continue to gain traction, the healthcare industry views RPM as a tool to help control the cost of care for those with chronic diseases such as congestive heart failure, COPD, asthma, and diabetes.

TriageLogic announced it will apply its thirteen years of industry-leading phone triage experience in the emerging remote patient monitoring (RPM) market. Click To Tweet

Monitoring devices collect large amounts of patient data—blood pressure, blood sugar, blood oxygen levels, heart rate, and more. Each device has its own data algorithm that flags abnormal conditions. Results from these devices are typically displayed on dashboards provided by the device company. A physician or their staff that’s monitoring multiple patients with multiple conditions would need to spend a significant amount of time reviewing every dashboard regularly. This is time taken away from face-to-face patient care.

“Digital health technology is sophisticated and has tremendous potential to help patients better manage their health,” said Ravi Raheja, M.D., TriageLogic medical director and CTO. “However, the amount of data that’s generated is vast. A medically trained professional must review the information and evaluate it in the context of the individual to determine the appropriate action. We have the history, experience, and trained nursing staff to review this data,” said Raheja.

TriageLogic is working with physicians and device companies to bridge the gap that exists between the mountains of data generated by health technology devices and the decisions that need to be made in support of better health.

All monitoring takes place behind the scenes and is seamless to patients. A patient simply uses their device as directed by their physician. TriageLogic’s registered nurses evaluate any alerts or deviations registered by the devices. The patient then receives a call from a TriageLogic nurse who will provide instructions for follow-up care. On January 1, 2020, the Centers for Medicare and Medicaid Services approved reimbursement for some virtual care monitoring, opening the door for more patients to request RPM.

“Most physicians don’t have the time or resources to monitor dashboards for multiple devices,” said Raheja. “TriageLogic’s resources allow physicians to do what they’re best at—spend quality face-to-face time with those who truly need medical intervention. We work closely with each physician group to ensure we understand their preferences and custom care -plans for patients with chronic disease.”

TriageLogic

TriageLogic is a technology-based service provider of remote patient monitoring services and quality telehealth solutions, including comprehensive after-hours call center services and innovative online systems for use in institutional and private practice settings. TriageLogic provides patient call solutions for more than 9,000 physicians and helps manage the care of more than eighteen million individuals.

How Triage Nurses Can Help Patients with Mental Health Conditions


TriageLogic

By Ravi K. Raheja

Telephone triage nurses have a more important role than ever before. Nearly one in five U.S. adults lives with a mental illness (44.7 million in 2016), which is why many adults with mental illnesses go untreated (60 percent according to a report from USA Today). This article addresses the growing concerns for mental health awareness and education.

Telephone triage nurses are often the first point of contact for those struggling with a mental illness and can help a patient recognize the need for intervention. So, what can telephone triage nurses do to help?

Provide Accurate and Timely Triage

Telephone triage nurses are often the first point of contact for a patient with mental health symptoms and as a result, nurses should be patient, flexible, and have great communication and listening skills. The nurse must combine both clinical judgment and emotional connections to assess the patient’s situation to identify possible mental health issues. The telephone triage nurse’s role is to obtain the most accurate medical history and assessment to rule out medical symptoms that require immediate attention.

Remove Biases That Can Impact the Triage Process

Good telephone triage nurses always remove any biases and stereotypes. Having preconceived notions and distinctive sets of thinking can lead to error in the treatment of patients.

Assess the Environment

The Emergency Nurses Association recommends treating patient agitation as if it’s “the chest pain of behavioral emergencies.” Key phrases such as “I understand” can help place a patient at ease and give them the space to talk to the nurse. Throughout the call, the nurse should assess the patient’s environment and resources available to determine the most appropriate care plan.

Manage Uncertainty

Not all patients will be able to accurately describe their condition, history, medical conditions, or other pertinent information. It is up to the nurse to decipher this uncertainty.

  • Assess the situation: How is the patient presenting? Is his or her speech coherent? Are they answering questions appropriately? Hallucinating? Delusional? Rambling?
  • Address the whole patient: One common occurrence within mental health care is “diagnostic overshadowing.” This happens when the focus on a patient’s mental health diagnosis overshadows their physical health needs.
  • Be an advocate: Triage nurses are the first to communicate with, provide support to, and manage patients with psychiatric or mental health issues. Acting as a patient’s initial advocate can be life-changing for that patient

In Conclusion

Triage nurses always have the callers’ safety in mind. They combine both clinical judgment and emotional connections to assess the patient’s situation and to identify possible mental health issues. Nurses need to know the local emergency assistance numbers in case they need to reach out for more assistance. Just talking about their problems for a length of time can help a great deal for many callers who might be suffering from a mental illness.

TriageLogic

Ravi K. Raheja, MD is the COO and medical director of the TriageLogic Group. Founded in 2005, TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. The TriageLogic group serves over 7,000 physicians and covers over 18 million lives nationwide. For more information visit www.triagelogic.com and www.continuwell.com.

Using Device Data and Nurse Triage to Improve VA Healthcare


TriageLogic

By Ravi Raheja

New technologies are transforming how clinicians deliver healthcare. At the same time, digital solutions alone are not enough to help patients. Incorporating some human component increases patient compliance and education, further reducing healthcare costs. Medical call centers should be adopting software and increasing the role of triage nurses to complement traditional care settings, such as the VA. 

Device Data

For example, digital diabetes prevention and treatment platforms connect users with support communities and health coaches who can remotely monitor chronic conditions such as weight, blood sugar, diet, and medicine intake. Thresholds and alerts can be set up to alert healthcare providers about abnormal and potentially abnormal or dangerous values. While the devices can collect and transmit data and even have a certain threshold, a medical professional still needs to interpret the data and then direct patients about the next steps based on the data and in the context of their symptoms and current health status.

New technologies are transforming how clinicians deliver healthcare.  Click To Tweet

Telephone Triage

Telephone triage nurses play a vital role in interpreting the data and providing appropriate follow up for patients who use these technologies. They act as the first line of screening when an alert or abnormal value is reported. They have the training to talk to patients, assess their symptoms, and determine the next best steps based on combining the data with the full patient assessment over the phone.

To assess patients and direct them appropriately, the nurses need triage protocols. Most medical call centers use the gold standard protocols from Schmitt-Thompson to assess symptoms. Call centers should also incorporate robust protocol builders, a technology that enables an organization to modify existing protocols to meet their needs and create new protocols when required.

Custom Protocols

By using custom-developed protocols, triage nurses can assess a patient using the data received from devices with appropriate next steps for medical care. As a result, triage nurses play a significant role in this new digital era, driven by value-based care. By combining the data from devices and other sources with innovative triage technology, triage nurses can act as the bridge between patients and providers. This creates a viable monitoring solution that provides cost-effective care.

In conjunction with the custom protocols, organizations should use platforms to put in custom workflows. As an example, once a nurse has determined the appropriate level of care, they can now further direct the patient to specific care locations, referral numbers, or provide handouts via text or email. This allows the triage nurse to serve as an effective first point of contact and get the patients to the appropriate next steps on the first call.

Mobile App

Finally, look for companies that can provide an optional mobile app to enable patients to take advantage of increased self-service, access to customized resources, and insight into their own information.

Summary

Technology is changing the access, monitoring and delivery of healthcare. Value-based solutions are now possible to optimize patient care and decrease healthcare expenses.

Call center solutions that incorporate effective communication using telephone triage nurses, coupled with valuable wearable device data, will be able to greatly improve the level of VA healthcare services for veterans and their families.   

TriageLogic

Ravi K. Raheja, MD is the COO and medical director of the TriageLogic Group. Founded in 2005, TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. The TriageLogic group serves over 7,000 physicians and covers over 18 million lives nationwide. For more information visit www.triagelogic.com and www.continuwell.com.

Oklahoma Medical Center Provides Innovative Triage Line to Manage Hospital Overcrowding


TriageLogic

An Effective Approach to ER Phone Calls

Dr. Charu Raheja

Emergency Room (ER) overcrowding is widespread in hospitals, creating delays and diversion from those who need care the most. According to a recent article, “Compounding the problem is the alarming trend of a decreasing number of ERs and an increasing number of ER visits.”

All too often, injury or illness appears without warning for patients. For hospitals trying to control overcrowding, the obvious solution is to redirect patients who don’t need to be in the ER to more appropriate paths for care. Who then determines if it’s necessary for a patient to go the ER? Most people aren’t trained medical professionals, and as a result, they worry and end up in the ER for non-urgent symptoms.

Having the reassurance of a triage nurse could help decrease the number of people in the ER for non-emergency reasons. Click To Tweet

Patients faced with uncertainty about where to go, all too often, end up calling the ER department and receive a standard response: “We are not allowed to give advice over the phone. If you think you have an emergency, please hang up and call 911. If you think you need to see someone, you can come to the emergency room or call your doctor.”

So, who do you call?

Telephone Triage

One hospital in Oklahoma, with a similar issue, wanted to change this process. What if they provided a nurse triage line that would be available to receive calls from the patients calling the ER? Having the reassurance of a triage nurse could help decrease the number of people in the ER for non-emergency reasons.

This would provide patients with quick and easy access to a trained medical professional to assist in determining the appropriate next steps based on their symptoms and medical history. Also, since the nurses work independently from the hospital system, the nurses would provide an objective opinion increasing patient trust.

Results

The results were inspiring. The nurses significantly decreased unnecessary emergency room visits. A random survey of about 520 patients uncovered their plans before talking to a nurse. This helped determine the effectiveness of the system.

Out of 240 patients who were planning to go to the ER, 42 percent of them were diverted to a lower level of care, including 17 percent that received home care needing no additional follow up actions. This translated into a savings of at least 215,000 dollars in unnecessary ER visits, not to mention providing peace of mind for patients being able to stay home and rest.

Better Health Outcomes

The benefits didn’t just stop at ER costs savings. Consider the patients who called into the nurse triage line and were not intending to go to the ER. Some medical conditions are considered emergencies because they require rapid or advanced treatments.

Surprisingly, close to 20 percent of the patients who called into the nurse triage line had symptoms that were serious enough to warrant a visit to the ER. Without the nurse line, the outcomes for these patients could have been life threatening or fatal.

Conclusion

While nurse triage has shown significant effectiveness in an outpatient setting, this preliminary data shows even greater promise to expand this model to emergency rooms around the country.

Providing local communities with a nurse triage program not only prevents unnecessary ER visits and saves on healthcare costs, but it also ensures patients get appropriate care when a serious symptom arises. For the hospital, this increases goodwill in the community while addressing the overcrowding of the ER: a win-win all around.

TriageLogic

Dr. Charu Raheja is the co-founder and CEO of the Triage Logic Group. Charu’s personal struggles and triumphs with her health define both her personal and her professional mission. Most recently, her experience in overcoming a life-threatening health event led her to launch the Continuwell brand. The TriageLogic Group provides telehealth software, mobile communication solutions, and services to large medical centers and businesses around the country. It is part of the Women’s Business Enterprise National Council (WBENC), and it covers over 25 million lives nationwide. Visit www.TriageLogic.com or contact Amy Smith at 888-TEAMTLC for more information.