Evaluation of a Virtual Nursing Service and a Virtual Specialty Practice Service as Workforce Mitigation and Access Strategies

Overview Resources

Project Overview

The Virtual Nursing program involves an innovative care delivery model, leveraging teams of remote, virtual nurses to support bedside nurses in providing care via technology. Virtual nurses may complete timely documentation, update patient care plans, and perform video calls to provide patient/family education at the bedside. While virtual nurses offset time-consuming tasks, bedside nurses can spend more time providing direct medical care to their patients. The COE is working to expand this program systemwide and evaluate its impact on patients’ and providers’ health and well-being.

Virtual Specialty Care seeks to increase access to specialty providers through virtual services. These “no barrier” services can be scheduled with or without a referral from a primary care provider. As a result, patients can often schedule new appointments within one week, offering an alternative to the significant wait periods often associated with in-person specialty care. In addition, Virtual Specialty Care assists patients with coordinating referrals for in-person lab work, imaging, and pharmaceuticals based on their location. Currently, seven specialties are offered: primary care, endocrinology, rheumatology, benign hematology, neurology, pulmonary, and sleep medicine. To date, Virtual Specialty Care has shown promise in improving access and quality of specialty care for patients across South Carolina, and the COE continues to seek opportunities to expand this program across the system.

Center

  • Medical University of South Carolina

Team

  • Jillian B. Harvey, PhD, MPH
  • Caitlin Koob, PhD, MS, OTR/L
  • Kit N. Simpson, DrPH
  • Emily Warr, MSN, RN
  • Jimmy McElligott, MD, MSCR
  • Core Team - MUSC

Status

  • Active

Category(s)

Project Year(s)

  • COE Y8 2024-2025
  • COE Y9 2025-2026

Project Resources

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Redesigning Access: A Virtual Approach to Specialty Care Delivery - Presentation

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Evaluating the impact of a virtual nursing model on nurse-reported experiences and outcomes

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Redesigning Access: A Virtual Approach to Specialty Care Delivery - Poster

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Impact of Virtual Nursing on Care Delivery in Rural Hospitals

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Digital Specialty Access: Evaluating a Virtual-Only Specialty Care Program

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Telehealth Use in Behavioral Health Among Commercially Insured Patients

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Operations of Rapidly Expanded Virtual Nursing Units: Understanding Activity Patterns, Time Spent, and Opportunities for Strategic Prioritization

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Evaluating the Impact of a Virtual Nursing Model on Providers within a Large Academic Medical Center: Incorporating Unit-Level Indicators and Nurse-Reported Outcomes

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Evaluating the Impact of a Virtual Nursing Model on Nurses in a Large Academic Medical Center: A Mixed-Methods Analysis of Nurse-Reported Experiences & Outcomes

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Digital Specialty Access: Evaluating a Virtual-Only Specialty Care Program

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Digital Specialty Access: Lower Costs, Higher Patient Satisfaction

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Solutions-Focused Strategies to Improve Access to Care: Successes of a Virtual-Only Specialty Care Program

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Utilizing RE-AIM to evaluate a virtual specialty care program from development through implementation and expansion

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Utilizing the EPIS framework to inform the expansion of a novel virtual nursing model within a large health system

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Transforming Specialty Care: Evaluation of a Virtual-Only Program

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Using RE-AIM to Evaluate a Virtual-Only Specialty Care Program

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Evaluating a new virtual nursing model: Strategies for systemwide expansion and sustainability

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Virtual Nursing

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Enhancing Access to Specialty Care through the Virtual Specialty Program

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