Return on Investment Analysis of Health Experts onLine at Portsmouth: A 2-Year Review of the Navy's Newest Teleconsultation System

Military Medicine
Andrew H LinMichael G Johnston

Abstract

Health Experts onLine at Portsmouth (HELP) is a web-based teleconsultation system launched in June 2014 to facilitate communication between specialists at Naval Medical Center Portsmouth and providers assigned to both the fleet forces and primary care clinics across the eastern United States, Europe, and the Middle East. Specialist consultations through the HELP system purport to improve access to care for patients who otherwise might be referred to the civilian network or medically evacuated (MEDEVACed) to Naval Medical Center Portsmouth for specialized care. If HELP-facilitated communications help avoid civilian referrals or MEDEVACs, the associated costs of that care should be reduced. We evaluated cost savings associated with prevented MEDEVACs by analyzing both tangible savings (prevented costs of flights, per diems, and consults) and intangible savings (reduced lost productivity time). We compared these savings to the costs of maintaining and utilizing the HELP system: startup costs, administrative costs, and provider time costs. We used patient and provider data from the HELP database to evaluate clinical consult cases. Before this analysis, a panel of 3 physicians associated with HELP reviewed each consult to determine ...Continue Reading

Citations

Aug 1, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stefan W RozyckiArt A Ambrosio
Aug 28, 2020·JAMA Ophthalmology·William G GensheimerGary L Legault
Jan 5, 2022·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Mechelle MillerJennifer Mbuthia

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