Kingsbrook’s EMS Stroke Symposium
Kingsbrook held a successful EMS Stroke Symposium on it’s main campus
at 585 Schenectady Avenue in the Lillian MinkinBallroom. The impressive
line-up included the following medical specialists: John Miller, MD-Director,
Neurosurgery Specialty Center & Chair, Neurosurgery: Kingsbrook JewishMedical
"The Role of Neurosurgery for Hemorrhagic Strokes & Cranial Decompressions”, Salman Azhar, MD-Chairman, Neurology &Rehabilitation Services: NYU
Lutheran Medical Center: presented “Atypical Stroke”, Vijay Akkapeddi, MD-Chairman, Emergency Medicine: KingsbrookJewish Medical
Center: presented: “QI Call Reviews & Audits – CVA Cases”, Jeffery Farkas, MD-Director, Interventional Neuroradiology: NYU
Lutheran Medical Center: presented
“Stroke Intervention – Dawn of a New Age”, Karthikeyan Arcot, MD-Attending Physician, Neurology & Interventional
Neuroradiology: NYU Lutheran Medical Center: presented
“Telestroke Case Review”, Steven Lowe, MD-Attending Physician, Emergency Medicine & Stroke Coordinator:
Kingsbrook Jewish Medical Center: presented
“QI Call Reviews & Audits – CVA Cases”. This symposium was also REMAC-Approved for 3 Hours of Lecture CME &
1 Hour of Call Review CME.
The symposium outlined was designed to better educate emergency care workers
about the importance of Telemedicine, defined as a medical service, which
involves provision of healthcare via electronic communication to improve
patient's health status. Applications of this service date back four
decades. However, the potential clinical applications have surfaced recently,
with healthcare reform emphasis on efficient, cost-effective, value-based
care. The use of telemedicine is spreading rapidly and is now starting
to be integrated into healthcare systems, hospitals, long term facilities,
home health care, private physician offices, as well as consumers'
home and workplace. Long waiting times and the tremendous difficulty experienced
by health systems in recruiting neurologists, are reflective of the growing
shortage of neurologists.
According to the Association of American Medical Colleges Center for Workforce
Studies, there will be a shortage of 45,000 primary care physicians and
46,000 specialists over the next decade. According to the U.S. Census
Bureau, the number of Americans over the age of 65 will increase by 36
percent in the next decade. The stage is set for drastic shortage of specialists,
as one third of all physicians are deemed likely to retire over the next
10 years. According to the American Academy of Neurology, the number of
practicing neurologists will grow from 16,366 in 2012 to no more than
18,000 by 2025. However, the demand for neurologists is much higher, and
approximated at 21,000. This 3000- doctor disparity will likely have a
significant impact on healthcare industry.
Telemedicine is expected to improve the following aspects of stroke care:
Improved Access. With shortage of neurologists, there are long waiting time for neurologic
expertise at both inpatient and ambulatory healthcare facilities. Telemedicine
technology helps improve access to patients and allows healthcare providers
and facilities expand their reach to millions of patients across the nation,
in both rural and urban areas.
Cost Efficiencies. With emphasis on value-based care, the Affordable Care Act emphasizes
reducing cost of care through increased efficiency, reduced travel times,
fewer and shorter hospitalizations, and reduced readmissions. The hospital
systems are also incentivized to develop programs that promote access
care in their community and do so with minimal cost.
Improved Quality. Studies have repeatedly shown that the quality of care provided by telemedicine
is comparable with traditional in-person consultation, making Telemedicine
a cost effective solution to the poorly accessed health systems. It has
also been shown that Telemedicine provides a superior service as compared
with local non-specialist emergent care available in some rural hospitals.
Patient Satisfaction. Superior patient satisfaction has been repeatedly demonstrated with telemedicine
technology. The technology reduces travel time and related stress and
uncertainty to the patient, waiting time for specialist consultation,
and improved access to specialty and advanced care, otherwise not available.