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Teledermatology Service in Tayside

Dr CJ Fleming. Teledermatology Service in Tayside. Definition. Teledermatology is the practice of medicine at a distance which allows access to specialist dermatological knowledge by means of telecommunication and information technology. Methods. Audit on Teledermatology Service GP survey

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Teledermatology Service in Tayside

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  1. Dr CJ Fleming Teledermatology Service in Tayside

  2. Definition • Teledermatology is the practice of medicine at a distance which allows access to specialist dermatological knowledge by means of telecommunication and information technology.

  3. Methods • Audit on Teledermatology Service • GP survey • Data on referrals to our dermatology department • Cost/benefit analysis

  4. Audit • - 4 week period (9 Nov 2010 to 3 Dec 2010) was undertaken to assessed the impact of the digital images on the management process. • - Total referrals to dermatology- 619

  5. Quality of photographs • - There were between 1 to 8 digital photographic attachments per referral. • - On average 2 attachments per referral.

  6. Did the image help?

  7. Outcome

  8. Telediagnosis vs Final Diagnosis

  9. GP Survey • A survey monkey was conducted in July 2011 to assess the opinion of primary care users of the system. • 94 responses out of 68 practices • 80.8% found the service extremely helpful or helpful. • 50% found teledermatology time consuming. The main obstacles was locating cameras and time to attach images.

  10. Estimated time for each teledermatology referral

  11. Feedback • 65 comments • 20 specifically mention that feedback given was greatly valued as it adds to the educational experience.

  12. Costs Analysis PER ANNUM • - Once off camera costs: 68x£200=£13600 • If cameras last 5 years, annual cost= £2720 • Digital Storage £600 • Consultant time £570 • IT staff salary £624 • Total Cost : £1794 • (fr secondary care perspective)

  13. Savings PER ANNUM • Based on our audit, there is a saving of £28 212 • Saving from patient transport= £3 600 • Total savings £31 812 • Cost Savings = £30 018

  14. Summary • Model based on primary care practitioners acquiring images has proved successful • Simple system, which is integrated in Tayside general referral system • High uptake • Patient Journey

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