UAB eMedicine Acute Care

By virtually connecting your hospital to UAB Medicine faculty specialists, eMedicine Acute Care helps providers deliver better care to patients with time-sensitive, high-acuity conditions such as stroke and sepsis, as well as patients on ventilators. We also offer specialty and subspecialty consults for lower acuity cases, such as behavioral health issues.

These remote consultation sessions between providers allow patients to receive vital care closer to their homes, saving valuable time and extending much-needed services across Alabama without compromising the quality of care. By enabling hospitals to keep patients locally, it helps them continue operating in a challenging health care market.

UAB eMedicine Acute Care Services

eMedicine Nephrology

With UAB eMedicine Nephrology care, local providers can consult with UAB Medicine nephrologists on patients with electrolyte imbalance, chronic kidney disease, diabetes, and other nephrology-related concerns. Our remote nephrologists review patient information, examine the patient via telehealth technology, and consult with requesting providers on treatment plans.

UAB eMedicine Nephrology has collaborated with a renal telemedicine company to provide dialysis services for medical facilities without dialysis equipment. If the consulting physician deems that dialysis is needed, UAB will send a dialysis tech with a home hemodialysis machine to provide service for the patient, with virtual renal nursing oversight. This enables dialysis patients to receive care in their own community and reduces the number of hospital visits.

For more information, please email Ashley McGrane, operations director of UAB eMedicine, at uabemedicine@uabmc.edu.

eMedicine Stroke

UAB’s eMedicine Stroke service is initiated when a remote hospital’s emergency room requests an on-demand stroke consult. At least three of UAB eMedicine’s on-call neurologists are automatically contacted and asked to field the request, with a target response time of no more than five minutes. The consult is conducted through a web-based telehealth platform called Avizia.

Our responding neurologist assesses the patient using the NIH stroke scale and a physical exam, assisted by the on-site emergency room physician or nurse. The consulting neurologist is able to view patient imaging from the CT scanner through a cloud-based imaging platform called Ambra. Once our neurologist completes the assessment, a recommendation for administering thrombolytics is provided. This service also provides general neurology consults.

How to Participate: The UAB eMedicine Stroke program is a collaboration between UAB eMedicine and other medical centers. Throughout the implementation process, the UAB eMedicine team will conduct various on-site visits. The initial visit will include discussion among UAB eMedicine and all executive personnel involved in the eMedicine Stroke program, along with IT and neurology needs assessments of the facility. Other site visits include training of all nursing and supporting staff on eMedicine equipment and clinical workflow. Further discussions focus on implementation schedules, credentialing, and contracting.

For more information, please email Ashley McGrane, director of UAB eMedicine, at uabemedicine@uabmc.edu.

eMedicine Critical Care

UAB eMedicine’s Critical Care program offers 24/7 ICU bed monitoring and need-based intervention from a supervising UAB eMedicine Critical Care specialist, using the Avizia telehealth platform. With this model, all patient monitoring equipment for each ICU bed feeds into a remote location, where UAB eMedicine critical care nurses oversee the hands-on care provided at the local facility.

If there are changes in a patient’s clinical status, new admissions from the emergency room, or transfers from the floor, the UAB eMedicine Critical Care physician is notified and completes a full assessment of the patient. This oversight allows for more efficient staffing of the ICU, improved nursing and physician retention, and decreased length of stay in the ICU. It also helps reduce mortality, as patients are evaluated within one hour of clinical status changes. Furthermore, the arrangement helps improve overall care and expertise at the local facility, as best practice protocols are observed and carried out by the hands-on staff in the ICU.

How to Participate: The UAB eMedicine Critical Care program is a collaboration between UAB eMedicine and other medical centers. Throughout the implementation process, the UAB eMedicine team will conduct various onsite visits. The initial visit will include discussion among UAB eMedicine and all executive personnel involved in the eMedicine Critical Care program, along with IT and critical care needs assessments of the facility. Other site visits include training of all nursing and supporting staff on eMedicine equipment and clinical workflow. Further discussions focus on implementation schedules, credentialing, and contracting.

For more information, please email Ashley McGrane, director of UAB eMedicine, at uabemedicine@uabmc.edu.

eMedicine Specialty/Subspecialty Consults

The model for the UAB eMedicine Specialty/Subspecialty Consults program is similar to eMedicine Stroke, in that the appropriate specialist is contacted when a remote hospital requests a consult. Our clinician reviews patient information, interviews the patient via a videoconferencing link, and provides treatment recommendations to the local providers. UAB eMedicine currently is piloting on-demand psychiatry consults at the UAB Hospital-Highlands Emergency Department, with other disciplines to follow. UAB eMedicine can provide additional specialty and subspecialty consultation services based upon your medical facility’s needs.

For more information and a list of these specialty services, please email Ashley McGrane, operations director of UAB eMedicine, at uabemedicine@uabmc.edu.