Karie Ryan, Chief Nursing Officer at Artisight
As healthcare organizations increasingly adopt virtual care technologies, many focus primarily on virtual nursing or physician specialty consultations. However, this narrow view overlooks a crucial opportunity: leveraging virtual platforms across all clinical disciplines to enhance care coordination, improve efficiency, and better serve patients.
Rethinking the Scope of Virtual Care
While virtual specialty consultations have become common practice (such as allowing neurologists to assess stroke patients remotely or cardiologists to provide urgent consultations) most direct patient care is delivered by allied health providers. Many of these interactions don’t necessarily require physical presence, opening new possibilities for care delivery.
The effectiveness of nursing care is intrinsically linked to the support system around it. When healthcare organizations implement staffing ratios, they often reduce other disciplines to maintain nursing levels. This leads to nurses taking on additional roles stretching them thin and potentially compromising care quality.
Expanding Virtual Care Across Disciplines
Several healthcare organizations are already demonstrating the potential of multidisciplinary virtual care:
Remote Pharmacy Services: Remote pharmacists can be utilized for medication reconciliation during admission and discharge. These pharmacists work alongside virtual nurses, conducting warm handoffs to ensure seamless care transitions. This approach not only improves medication safety but also returns valuable time to bedside nurses.
Care Management and Social Work: Virtual platforms enable case managers and social workers to conduct assessments during evenings and weekends, when in-person coverage is typically limited. This expanded access helps prevent delays in care coordination and discharge planning, particularly beneficial for rural facilities or hospitals with limited resources.
Rehabilitation Services: While initial assessments often require physical presence, many follow-up therapy sessions can be conducted virtually. Physical therapists can remotely evaluate patients’ mobility progress, occupational therapists can assess daily living activities, and speech therapists can conduct follow-up consultations — all without the time lost to traveling between patient rooms.
Dietary Services: Virtual meal ordering systems have helped hospitals reduce food waste while ensuring patients receive appropriate nutrition. Dietitians can maintain their bedside presence for complex cases while leveraging virtual platforms for routine consultations and meal planning.
Implementation Strategies
Successfully implementing multidisciplinary virtual care requires several key considerations:
Work Analysis: Break down each discipline’s responsibilities into components that can be performed remotely versus those requiring physical presence. This granular approach helps identify opportunities that might otherwise be overlooked. Infrastructure Investment: The installation of cameras and speakers throughout a hospital fundamentally transforms care delivery capabilities. This technological foundation, while initially focused on nursing, creates opportunities for expansion across all disciplines. Early Adopter Engagement: Rather than mandating adoption across all departments simultaneously, identify and support early adopters who can demonstrate success and generate momentum. Standards Development: For maximum impact, virtual care should be implemented at scale. Creating standards of care that apply across entire patient populations, rather than small pilot groups, helps normalize virtual care delivery.Future Opportunities
The integration of artificial intelligence with virtual care platforms presents exciting possibilities. For example, AI-powered gait analysis could provide physical therapists with objective data about patient mobility, supplementing their limited in-person assessment time. This combination of virtual presence and AI-driven insights could help therapists make more informed decisions about post-discharge care needs.
Impact on Care Delivery and Patient Outcomes
The multidisciplinary virtual care approach significantly enhances care coordination by enabling more frequent and timely interactions between healthcare providers and patients. This improved access to various disciplines helps ensure that critical care components aren’t missed or delayed. For example, case managers can now complete assessments within 24 hours of admission, meeting quality standards that were previously challenging to achieve.
The virtual platform’s efficiency allows specialists to serve multiple facilities effectively, particularly benefiting rural or resource-limited hospitals that might otherwise struggle to maintain comprehensive coverage. This expanded access to specialists, combined with improved care coordination, contributes to reduced readmission rates through more thorough discharge planning and follow-up care.
Creating Sustainable Virtual Care Systems
Healthcare organizations should view virtual care as a nursing solution and a transformative platform that can enhance care delivery across all disciplines. Success requires careful analysis of workflows, engagement of early adopters, and a willingness to experiment with new care delivery models. While the initial investment may focus on nursing, the potential for optimization across multiple disciplines offers significant returns in both care quality and operational efficiency.
In an era of healthcare workforce challenges, we’re focused on maximizing the impact of our available resources. Multidisciplinary virtual care represents a powerful tool for maintaining and improving care quality while addressing the ongoing challenges of healthcare delivery.
About Karie Ryan
Karie Ryan is Chief Nursing Officer at Artisight, which provides a Smart Hospital Platform powered by artificial intelligence to enable virtual care models, quality improvement, and care coordination solutions.
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