{"id":4917,"date":"2016-02-03T00:00:00","date_gmt":"2016-02-03T07:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/02\/03\/burn-care-from-afar-theres-an-app-for-that\/"},"modified":"2022-01-31T14:17:20","modified_gmt":"2022-01-31T21:17:20","slug":"burn-care-from-afar-theres-an-app-for-that","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/burn-care-from-afar-theres-an-app-for-that\/","title":{"rendered":"Burn care from afar? There\u2019s an app for that"},"content":{"rendered":"
<\/div>

A person arrives at an emergency department with a painful burn. The examining physician needs to make a quick decision about the care to provide, but wants the advice of a burn expert \u2013 and the hospital doesn\u2019t have one. Fortunately, there\u2019s an app for that.<\/p>\n

Providers now can get a remote consult with specialists at University of Colorado Hospital\u2019s Burn Center with a downloadable app dubbed UCHealth Burn Consult. Developed by Allentown, Pa.-based CSymplicity Software, the free app allows providers to take photos of patients\u2019 burns with their mobile phones and transmit them securely to burn specialists for evaluation. The app is HIPAA-compliant: All information sent and received is encrypted and erased from phones after the consult to ensure patient privacy.<\/p>\n

\"\"
Laura Madsen, outreach coordinator for the UCH Burn Center, demonstrates sign in on the UCHealth Burn Consult app.<\/figcaption><\/figure>\n

UCH is the first provider in the Rocky Mountain region to offer the app, said Laura Madsen, RN, outreach coordinator for the Burn Center. The hospital worked with the app\u2019s creator, Hamed Amani, MD, FACS, a burn specialist with the Lehigh Valley Health Network Regional Burn Center, to prepare it for launch. After a successful pilot with UCHealth Colorado Springs (Memorial Hospital) in December, Madsen began contacting hospitals outside the UCHealth system to let them know about UCHealth Burn Consult. She said she\u2019s signed up providers at nine hospitals so far, including three late last month at Community Hospital in Grand Junction.<\/p>\n

Elegant design<\/strong><\/p>\n

UCHealth Burn Consult works simply. The referring provider logs into the app from a mobile phone, enabling the camera to take photos. After selecting up to four, the provider fills out a form that includes his or her name; the patient\u2019s name and birth date; and the type of burn sustained, such as grease, chemical, or electrical, and submits the information and the photos.<\/p>\n

\"Taking
Referring providers can take up to four photos to be sent via the secure app for a consult with a UCH provider.<\/figcaption><\/figure>\n

thThe app then displays a message advising the provider to call the number of the UCHealth DocLine<\/a> for a consult. With that call, DocLine staff alert the burn specialist on call to log into the app and review the photos for an assessment and a consult with the referring provider about treatment for the patient.<\/p>\n

The aim is to get the patient the appropriate level of care, Madsen said. For patients with very serious burns or frostbite<\/a>, that could mean transport to UCH, but looking at the photos could also prevent a patient with more superficial injuries from being transported unnecessarily. In one recent case, a provider in Steamboat Springs submitted photos of a frostbitten patient. After review, the Burn Center decided the patient could safely receive treatment in the community.<\/p>\n

\u201cThat\u2019s a huge win because we were able to do what is best for the patient,\u201d Madsen said.<\/p>\n

\u201cIt has been very helpful to get the attached photos. We have been able to keep patients at their home hospitals and avoided unnecessary transfers,\u201d added Anne Wagner, MD, of the Burn Center. \u201cIt has also made it very easy and efficient for providers to consult us. I feel strongly it improves patient care and is patient-centered.\u201d Wagner said the number of requests for the app continues to increase.<\/p>\n

Tighter communication<\/strong><\/p>\n

\"Patient
The referring provider enters the patient\u2019s information, including the type of burn.<\/figcaption><\/figure>\n

In a phone interview, Amani said he developed the app to help providers make that type of difficult patient-transfer decision. He and his colleagues in Pennsylvania encounter it frequently. \u201cWe have had patients three to five hours away who didn\u2019t need to come in to our burn center,\u201d he said. \u201cThe app gives us a way to triage patients from afar.\u201d<\/p>\n

The burn app has been well received, he said, with 104 referral facilities using it within the Lehigh Valley network. These include emergency departments, urgent care centers, physician offices, and occupational health specialists working for companies, many of them in the gas industry. In addition to UCH, the app is also being used by one hospital in Louisiana and another in Nevada, Amani said.<\/p>\n

\u201cWe\u2019ve had nothing but enthusiasm thus far,\u201d he said. \u201cThe aim of the app is to make providers\u2019 lives easier, so there are no more just verbal descriptions of burns. They can now have an elucidated consult with referring providers.\u201d<\/p>\n

Madsen said she has also used UCHealth Burn Consult as another way to create positive contacts with community providers. \u201cWe try to maintain contact with far-reaching places, and this is a great way to do that. It\u2019s a nice way to build strong relationships and help to answer questions.\u201d<\/p>\n

The burn app is just one of several CSimplicity has developed to assist providers in various specialties. Madsen found out about it at a day-long session of the American Burn Association devoted to the future of telemedicine. She spoke with Amani after he gave a demonstration of the burn app and brought the idea back to Burn Center Nurse Manager Mary Holden, RN, MS,\u00a0and Medical Director Gordon Lindberg, MD. After they responded favorably, the Burn Center worked with Information Technology and the UCHealth TeleHealth team to test the app to ensure it worked properly and protected patient information.<\/p>\n

Harder than it looks<\/strong><\/p>\n

The idea of using the now ubiquitous mobile phone to send burn photos just as one sends shots of the kids to relatives\u00a0sounds intuitive, but it was far from a slam dunk, Amani said. In fact, he and his colleagues worked on it for more than five years.<\/p>\n

\"Hamed
The Burn Center worked closely with\u00a0Hamed Amani, MD, who created the software for the app.<\/figcaption><\/figure>\n

\u201cWe have gone through the gamut of technologies, from video conferencing to web interfaces to mobile phones,\u201d he said.<\/p>\n

A major debate revolved around whether or not video was the best solution for remote burn consults. Amani said video is ideal for neurologists, particularly those looking for the facial droops and movement difficulties that are the tell-tale signs of stroke. Intensive care specialists have also used video effectively to examine patients and their ability to move while vital signs stream to them in real time.<\/p>\n

But Amani said the success of video for these specialties didn\u2019t translate to burn. \u201cWe found that the video camera can\u2019t pick up the details we need, even at full zoom,\u201d he said. Seeing those skin details is crucial for a specialist to determine whether a burn is second degree or third degree, or if a second-degree burn is deep or superficial, he explained.<\/p>\n

\u201cA still photo is acutely sensitive, has better resolution, and reveals the fine subtleties of the wound that we need,\u201d Amani said. \u201cAlso, we\u2019re not concerned with motion when we look at burns. We want to see the type of wound, the area on the skin, and its vastness.\u201d<\/p>\n

Taking photos is quicker than bringing in and positioning a video camera, Amani added. \u201cOn the sending side, we don\u2019t need to get in front of a camera and give a report. On the receiving side, providers don\u2019t want to be on video teleconferencing,\u201d he said.<\/p>\n

On the other hand, video could be a valuable tool for follow-up burn care, such as examining range of motion, scar contractures, and rehabilitation progress, Amani added.<\/p>\n

Madsen said the Burn Center already considers the app a success and another example of changes in the way clinicians deliver health care.<\/p>\n

\u201cThe app is part of the progression of technology,\u201d she said. \u201cEverybody has a smartphone. We\u2019re counteracting the idea that referring providers don\u2019t have to deal with little burns. We are telling them we are here to help you with a burn of any size.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

A person arrives at an emergency department with a painful burn. The examining physician needs to make a quick decision about the care to provide, but wants the advice of a burn expert \u2013 and the hospital doesn\u2019t have one. Fortunately, there\u2019s an app for that. Providers now can get a remote consult with specialists […]<\/p>\n","protected":false},"author":2143,"featured_media":2197,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[245,398,4293,263],"class_list":["post-4917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-burn-care","tag-telemedicine","tag-uchealth-burn-and-frostbite-center","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"\nBurn care from afar? 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