Connecting People With Multimorbidity to Interprofessional Teams Using Telemedicine

Article Figures & Data

Table 1

Participants’ Satisfaction With the TIP Intervention

Survey Item	Respondents Who Agreed or Strongly Agreed, %
Patients (n = 74)
TIP has effectively improved my access to new interdisciplinary resources	100
I am hopeful that my chronic condition will improve as a result of the TIP case conference	97
Primary care physicians (n = 21)
I would use telemedicine technology again to facilitate a case conference	100
TIP case conference increased my confidence in managing this patient’s chronic care	90
Team members^a (n = 87)
The TIP case conference was an effective model to develop a care plan for this complex patient	97

IMPACT = Interprofessional Model of Practice for Aging and Complex Treatments; TIP = Telemedicine IMPACT Plus.
↵a Team members included allied health care professionals and specialist physicians.

Table 2

Cost Comparison: TIP Intervention vs Hospital Admission With a 1-Day Stay

TIP Intervention	Cost, C$	Hospital Admission	Average Cost, C$
TIP nurse: 6.1 hr average per patient 2.4 hr preintervention 2.0 hr for intervention (plus setup) 1.7 hr postintervention	297.19	Emergency department visit (average)^a	191.44
PCP billing for 1-hr conference	160.40	ED physician billing (average)	112.00
Specialist billing for 1-hr conference	223.10	General internal medicine specialist billing for admission consult plus 1-day inpatient	234.00
Specialist billing for 1-hr conference	223.10	Hospital daily rate^a	550.52
Total actual cost	680.69	Total actual cost	1,087.96
In-kind contributions: interprofessional team cost provided in kind: average of 3 health care staff per intervention	172.90	…	…
Total (actual + in-kind) cost:	853.59	…	…

ED = emergency department; IMPACT = Interprofessional Model of Practice for Aging and Complex Treatments; PCP = primary care physician; TIP = Telemedicine IMPACT Plus.
↵a Excluding physician, laboratory, and imaging costs.