University of California Davis Teledermatology

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University of California Davis Teledermatology

• April W. Armstrong, MD MPH
• Director, Teledermatology
• Director, Clinical Research Unit
• Department of Dermatology
• University of California Davis

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UC Davis Health System

• Main tertiary care referral center for a 32
  county areas of more than five million residents
• Over 150 specialty
• 21,000 inpatients/year
• 300,000 outpatient and emergency visits/year
• Dermatology 30,000 outpatient/year

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Telemedicine at UC Davis
Serving 90 Telemedicine sites throughout CA

• Dermatology
• Cardiology
• Endocrinology
• Hepatology
• Infectious Disease
• Nephrology

• Nutrition
• Ophthalmology
• Orthopedics
• Otolaryngology
• Psychiatry
• Urology

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Telemedicine at UC Davis 2009-2010
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UCD Teledermatology Program Overview

• Director April Armstrong, MD MPH
• Location Sacramento (hub site), referral sites
  throughout California (spoke sites).
• Staff 3 MDs, 1 manager, 1 medical assistant in
  Dermatology share a 10-person staff at Center
  for Health and Technology at UCD.
• Started 1996.
• Funding Insurance, Proposition 1D
• Type of service Live-interactive and
  Store-and-forward (consultative).
• Responsible for direct patient care PCP.

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Live, Interactive Teledermatology
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Live, Interactive Teledermatology at UC Davis

• Department of Dermatology and Center for Health
  and Technology
• Serve 31 originating sites in California
• Indian health clinics
• Rural clinics
• Prison sites

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Live, Interactive Teledermatology at UC Davis
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Store-and-Forward Teledermatology
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Store-and-Forward Teledermatology at UC Davis

• Department of Dermatology
• Currently serving
• UCD Primary Care Network clinic
• Underserved community clinic (Sacramento Family
  Medical Clinic)
• Planning 3 additional sites this year in
  California
• Underserved community clinics

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Store-and-Forward Program

• Among the patients initially evaluated through
  SF teledermatology during the last 12 months
  (from 3/2010 through 3/2011)
• 62 patients were cared for by PCP after
  teledermatology recommendations
• 38 patients required in-person follow-up with
  the dermatologist

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Average Wait Time to Dermatologist Evaluation
Days
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Workflow of Store and Forward Teledermatology
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