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By the way.  My hope is we can begin to collaborate and collect data around the variation we now see in care prior to ED visits.  It’s a major problem in all the ED’s where I currently work as locums.  Quite a change over the last 10 years. Just my observation. 

Mick Connors 



> On Apr 5, 2018, at 10:10 PM, Daniel Thimann <[log in to unmask]> wrote:
> 
> Are you also covering reimbursement for telemedicine services as well as legal ramifications of such services? I already believe we do a lot of work for free
> 
> Thank you for your time
> 
> Daniel Thimann MD
> Pediatric Emergency Medicine 
> Jacksonville Florida
> 
>> On Apr 5, 2018, at 12:28 PM, mick connors <[log in to unmask]> wrote:
>> 
>> Passing along an interesting email on a couple of the AAP Listservs.. See below.
>> 
>> Along these lines,  I am looking for pediatricians/peds em docs who are interested in collaborating on delivering high quality after hours care/guidance after hours via telemedicine while also developing standards, metrics, research  that can demonstrate the value of the pediatrician and the pediatric medical home in this care.   I can't imagine any of us are shocked by the email below, the poor care kids receive after hours in "low cost more convenient" locations seems to be represented daily in the peds ed.  
>> Let me know if interested.   I think we as pediatricians need to and can offer much better care for kids.    
>> Mick Connors [log in to unmask]
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>> On Tuesday, March 27, 2018, 8:28:38 AM EDT, Susan Kressly <[log in to unmask] M> wrote:
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>> So I'm passing along a thread that is happening on the SOAPM listserv and asking for your collective advice.We are all having kids get poor care at direct to consumer Telehealthcare platforms that are contrary to the Academy's evidence based guidelines, even those in the public domain here:
>> https://www.healthychildren.or g/English/health-issues/condit ions/treatments/Pages/10- Common-Childhood-Illnesses-and -Their-Treatments.aspx
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>> Kids being prescribed antibiotics via Telehealthcare for pneumonia without anyone listening to their chest.THREE year old with a diagnosed "UTI" over the phone and treated with oral antibiotics. 
>> My plea to all of you...what can a pediatrician do?These are marketed to the families by the employer sponsor of a DTC telehealth platform. 
>> Would the section consider collecting these stories and looping back to the Telehealth provider with pediatric specific education?
>> We have a process for that on the payer side...any pediatrician can forward a payment issue to Private Payer Advocacy Advisory Committee through a "Hassle Factor Form" and then we vet the info, and then have contacts at the major insurers (and if not the state pediatric councils) to try and intervene on behalf of our pediatrician members which is really advocating for adequate/appropriate resources for kids.
>> Any chance we could provide a parallel resource for these issues? Anyone have contacts at major Telehealth platforms or pediatric advisors to them so that we can take these cases and advocate for safer, better care for our patients?
>> Sue
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>> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>>                http://listserv.brown.edu/ped-em-l.html

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html