SOLUTIONS FOR A DIGITAL WORLD
Eagle Global Scientific (EGS) seeks out new and developing digital health technologies to ensure our clients have access to the best options for all scenarios. EGS partners with pioneers in health IT, virtual health, and virtual reality. Our collaborators and expert personnel work together to create groundbreaking and cutting-edge resources to meet the rapidly changing needs of our clients.
CLINICAL SUPPORT AT CDC’S OCCUPATIONAL HEALTH CLINIC
Eagle Global Scientific, LLC (EGS) is pleased to meet the Center for Disease Control and Prevention’s (CDC) telehealth and clinical medicine surveillance and COVID-19 surge support needs. This task is located in the Occupational Health Clinic (OHC) under the Office of Safety, Security, and Asset Management (OSSAM); services performed are both virtual and on-site, as required.
EGS provides highly qualified physicians (MD/DO), nurse practitioners (NP), physician’s assistants (PA), and clinical administrative personnel to the CDC. The primary services provided include telehealth assessments and monitoring of agency staff enrolled in the CDC’s Text Illness Monitoring application (TIM) and conducting medical clearance and surveillance exams. Our clinicians provide 24/7 tele-assessment and monitoring of deployed and agency-based staff involved in the CDC Response to COVID-19 who are enrolled in the TIM application (approximately 1400 staff); alternative, comparable monitoring is provided to staff members not enrolled into TIM (e.g., daily calls, confirmed email). EGS personnel then contact the CDC staff members who are experiencing identified symptoms within 15 minutes of receiving an affirmative response; query the staff member regarding their symptoms following a CDC-identified rubric, and if necessary, refer to a licensed clinician. Additional tasks include assistance with enrollment into TIM, technical assistance, training, appropriate clinical referrals, ongoing monitoring for suspected subclinical presentations of disease, and assurance of appropriate continuity of care.
EGS also provides appropriate clinical and administrative support. We provide seven registered nurses (RN) and two administrative assistants. Our RNs specialize in occupational medicine and assist with examinations and medical clearances, perform nursing interventions for similar exposure groups (SEGs), reviews individual health risk assessments for enrollment in SEGs, review destination-specific international travel guidance and vaccine recommendations, and perform diagnostic testing, as required. Our administrative assistants perform front desk services, manage spreadsheets, schedule staff, manage intake paperwork, and coordinate/triage COVID-19 medical clearance requests based on established CDC criteria.
TELEMEDICINE & VIRTUAL HEALTH
Realities throughout the current healthcare system continue to highlight the need for and benefits of telemedicine. EGS can implement a complete telemedicine and virtual solution for your Intensive Care Unit, Clinic, Radiology Unit and/or Emergency Department. Our subject matter experts will manage the project and support you through Site Assessment, Interface Development & Testing, Installation, On-site Cutover Support, Credentialing & Privileging, Training and ultimately, Sustainment. Sustainment includes license and warranty renewals, scheduled and unscheduled maintenance, system upgrades and updates. Once the solution is in place, your organization will realize the cost savings associated with telemedicine while your patients enjoy increased access to the quality care you already provide.
EGS managed an effort that developed and applied new telemedicine technologies into the Nellis Air Force Base’s Intensive Care Unit (ICU), enhancing the ability to remotely and rapidly detect, identify and mitigate individual patient adverse trends. The project implemented technology that continuously and remotely monitors 12 ICU beds at Nellis’ ICU by a remote team of intensivists from the Veteran Administration’s Veterans’ Integrated Service Network (VISN) 23 Tele-ICU monitoring center in Minneapolis, MN. The project provided program management support, requirements analysis, implementation support, functional integration, training, metrics development and analysis, business process re-engineering and sustainment activities post go-live. The data captured against defined performance metrics proved the realization of increased access to care for Nellis’ patients coupled with improved patient safety.
DIABETES SELF-MANAGEMENT EDUCATION VIA TELEMEDICINE IN THE U.S. AIR FORCE
EGS clinical research coordinators, epidemiologists, and telemedicine broadcast technicians support a proof-of-concept study testing the dissemination of American Diabetes Association (ADA) compliant Diabetes Self-Management Education (DSME) via an innovative telemedicine model in the San Antonio area through a partnership with the Diabetes Center of Excellence (DCOE) at Randolph AFB. The DSME program includes a series of courses that provide comprehensive diabetes education; the DCOE telemedicine model provides training to disease managers at Randolph AFB; develops policies and documentation tools to ensure consistent reporting of data; and evaluates cost effectiveness and patient outcomes. Through the duration of the study, a comprehensive data collection protocol is in place to include detailed participant medical history and demographic information, self-reported behaviors, medication adherence, and glucose monitoring results. Follow-up patient and provider satisfaction surveys will also be collected for additional data analysis. EGS will continue to work on descriptive analysis to compare demographic and other variables among in-person and telemedicine participants; paired t-tests and analysis of variance (ANOVA) will be used to determine differences at baseline, completion of classes, and at six months among and between sites to explore variation in patient outcomes. Initiation of DSME telemedicine classes will occur on a rolling basis across multiple sites over the multi-year project period.