Telemedicine

child with computerWHAT IS TELEMEDICINE?
“Telemedicine encompasses a broad range of different applications,” says Dr. Knight, CHOC’s Pediatric Transport and Telemedicine expert. In a nutshell, telemedicine, also sometimes called telehealth, is the delivery of health care services using telecommunications or electronic technology. Telemedicine can involve video and audio equipment to assess a patient remotely, patient portals, remote monitoring of vital signs, the use of smartphones and tablets and remote medical education efforts. Telehealth also can include giving consumers medical and health information via the Internet or wireless devices, including access to online discussion or peer support groups.

CHOC AND TELEMEDICINE
CHOC has become a leader in telemedicine nationwide. “The way we utilize telemedicine at CHOC is to help assess and triage patients in settings outside of our own walls. Most hospitals do not have telemedicine capabilities that would allow a pediatric specialist to provide assessment and triage remotely,” explained Dr. Knight. “Our experts can assess patients in emergency departments at other hospitals with a mobile telemedicine unit called the RP-Xpress that the CHOC transport team takes with them into the field. The RP-Xpress works through Wi-Fi or a cellular signal and allows a specialist back at CHOC to evaluate the patient using both video and audio. That assessment happens sooner than if we had waited until the patient arrived at CHOC and it may determine if the patient needs intervention right away.”

FAST FACTS

  • Estimated number of Americans who benefited from telemedicine services in 2013, according to the American Telemedicine Association: 10 million
  • Annual number of patients transported to CHOC in each of the past three years: 4,000 – 4,200
  • Percent increase over the past five years in the number of patients transported to CHOC Annually: 30 %

View the full feature on Telemedicine

Dr. Gurpreet Ahuja
Dr. Jason M. Knight
CHOC Pediatric
Transport and
Telemedicine expert 

PHYSICIAN FOCUS: Dr. Jason M. Knight

Dr. Knight is the Medical Director of the CHOC Emergency Transport Services Program and an Assistant Clinical Professor at UC Irvine. He completed his residency training, including a year as chief resident, at Harbor-UCLA Medical Center. He completed a three-year fellowship program in pediatric critical care medicine at Harbor-UCLA Medical Center and CHOC Children’s. Under Dr. Knight’s leadership, the CHOC Transport team has become one of the busiest pediatric transport teams in the nation, able to pick up patients from 130 different hospitals throughout California. The transport team also arranges long distance and out-of-state transports via both rotor and fixed-wing aircraft.

Dr. Knight’s philosophy of care: “I believe all children deserve to receive world-class care at a children’s hospital. For many children that care begins with CHOC’s Emergency Transport Services Team. Our team is truly an extension of CHOC and the Pediatric Intensive Care Unit, and I take great pride in our team’s ability to assess, resuscitate and stabilize patients before they arrive at CHOC.”

EDUCATION:
Eastern Virginia Medical School, Norfolk, Virginia

BOARD CERTIFICATIONS:
Pediatric Critical Care

More about Dr. Knight | CHOC Children’s Transport Services

This article was featured in the Orange County Register on April 21, 2014, and was written by Amy Bentley.

Watch CHOC’s Telemedicine in Action

Thanks to CHOC Children’s telemedicine efforts, physicians can remotely care for children from miles away, or even while a patient is riding in an ambulance.
In this video, Dr. Jason Knight, a critical care specialist and medical director of CHOC’s Emergency Transport Services, discusses how CHOC physicians and the transport team use telemedicine to improve care of children.
Watch for a demonstration of this remarkable technology that is advancing how CHOC physicians practice, and aiding CHOC’s ability to care for children beyond Orange County.

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Robots Advance Telemedicine for Pediatric Patients

Telemedicine_CHOC_Knight
Dr. Knight demonstrates the RP Express, another device in CHOC’s telemedicine fleet that travels with the transport team.

Thanks to the power of telemedicine, CHOC Children’s physicians are able to remotely assess and monitor a patient from miles away.

CHOC began integrating telemedicine about seven years ago with the use of remote robots located in the Hoag Hospital Newport Beach Emergency Department, which allowed CHOC doctors to offer consultations for pediatric patients set to be transferred to CHOC, says Dr. Jason Knight, a critical care specialist and medical director of CHOC Children’s Emergency Transport Services.

CHOC is connected remotely to the robots, now also located in the emergency department at Hoag Hospital Irvine, by a control station in its pediatric intensive care unit. In addition, Dr. Knight has a control station at his home, on his laptop and on his iPad so he can communicate with the robot – and help the patient at Hoag – from a variety of locations.

Dr. Knight says both patients and their parents love the robotic concept. The robot, which is about 4 feet tall, displays a picture of the doctor’s face on the top of the device.

“The children think this technology is cool,” Dr. Knight says. “When I introduce myself via the robot as a pediatric specialist, it always puts the parents’ minds at ease because from that point forward, CHOC is involved with their child’s care.”

Related content:

  • Telemedicine
    Telemedicine, also sometimes called telehealth, is the delivery of health care services using telecommunications or electronic technology. Telemedicine can involve video and audio equipment to assess a patient remotely, patient ...
  • Watch CHOC’s Telemedicine in Action
    Thanks to CHOC Children’s telemedicine efforts, physicians can remotely care for children from miles away, or even while a patient is riding in an ambulance. In this video, Dr. Jason Knight, a ...
  • Why robots are cool.
    Did you know that doctors at CHOC can talk directly with patients and doctors at Hoag Hospital in Newport Beach without ever leaving the hospital in Orange? It’s true! Using robotic “telemedicine technology”, ...