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Connecting Veterans:VA’s New Digital Divide ConsultOffice of Connected Care TelehealthNational Social Work Program OfficeVA Homeless ProgramsAugust 2020
What is the Digital Divide?ionarySearch for a word dig·it· al di·videnounnoun: digital divide; plural noun: digital dividesthe gulf between those Who have ready access to computers and the Internet, and those who do not."a worrying "digital divide" based on educational attainment and income"
Bridging the Digital Divide: Connected Device ProgramAvailable NOW for Veteran use out of the Denver Logistic Center:
VVC Tablet Study Outcomes6 months after loanedtablet receipt: in Veterans reportingconvenient care (67% to80%) 28% fewer missedappointments or noshows in mental health in VA’s mental healthcontinuity of caremeasure (31.6% to 40.2%)“Zero rating” limits data charges to Veterans using VVChttps://youtu.be/hIU8xgreOCM
Patient-reported Experiences with Tablets100%80%60%40%55%49% 50%37%41%56%63%40%38% 36%20%0%I got the service I Easy to get theneeded ***care I needed****** All differences significant at p 0.001VA care wasconvenient forme*** Pre PostI trust my VAprovider***I trust VA tofulfill itscommitment***Source: Patient Survey (N 702-710)
Veteran Testimonials Tablet addresses accessbarrierFeedbackfrom Veterans“I would prefer video because it would expose me less to sick people. This benefitsme a lot being a transplant recipient. And my caregiver wouldn't have to take offwork to take me to the doctor.” High perceived quality of virtual care experience“I get to see the provider just as if I came to VA in person so to me that is about thesame or just as good” Low necessity for in-person care (e.g., exam)“Sometimes doctors need to examine patients. I think it’s wonderful for therapybecause all i need to do is talk.” Appropriate tech literacy“Need to give a class on how to use the tablet and make sure the connection &passwords are done right”6
Tablets are a limited resource Encouraging outcomes from tablet initiative, but fixed nationalbudget for tablets Increased demand for devices to VeteransDo some Veterans need connectivity, and not necessarily a device? Tablets have potential for more than video telehealthMobile apps, health chat, access to health information
Thinking beyond devices to connect every willingVeteran to VA:Introducing the newDigital Divide Consult
Lifeline Program Lifeline is the Federal Communication Commission's program to help makecommunications services more affordable for low-income consumers. Lifeline provides subscribers a discount on monthly telephone service,broadband Internet access service, or voice-broadband bundled servicepurchased from participating providers. Eligibility criteria apply.
Current Loaned Tablet Process Health care team places the CVT tablet consult which is received by the facility ROEScoordinator (typically someone in telehealth). ROES coordinator places the order in ROES and receives confirmation once the device isshipped to the Veteran (at this time, ROES coordinator closes out the CVT tablet consult). The tablet is shipped via UPS Priority and takes 2-3 business days for delivery. PO Boxshipments are automatically sent via USPS (postal) and can take up to 7-10 business days. Forovernight delivery, please change the delivery category to “EMERGENCY”.What’s new?– Smartphones are now an option for Housing and Urban Development-VA SupportiveHousing HUD-VASH Veterans (they can however choose a tablet instead).– Shipping address is confirmed with the Veteran. If Veteran does not have an address toship to, the device can be sent to the facility for pick up (asked in the Assessment ofConnectivity, so the ROES coordinator will have all necessary information upon receipt ofthe Video Device Order Consult).– Introduction of Assessment of Connectivity done by Social Work.
Front Line Team EffortI have completedthe Assessment ofConnectivity to seewhat device theVeteran could get.We discussedLifeline eligibilityand VA devices. 11-- - SocialSocial WorkerWorkerI enter device andperipheral orders forshipment (or pick up)by the Veteran.- TelehealthTelehealthI just ordered atablet for myVeteran who willbenefit from videoto home.ProviderProvider
Social Work Role Including Social Workers as part of the Digital Divide Consultprocess is key to identifying other potential needsCoordinate VAhealthcare for SMstransitioning fromDoD to VASMs who are severelyinjured are connectedwith the VA CaregiverSupport ProgramSocial Workers assist Veterans, their families, and caregivers inresolving Social Determinants of Health (SDOH) barriersComprehensive assessments address key domains: Housing EconomicsAre educated aboutDiscuss VA treatment AccesstoCareVA Healthcare andoptions and resourcesresources,registeredwith VA Liaisons so Psychological Statusfor VA care, and haveongoing care is FunctionalStatusVA appointmentsindividualized to theirsecuredpriorto Social Support specialized careleaving the MTFneedsEasily access VALiaisons who areintegrated at DoDfacilities with MilitaryCase ManagersMay meet with VAtreatment teams viavideo teleconferenceat MTF12
Review of the Digital Divide Consult13
Digital Divide WorkflowVeteran NeedsCare TeamPlacesDigitalDivideConsultSocialWorkerReceives theConsultSocialWorkerCompletesAssessmentand NoteConsult OneDigital Divide ConsultSocial WorkerPlaces VideoDeviceOrderingConsultROESCoordinatorPlaces Orderfor Deviceand/orPeripheralsVideo Device Ordering ProcessConsult TwoVideo Device Order ConsultVA DeviceisShippedtoVeteranDoesVeteranNeed aDevice andPeripherals?Is VeteranInterested ina teran inCompletingLifelineApplicationIs VeteranInterestedin theLifelineProgram?VeteranWaits ForLifelineDecisionsLifeline Issued Device
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Digital Divide Consult Order Template4 . n o T.'1P. p T.i P.nT. TP.:Jll ir l uP. -.(,OT.h p ;:; rip·1P. r . i l ci v ir.;:; ?cc ;::;ur: i ,; n : Tf o rc1P.r i n g r.P. -.ho r. "",p ;:; , r.'1P. m n 11f r.r.11 r ;:; r ' w,. r ri i · uJ .s l.-1 .H .s, n : : rio l. J.SH o r 1,.-,, 1. i ;-; n l.s wi l.1 1 c:.-; r : i i ,-u:v o.c.::md k. L UL .d. h L : l c.: L.Lon ic.: .im1,: l :u1L. .J d ·,.ic.:t !::i . '*)0 S L. .h o c.: . IJ:0 Bl ood p r e- s sure,0 P·.1.l se c,x i mete rn w i cJh. .sc:.-,, l H0 T:1e rmometer0 Ho , the pat i ent d oes r.ot r e qu.1.re a Bl uet:ioth p e riphe r a l d e vice .PF.OVIDER DECLAP-ATIO!i0 I am a Licensed I11.d e pend er.t P i:ac t i t i o ne r m:u1::1g 1.11g -:.hi s pat i ent ' s c a r e .Cl l have, be-e,n :ie,; i gnateid by the, fol lo wing Li ce,n s ed l ndeipe,r .d ;nc l:'ra c -: i -: i o r .e,rFor De f i n i t ion ,: ,f ' 1 :.i cc cd I n dcpc nd c r .-:. Pr c t i t io:1.cr" coCr e d e n -:.i a l i ng a ::1d P ri-.rile g i n;i :ia::1dbook
Digital Divide Consult Order TemplateExample of signed Digital Divide consult orderOrde r a l: l e I tem ;DI 3 ITAL DIVI D::C o u ·r .AT I E:NTc , 1n .;,; u l L ,,,.'¾LL:: .c ,. :us u lL :H a.sor. ·or : .equd .s-c. :l . Would tt-.c p u.t i c n t 1:c nc i t r ,: m vi,:ico tc l c ho.::. l th .::.nd u cco f e t her ·;.ri r t ·.1al t col s i n t he h.o:ne (e . g . m.:.ib i l eh,,, .c1.lLh-i ':' l ct. L,,, .·J i u l :: Lu re.c L eic.:c.·,,,.s .,: , Ithd i ntd r n gt ,: r a. d e v i cg t o p e1.rticipa.t 'Ict.[-lt-' lic.·c1.L i r ll1.S ,bull ct.L·ksYes2 . Dod .s th;. pa.ti nt t.a. Je ;, c a r :lie1.c i rr.p l a.nt l a, d e v i c e p c kcr , ICD l '?r ry H .s,1:l H.-t s '"'i u f,:rm!'"". i H ri l.1.h .-tl. 1.-th l H I. ,c:o mp 11 I.H r .s,c e llph o r. s , ;,:id e l c t r ica l :lg J i c a, .; s h o ·.1ld b s held n o c l osa, rth :1 E i :1.c hc ::: t r o:n t heir c .:i.r ,:ii .:i.c imp! :1.t .:tblc d evi ce .5 .tho p.:l.ti cnt :ncc t. :10 or moro o f t :'10 f o llo wi:-.q cr i -ccri .::.that p o ten t i a lly q ·.1al i f i e s t:lem f ,: r a VA d e v i c e '?1. 00 .::::An l-14?nta lH: a l th Dia.gr .cs i s ,Pat i e n tl i Jt?S 30 :ni lt?sf:t: o m -v-AMC4 . Doe s the pati e n t r e q u i r e Dl ue toot n pe r ipher a l d e v i c e s Wt?i g ht s e a l .:?P:\OVID:mo i;:c: ,AR'\T ION
DIGITAL DIVIDE ASSESSMENTBY SOCIAL WORKCONSULT RESULT NOTE
Consult Result Note: Social WorkOpening WindowI ::;., f -.'. l i ·.:u . i :.; i :. l '.'.l. .: .:.a ·.:d i n .,. , .i ·.k ·v \: .1y .,J, l . J ·. \' ic.·o.:· .::viu Vi'. ( 1 ,.,.: .1. ·l .1,.;,, i.,;, ,) . ,C ··., r,. r.i :.n -. i i . r.:.Yt'\,-.r.:.d i i\ -: ·., ·c :C -r ·,. r,;:. r.i ;:.n-. i i,; '"" t'. i '" r,;:. - -.o.r,;:."! i "I i f "ll i n"l ri ·,·.,::'. r :i-v r." h 'll f , :.h r.:li n rli .-:" ·:n -:(".-1 r.:.r .,r.-:i v i r.y . "l.i / t'l r :kv i r.: .-.·. i .-:co .
Consult Result Note: Social WorkPatient is interested:\The p at i ent i s i nte rested i n a v ideo c a p a ble d e vice f rom VA ( l oaned d e vice)Lll Does n ot req u i re p er iphera l s f or a p hys ica l exami nat i o n and vi ta l s i gns .Q Does req u i re p er iphera l d e vices f or a p hys ica l exami nat i o n vi ta l s i gns .
Consult Result Note: Social WorkIf interested and does not require peripherals:!) . ·: .:;. lt.: 1,1. ll i ·; n l h .1, ; t,;,.' J!l!': (.; . i , i . ',' J .; i,. ;u ; ,( ·; , ',I ,i :tl '; : : :i.: .·t.·11.: '-"; lh.l J t. ) l i1. . . . .,.11.,.,.',,; l i :·; . '-'-' · . . 1:\1 i n l ,,;,: ·n .: l \' i .b·: wi l i tv\ . l .',,;i ·.1:1i ( ,i(.;,. ,1Hfl l' I .O:.;:,i,; ?r. :I t /: , o to t .te t ',(O r v.- ti ,, r. .:. bn · , tr,:- 1:::: k r.::::: , .,.,,,, , i : " ::,l: . ,. '" " · ,. ,;,,; C. n. . ;.,. .,, ; 1 1 . . ,. . ; ! 'f .tlC. Tr,:.:. :ICU: .::ti·: l ; :, ., . , . , . 1,,., , . ,,f',. ,; ., , ,. . ,!,!, .,.,.i r. C!'f! J c :.:\.'\o: r :-cci ·;:-l\) : ;,; 1 ,.::,l,,::ci '7!, 1-:o:t:-:i. t:J:le : ',(i : I\ d :.:o -oJ.o:::. '!.·.:- t-:.bJ.ct u.;e o 1: -::-.1.h :1:u:h . ,,. 1.,., .,,n ,,.,.,,l i " . , ,.,. , . ., .,,. i 1 ,.\,-l . :,rt.:.;.· !: :- c J. i :;i 1:o1:- : ,::: I; ,., .,!; ,., Pr,!': . i q r.:- 1. :1:-J.i ; :rv. !.::, :i! t:-::::\.:.: : r :- id:-n.ti:.J. .:. :l e i re:iuc -: : 1.:w . ii.: ·.k, i '-'O: i ,: :e.:.a:.:· , . ii., Kl.) S (.;'-)'. !.uil!. ll V!C ,.i l l ,.m .:L . \i.: i !. :: .,.,,;; .mJ. {.11,;il.il',' .1J.d ::·: .:;.',,; .i:i. . :e. .a :.:· d :i r:;u·; :lli l'l " (", YTl';ll " , i - "1 1 ,Health Factors:VA-TH DD HOME INTERNET W/VIDEO YESVA-TH DD HOME INTERNET W/VIDEO NOVA-TH DD DEVICE/TABLET YESVA-TH DD DEVICE/TABLET NOVA-TH DD PREFERS TABLETVA-TH DD PREFERS SMARTPHONEVA-TH DD DEVICE ADDRESS CPRSVA-TH DD DEVICE ADDRESS ALTERNATEVA-TH DD DEVICE ADDRESS FACILITY
Consult Result Note: Social WorkIf interested and does requires peripherals:n,. , ; .,. . ; I I 1,. ' ; p f ,.drJi' ·,;:; A:lf"lr A ;:;i,; i r: . P r ,;:;"11'1"1', r ;:, ":c, i v ;:. A ,o.i ,:,'."1;:,f"I :tco l i i. ;:. r y . :,. ; 1-:co r n ;:.-:A y c,i,; i f1;:.'"1',i ;:. I A:lf"lr A ;:;i,; i i,; ,'.::, .:.l ':err,. ::e ·"" 111"""-·"':'l · :·.i t 1: i .3 :ldr ; i l'l t .:.,·.:.i l d: l e . '! he ,:k· i e :·.c ul i b:: :\': t o ':l-,c : e i l i t;- fo r t h .:.t i c·nt : o p iek- q :,. J r. -.:ro: Aran r. Yt1i:r, r i n 1i n l . .!.m:11 . i v;:} .- . 'I .!'fc,i. i .-: i n :-, r., -:,., :"ir. ,: .-:r. . r !'!i n r.r. r i 1 1 .,. , . rt,h"- i Y "!t 'IMA An N t;, r. i l i t. ,: A!'!NY.,.'l: t i r r.r. :-, r.;i:rd ;-::'l'l.:.n r.
Consult Result Note: Social WorkIf the patient interested in Lifeline program:Th ;:;p ,-r.i ;:.-.-r. ' ;. c-:·: rr.,.n ' r i :. ·i r.v ;::r ,.:fl i ;. .':- rt,:"i R'Ine p at.i e:-.e ' e i:-.- i:r. i a l ess t.ria.:-. .:,r s i:r.:.al. ': l t l o e.-. tsas r a l.PC'.'e r t.\ 1:-.-. r .,e.-,. :,1a t r -:ne c urrer.e .,.,a,r ,nY ;:.i,;,fl1':, ,T.i fcoT,i "'I., r,Y:., · ,--u ;:.1 i r; i h i 1 i t".':,' f;""n d i n .1 .r:·,co r ;:;r.i .,.n i i,;n:,r. ;:.1i r; i h 1cof r .Y h .,. i f;:.T,i " co r r nr; r ;:;m.
Consult Result Note: Social WorkIf the patient is not interested in a device:0 '1',, . I',. . ; .; ,-: ; . , . ,·. I. .,!; ,.r-1:r:i:- p :: i ::-:: i .:. :::,: t il\':Cl:'.C t :-d i n :. ie-.· i c :- ., ,: 11rt.:-:i : :I
Video Device Order Consult Template
Video Device Order Template Template: VIDEO DEVICE ORDERDevice to order : · 0 Ta blet0 Phone (on l y an option f or HUD- VASH enrolle d Veterans)Periphera ls to order : 0 Stethoscope0 BP c u ff0 Thermometer0 Sca l e0 Pulse Ox imeter0 NoneMost Rec ent Digital Divide Assessment b y Socia l Wor k NoteNone wi thi n p ast 7 d aysTIU object will retrieve lastDigital Divide Assessment bySocial Work note ifcompleted in past 7 days.
Video Device Order TemplateExample of signed Video Device consult order1.l tl.SL1l L Rl: '-JW: S -?.:::1.s , ·; i F, · i: R,,. q . s l :D::v i c.:' ' u ·Las t1.11.dr:: L· :Di9 i t a lTa b l LDi v i d i: C,:,ns·.1.l t: G/0S/ 2 02 ( 1 2 : 1 ):.o c a lF:e-sul t lk t e- :T i t l e : DI GITA.:. DI V ID ASSE SSMENT 3 Y SO::"I A.:., ifORI\C'::'lt1SUL l' :esu:.TS tand a r d T i t l e : S OCI AL W::'IRK C'::'ll SULTT h r:r.t.i .;;.r, t. i .!'- i n t .;;. · .i:.-t: rl i n"" v i n \-, :."l p . t l-: 1 d .;;.vir.;;. .T h r:r.t.i .;;.r, t. h. t. . r.\-,n , r.t: i v i t.y ."It. hn-n ( . 9 . i n t .;;. n , t: ro- 4 r. 11 11 1. t · ).:! I l ow. t. h f':m t. ": wet t. :-- i n 7.o:l\r nP. 7. v i ci, ,:") wi t.hou 7. l'l i 9 - i t i r.-"lnt. fl -"1 11.l'IP. .T h ! \ p .:!t.i P.rt. hrt. h i l'l/ h P.r ,-,.m Oo:I\Vi :, , wi 7. 'l A :."l'nP.YP. {P. . IJ . l'ITl'l ."l r t.p -- :")nf'! ,,:-::")-npu t.!"'\ r j ,-,r rt V1'. 1,-,;:inP.0 t.rt t': l o:l\t. t ,-,r VA Vi cif':,") r. ":- nP.r:7. Vi l'l i t.l'I .De v i c e s h i pp i n g i nf,:,rma ion :De v i c e wi ll be shipp e d ., the pa c i ent ' a a d d r e ss l i .s e :l i r. Cr'm.: ./ e a/. l!l".t' l!"AUUJ::.t06/0S/2 020 12 : 11! ntc r-f c ili t y ! nfcr:n.::i.t i ,:,n'!'h i .::: i :; nc,t n i ntcr- f c i l i t 1, con c ult r oq uo t ,t. hr. t .t .rt t': l o:l\t. ,
Telehealth Orders Device &/or Peripherals
ROES - ORDERING ROES Order 5e'ect: f rameset Internet E: p!orer I vlOrdering Station: 6 44 f' H O E l IXPatient:L1DOB: ,. ,,111111111111111111111111-t!'J-.- - - - - - SSN: L., .,JNo processed orders found for this patient!"'"' Back 11 Forward,.,. IDATEDOCUMENT TYPE/STATUS29X
ROES ORDERING SCREENHelp with Disabilityv r.mle: lc.A O , D I S v ,!CodesPatient's current disabilities:No disabilities ret:orded1Requested By:VEdit Address Jv IRequestor's Service: j'-1 1:: L l:: Hl::/\ LIHf'Almmoditv Group:!Telehealth Itemsv!Catal011:Teleheallt1 ltltflls 1ResetKeyvtord ListIIItem Nam eE3 J DATEDelivery oddrcss contirmedDelivery:0Routine@ PriorityOEmergencyOrders wi:h remarks require manual processin-g.This may delay t he processing of yoJr oder.Item:Quantity (eadl):DPhone number:Vendor:Search:Deliver to :@ Patient11KeywordI!Part NumberDALC quantity on ha nd:Remarks:'----------------'Type of Transaction:Add to Orderv ,jln ia l. IHelpI-PHONE HUD-VASH VERIZONI-PHONE HUD-VASH VZN REFURBI-PHONE HUD-VASH T-MOBILEI-PHONE HUD-VASH T-MOB REFURBDOCUMENT TYPE/STATUS30
Static VMR URL Generator
URL GENERATOR ON THE VHA TELEHEALTH SERVICES vices/index.aspVHA LOANED DEVICES ""' 11e.,s,.-u.1Ht . : ,w, DEVICES FOR FACILITIES I.:.RESOURCESCommunity Based Outpatient ClinicsTablets are to be used in CBOC;; lo con11ecl potie.ils with off-sile µroviders with VA VideoConnect. Current order lfmits ore one t ablet per CBOC.Emergency Room/ Inpatient WardTobie-ts arc to be used in 1hc EOJinpoticnt words ta connect patients ta thdr healthcaretNew iPod Vctcron Profiles J, Connecting Patients \'\ ith Families ,.Ji ED/INPT/C'· Stcrtic Link Generator l!!J PVT !:toric ir,k :.ic1c .otor Ord.;.-ing iPods Mommrondum Memorondum 1\ppendi es Paticnl Tablet Ordering Processl.Yteam and/or family members using VA Video Connect. The connection con be made viaVi). Video Conuect or Focetime. Current order Ii mils art: one toble-l per ever,,· tive beds.DATEDOCUMENT TYPE/STATUS32
COMMENT ADDED TO CPRS CONSULT WITH STATIC VMR LINKVeteran is now equipped with a VA issued iPad. To connect to thisVeteran copy/paste this url into chrome:https://care.va.gov/vvcapp/?name &join 1&media 1&escalate 1&conference PVTDMPBT9WPJF7C@care.va.gov&pin 15489348#If you have a video teleconferencing unit (EX90, DX80) simply dialthis alias: PVTDMPBT9WPJF7C@care.va.govif pin is requested, use this:15789348DATEDOCUMENT TYPE/STATUS33
Veteran Receives the Package at Home(or picks it up at VA)
DEVICE DELIVERYDATEDOCUMENT TYPE/STATUS35
VETERAN CONNECTING WITH HEALTH CARE TEAMDATEDOCUMENT TYPE/STATUS36
IPAD INTRODUCTION INCLUDED WITH DEVICEVAu.S. O tffl m"'\'""*'"''AW in"'rtcit -.il t,l:h ,o,,d-,11 wn Creai lngYour PasscodeVA iPad Introduction Thetirst ime the ·pad is i:urne:: on, a prompt willappear tc create o pas.scc::e.P,u1code Aequlrwnem:v , ,.,.,. / ,,. An uia:: ha been orOereCfor you; tt \ :1I enatle vou tc connect '.W:h ·;our heaith::arepro·1idc r u in5 v'dco ch.it. '.Vhc·, th:: i?nd ,,.ril"CS, plc sc fo l o;, ; ::hc s tC-1) bdo;. ; !O ct u p'!"Ol r devk e. The1, ,:o ·.-.ole!e t he te-:.th Gas ins: ructe c be low to e ns . re '!"Ol r devk e \'! i I W' " fl'O'Wtfll.::iropert.- :onneo: with vour provider at he t rne of vour v1ceo visit., Yo. r passcode must include at l ast G d "Qits. No'!:- : Simp e value p asscc le!:lh 1l 1.u ·1IJ 111rc pe 1t111,e , .\:occ nl1111g, .:ind llc:.1x nll111i:: eh .11 1Cll:1:. ,uc rn.1.Turni ng tho iPnd On,1llm ,? :i (Fx:irr,pl;o:.: 11345.; or 654.1?1 nr 11 11 1 1).'t'o u· pu:.::L·o ,. k :,ho uh.l !Jr: :.01f11:: lh111g h.:iu.l for o thc·s lo f1 ur1.· u .1t but r: hy for yout o r ;:-r1?mh?r. V.'u l : '/o u· f)J :.:.co«Jc here l1.1 hclµ 1e11u.:1111Jcr 1. : : w U;eIolJ ,.,,, ,.,,,.,Jot;t,;f!N(t.-1 (11), ()1)(11),.1t1,1 ,u1,:111 !od U e ·.,: t,., ,.,., Your p sscodc \Viii n c d to be cn:e red cnch time t 1c iP d is used. This cm be do neh\ Pit h r m;;nually @ntPrin ym.r p;w:m dP cu t hm,J h to urh ID if p;1,1hlr rl.lo l u 111 0 11 lh o: 1P.;1.:, fJt t: ) ,111d h ,;.;IJ lh ,: l o/'v\lc: kt:: IJ1.,ll i1 (l;,,L.;lt'tJ :J"II l111:: 11 h lsice of the to p ec ge) unti ! · e Apple loco ppe rs. then rele ase thoe bun on.\Jo l11m? ,.ar, hf arlju ,tprl hy pr c;irt t i ? vnlumP t.p t } a nd vo 11mP dm. m (·)button,; t lnra ; pd t hP ri h t Pdg; , nF-nr t hP t :'lpl.Note: If l hc 11.td , J re.adv i,o w . 1 cd u 11 .md d 1:i.pl 1: /:. .:, blJ l k :.r.:.rc.:11. Uir;r\ l 1:, c :. eev. I u,1cri v;;fp (ff wr.k ? u:,J ch? ;c:rP?r,, d n a :.horr r ; or t h? Slr e:p/ W;;kp hut rnn or Hnm?hun on .DATEDOCUMENT TYPE/STATUS37
Veteran Orientation:VVC Test Calls & Troubleshooting
Supporting Veterans’ Digital Skill Needs Supported by MHV coordinator,telehealth technicians, PSAs Virtual peer coachingLeft: “Coffee and Conversation” at the Orlando VAMC by Brian BrennanRight: Donald Stiker, MHV Coordinator at the Bath VAMC39
TECHNICAL SUPPORT VVC Test CallsThe process of how/who conducts the test VVC session is left to localfacility discretionTechnical problems during set up contact Office of Connected CareHelp Desk (OCCHD)Main Number: 1-866-651-3180e-mail: VHA OCCHD@VA.GOVDATEDOCUMENT TYPE/STATUS40
Monitoring Device Usage&Retrieval
ROES OES iption I Telehealth Patient Transaction ReportIDOCUMENT TYPE/STATUS42
TELEHEALTH PATIENT TRANSACTION REPORTvJIa Facility: 644-PHOENIX::::.'' ---------- -- !:: Ordered by: ,clAI IISort by: . IP a tie n t v .lSelect a Vendor. IRON BOW TECHNOLOGIES LLC.E xit toD e s k to-'-p E n by' -Pagc.eCreate Text FilaDATE,I . I R e.c.p o rt S el e ct io n P ag.c.e----- --3].Display to screenI Reset II C,DOCUMENT TYPE/STATUS43
REAL TIME CLINICAL VIDEO TELEHEALTH179 - Real Time Clinical Video Telehealth to Home- Provider Site648 - Real Time Clinical Video Telehealth with Non-VAMC Location- Provider SiteDATEDOCUMENT TYPE/STATUS44
TIME FRAME TO USE DEVICE45Days30DaysDATEDOCUMENT TYPE/STATUS45
MONITORING USE OF DEVICEDATEDOCUMENT TYPE/STATUS46
Device Retrieval
DEVICE RETRIEVAL (CONT)DDlsablllty c ode: !A. o 101s v ,!CodesPatient's curren: dsebllltle.s:Requ ested By:Requestor's Service:Help with DisabilityDeliver to :Fecil i IRIV SH.VALENTIN 0Edii AddressT E LE H E A LTHv ,!. !ICotalog:Tolohoolth ltomoIAI0IDel Ivery address confirm edDelivery: Routine O Priority O Eme rgencyPhone number.RefreshOroers wt-h remarks reculre manual process!ng.ms ma\' ::lela\' the processi ng of your order.ISearch: I Item Name 11 KeywordIiPart NumberQuantity (each): DALC quantity on hand:Remarks: .Type of T ransaction: I Add lo Order IDATEO@ Petiert.'I0/015, DEAF/6Commodity Group: j Telehealth Items vX,I.,lnilial - vi ,HelpDOCUMENT TYPE/STATUS48
ORDER HISTORYXview 01dcr HistoryROES Patient o, ders - Processed orderso ,·dcrinq Stat ion:.,.,,l'd li.,nL;.DoneNumbern 1,")f\,':JO,;1s20;UAl /'17 1. 01.'.? V;)O;UA11'171 qT I HFA I TH :l!SJG720U"· a .T: L:IIC.',LTII:.n.: J'I:,:,:; :./H :i:IJ1'·4/H :i: 1'11'·"o:-.sn.:i;.Order Type Fr. .-· r,F l-'·:.!L l -.lW',1,'".U'.: LtU.Wj/\ ,(,'JI l!l't'L t.)N/A:,:::.1.s ; oK!L ;1'1 ;1l!l't'L t. N/A1'1 'JI l!l't'L t.)N/A/,CC-CSSOR!CSPG 1 l!Ff CDN/A'JI l!l't'LliN/A:.::::i :;mw :; 27H!l HDATE,'". Fr.1,.· r, F . Fr.v r, F J. , , 1i a 1 ; I r!'s-F1'l)lr";T:!L:!HEALTH".,.,l'H l F CTFAn. ; ,FT MO!,l.'Ll.S ; OK!L ;-,:-.sn .,.( 'IOC: .JIW L' . 11 L'; K L'.i 1. V ,K'-.,',CU. 1"- ti LU(.i(J -,4f,",. lf,T1VF1.1. \1 ILl\,J LSRCOfdcr: mR FLY. Cc.320N/A:tlsll l ) II:,71 .;,:, )!\n cm;. TA: rno r,m m r T 1 l!Ff CDl//l)(v' ll 04/ f\,' IS.sc:r1a1 !'-41 lAl;::' 'j(-)/J.:,1::.1.s ; oK.lL';1.:10': :.::.tilt.·1.:.,n Fn!'.Hl r f'F r):.!l: ll\': J 'JI 1,'nA,.,' ISStat us\J"''"''.,, 11,'MVISc.,1nr. Vll'.l).'l.:JIJ 2 s-9 ;.1,J v!'.Hl r f'F r)T I HFA I TH:JIJ oou:SSN ;Uni n':1;7 J: OUJIH/1':rv01'1 · 1-1 11.'l .tilX."'itl/ JWJV 01(. 11.l.''.l '.:, .)(JUI.ILL"'"'LIC M L.l.'\l,.'.:, .)(JUI.ILLr -!A;,.,. )0 11'-1 ncC1 Ut1L \ J1:.M11-(((.;f,::l( f ;1 l!l't'LliN/A;;1 111-'t 'I UN/AF C.\ J n Fn!'-41 "11;,'/,S;,,. TA: rno Mmlir T F C.\ J n Fn!'-41 lAl;::''l, ,;.iA TA) rno MrlHir T om 1 l A\l ; , I AAI)!'.Hl r f'Fr)(,)/J.SH!r'r EC (, :;."''I0,-,(":,, d.,,OCMC.,,.,,.,, ,: t;5( Oo,(":u!" LIC M Ll'lt\1'/i!V .()It 111-(((.;f,::l( f1-(((.;f,::ICI.,R:TIUE ,'}11. KlT·e,;:1:,:,1 0,-.DOCUMENT TYPE/STATUS49
UNAUTHORIZING DEVICES IN ROES0ltOISI l(Yfalp ll,tfj.,.nt lfprn,rlflioibiitv/ A1Jthonmrl Aid-./Addre-.,t dl Autltorit i, Uink:Ell,;:iblltyOfc;. hiltyrU9 hUtyOfAF/8s: fOR OJSJ,81U'TYAO/DJSs:.1. -u.:iCiS/03 /160 /03/16FOO. OlS.,.SIUTV' I.09/ 10/19G.19MESCOl'TV01Jl8/l0t;ullMO(NIVV'Serl,I Nllm} e1S'196,J28JN!RITE LT.U PROStt38379iM IN IAl'TCl1112s11 1Ecf4AS:1 1 /1.ll/l I h 1C:NAI:IP.! I.C VZcrrclxEUA.\RT M!ivu\ H.ESS \'Z STE(11/? 0/l.0 l.coTR. Hm;.Oloose the reason for unauthorizingthis device:------------------Choose oneEd' t Authori.u d J,Jd,: TA,2 ffl.0HXl:ilJA .\RT MA'""'""" t:U.)lhUfly 11t1t,n1,1;111,,:1 : eI1130XDtA711,0 «1v.,IOOoe oc;.U-3,.,EBI JI uwul19 1a1,on6l9 ltl.ESCOTTf i9 11\ESCOIT6l9 !ft.ESCOTTG4?r ci;con- l'IICCN DCDeceasedN on-respo nd erV e t requeste dGoals metDefective deviceV e ndor changeSa me v endor, d iffe rentdeviceInstitutiona lizedCa reg iv er unsupportiveHomelessOthe rAid "ilt ll -,, -,, , ,7·-·'.I: , ., II·J, 7,, ,jL. View/Edit Adc!ressesUfl hrinane11t AddressAddr Edi Temporary Address2:AddrCS 31City: K1NGMU4,DATEDOCUMENT TYPE/STATUS50
up4-,, . l"nllf"nl Rrn,rd lll(Ph1t11y/A111hQn,.-d A1rl,;/A 'lrl rr,;,;. · ·Cdlt Aulhort.do9 Clink.u- .,,,,,.DE,.,-1 ISC fall 01.SAallffi'·- ·-.FOOHOS/0 !'1/UII 5C FOR OISA91UTYOS/ 0)/ lGETICOH1 I T ' fj/1 Ir ooNN 11/U/ IIP,.orwcEu,2,RO "'""unI'N1Vlf 5 VZ ftff)((IJANl:lMwiitE1fSS VZ Im01/Jl/2'0 '4l0 IIWfl J(.Ldl \al""hWllfCI AICIIS ! 'J!UlaCMQRAJf Cl )JOMQOJFnRfFUR&IS.131137'9.VV,. '[ , ,. .juH 5t,.q,I Nuontl@r- Il'ltO MlK!IUTf()((UAAA1 t1., .,.01/29/20 fA) Gt9 E-SOQTTOW IQ,'19"'"',usconll, r-1 .IIIl64'9f'llfSCOTf11:,nwov,7' l 'l\(t;C:o ll lOXOtA)lC.-.9fi'IU.JSCOlf1000eotill)AldStilC Sl - 1: . II. 4pt1(1UIIX1,I ' """""''·- · -1 .-I "" "" ''-1--,I r, u - -.1 "\JVicw/ rdil Addr ,,;. F4111 T Mpor-;a,,y Addltc A6 d I! '1560fl08fN 114 : 8 - - - - - - -DATE[929)1 lS )294Mldtf'M: I : ,lSf,O -,fllN IN. ,DOCUMENT TYPE/STATUS51
Review of Key Points
Key Points The Digital Divide consult should be installed before 9/15/2020 and willserve as your facility’s primary device-ordering consult. Previous deviceordering consults should be removed. The “Connected Devices” program offers loaned iPads and is now newlyexpanding to include iPhones for HUD VASH enrolled Veterans. The goal of the Digital Divide consult is to support Veterans who do nothave a device and/or connectivity with these resources. Veterans may benefit from a loaned device while Lifeline eligibility isdetermined. Social workers will receive clinical workload following completion of theDigital Divide consult. Facility Telehealth teams will determine roles/responsibilities for deviceordering and management. Telehealth staff will ensure Veterans know how to use technology, willmonitor device usage, and will retrieve devices once no longer used.
Q&ADATEDOCUMENT TYPE/STATUS54
VVC Tablet Study Outcomes . . The Digital Divide Consult includes possible referral to the Lifeline program which is a program with the Federal Communicatio\൮ Commission which helps make communication services affordable for low income consumers by offering a discount on monthly telep對hone service, broadband internet service, or voice .
