Tap to Treat Work Flow Process
- Employee incident/injury occurs
- Employee reports incident to employer per protocol
- Employee is directed to telemedicine facilitator at site
- Facilitator contacts Tap to Treat nurse and advises incident has occurred
- Facilitator connects employee to tap to treat on site device via app
- Employee placed in virtual waiting room where meets nurse
- RN performs triage (performs initial evaluation) – determines appropriate path forward:
– Emergency (EMS is activated)
– Urgent (Tap to Treat advanced practitioner and/or physician is involved—when medically appropriate and accepted by employee vs conventional clinic referral–when not)
– Non-urgent (first aid and/or precautionary only—care typically administered by nurse)
– Clicks app icon
– Clicks on agreement to terms of use/consents to treatment
Virtual Evaluation Can Include:
- Comprehensive history – present injury/illness, past medical history, allergies, medication list, any information past/present relevant to current complaint, etc.
- Comprehensive virtual exam – vital signs, general appearance, pain level, mental status, neurovascular status, etc.
- Specific virtual exam of affected body part– detailed exam focused on area of injury including point tenderness, swelling, bruising, knots, range of motion, deformities, gait, balance, etc.
- Mobile x-ray exams if needed
- Diagnosis made and treatment regimen, including return to work guidelines, recommended
- Tap to Treat virtually follows patient through treatment to recovery and release from care
- Strategic partnerships with local diagnostic centers, physical therapy and specialists when the injury requires their services
Paperwork interactively done within the app with employee and nurse:
- Electronic medical record
- State forms
- Worker’s compensation questionnaire—employee states in their own words what happened
- Worker’s compensation injury instruction sheet
- Return to work form
Single point of contact injury –> release from care:
- Same nurse stays with employee and employer throughout entire process
- Tap to Treat can be authorized treating physician – if accepted by employee and medically appropriate
- Case management with any providers includes:
– Contact with provider ahead of employee visit
– Arrange follow-up/management of care after visit
– Communication with employer