Telemedicine for High-Risk Pregnancy
Marshall Obstetrics & Gynecology offers telemedicine for high-risk pregnancy patients who need maternal-fetal medicine and do not have access to an onsite specialist.
How does Telemedicine work?
Telemedicine refers to clinical services provided at a distance using technology, such as video conferencing. This technology allows a patient to have a two-way conversation in real time with a specialist she would not normally have access to.
The video conference occurs at the office of the patient's local physician. A limited physical examination will take place during the video conference, and some parts of the exam may be conducted by the local physician or ultrasound technician under the direction of the consulting health care provider. Please note: All information is kept as confidential in compliance with HIPAA privacy practices.
What are the benefits?
- Referring physicians have the opportunity to be included in a discussion about the findings with the specialist and patient.
- The patient can consult with a specialist without having to travel (unless information obtained via telemedicine was not sufficient to make a diagnosis or further treatment is required).
- With the patient closer to home, referring physicians help ensure at-risk patients adhere to the advice of the maternal-fetal medicine specialist.
Is telemedicine covered by insurance?
Most insurances cover telemedicine after the initial co-pay. Ultrasound fees are collected by the referring physician's office.
What are the telemedicine technology requirements for referring physicians?
Ultrasound equipment and adequate bandwidth/wi-fi connections are required. The video conference equipment is provided at no cost.
David G. Chaffin, MD
Dr. Chaffin is a board certified obstetrician-gynecologist specializing in maternal-fetal medicine. He is available for consults with physicians through either University Perinatal Associates in Hurricane, WV or Cabell Huntington Hospital Perinatal Center in Huntington, WV. He has hospital privileges at Cabell Huntington Hospital.
He earned a medical degree from the Johns Hopkins University School of Medicine in Baltimore, MD, and he completed a Residency in Obstetrics and Gynecology at Vanderbilt University Medical Center in Nashville, Tenn. While completing a fellowship in Maternal Fetal Medicine at the University of Arizona, his interests in hypertensive disorders of pregnancy, diabetes, multiple gestations, and ultrasound were refined. He has published research into the mechanisms of fetal heart rate variability and ultrasound image processing and hypertensive disorders in pregnancy.
Dr. Chaffin joined the faculty of the Marshall University Joan C Edwards School of Medicine in 1998. He has received awards for Excellence in Teaching from the Association of Professors of Gynecology and from the Council on Resident Education in Obstetrics and Gynecology. He is a Professor and is the Director of the Division of Maternal Fetal Medicine in the Department of Obstetrics & Gynecology.
Kelly Cummings, MD
Cummings, a board-certified maternal-fetal medicine specialist, has been appointed assistant professor of obstetrics and gynecology. She specializes in high-risk pregnancies, including cases of preterm labor, placenta previa, miscarriage risk, multiple births, preeclampsia and gestational diabetes.
Cummings earned her medical degree from Marshall University, where she also completed an obstetrics and gynecology residency. She then completed a fellowship in maternal-fetal medicine at the University of Arkansas for Medical Sciences in Little Rock, Arkansas. She is certified by the American Board of Obstetrics and Gynecology.
Cummings is accepting new patients and referrals at the following Marshall Obstetrics and Gynecology locations: Marshall University Medical Center, an outpatient department of Cabell Huntington Hospital, 1600 Medical Center Drive, Huntington; and at Marshall Health–Teays Valley, 300 Corporate Center Drive, Scott Depot. For appointments, call 304-691-1400.
Jesse N. Cottrell, MD, FACOG
Jesse N. Cottrell, MD, FACOG
Dr. Cottrell is fellowship trained in caring for high-risk pregnancies, including cases of preterm labor, placenta previa, miscarriage risk, multiple births, preeclampsia and gestational diabetes. He also specializes in ultrasounds, fetal echocardiograms and non-stress tests.
Sub-Specialty Coordinator for Telemedicine
Whitney Blackburn, RN
Whitney Blackburn, RN, is a sub-specialty coordinator at Marshall OB/GYN. She earned her licensed practical nursing certificate at Collins Career Center in Chesapeake, Ohio, and associate’s degree of science in nursing from Ohio University in Athens, Ohio. She has over five years of hospital and clinic nursing experience.
Connecting With Us Via TeleMedicine
If you're from a physician's office and are interested in connecting your high-risk pregnancy patients with our physicians via telemedicine, contact us at 681-378-5437 or 1-833-649-3263 (toll free).
Q: What equipment do I need?
A: The referring office or facility needs to have an ultrasound and ultrasound technician capable of doing OB scans. This means the referring office or facility will generate a technical fee for billing purposes. Marshall OB/GYN will purchase and place the telemedicine tower in the clinic at no cost to the referring clinic.
Q: What are the technology and connection requirements for telemedicine?
A: An internet connection – broadband wired or wireless (3G or 4G/LTE) is required. The referring office will also need speakers and a microphone – built-in or USB plug-in or wireless Bluetooth, along with a webcam or HD webcam - built-in or USB plug-in OR a HD cam or HD camcorder with video capture card. Most operating systems are supported along with a number of mobile and tablet devices. For more specific information, contact the sub-specialty coordinator.
Q: What program do you use for telemedicine? Can you ensure HIPAA requirements are being met?
A: For telemedicine, Marshall OB/GYN uses Zoom, which has HIPAA compliance as long as the referring office uses proper credentialing to access the appropriate portal.
Q: Who do I contact about scheduling?
A: The sub-specialty coordinator is the point person for scheduling. She will contact the patient directly about registering and scheduling the appointment.
Q: Do I need to get prior authorizations for telemedicine appointments?
A: No, the sub-specialty coordinator will complete any prior authorizations needed for the consultation.
Q: What information will I need to share about the patient?
A: The referring office needs to share the demographics and pertinent clinical information about the patient with the sub-specialty coordinator.
Q: What should I expect the day of the appointment?
A: The coordinator will pre-plan some time with the ultrasound technician and/or appropriate person(s) to ensure the equipment is working properly. The coordinator and/or MFM physician will start the Zoom web conference, which the ultrasound technician or their designee will then join. The MFM physician will introduce him/herself and instruct the technician to start the scan. Any images for the chart will be screen shot and saved to the patient chart in Allscripts. At the end of the exam, the MFM physician will discuss any findings and next steps with the patient and, if preferred, the referring physician. The visit will conclude and all documentation will in EMR will occur as usual. The coordinator will ensure that the referring physician receives the reports from the MFM consult visit.
Q: I am having IT problems. Who do I call?
A: The subspecialty coordinator will assist in getting the right resources for IT troubleshooting.