Table 3 Implementation outcomes of a teledermatology service 9/1/2021–4/30/2022

Reach

 Participating clinics, n

4

 Participating attending dermatologists, n

10

 Participating resident dermatologists, n

15 (total 15 residents)

 Participating primary care providers, n

30

 E-consults placed, n

218

 Unique patients evaluated via e-consults, n

216

 Classified as lesion, n

154

 Classified as rash, n

64

Completed TD virtual clinic visits, n

 Clinic A

20

 Clinic B

77

 Clinic C

70

 Clinic D

4

Effectiveness

 Video visits scheduled, % of all e-consults placed

85% (186/218)

 Loss-to-follow-up, % of all e-consults placed

15% (32/218)

 % Patient declined or unable to be reached

12% (26/218)

 % Other reason

3% (6/218)

 Completed video visits, % of scheduled video visits

92% (171/186)

 Video visit no-shows, % of scheduled video visits

3% (5/186)

 Video visit cancellations, % of scheduled video visits

5% (10/186)

 E-comm referrals scheduled in ≤ 3 days

81% (151/186)

 Mean time between e-comm referral placement and video visit, days

7.5 ± 0.5

 Average video visit length, minutes

10.2 ± 0.2

 Conversion to telephone visit, %

1% (1/171)

 Patients agree clinical goals were met, % (n = 18)

100% (18/18)

 Patients requiring downstream completed in-person appointments, % of TD virtual clinic patients

65% (111/171)

 Total downstream in-person appointments, n

111

Adoption

 PCPs at participating clinics that utilized TD, % of total providers^a

 Clinic A

50% (4/8)

 Clinic B

75% (12/16)

 Clinic C

87% (13/15)

 Clinic D

13% (1/8)

Percent of total dermatology referrals that utilized e-consult

 Clinic A

11% (28/259)

 Clinic B

19% (94/490)

 Clinic C

22% (91/422)

 Clinic D

2% (5/283)