EVA for Telecolposcopy

Telecolposcopy enables you to face the reality of COVID-19, while maintaining colposcopy provision, training and supervision by digitally linking clinicians together in real-time.

Reduce the risk of infection by minimizing travel requirements for colposcopy consultations, protecting patients and clinicians. Continue regular colposcopy training using remote proctorship.

To support your important work in these troubled times, we are honored to offer a 10% discount to registrants to the ASCCP 2020 virtual conference.

Meet the challenge of colposcopy mentorship in today's healthcare reality

 

Telecolposcopy on the EVA System allows colposcopy supervision to continue despite the challenges placed by the struggle to reduce COVID-19 infection.

Using a live video link-up through the EVA System, a clinician at the point of care is connected to a colleague in another location. The remote colleague can supervise the patient examination in real time, directing the clinician at the point of care throughout the consultation.

This enables the continuation of colposcopy proctorship, consultation with colleagues in complex cases and remote quality assurance. Telecolposcopy allows healthcare system to maintain the same standard of colposcopy care, even in these troubled times.

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“Using telecolposcopy is very exciting for us. We wouldn’t be able to do mentorship without it.”

Bonnie Betts, Former Head of Nursing, FPA Women’s Health

 

Remote colposcopy supervision

Teleconsultation allows for remote mentorship of trainee colposcopy providers, enabling expert colposcopists to act as mentors for new trainees without either the trainee or the expert needing to relocate for the required supervision.

Using telecolposcopy, a remote expert can:

  • Supervise the entire exam live
  • See exactly what the clinician at point of care is seeing
  • Speak to the trainee
  • Annotate images
  • Guide biopsy process
  • Log into the supervision dashboard from anywhere

Benefits of telecolposcopy

Telecolposcopy helps to reduce the risk of infection by minimizing travel requirements for colposcopy consultations, protecting patients and clinicians. The process benefits patients, clinicians, and healthcare systems alike, creating an enhanced healthcare experience.

For clinicians

Telcolposcopy allows clinicians to complete their colposcopy training without traveling to another practice or clinic. Proctors can provide remote supervision from anywhere with an internet connection, using the EVA secure online portal.

 

  • Complete colposcopy training
  • Remote proctorship
  • Flexible platform

For healthcare networks

Telecolposcopy allows healthcare networks to maximize their human resources and reduce the chance of infection. Specialists can provide realtime consultation without needing to travel. Patients can receive the care that they need in a local clinic. Remote mentorship allows clinicians to complete their colposcopy training.

 

  • Maximize resources
  • Minimize clinician travel
  • Reduce risk of infection

For patients

Telecolposcopy brings expert care to patients doorsteps. Telecolposcopy lets patients receive vital screening that might have been overlooked otherwise. Reducing the  burden of travel for both patients and clinicians, telecolposcopy makes cervical cancer detection feasible, even in the current healthcare crisis..

 

  • Reduced travel time
  • Maintain scheduled exams
  • Detect cervical cancer risks

EVA COLPO

Incorporating an FDA cleared, CE marketed, mobile colposcope, the EVA COLPO system enables clinicians to capture images, annotate observations and biopsy locations. Lightweight and portable, EVA COLPO goes beyond the bounds of traditional colposcopes. Its user-friendly interface enables easy adoption by new providers.

How does it work step-by-step?

The patient arrives for examination.
The remote expert is notified that teleconsultation is needed.
A connection is initiated between the clinician at the point of care on the EVA device and the remote expert on their personal computer, laptop, tablet or phone.
The examination begins. The remote expert sees the video or images being captured by the EVA device and can offer guidance during the exam. Both clinicians can annotate the live video feed to show the location of a biopsy or other abnormalities.
The EVA portal records all images for either clinician to access in the future.

Telecoloposcopy: Clinical evidence

Application of a Telecolposcopy Program in Rural Settings

Hitt. WC, Low. GM, Lynch. CE, Gauss. CH, Magann. EF, Lowery.CL, and Hari Eswaran. Telemedicine and e-Health Vol. 22, No. 10, 2016

This 15-month long study assessed the sustainability of and patient satisfaction with telecolposcopy. 940 patients were evaluated in eight local clinics. Descriptive data provided included patients’ access to care based on travel time and transportation costs. The study found telecolposcopy to be sustainable in a statewide program with patients willing to participate. The telecolposcopy program reduced travel time and costs associated with face to face consultations.

Telemedical Cervical Cancer Screening to Bridge Medicaid Service Care Gap for Rural Women

Wilbur C. Hitt, MD, FACOG, Gordon Low, MSN, APN, Tommy Mac Bird, PhD, and Rachel Ott, BA

This study assessed colposcopies performed using teleconsultation at four clinics over 6 months in Arkansas. The program was found to be comparable in terms of positive predictive value and sensitivity regarding colposcopic impression. Patient satisfaction with the experience was above 90%. When offered the choice between colposcopy via teleconsultation or traveling to a central location, nearly all patients chose telecolposcopy.

Application of a Telecolposcopy Program in Rural Settings

Hitt. WC, Low. GM, Lynch. CE, Gauss. CH, Magann. EF, Lowery.CL, and Hari Eswaran. Telemedicine and e-Health Vol. 22, No. 10, 2016

This 15-month long study assessed the sustainability of and patient satisfaction with telecolposcopy. 940 patients were evaluated in eight local clinics. Descriptive data provided included patients’ access to care based on travel time and transportation costs. The study found telecolposcopy to be sustainable in a statewide program with patients willing to participate. The telecolposcopy program reduced travel time and costs associated with face to face consultations.

Telecolposcopy reimbursement codes

Reimbursement

Creating a sustainable and appropriately funded implementation of teleconsultation requires insurance reimbursement.

As of January 2019, Medicare and many private health insurers in the US reimburse  telemedicine consultation for both the point of care as well as remote clinicians.

Physicians and other Qualified Healthcare Providers (“QHCPs”), who are eligible to independently bill for E/M services, can now obtain standalone reimbursement for Interprofessional Consultations, such as EVA Teleconsultation.

In order to bill for teleconsultation services, you must be a ‘billing practitioner’ (eligible to independently bill E/M services).

The physician at the point of care simply adds the code for teleconsultation to the visit, while the remote expert will need to create a new visit and submit with the relevant code.

29 states and Washington, DC now require private payers to reimburse for telemedicine services. To know more about your state’s position, try these resources:

Center for Connected Health Policy has an interactive map of current state laws and reimbursement policies →

Visit your state’s Medicaid agency website →

Check out the American Telemedicine Association website →

There are a number of relevant codes for EVA Teleconsultation:

99452

This code can be billed by a physician at the point of care for the extra time it takes to set up and complete the teleconsultation. There is no time frame specified for this code. This code is applied in addition to the reimbursement for the specific procedure being performed, like colposcopy.

99446-99449

The remote consultant can bill these codes, depending on how much time the consultation session takes. These time-dependent codes refer to the time taken to log into a platform, provide expertise, and make notes.

These codes are only applicable in a fee for service model and only apply to interprofessional consultation. (There are separate codes for patient to provider consultations via telehealth methods)

 

99446 Interprofessional telephone or online assessment by consulting physician 5-10 minutes
99447 Interprofessional telephone or online assessment by consulting physician 11-20 minutes
99448 Interprofessional telephone or online assessment by consulting physician 21-30 minutes
99449 Interprofessional telephone or online assessment by consulting physician 31+ minutes
99452 Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified healthcare professionals, 30 minutes. Both the patient’s treating physician and the consulting physician can bill
(All details of reimbursement codes for reference only. Consult the Medicare telehealth codes information and the Nixon Law Center article for the latest information)

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