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Nurse Practitioner Delivered Virtual Care in a Pediatric Specialty Clinic

  • Brynn E. Dechert
    Correspondence
    Correspondence: Brynn E. Dechert, MSN, CPNP, FNAPNAP, Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, 1540 E. Hospital Dr., Ann Arbor, MI 48103
    Affiliations
    Brynn E. Dechert, Pediatric Nurse Practitioner, Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, MI. Staci M. Kaczor, Family Nurse Practitioner. Martin J. LaPage, Associate Professor. Benjamin W. Hale, Associate Professor. David J. Bradley, Professor.
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  • Staci M. Kaczor
    Affiliations
    Brynn E. Dechert, Pediatric Nurse Practitioner, Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, MI. Staci M. Kaczor, Family Nurse Practitioner. Martin J. LaPage, Associate Professor. Benjamin W. Hale, Associate Professor. David J. Bradley, Professor.
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  • Martin J. LaPage
    Affiliations
    Brynn E. Dechert, Pediatric Nurse Practitioner, Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, MI. Staci M. Kaczor, Family Nurse Practitioner. Martin J. LaPage, Associate Professor. Benjamin W. Hale, Associate Professor. David J. Bradley, Professor.
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  • Benjamin W. Hale
    Affiliations
    Brynn E. Dechert, Pediatric Nurse Practitioner, Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, MI. Staci M. Kaczor, Family Nurse Practitioner. Martin J. LaPage, Associate Professor. Benjamin W. Hale, Associate Professor. David J. Bradley, Professor.
    Search for articles by this author
  • David J. Bradley
    Affiliations
    Brynn E. Dechert, Pediatric Nurse Practitioner, Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, MI. Staci M. Kaczor, Family Nurse Practitioner. Martin J. LaPage, Associate Professor. Benjamin W. Hale, Associate Professor. David J. Bradley, Professor.
    Search for articles by this author
Published:December 01, 2022DOI:https://doi.org/10.1016/j.pedhc.2022.11.007

      Introduction

      Virtual care in pediatric specialty practice has become widely used to increase access to care, one in which nurse practitioners (NPs) can play a vital role. We sought to evaluate the outcomes of virtual care provided by pediatric cardiology and electrophysiology (EP) NPs for pediatric and congenital heart disease patients.

      Method

      Retrospective review of all virtual care visits performed by pediatric EP NPs between October 2019 and October 2021 at a single tertiary care center.

      Results

      NPs delivered virtual care for 287 pediatric EP evaluations for 276 patients; 132 (45%) independently, with the remaining 155 collaborating with an electrophysiologist as a shared visit. The mean age was 15.2 ± 8.9 years.

      Discussion

      NPs performed a significant subset of these visits independently and were a vital part of all visits in this study. The role of the NP in specialty pediatric virtual care should continue to be supported and advanced.

      KEY WORDS

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