Telemedicine Consultations to Improve Care Quality of Pediatric Hospital-to-Hospital Transfers

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PROJECT SUMMARY / ABSTRACT The project objective is to enhance the implementation of telemedicine consultations for pediatric hospital transfers. This award provides the necessary support to strengthen the parent K23 (K23HD101550, PI: Rosenthal) pilot trial by: (Aim 1) Applying quality improvement (QI) methods to promote the successful achievement of the three pilot trial feasibility objectives and (Aim 2) applying the intervention evaluation framework RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) to conduct a mixed methods evaluation of the pilot trial’s telemedicine intervention. Our team has expertise in telemedicine interventions, clinical trials, QI, mixed methods, evaluation frameworks, and advanced statistical analyses. This supplement provides hands-on experiences for mentored training of two women early investigators. The trainee is Dr. Hoyt-Austin, a Hispanic researcher with a long-term goal to be an independent investigator in systems-level interventions to improve breastfeeding outcomes after birth hospitalization discharge. The primary mentor and candidate for this supplement is Dr. Rosenthal, a K23 awardee developing research leadership skills as part of her K23 mentored training plan. We propose a mentoring family, whereby the “grand” mentors are Drs. Young and Brown. Dr. Young is Dr. Rosenthal’s K23 mentor with expertise in research leadership and patient- and family-centered outcomes research using health information technology. She will mentor Dr. Rosenthal is mentoring Dr. Hoyt-Austin’s research activities. Dr. Brown has expertise in mentorship that increases inclusion and diversity in the research community. She will oversee Dr. Rosenthal’s inclusive and culturally humble mentoring skill development. We propose a training plan for Dr. Hoyt-Austin to develop skills in (1) QI methods, (2) qualitative methods, and (3) implementation and evaluation of telehealth interventions. These skills will give her the foundation to write her K23 proposal to test a telehealth intervention to improve breastfeeding outcomes. We also propose a training plan for Dr. Rosenthal to develop skills in (1) inclusive team science environments and (2) racially and culturally humble mentoring relationships. Dr. Rosenthal has demonstrated strong mentorship to trainees from groups underrepresented in the biomedical sciences. However, she has never been mentored in her mentorship. Enhancing mentoring skills, with an emphasis on mentoring trainees from underrepresented groups, is an integral aspect of research leadership and Dr. Rosenthal’s success as an investigator who supports the career development of a diverse research workforce by promoting cultures of equity and inclusion. Completion of this proposal will provide valuable data that will be used in Dr. Rosenthal’s R01 application. It will enhance the career development of two women early investigators, one who is Hispanic. It will also result in a UC Davis Mentoring Academy for Research Excellence workshop to disseminate the mentor family concept to achieve widespread and sustained impact on promiting outstanding mentorship to diverse trainees.