NYP OnDemand Digital Health Services Allows Physicians to Conduct Virtual Visits, Inter-Hospital Consults, and More

At a Glance

  • Over 350 Weill Cornell Medicine and ColumbiaDoctors physicians participate in Second Opinion
  • Express Care reduces the amount of time a patient spends in the Emergency Department by 80%: from 2.5 hours to 35 minutes
  • Since June 2016, the number of patients has doubled every month
  • 95% patient satisfaction rate
  • Expands access to patients and providers locally, regionally and nationally

"What makes NYP OnDemand different is its scope of services, offering more than just video visits."

— Daniel Barchi, Chief Information Officer, NewYork-Presbyterian

NYP OnDemand is a suite of digital health services connecting patients and providers from ColumbiaDoctors and Weill Cornell Medicine. These services are confidential, secure, and available to patients through the NYP OnDemand app and our website. Since launching in June 2016, NYP OnDemand has doubled the number of users every month and has recorded a 95% patient satisfaction rate.

“NYP OnDemand is designed to improve patient satisfaction, expand access to our world-renowned physicians, and improve the quality of care,” said Dr. Peter Fleischut, Chief Innovation Officer, NewYork-Presbyterian.

According to a 2015 American Hospital Association survey, 74% of patients are comfortable communicating with their doctor via technology instead of in person. NYP OnDemand makes it easy for physicians to work from home or other remote locations, seeing patients via video conferencing and consulting with other physicians.

NYP OnDemand was developed by NewYork-Presbyterian IT staff and Weill Cornell providers. It is the first health system to leverage American Well’s telehealth mobile software development kit (SDK), and therefore the first in the country to fully integrate video visits into an existing patient-facing application, creating a seamless patient experience.

NYP OnDemand was developed by NewYork-Presbyterian IT staff and Weill Cornell providers. It is the first health system to leverage American Well’s telehealth mobile software development kit (SDK), and therefore the first in the country to fully integrate video visits into an existing patient-facing application, creating a seamless patient experience.

“It was really important to us to offer our patients a single digital storefront where they could access all of our services,” said Dr. Fleischut. “Whether it is finding their way to our hospitals or finding their physicians for a follow-up virtual visit, we want them to have all their resources available in one place.”

With NYP OnDemand, physicians can deliver emergency care, urgent care, inter-hospital consults, virtual visits, and give second opinions.

Express Care and Urgent Care

NYP OnDemand Express Care and Urgent Care provide low acuity patients with two ways to have a live video visit with Weill Cornell Emergency Medicine physicians.

With NYP OnDemand Urgent Care service, patients with non-life threatening illnesses and injuries no longer have to walk in to a physical location for treatment. They can stay home, pull up the mobile app or log on via their computer, and be connected to a board certified emergency medicine physician from Weill Cornell Medicine.

NYP OnDemand Express Care is for low acuity patients who are already at the Lisa Perry Emergency Center at NewYork-Presbyterian/Weill Cornell Medical Center. NYP OnDemand Express Care is the first program of its kind in the state.

Here’s how Express Care works:

A registered nurse speaks with the patient, and categorizes the severity of their complaint. Then, the physician’s assistant evaluates the patient, and decides whether a video visit would be medically appropriate, or whether further physical examination is necessary.

If the physician’s assistant believes the physician can treat the patient by live video, they will offer the patient the opportunity to have a “virtual” visit with the physician from a private room. If the patient declines, then a physician will see them in person. The patient can also opt out of the video visit at any time. Regardless of the type of visit the patient chooses, discharge instructions are printed at the end of the visit.

NYP OnDemand has proven to significantly reduce patient time spent in the Emergency Department. To date, we’ve reduced time spent by 80% – from 2.5 hours to 35 minutes.

For every hour of operation, a Weill Cornell Medicine Emergency Medicine physician is specifically dedicated to providing NYP OnDemand Express Care and Urgent Care services. As the physician will be seeing patients through video, he or she does not need to be in the office, and can work from home. Twenty emergency medicine physicians have participated in Express Care and Urgent Care to date.

Inter-Hospital Consult

Physicians across NewYork-Presbyterian’s hospital sites can collaborate on patient cases, and provide specialty insight throughout the New York City metropolitan region.

With high quality cameras and speakers at the patient’s bedside, they are able to accurately assess conditions and communicate. Doctors throughout our healthcare system can quickly consult with leading specialists, who can also evaluate and talk with the patient directly.

Some results so far:

  • The Telestroke program has reduced the time to treat a stroke by 7 minutes, saving approximately 14 million brain cells.
  • The Telepediatrics program has reduced the number of pediatric transfers within our health system.
  • The Telepsychiatry program allows a patient to meet a psychiatrist 22 hours sooner than a traditional solution.

Virtual Visit

NYP OnDemand Virtual Visit is an easy, convenient way to deliver care to existing patients via video conference. Some common situations for a virtual visit include patients who live far away, need a routine check-up, or have a follow-up post-procedure appointment. Since June 2016, NYP OnDemand has had over 1,500 virtual visits.

Second Opinion

Patients around the country can get a second opinion on symptoms, diagnosis, or treatment plan from specialist physicians (cancer, cardiac disease, orthopedic surgery, and more) at NewYork-Presbyterian hospitals.

NewYork Presbyterian partners with Grand Rounds to provide this convenient, confidential, and secure service. Over 350 Weill Cornell Medicine and ColumbiaDoctors physicians participate in our national Second Opinion program.

The patient begins by creating an account and providing their information to us. We then assign a care coordinator, who gathers the patient’s medical records and sends the information to the best NewYork-Presbyterian physician for that condition. The physician reviews the case, and provides a written second opinion in 3 business days or less. The patient and the patient’s local physician receive an email notification to log in to the Grand Rounds portal to access the second opinion.

Digital Health Advantages

NYP OnDemand benefits patients with faster, more convenient care, and increased access to ColumbiaDoctors and Weill Cornell Medicine specialists no matter where the patient lives.

For physicians, NYP OnDemand speeds communication with patients and other providers, driving higher outcomes. NYP OnDemand makes it easier for physicians to collaborate with each other and reach out to new collaborators.

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