title: The Health Experts onLine at Portsmouth (HELP) system: One-year review of adult and Pediatric Asynchronous Telehealth Consultations.
abstract: BACKGROUND
  The Health Experts onLine at Portsmouth teleconsultation system is designed to connect health providers in the Navy Medicine East Region to specialists at Naval Medical Center Portsmouth.
  
  
  METHODS
  A review of the first year of the Health Experts onLine at Portsmouth system was performed. Data on each teleconsultation were extracted from the Health Experts onLine at Portsmouth system database and analyzed.
  
  
  RESULTS
  From June 2014 to May 2015 there have been 585 teleconsultations. Providers stationed on 36 ships/submarines and at 28 remote military treatment facilities have utilized the Health Experts onLine at Portsmouth system. Over 280 specialists in 34 different specialties were consulted. The median time to first response from a specialist was 6 h and 8 min, with 75% of all consults being addressed within 24 h. Eighteen medevacs were recommended. Thirty-nine potential medevacs were prevented, and 100 potential civilian network deferrals were prevented, resulting in an estimated savings of over US$580,000.
  
  
  CONCLUSIONS
  Based on the 1-year metrics, Health Experts onLine at Portsmouth has provided improved access and quality of care to service members and their families throughout the Navy Medicine East Region. It has helped avoid over US$580,000 in unnecessary cost burden. Further review at the 2-year time interval will demonstrate the continued growth and effectiveness of the Health Experts onLine at Portsmouth system.
authors.affiliation: Department of Cardiology, Naval Medical Center Portsmouth, Portsmouth, VA, USA.
authors.forename: Andrew H
authors.initials: AH
authors.lastname: Lin
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Jacob H
authors.initials: JH
authors.lastname: Cole
authors.affiliation: Department of Cardiology, Naval Medical Center Portsmouth, Portsmouth, VA, USA.
authors.forename: John C
authors.initials: JC
authors.lastname: Chin
authors.affiliation: Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA.
authors.forename: Chirstopher Becket
authors.initials: CB
authors.lastname: Mahnke
keywords: Telehealth; asynchronous; operational medicine; teleconsult; telemedicine