AC FORUM 2025

Presentation Details

SPLTRAK Abstract Submission

Rural Improvements in Venous Thrombosis Treatment in Oklahoma: The RIVETT-OK Initiative

Kelly M. Rudd¹, Jonathan Lowe¹, Bradley Anderson², Mike Shea², Jared Droze²
¹Oklahoma State University Center for Health Sciences - College of Osteopathic Medicine, Tulsa, OK, United States/²2Oklahoma State University Medicine - Virtual Care, Tulsa, OK, United States

Introduction
Annually, over 3,000 Oklahomans receive outpatient treatment for Venous Thromboembolic Disease (VTE) following an Emergency Department (ED) diagnosis. In Oklahoma, 19 of 77 counties (~25%) are classified as medically underserved, facing significant health disparities and care challenges. RIVETT-OK is a quality improvement project aimed at improving outpatient VTE care. The objectives are: Develop and implement evidence-based VTE management educational programs (online, virtual). Identify barriers to VTE care and implement system-based changes through telehealth and innovative technologies. Increase access to care, health equity, and patient adherence to VTE management in underserved areas, aiming to reduce low-risk VTE hospital admissions by 20%.
Methods
RIVETT-OK will be executed in four phases over two years, starting January 1, 2024: Phase Ia: Identify, evaluate, and address barriers to system-based outpatient VTE care. Phase Ib: Develop educational and support resources, including an online CE program and a decision support app. Phase II: Train rural ED staff and equip providers with tools for managing low-risk VTE patients, including virtual care. Phase III: Improve system changes and telehealth effectiveness using physician satisfaction and institutional feedback. Phase IV: Create and disseminate a RIVETT-OK ED VTE Toolkit, while scaling the program.
Results
Expected outcomes include overcoming barriers to outpatient VTE care, standardizing care processes, implementing sustainable changes, and providing innovative tools and education to rural ED providers.
Conclusion
The RIVETT-OK initiative aims to improve patient safety and quality of care, reduce complications, and increase provider confidence and satisfaction by partnering system-based initiatives and provider education with innovative technology use.