Implementation of a Telehealth-Based Rapid Access Program for the Evaluation of Men Referred for Elevated Prostate-Specific Antigen

PURPOSE: Delays in prostate cancer diagnostic evaluation negatively affect patient experience and may adversely affect oncologic outcomes. We evaluated the effect of a telehealth-based rapid access program (RAP) for men referred with elevated PSA on diagnostic timeliness and patient access. METHODS: We implemented an advanced practice provider-led, telehealth-based RAP within a statewide referral center. Men referred for elevated PSA were evaluated using standardized triage and biopsy decision algorithms. Outcomes in the and preimplementation (October 2023-January 2024) and postimplementation (February 2024-October 2025) cohorts were compared. Primary outcomes included time from referral to initial consultation, MRI, and biopsy. Secondary outcomes assessed patient access, including travel distance, time, and cost savings. Detection rates of Gleason Grade Group ≥ 2 were assessed as a balancing measure. RESULTS: = .06). The median round-trip travel distance and time avoided were 58 miles and 66 minutes, respectively, resulting in a median cost savings of $48.86 per patient. CONCLUSIONS: Implementation of a telehealth-based RAP significantly reduced diagnostic intervals for men referred with elevated PSA while maintaining diagnostic quality. This scalable model demonstrates how telehealth-enabled workflow redesign can enhance timeliness and access.