Resources for Telehealth Program Development

presented by:Christine Martin, MT, MBA, PMP

Executive DirectorCalifornia Telemedicine & eHealth Center

March 18, 2011

© 2011 CTEC

Futurist View of Mobile Phone

1930?

1903?1924?

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… That Future Is Now!

Telemedicine will fundamentally change the way we provide and receive health care

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• Clinician shortages• Distribution of providers• Rural/Urban underserved• Aging population• Travel time, cost & hardship• Language barriers• Clinical education• Disaster response

The Need for Telehealth Services

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97% of Land Mass Is Rural

21% of Population Is Rural

Telehealth Is Important In Rural Healthcare

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No matter who you areor

where you areyou can get

the health care you needwhen you need it

Federal Vision for Telehealth

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The right care at the right time in the right location by the right provider

And That Means….

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Telehealth Supports Healthcare Goals

• Increase access and availability• Assist with professional shortage• Cost effective• Improve efficiency• Enhance quality of patient care• Support local facilities and communities• Improve outcomes

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Telemedicine?

Telehealth?

What’s the Difference?

eHealth?

mHealth?

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• Clinical care provided from a distance

• The use of electronic communication and information technologies to provide or support clinical care. Some examples include:

Primary Care Medical Specialties Intensive Care Services Emergency Departments

What Is Telemedicine?

Telemedicine

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TelehealthHealth

ProfessionsEducation

Administration

EvaluationResearch

Homeland Security

PublicHealth

ConsumerEducation

RegionalHealth Information

Sharing

What Is Telehealth?

Telemedicine

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Uses for Telehealth

• Clinical

• Educational

• Administrative

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Telehealth Applications

© 2011 CTEC

Common Applications

• Medical Specialty Services

– Dermatology– Mental Health– Cardiology– Infectious Diseases– Pediatric Services– Endocrinology

– Neurology– Orthopedics– Pulmonology– Oncology– Ophthalmology– Rheumatology

Many others

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Other Applications

• Telepharmacy• Dental• Wound Care• Home monitoring• Remote ICU Monitoring• Family Connections• Case Management• School Care• Education

– staff, provider, family, community

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Other Applications

• Dialysis• Support groups• Speech therapy• Pre-commitment assessments • Interpreter services• Dietary counseling• Supervision• Post Traumatic Stress Disorder

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• Outpatient Clinics• Mental Health Centers• Intensive Care Units• Correctional Facilities • Emergency Departments• Emergency Transport Units• Surgery Suites• Schools • Skilled Nursing Facilities• Assisted Living & Senior Centers

Can be applied in many situations and locations

Telehealth Services

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Technology Is Advancing Rapidly

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New Applications Exploding

• Mobile phone applications– Text based education for pregnant women– Motivational messaging for diabetic patients

• Sensors that monitor vital signs• Home monitoring

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How Will You Get There?

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All We Have To Do Is Change

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…. You Go First!

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Change

Graphic from jisc infonet

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• Reimbursement / payment strategies

• Organizational strategic integration

• Program development

• Funding for development

• Operational models

• Sustainable business models

• Program costs

• Credentialing, privileging & accreditation

Development Can Be Challenging

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Critical Need forCurrent, Objective, Accurate

Information

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Assistance Is Available!

HRSA Designated

Telehealth Resource Centers!

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The TRCs

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What are the TRCs?

• Network of expertise and experience• HRSA Office of Rural Health Policy• Extensive telehealth program

implementation experience• Program established in 2006• Eight regional centers around the nation &

one national for Legal and Regulatory Center

© 2011 CTEC

Telehealth Resource Centers

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Some TRC Services

• On-line resources and information• Training• Webinars and workshops• Presentations• Staff training• Peer to peer connections• Consultation services• Videos• Research

© 2011 CTEC

Telehealth Resource Centers

Guidance, Expertise & Support– Strategic planning

– Current advancements & trends

– Program development

– Policy development

– Operations

– Evaluation

– Legal and regulatory

– Equipment selection

– Provider development

– Best Practices

– Sustainability & business models

© 2011 CTEC

Questions Discussion

Please feel free to contact me:Christine Martin

Executive DirectorCalifornia Telemedicine & eHealth Center

cmartin@calhealth.org916.552.7679