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Sponsored by:
Statewide Health Coordinating Council (SHCC)
&
Texas Public Health Association
Technology Committee
Presenter:
Janie M. Gonzalez, SHCC Public Member
Date: February 19, 2010
Developing the Next Generation Roadmap for HIT & Telemedicine to a
Healthy eTexas
State of Texas Healthcare CostsIn the 1998 fiscal year, Texas spent 40% of
the state’s budget on Health and Human Services (HSS)
The largest portion of the Texas state budget is allocated to HHS
HSS spending exceeds the state’s educational costs
Factors contributing to HSS Costs
Aging populationObesity-related illnessesPrison populationDisease threatsEmergency room costsHealth professional shortage
Bottom LineTexas recognizes a need for
aggressive governance and fresh solutions to healthcare issues that also address the rising costs of healthcare
State of Texas Action PlanGovernment efforts in place to widen the
use of Health Information Technology (HIT)HIT and telemedicine have social and
economical benefitsHIT converges the Internet with health
networksHIT broadens healthcare access and
improves health outcomes
Statewide Health Coordinating Council (SHCC)
Examines ways Health Information Technology (HIT) and Telemedicine (TM) enhances the efficiency and quality of institutional healthcare
Improves the delivery of medical treatment and collaborative efforts among health professionals and support staff
SHCC Technology CommitteeComposed of various members of Texas
from diverse backgroundsRepresentative of
Small and large employersHospitalsHealth policy expertsCommunity leadersBusiness leaders
SHCC Technology CommitteePurpose of the Committee:
Reviews healthcare and technology data
Identifies and assesses the use of policies, tools and technology in Texas
Makes recommendation to policymakers
Telemedicine and Telehealth Programs in ActionTwo-thirds of healthcare organizations use
telehealth for clinical or non-clinical purposes, according to a 2009 Healthcare Intelligence Network Suvey (Donovan 2010)
Telemedicine Case Study This video describes the computer charting
and Telemedicine technology that is being used in the Los Angeles County Sheriff's Medical Services Unit.
Copy/Paste link to a Internet Browser to view Telemedicine Case Study on YouTube.com:
http://www.youtube.com/watch?v=_I0_fut2H8U
Finds of the Technology Committee (1) Investment in training for the use of
Telemedicine is critical to its success of HIT
HIT is essential for establishing the ability to track Telemedicine utilization
Finds of the Technology Committee (2)Texas telemedicine legislation currently
addresses the participation of various health providers, including physicians, dentists, chiropractors, nurses, and other health professionals.
Telemedicine holds the potential for the
greatest economical impact on the rising health costs during century in the State of Texas.
Recommendations (1)Enhance the efficiency and quality of
institutional healthcare thereby improving the delivery of medical treatment and collaborative efforts through the HIT.
Provide training incentives to healthcare
providers, clinical trainees, and students in health-related fields’ reimbursement up to 50% of their training costs.
Expand the market for telemedicine with a national licensure system to reduce health care costs, increase accessibility, and eliminate many of the legal and regulatory ambiguities that constrain the present system.
Provide healthcare providers with reimbursements for a wider range of covered medical services
Promote the use and development of new
technologies to enhance health
Recommendations (2)
Recommendations (3)Enhance and strengthen public and private
partnerships to include regional strategic mapping of staff and services between organizations improve recourse allocation, trim numerous costs, and avoid service duplication.
Identify reform regulatory barriers, and amend laws to accommodate expansion of telehealth modalities.
Conclusion (1)There is a need and an interest in developing
collaborations among telehealth stakeholders, including patients, patient communities, research funders, researchers, healthcare services providers, professional societies, industry, healthcare management/economists, and healthcare policy makers
Critical components of TM/HIT include the development, marketing, adoption, and implementation of these tools and technologies, communication, training, cultural sensitivity, and end-user customization
Conclusion (2)Next generation tools and technologies are
vehicles toward personalized medicine, extending the telemedicine model to include cell phones and Internet-based telecommunications tools for remote and home health management with video assessment, remote bedside monitoring, and patient-specific care tools with event logs, patient electronic profile, and physician note-writing capability. Telehealth is ultimately a system of systems in scale and complexity.
Conclusion (3)To cover the full spectrum of dynamic and
evolving needs of end-users, we must appreciate system complexity as telehealth moves toward increasing functionality, integration, interoperability, outreach, and quality of service.
AcknowledgementsSHCC Technology Committee:
Janie Martinez Gonzalez, Public MemberStephen Palmer, Office of e-Health
Coordination HHSC Dr. Alex Vo, Executive Director of AT&T
TelemedicineTom Valentine, HHSCDon Henderson, DADSElizabeth Sjoberg, JD, THA