Georgia Partnership For TeleHealth 5th Annual School Based TeleHealth Clinic Workshop

Lessons Learned and Take Aways: Models, Perspectives, Implementation & Expansion

Tifton, GA

November 5, 2015 8:15-5:00

7:30 Registration/Breakfast

8:15 Welcome

Sherrie Williams, LCSW, Executive Director

Georgia Partnership For Telehealth

8:30 Finding the Passion To Make It Happen

Opening Session

Loren Nix, RN, School Based Telehealth Director

Georgia Partnership For Telehealth

9:00 Do’s and Don’ts of Running a Successful SBHC

Best Practices

Loren Nix, RN, School Based Telehealth Director

Georgia Partnership For Telehealth

Channing Dixon, RN, Berrien Elementary School Nurse

Berrien County Board of Education

Kayla Money, RN, Berrien Middle School Nurse

Berrien County Board of Education

Mille Thrift, RN, SBHC Coordinator

Ware County Board of Education

9:45 BREAK

10:00 Build It And They Will Come, Right? WRONG!

A Guide to Marketing Your SBHC

April Aldridge,

Decatur County Board of Education

10:45 Billing For Services: Schools Can Do That?

Aaron Lambert, Amerigroup Georgia

11:15 Engaging Your Local Medical Center: Sustainability Plans

Reyne Pohl, Erlanger Children’s Hospital

Jeff Robbins, Tift Regional Health System

12:00 BREAK and WORKING LUNCH

12:10 Georgia State Office of Rural Health: The State of Telehealth in Georgia

David Glass, Georgia Office of Rural Health

12:40 FAQ’s of SBHC: A Marketing Video for Schools

Sherrie Williams, GPT Executive Director

12:45 South Eastern Telehealth Resource Center: Georgia Telehealth Workgroup

Lloyd Sirmons, SETRC Executive Director

1:15 Break

1:30 Privacy, Scope of Practice, Liability and Payment: Legal Aspects of Telemedicine and

School-Based Telehealth Centers

Bill Boling, Attorney

2:30 Coughs, Colds, Sneezes, and Chronic Disease Management

You Want Me To Palpate What?

Casey Connor, MD

Jennifer Madon, MD

3:15 Break

3:30 Yikes! A High Level Specialty Appointment at School?!

Integrating Children’s Specialty Services Into Your SBHC

Jill Davis, Children’s Health Care of Atlanta, Director of Telemedicine

4:15 From Healthcare to Student Engagement

Sherrie Williams, GPT Executive Director

Tammy Carter, Abraham Baldwin Agricultural College, Instructor

Eryn Wilkey, 7th grade student, Pine Grove Middle School

Emma Davis, 7th grade student, Pine Grove Middle School

5:00 Closing Remarks

Sherrie Williams, GPT Executive Director

In order to obtain 0.8 CEUS\8 Credit Hours for the 5th Annual School Based TeleHealth Clinic Workshop, you are required to submit the CEU request form at the end of the meeting in the box on the registration table. Be sure to provide a valid email address. Abbigail Couey, HTH Training Manager will email you a link to the program assessments required to receive your CEU credit Certificate/Transcript. In collaboration with Georgia Partnership for Telehealth, HomeTown Health, LLC is pleased to bring you the School Based TeleHealth Clinic Workshop. HomeTown Health, LLC is authorized by IACET to offer 0.8 CEUs for this program. "HomeTown Health LLC is accredited by the International Association for Continuing Education and Training (IACET). HomeTown Health complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, HomeTown Health is authorized to issue the IACET CEU.”

Session Descriptions

Finding the Passion To Make It Happen Presenter: Loren Nix Bio: Loren Nix is the Director of School Based Health Centers with Georgia Partnership For Telehealth. Mrs. Nix has been a registered nurse in Georgia for 17 years, receiving her BSN from Medical College of Georgia School of Nursing in 1998. After working 2 years in the hospital setting, she transitioned into the role of school nurse where she served for 14 years. In addition, Mrs. Nix has 5 years of experience with telemedicine through Berrien County’s school based health clinic. She now serves as a senior liaison and school-based telehealth specialist with Georgia Partnership for TeleHealth. Mrs. Nix currently provides telehealth support and training to schools throughout Georgia. Objectives:

Identify the reasons to integrate SBHC into an established school nursing clinic Describe strategies that will allow very busy school nursing clinics to accommodate

expanded health services Description: During this session, Mrs. Nix will talk about her experience as a school nurse and how she was able to integrate SBHC into her daily activities. She will discuss the growing pains and how she was able to overcome the challenges. Do’s and Don’ts of Running A Successful SBHC: Best Practices Presenters: Channing Dixon, Kayla Money, Millie Trift, Loren Nix

Bio: Channing was raised in Ocilla, GA and graduated from Irwin Co High School. She attended ABAC after high school, graduating with her associate of science degree and then transferring to UGA where I made the decision to apply to nursing school. Channing was accepted to the Medical College of Georgia, Athens campus, where she received my Bachelors of Nursing degree. After college, she came home and accepted a job at TRMC as a charge/floor nurse. Channing married her high school sweetheart and moved to Berrien County and two years later we found out we were going to have a baby. Seven months into my pregnancy a job opened up at the primary school in Berrien County so I applied and got the job and had Mason one month after starting work there. This is her 3rd year at Berrien Primary School as a school nurse and 3rd year working with TeleMed, a program that she is so thankful our school has. Bio: Kayla was born in Albany, Georgia. She moved to Nashville at an early age and continues to reside there with her two sons. Kayla attended Abraham Baldwin Agricultural College after high school and obtained my Associates Degree in Nursing. After college, she began working at Tift Regional Medical Center on the medical/surgical floor. Kayla currently is employed by Berrien County Board of Education where she is a school nurse for Berrien Middle School. Berrien County Schools have been participating in the TeleMed program for several years. Kayla is thankful to be a part of such a wonderful program. Bio: Loren Nix is the Director of School Based Health Centers with Georgia Partnership For Telehealth. Mrs. Nix has been a registered nurse in Georgia for 17 years, receiving her BSN from Medical College of Georgia School of Nursing in 1998. After working 2 years in the hospital setting, she transitioned into the role of school nurse where she served for 14 years. In addition, Mrs. Nix has 5 years of experience with telemedicine through Berrien County’s school based health clinic. She now serves as a senior liaison and school-based telehealth specialist with Georgia Partnership for TeleHealth. Mrs. Nix currently provides telehealth support and training to schools throughout Georgia. Millie Trift: Millie Thrift is the Telehealth Coordinator for the Ware County School System. She has been happily married to her best friend, Alvin Thrift Sr., for 27 years. Together they have two wonderful children (Alvin Jr. and Sarah Thrift), a wonderful daughter n law (Kelly Thrift), and a beautiful and amazing 2 ½ year old granddaughter (Ila Kate Thrift). She is a country girl having grown up in a small town called Millwood Ga where she and her family still reside. She is a faithful member of Zion Hill Free Will Baptist Church. Her hobbies include going to the beach, the lake, and doing anything that allows her to spend time with her family. Millie worked from 1999-2005 as the Special Education Secretary for Ware County before going back to school to pursue and finish her career in nursing. She received her Associates in Science from South Georgia College in 2007. After a short time of nursing in geriatrics and home health care, she realized she still desired to work in the school system. Given the opportunity soon after, she became a school nurse. She worked at two of the Elementary schools in Ware and also worked as a Healthcare Science teacher at the High School. She is trained to teach CPR and has completed Train the Trainer where she has

helped train CNA students. She is also certified in Mental Health First Aid where her training helps to provide initial aid to people experiencing mental health problems. As coordinator, she serves all ten Ware County Schools plus the board of education. Each school in Ware County has a full time nurse and Telemedicine cart in its school clinic. Her motto is Healthy Kids are Smarter Kids and Telemedicine allows her to help make this happen. (1 Peter 4:10) Objectives:

Identify best practices for implementing a school based telehealth center Identify clinic flow models Outline strategies for including your local medical community into your SBHC

Description: This panel of school nurses will lead you through a typical day in a SBHC. How do they juggle so many responsibilities? How do they know what needs their attention? This can be an overwhelming task. You will leave this session with a better understanding of how to strategically organize your SBHC so that you aren’t swallowed up with tasks. Build It And They Will Come, Right? WRONG! A Guide to Marketing Your SBHC Presenter: April Aldridge Bio: April Aldridge is an Assistant Superintendent in Decatur County Schools whose primary role is a focus on Curriculum, Instruction and Assessment. April graduated from Mercer University with degrees in Early Childhood Education and Spanish, received a Masters and Specialists in Educational Leadership from Georgia College and State University and her Ed.D in Educational Leadership from University of Alabama at Birmingham. Technology and Medicine together were never foreseen as a initiative she would help lead, however, when proposed for the Decatur County School System to enter into partnership with Memorial Hospital and Manor two years ago to write a grant for creating school based TeleHealth clinics, she was all in. Students can't learn if they can't have access to medical care. Living in Southwest Rural Georgia, access can often be a barrier for students in the Decatur County School System. Using technology as a catalyst for establishing school based TeleHealth Clinics is proving to not only be beneficial for the overall health and wellness of students, but is also mirroring the next steps in curriculum and instruction as we move into blended and personalized learning experiences for all students. The challenge to establish initial clinics has been met. Now we look for ways to educate, encourage, and engage families to take full advantage of the services that can be provided. Currently, two sites have established clinics, one site in in the initial startup phase, and the goal is to partner until all Decatur County Schools have established and thriving TeleHealth Clinics that support the academic opportunities and success of our students. Objectives:

Outline steps to build an effective marketing strategy for launching a SBHC Identify media outlets in the local community

Description: You’ve heard the old saying…Build it and they will come. There is nothing less true in the world of SBHC! This is a brand new healthcare delivery environment for parents, patients, and physicians. Add on top of that the use of telemedicine and you’ve created the perfect recipe for apprehension and fear. The Decatur County School District has mastered the art of marketing. April will share with you tools that they have used successfully to educate their community about the services available through the SBHCs. Billing For Services: Schools Can Do That? Presenter: Aaron Lambert

Bio: Aaron Lambert is the Operations lead of Amerigroup Georgia, a wholly owned subsidiary of Anthem, Inc. In this role, he is responsible for the day-to-day network operations of the Georgia Health Plan. These responsibilities include leading the provider internal resolution unit, credentialing operations, network data services, operational reporting and analytics, program management, and provider operational strategy. Mr. Lambert is also responsible for leading Georgia’s performance excellence program designed to introduce and sustain process improvement strategies and initiatives across the Health Plan. Mr. Lambert joined Amerigroup in 2007 and has spent the past 8 years in both Corporate and Health Plan leadership roles. As a graduate of Amerigroup’s management development program, he held management positions for the Claims Department and Health Plan Services before transitioning to a leadership role for the Georgia Health Plan in 2011. As Director of State Operations, Mr. Lambert has exercised his background in customer service operations to manage all of the operational needs between the Georgia Health Plan and the Government Business Division’s Customer Support Services. Mr. Lambert earned a Bachelor’s of Science from Old Dominion University, a Masters of Public Health from Eastern Virginia Medical School, and a Masters of Business Administration from the College of Williams and Mary’s Mason School of Business. Objectives:

Describe the process for submitting originating site fee for reimbursement List the steps required for a school based health center to bill

Description: Georgia Department of Community Health, Amerigroup, and GPT have worked together for the past 24 months to develop a billing pathway that allows schools to bill as a presentation site. During this session you will learn how to engage in this opportunity. Engaging The Local Medical Center: Sustainability Planning

Presenter: Reyne Pohl, Jeff Robbins Bio: Reyne Pohl, RN is the Supervisor for the Ronald McDonald Care Mobile and has been a visionary for the Ronald McDonald Care Mobile program. Reyne is a Lee University and Cleveland State Community College School of Nursing graduate. As a former school nurse, Reyne understands and has witnessed many children suffer from lack of healthcare. It is with great passion for the Ronald McDonald Care Mobile program that she began this journey March of 2014. Together with her husband of 14 years they share 3 beautiful children and are the owner/operators of 3 successful small businesses in Cleveland, Tennessee. Bio: Jeff Robbins is a Nueordiagnostic/Sleep technologist from Niagara Falls, New York. He received his A.S from Niagara County Community College and then a B.S from the University of Buffalo. Looking for warmer weather he took a job at Tift Regional Medical Center where he has been the Director of Neurodiagnostic/Sleep/Telehealth for the past 25 years. 18 years into his healthcare career he discovered telemedicine and it changed the way he looked at healthcare and its delivery system forever. He lives in South Georgia with his beautiful wife Jill and their collection of rescue cats. He enjoys his grandchildren, riding motorcycles, still skate boards and chasing the next live show on his bucket list. Objectives:

Recognize the importance of establishing a sustainability plan Propose a plan for engaging the local medical center in participating in the

sustainability plan State the reasons why a local medical center should participate in the SBHC

Description: Developing and implementing a school-based telehealth center is only the beginning. You’ve gotten your plans together and opened your doors, now what? Now it’s time to plan for the future! As you think about your sustainability plan don’t forget to look toward your local or regional medical center. From cost avoidance to population management, there are many reasons why this medical center would want to be a part of what you are doing. Across the State of Georgia, there are examples of various ways medical centers can help with sustainability. Georgia State Office Of Rural Health Impact Statement Presenter: David Glass Bio: David Glass is the Director of the Georgia Primary Care Office (PCO) in the Georgia Department of Community Health’s State Office of Rural Health (SORH). Mr. Glass administers the J-1 Visa Waiver Program, National Rural Recruitment and Retention Network (3RNet), and National Health Service Corps (NHSC) site review and monitoring for the state of Georgia. He also maintains supervisory responsibility for the State’s Health Professional Shortage Area (HPSA) designations for Primary Care, Mental Health, and Dental Health. Mr. Glass oversees a range of programs focused on the development of primary care access points, such as

Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC), and is the Program Manager for State-funded grants totaling $1.25 million for the development and expansion of FQHCs and school-based telehealth centers. Mr. Glass served previously as the SORH Program Operations Specialist for the development and on-going management of the National Health Service Corps (NHSC), J-1 Visa Waiver, and National Rural Recruitment and Retention Network (3RNet) programs for Georgia. Mr. Glass is a native of rural Georgia and a graduate of Georgia Southern University. Objectives:

Describe previous ORH SBHC funding opportunities List the steps to apply for future ORH funding

Description: The Georgia State Office of Rural Health has been a long-time supporter of telemedicine in this state. By funding SBHC initiatives, the state knows that offering telemedicine in the school environment is perfect segue between education and health. During this session, you will hear from the state how telemedicine is impacting rural Georgians, the cost effectiveness of telemedicine, and where the state would like to see growth. South Eastern Telehealth Resource Center: Georgia Telehealth Workgroup Presenter: Lloyd Sirmons Bio: Lloyd Sirmons received his Associates Degree in Computer Science from Columbus State University 1998. He immediately began his IT career working with TSYS of Columbus, GA where he worked as a mainframe programmer. He worked a number of years with Columbus Regional as a System’s Analyst before entering into full time ministry where he served in pastoral leadership for nearly fourteen years before joining the GPT team in August of 2010 as the BTOP Project Director. He completed his BS degree in Interdisciplinary Studies from Liberty University in 2009. Lloyd not only brings a sound knowledge of IT solutions, but also brings strong leadership and communication skills as the Director of the Southeastern Telehealth Resource Center. Objectives:

Outline services offered by SETRC Describe how to access SETRC services Recognize Georgia Telemedicine Groups and how to participate

Description: The South Eastern Telehealth Resource Center is a free resource that is available for you to use. Mr. Sirmons will describe the services offered and how to access them. You will also learn more about the Georgia Telemedicine Workgroup and how to get involved! Privacy, Scope of Practice, Liability and Payment: Legal Aspects of Telemedicine and School-Based Telehealth Centers

Presenter: Bill Boling Bio: William "Bill" Boling has been an active member of the Georgia bar for more than 30 years. Bill first took to healthcare law while he was a partner at Shaw Maddox Graham Monk & Boling in Rome, Georgia, where he represented health providers in medical negligence actions and myriad other matters. During this time, Bill also engaged in non-healthcare corporate counsel and developed his leadership skills as the youngest-ever president of the Greater Rome Chamber of Commerce. Bill's healthcare expertise reached new heights when he assumed the role of general counsel at the Medical College of Georgia (MCG) Health System. Bill oversaw significant development of MCG's legal services as the health system was being restructured and effectively reborn. The senior leadership experience Bill developed over those five years in Augusta later landed him in some of the most respected healthcare branches in Atlanta, such as Powell Goldstein LLP; Epstein, Becker, Green PC; and Morris, Manning & Martin LLP. In 2012, Bill started his own practice to better target the areas of law and business he found most stimulating and urgently needing attention, and to do so in his own mold. Today his clients include major hospitals, academic medical centers, rural hospitals, physician groups, and health IT startups, among others. Bill is also an educator, teaching healthcare law at the University of Georgia School of Law, health administration law at Georgia State University, and FDA law at the University of Georgia School of Pharmacy. Bill also frequently lectures around the state and region on healthcare topics including healthcare compliance, Medicaid and Medicare policy, healthcare transactions, and regulatory issues. Objectives:

Define HIPAA Define FERPA Describe the ways HIPAA and FERPA work together in the SBHC environment Identify legal challenges that could become obstacles for SBHCs

Description: All of this legal jargon and maze is so confusing! How is a school and/or a school nurse to navigate all of this? Bill Boling is the telemedicine legal expert in Georgia. He has spent many years navigating this system and will bring his knowledge to the game today. Coughs, Colds, Sneezes, and Chronic Disease Management: You Want Me To Palpate What?

Presenter: Casey Connor, MD and Jennifer Madon, MD Bio: Dr. Casey Conner is a board-certified doctor of pediatric medicine. After graduating from the University of Georgia, he received his medical degree from Mercer University School of Medicine, and completed his residency at Memorial University Medical Center (MUMC). He received numerous awards while in school, including MUMC Resident of the

Year, the Pediatric Resident Teaching Award, the Pediatric Clerkship Award and he was Pediatric Chief Resident. After residency Dr. Conner decided to come back to his hometown of Ocilla to practice beside family physician Dr. Howard McMahan. Due to expanding needs and increased volume, Dr. Conner recently moved into his new practice, Ocilla Pediatrics. His loyalty to the community and his love for kids can be seen throughout each and every day. On Friday night home football games he can be seen on the sidelines volunteering his time taking care of student athletes. Backed with 8 years’ experience; Dr. Conner is renowned for his dedication and commitment. Bio: Dr. Madon earned her medical degree in 2003 from the University of Tennessee, Health Science Center in Memphis, TN. She did her Pediatric residency at Arkansas Children’s Hospital/UAMS in Little Rock, AR, finishing in 2006. Dr. Madon was in private practice in Cartersville, GA for 5 years before coming to Valdosta in 2011. She is currently a Pediatrician at the Griner Medical Group where she sees patients in the office and also does Telehealth visits for several school-based clinics. She serves as Chair of the Pediatric Committee at SGMC and also serves on the Steering Committee for the Amerigroup Georgia Families 360˚ program and on the Amerigroup Safe and Healthy Babies Taskforce for the Georgia Families 360˚ program. Objectives:

Describe a typical telemedicine encounter for acute illness Demonstrate an appropriate telemedicine patient examination Outline the steps of preparing to present a patient to a primary care physician

Yikes! A High Level Specialty Appointment at School?! Presenter: Jill Davis Bio: Jill began her career at Children’s Healthcare of Atlanta in 2009 when she joined the Wellness Department as a program analyst, working on program evaluation projects. In June 2011, she began serving as the Program Coordinator for the telemedicine program at the Stephanie Blank Center for Safe and Healthy Children where she developed training and support materials, on-boarded sites and served as liaison to the child advocacy centers. Since August of 2013, Jill has been the Telemedicine Program Manager at Children’s, managing and developing the system-wide telemedicine program at Children’s. Objectives:

List the specialty services provided by Children’s Describe how to collaborate with Children’s Define how telemedicine can be used to treat complex pediatric conditions

Description: In addition to simple acute illnesses, did you know that students can also see world renowned pediatric specialist through telemedicine? Children’s Healthcare of Atlanta has

collaborated with GPT for more than 7 years to provide care to children with complex medical issues. Mrs. Davis will explain how a school can work with Children’s, what services are available, and how to integrate this type of service into your SBHC. From HealthCare to Student Engagement Presenter: Sherrie Williams, Tammy Carter Bio: Sherrie Williams, LCSW, Executive Director for Georgia Partnership For Telehealth, knows that telemedicine is THE answer for Georgia’s healthcare shortage. After graduating with a Masters of Social Work degree from Valdosta State University she began working in the private mental health field and public school system. For nearly 15 years, she witnessed firsthand what happens to children and families when necessary medical and mental health care is out of reach. As more and more rural health providers disappear and fewer specialist move into rural locations, Mrs. Williams understands the critical nature of strengthening and expanding the Georgia telehealth network. By working with existing and potential partners in Georgia to implement and design sustainability strategies for telemedicine programs, she believes that all Georgians will remain connected to healthcare. Bio: During her fifteen years nursing, Tammy Carter has acquired experiences include the following areas: School Nurse Pre-K through Second grade, geriatric nursing, hospital nursing, emergency room and nursing education. Mrs. Carter has been an Instructor of Nursing at Abraham Baldwin Agricultural College, Tifton Georgia since 2012. During her three years she has co taught in the Fundamentals of Nursing course, has taught the Physical Assessment course, skills labs for both the Fundamentals and Physical Assessment courses, along with clinical instruction for first, second and third semester nursing students. Mrs. Carter is currently the course coordinator for the Physical Assessment courses for both the generic and bridge track nursing students. Mrs. Carter utilizes Telehealth in both the classroom and skills lab setting. Mrs. Carter teaches across disciplines in the Introduction to Rural Studies courses offered across campus. Mrs. Carter is a co-advisor for the Georgia Association of Nursing Students ABAC chapter, a member of the Georgia Association for Nursing Educators and is also a certified Telehealth presenter. She graduated from ABAC with an associate degree in nursing, 2000 Phi Theta Kappa, Bachelor of Science in Nursing 2010 and a Master’s of Science in Nursing with a specialty in nursing education 2012 Objectives:

Describe how technology can leave the nurses clinic and enter the student learning process

Predict the learning impact Health IT can have on the student body Identify ways to integrate Health IT into the classroom

Description: Telemedicine can go beyond the school nurses clinic. In this session, you will learn how to integrate your telemedicine equipment into the learning process for students. You will meet two teams of students who recently used telemedicine and technology to showcase their skills at one of Georgia’s leading HIT symposiums.