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Ways to Control Costs, Improve Outcomes, Avoid ReadmissionsAnd Modify Patient Behavior
UMMC TELEHEALTH
© 2015 University of Mississippi Medical Center
You can do all your shopping online and have it arrive at your
doorstep.
You can securely deposit a check into your
account by sending a cell phone image to your
bank.
You can open your garage door remotely before you get to your
driveway.
Technology in 2015
You can see a family member’s expressions when
you call them from anywhere in the world.
Today, UMMC is performing 35
medical specialties remotely through
telehealth.
You can get your daily news instantly through
the internet.
Technology in 2015
Health Care
•Telemedicine
•Access
•Coordination
•On Demand Services
Wellness
•Personal guide
•Support groups
•Health navigators
Workforce
Development
•Stackable credentials
•Targeted training
Research
•New models of care
•Economic Impact
•Health outcomes
Education
•Distance Learning
•Continuing Education
•Wellness & Prevention Education
Business Development
•Healthier workforce
•Access to health care services
•Employee benefit
• 89% of healthcare executives said they expect telemedicine to transform the U.S. healthcare system in the next decade (Source: iHealthBeat)
• The telemedicine market is expected to reach $43.4 billion by 2019 with a compound annual growth rate of 17.7 percent (Source: BCC Research)
• Worldwide revenue for telehealth devices and services is expected to reach $4.5 billion in 2018, up from $440.6 million in 2013 (Source: IHS)
• The number of patients using telehealthservices will grow to 7 million in 2018, up from 350,000 in 2013 (Source: IHS)
Why Telehealth?
• Telemedicine could potentially deliver more than $6 billion a year in healthcare savings to U.S. companies (Source: Towers Watson)
• The percentage of healthcare employers offering telemedicine is expected to increase by 68% by next year, from 22% in 2014 to 37% in 2015 (Source: Towers Watson)
Why Telehealth?
• 50/50 – Overall Health Ranking
• 49/50 – Obesity
• 50/50 – Inactivity
• 49/50 – Primary Care Physicians Per Capita
• 50/50 – Cardiovascular deaths
• 48/50 – High Blood Pressure
• 48/50 – Stroke
Source: America’s Health Rankings 2014 Annual Report
Mississippi Health Rankings
• 1990’s Diagnostic test interpretation
Adult and Pediatric Cardiology
• 2003 1st videoconferencing telemedicine
Emergency Medicine
• 2008 TelePsychiatry underway
• 2011 Full-time Staff assigned to Telehealth
• 2013 Center for Telehealth formed
35 specialties available
24/7 Telehealth Call Center
Our Journey
Specialty Care
Home Health
Population Health
Interpreters
Employee Health
Patient Education
eICU
Transfer Evaluations
Urgent Care
Diagnostic Test Interpretations
Stroke Care
Population Health
Telehealth in Mississippi
• 166 telehealth sites of service (non-affiliated)
• 35 medical specialties
• 8 types of locations
• Nearly 100,000 telehealth visits/year
• Over ½ million telehealth visits completed
• Increase demand in all sectors
Community based partnerships = Success
UMMC Center for Telehealth
Allergy/Immunology
Cardiology – Adult
Cardiology – Pediatric
Corporate Health
College Health
Dermatology
Emergency Medicine
Endocrinology
Genetics
Geriatrics
Hospitalists
Education
ICU services
Intellectual & Dev Disabilities
Telemetry
Infectious Diseases
Neurology – Adult
Neurology – Pediatric
Neonatology
Networking services
Nursing services
Obstetrics/Gynecology
Ophthalmology
Otolaryngology
Pathology
Pharmacy
Population Health
Prison services
Psychiatry
Radiology
School Health
Stroke
Toxicology
Wound Care
Remote Patient Monitoring
UMMC Telehealth Services
UMMC Telehealth Call Center
24/7 Operation with
clinical & technical
support
eICU Program OverviewA comprehensive ICU solution
• Remote, centralized nursing care team
• Leverages critical care nurse talent
• Enabling technology for continuous monitoring
• Engages clinicians in the redesign and management of ICU
• Standardizes ICU practices
• Controlling costs & improving outcomes– Reduction in LOS
– Reduction in Ventilator Days
– Reduction in self-extubations & falls
– Saving lives
Telemedicine Equipment/Devices
Floor ScaleWeight is displayed on screen & Recorded in
Pt Record
Patient temperature via thermal camera Infection shows up in the form of heat!
(Digital temp appears on screen and is recorded)
Patient Intake
Expanding Your Medical Expertise with Kiosks…
• History taken
• Patient Exam Done by Physician or NP
• Diagnosis made
• Meds ordered as needed
•Pharmacist reviews prescription (non-narcotic)•Pharmacist selects proper medication in system•4 Step camera review- each step includes pharmacist visualization/confirmation
Licensed Pharmacists
Access to Health Care, Education & Support
Improve access to
health care & wellness
– Access to Health Care Team
– Access to education/support for community providers
– Consistent use of evidence-based treatment guidelines
– Access for patient and family support
• Bringing the health care team to the patient
– Specialty consults, ancillary services…
• Remote Patient Monitoring
– Chronic disease management
– Care at Home
– Avoid Readmissions
– Avoid Hospitalizations & ER visits
• Personalized Health
– Wellness
– Wearables
• Analytics - Predictive modeling
• Population Health – Intelligence Platform / HIN
Technology in Healthcare
The doctor will see you now
Saving
reducing costs.time and
Coordinated Care
PATIENT
Improve Outcomes
Provide a Telehealth
Access Point by request in
traditional and non-traditional
settings
Develop strategic
partnerships
Build capacity
Strengthen relationships
Maximize resources
UMMC
Where the specialist is
Rural Hospital
Where the patient is
Improve Outcomes
Improve Outcomes
Improved Quality, Efficiency, Safety in Hospital
Safety in Transitions of Care
Improved outcomes
• early recognition
• earlier intervention
• minimized complications
• decreased LOS
Better Coordination of Care
Improved Patient Management at Home to Prevent
Readmission/ER visits
Patient Empowerment
Telehealth & RPM in Coordinated Care
RPM Project in Mississippi
Chronic Disease Support
Using a remote care
management (RCM)
platform,
participants have
remote access to
education and a
team of specialists
over a 12 month
period.
•Daily Health Sessions
•Personalized Interventions
•Targeted Education
•Health Coaching
•Behavior Modification
•Patient Empowerment
How does it work?
Acute
Physiologica
l
MonitoringPhase 1
AdherencePhase 2
Behavior
ChangePhase 3
Transition to
Self-ManagementPhase 4
Phase 1 Monitoring signs and symptoms Phase 3 Disease process educationIdentify resources needed Support for changing behavior
Phase 2 Learn new medical regimen Phase 4 Learn and model self-management behaviorsMedication management; adherence to orders Demonstrate self-monitoring and response
How can we engage
patients?
Individualized Patient Care
Care Innovations™ Guide Virtual Care Suite – Population Stratified by Risk
Quality, Efficiency, Safety• Safety in Transitions of care
• Improved outcomes:
• early recognition
• earlier intervention
• minimized complications
• decreased LOS
• Better Coordination of Care
• Improved Patient Management at Home to
prevent readmission/ER visits
• Patient Empowerment
What does RPM offer?
© 2014 University of Mississippi Medical Center
Bringing the Health Care Team
to the Patient
Mississippi Diabetes Telehealth Network
• EMR – Health Information
Network/Exchange
• Pharmacy data
• Claims Data
• Remote Monitoring devices
• “Wearable” data
• Patient Reported data
The Whole Picture
Population Health
• Predictive Modeling
• Risk Stratification to customize care management service
• Target high impact patients
• Personalized care plans, interventions, and patient
education
Prevention
Well
Members
Prevention & Disease
Management
Low Risk
Members
Disease Management
Moderate
Risk
Members
Episodic Case
Management
High Risk
Multiple
Disease
States
Complex Care
Inpatient
LTC
Translate to Meaningful
and Actionable Data
Intervention
Patient Testimony
© 2015 University of Mississippi Medical Center
Home-based connected health to overtake hospital-based by
2019By: Aditi Pai | Oct 14, 2014
The telemedicine market, which according to BCC Research is
comprised of “telehospital” and “telehome” technologies, is
expected to reach $43.4 billion by 2019 with a compound annual growth rate of 17.7 percent, according to a recent
report from the firm.
Mississippi emerges as leader in telemedicineThe state’s dominance in the technology was born out of its own poor health.By David Pittman 2/26/15 5:44 AM EST
Six Hospital Programs Awarded for Innovative Community OutreachPR Newswire ATLANTA, Feb. 17, 2015
These five health systems are making the best use of telemedicineFebruary 27, 2015 12:30 pm by Dan Verel
Mississippi Proves Surprise Leader in Telehealth PaymentsBy Kerry Young Posted at 11:30 a.m. on Feb. 11
Telehealth early adopters lead the way as interest growsJanuary 26, 2015 | By Susan D. Hall
Doing It Differently…
Seldom heard:
Mississippi receives A in health careThe Clarion-Ledger September 9, 2014
Rx: The Quiet Revolution- Preview
Travel across America to explore our health care system. Airs April 2nd, 2015 on PBS.
?Bridging the gaps in quality healthcare
© 2015 University of Mississippi Medical Center