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© 2011 CTEC Resources for Telehealth Program Development presented by: Christine Martin, MT, MBA, PMP Executive Director California Telemedicine & eHealth Center March 18, 2011
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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?
© 2011 CTEC
… That Future Is Now!
Telemedicine will fundamentally change the way we provide and receive health care
© 2011 CTEC
• 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
© 2011 CTEC
97% of Land Mass Is Rural
21% of Population Is Rural
Telehealth Is Important In Rural Healthcare
© 2011 CTEC
No matter who you areor
where you areyou can get
the health care you needwhen you need it
Federal Vision for Telehealth
© 2011 CTEC
The right care at the right time in the right location by the right provider
And That Means….
© 2011 CTEC
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
© 2011 CTEC
Telemedicine?
Telehealth?
What’s the Difference?
eHealth?
mHealth?
© 2011 CTEC
• 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
© 2011 CTEC
TelehealthHealth
ProfessionsEducation
Administration
EvaluationResearch
Homeland Security
PublicHealth
ConsumerEducation
RegionalHealth Information
Sharing
What Is Telehealth?
Telemedicine
© 2011 CTEC
Uses for Telehealth
• Clinical
• Educational
• Administrative
© 2011 CTEC
Dis
ease
M
onitor
ing
Patien
t Educa
tion
Outp
atie
nt
Ser
vice
sScr
eenin
g S
ervi
ces
Ski
lled N
urs
ing
Ser
vice
s
Clin
ical
Educa
tion
Across Levels & Types of Service
Inpat
ient
Car
e Em
ergen
cy
Dep
artm
ents
Inte
nsi
ve C
are
Units
Em
ergen
cy V
ehic
les
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
© 2011 CTEC
Other Applications
• Telepharmacy• Dental• Wound Care• Home monitoring• Remote ICU Monitoring• Family Connections• Case Management• School Care• Education
– staff, provider, family, community
© 2011 CTEC
Other Applications
• Dialysis• Support groups• Speech therapy• Pre-commitment assessments • Interpreter services• Dietary counseling• Supervision• Post Traumatic Stress Disorder
© 2011 CTEC
• 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
© 2011 CTEC
Technology Is Advancing Rapidly
© 2011 CTEC
New Applications Exploding
• Mobile phone applications– Text based education for pregnant women– Motivational messaging for diabetic patients
• Sensors that monitor vital signs• Home monitoring
© 2011 CTEC
How Will You Get There?
© 2011 CTEC
All We Have To Do Is Change
© 2011 CTEC
…. You Go First!
© 2011 CTEC
Change
Graphic from jisc infonet
© 2011 CTEC
• 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
© 2011 CTEC
Critical Need forCurrent, Objective, Accurate
Information
© 2011 CTEC
Assistance Is Available!
HRSA Designated
Telehealth Resource Centers!
© 2011 CTEC
The TRCs
© 2011 CTEC
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
© 2011 CTEC
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
