IT’S ALL ABOUT IMPACT

A NEW EQUATION FOR HEALTH CARE

Gutenberg/Google

2

3

4

5

6

7

8

THE PROBLEM

School Based Telehealth CenterConceptualization to Implementation

Back to School List

Books

Pencils

Paper

? Healthcare

BUILDING A FOUNDATION FOR A MEDICAL HOME FOR CHILDREN

VOLUME : VALUE OUTCOMES : QUALITY

Berrien County

THE PLACE

Counties With Best Health Outcomes = Green Greatest Health Needs = Red.

Berrien County

Georgia Health Disparities Report 2008

THE CASE

Socioeconomic Summary Grades

ABCDF = Berrien

Georgia Health Disparities Report 2008

THE INV

Social and Economic IndicatorsF

MortalityF

Illness Events (Hospital Admits & Emergency Visits)

F

Prenatal Care & Birth OutcomesF

Primary Care Access F

Mental Health Access C-

THE SQUARE

INTEGRATED STUDENT SYSTEM OF CAREISSC

Screening & Assessment School Nurse/Guidance Counselor

Program Coordinator/Teacher/Parent

Primary Prevention Support Academic/Counseling/Health Ed

Early Intervention ServicesChild/Family Centered Case Mngt

Service IntegrationCare Coordination

Data ExchangeTelemedicine/On-Site Care

ServicesPrimary

AcuteSpecialty

• GPT’s Integrated Student System of Care (ISSC) model is an integrated framework for clinic and non-clinical services. ISSC promotes a healthcare ecosystem through the implementation of a telemedicine program(s).

• ISSC provides a broad array of service integration, continuity of care, and data exchange strategies that include, but are not limited to: family-centered case management services; adult/child health and wellness education services; and clinical health services.

THE MODEL

ISSC

MedicalPsychologicalTherapeutic

Clinical Services

Continuity of CareData ExchangeTelemedicineService Integration

Family-Centered Case ManagementEarly Intervention Services

Academic/Counseling/Health EDPrimary Prevention Support

School NurseGuidance Counselor

Human Services Specialist

Screenings & Assessments

MOST EFFECTIVE DOSE

What is a School-Based Health Center?

Children's Health Insurance Reauthorization Act of 20091:(A) IN GENERAL.—The term ‘school-based health center’ means a health clinic that—

(i) is located in or near a school facility of a school district or board or of an Indian tribe or tribal organization;  

(ii) is organized through school, community, and health provider relationships; 

(iii) is administered by a sponsoring facility; 

(iv) provides through health professionals primary health services to children in accordance with State and local law, including laws relating to licensure and certification; and 

(v) satisfies such other requirements as a State may establish for the operation of such a clinic. (B) SPONSORING FACILITY:

(i) A hospital. 

(ii) A public health department. 

(iii) A community health center. 

(iv) A nonprofit health care agency. 

(v) A school or school system. 

(vi) A program administered by the Indian Health Service or the Bureau of Indian Affairs or operated by an Indian tribe or a tribal organization.’’

Why Start a SBTC?

Health has a direct impact on student learning Education Absenteeism Learning Experience

Increased access to: Healthcare (primary care & episodic care) Mental Healthcare Oral Healthcare Specialist Pharma

Students like them SBHCs are 5 minutes or 50 feet from the student’s

world2

Increase in yearly medical visits2

3.4 hours saved from parents missing work (avg of $43 in lost wages)3

Reduced ED visits (avg savings per family $224)3

Creates a true system of care for the student

WHY Cont’d?

How Do SBTCs work? Using an Open Access Telehealth model, schools can connect

to: Primary Care Physicians for chronic or episodic care Specialty Centers providing care such as:

Psychiatry Nephrology Cardiology “Other”- ologies

Other schools for: School to school consultations District meetings

Conference sites for training and CMEs

Who Should be Involved?

The Entire

Community

Where In The US?

Where In Georgia?School Based Telehealth Center

Data:• 13 SBTCs already exist in 3

districts• 9 Primary/Elementary • 4 Middle/High

• HRSA funding is allowing 28 more to be funded

• 17 Primary/Elementary• 13 Middle/High• 3 Other

• GPT projects a total of 41 funded SBTCs by the end of 2013

Where In Georgia?School Based Telehealth Center

Data:• 13 SBTCs already exist in 3

districts• 9 Primary/Elementary • 4 Middle/High

• HRSA funding is allowing 28 more to be funded

• 17 Primary/Elementary• 13 Middle/High• 3 Other

• GPT projects a total of 41 funded SBTCs by the end of 2013

30

PATIENT

Primary Care

RN/Case Manager

SPECIALISTS

HM

MONITORING

 

 

HIE

EMR/HIE/HM

/GPT

DATAEMR/HIE/HM/GPTDATA

EMR/H

IE/HM/GPT

DATAEMR/HIE/HM/GPT

DATA

EMR/HIE/HM/GPTDATA

EMR/HIE/HM/GPTDATA

EMR/HIE/HM/GPT

DATA

EMR/HIE/HM/GPT

DATA

EMR/H

IE/HM

/GPT

DATA

EMR/HIE/HM

/GPT

DATA

GEORGIA PARTNERSHIP FOR TELEHEALTH

Patient Centered Telehealth Model

Insurance Other

Clinics

Schools

Nursing Homes

Employers

Accountable Care Organizational StructuresPublic Health – Public Safety – Public Education

Federally Qualified Health Centers

State/Region/District PartnershipsGeorgia Community Service Board

Service Integration ModelsPrimary Care – Mental Health

TeleHealth/Telemedicine Provider

Formula for IMPACTProject D.A.V.I.D.

Data Analysis via Individual Dynamics

LEVERAGING PUBLIC - PRIVATE PARTNERSHIPS

I AM YOUR FUTURE

References1. Children's Health Insurance Program Reauthorization Act 2009, 111 USC § 2110 (2009).2. Ammerman, Adrienne. "School Based Healthcare: Why It Is Common Sense." South Eastern

Education Network Winter 14.3 (2012): Web.3. Young, T. L., and C. Ireson. "Effectiveness of School-Based Telehealth Care in Urban and

Rural Elementary Schools." Pediatrics 112.5 (2003): 1088-094.

Matt Jansen, MPAGeorgia Partnership For Telehealth

Executive DirectorMatt..jansen@gatelehealth.org