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Show-me ECHOExtension for Community Healthcare
Outcomes
E. Rachel Mutrux
Sr. Program Director, Missouri Telehealth Network
June 26, 2014
Missouri Telehealth Network
• University of Missouri- School of Medicine
• Mission: to use telehealth to increase access & quality of healthcare & provide education & research
• What we do:o Connect providers & patients over telehealtho Provides Continuing Medical Education (CME) credits for providers in rural
Missouri Telehealth Network.o Is a part of the HTRC – Resource Center for telehealth activities in the state and
across the nation.o Sub-contractor for the Missouri REC- Missouri HIT Assistance Center working
with primary care providers to get EHR and achieve Meaningful Use
MTN Staff3
Mirna Becevic, Associate Director
Deb Denham, Business Support Specialist II
Dr. Karen Edison, Medical Director
Candy Garb, Telehealth Coordinator
Omer Malik, Telehealth Coordinator Intern
Rachel Mutrux, Sr. Program Director
Danny Myers, Project Development Specialist
Mary Beth Schneider, Training Coordinator
Wendy Vogel, Office Support Assistant IV
Katie Vollmer, Telehealth Coordinator
Paulina Vazquez Moldando, International Telehealth Fellow
MTN Experience• Work with legislature• Develop new telehealth clinics- work with providers• Existing partnerships with health care stakeholders
o Missouri Primary Care Associationo Missouri Hospital Associationo Federally Qualified Health Centers
• Technology• Provide CME• Training conferences • Existing communication lines• Research• Missouri HIT Assistance Center- Missouri’s REC
6
Hospitals Federally Qualified Health
Care Centers Community Mental Health
CentersSpecialty Medical ClinicsRural Health ClinicsCancer Hospital Missouri Division of Youth
Services locationsMissouri Department of
Corrections facilities
Army HospitalRehabilitation HospitalsSchool of MedicineNursing Homes State Health Facilities School of Nursing School of Health
ProfessionsUrgent Care ClinicStudent Health CenterClassroomsConference Rooms
Types of Locations
Growth of MTN Clinical Telehealth
Includes all MTN member site usage.
7
1996
1998
2000
2002
2004
2006
2008
2010
2012
0
5000
10000
15000
20000
25000
30000
35000
40000
Encounters
Encounters
Telehealth / Telemedicine
• Is NOT a new service.• IS a new service delivery mechanism.• Increases Access!• Moves information- not people.• Reduces travel costs and other barriers.
Why Telehealth• Clinical Shortages• Maldistribution of providers• Rural / Urban underserved• Aging population• Travel time, cost & hardship• Delayed Treatment• Language barriers• Clinical education programs• Administrative meetings• An economic development factor in rural areas
ECHO layers onto existing MTN services…
ECHO
Specialist outpatient care
via video
CME & Admin use of
Telehealth
• Missouri Project:o Wayne Cooper, retired state representative and physiciano Diane Franklin, current state representativeo Karen Edison, dermatologist, health policy expert, telehealth
championo Rachel Mutrux, Director, MTN
December
MO Delegation to New Mexico
January
-ECHO visits MO
-Educate legislative & executive branches & stakeholders
March
-Rep. Franklin introduces HB2154
-Funding inserted in appropriation bill
-Show-me ECHO team testifies in support
May
-ECHO language in 2 House bills gets combined and ends up in 2 Senate bills, passed both houses
-ECHO funding passes both houses
June
-ECHO planning continues
-ECHO teams
-Evaluation
-Space
Waiting for Governor’s signature on bills!
ECHO wish list for MO
Chronic Pain Management Hepatitis C Mental Health/ Substance Abuse Autism Diabetes High Risk OB Infectious disease
Complex
Costly
Common
Chronic
Questions?
Contact:
E. Rachel Mutrux
Sr. Program Director, Missouri Telehealth Network
2401 Lemone Industrial Blvd.
Columbia, MO 65212
573-884-7958