The Changing Face of Healthcare

Telemedicine in Skilled Nursing Centers

The Ever Changing Face Of Healthcare

Telemedicine + Skilled Nursing Centers Making First Steps

Why Telemedicine

 Access to specialist without need for travel

 Keep patient in safe, comfortable environment

 Allow centers capability to take different patient types

 Eliminate unnecessary transfers, use of ER and avoidable hospitalizations

Community Benefit

 Centers are not for profit  Community benefit required to retain

status  Centers should reach out to local

physicians  Centers may or may not be able to bill

Today

 Utilization remains limited  Must use to become comfortable  Psychiatric and wound care most used  Occasional dermatology  Emergency telemedicine usage should

be increased  Pilot between Shady Acres and Coffee

Regional Hospital

Why Emergency Telemedicine

  Use when non life threatening situations occur   Always ask attending if “We can get an emergency

telemedicine consult before transfer”   Allows us to treat in house (Avoiding hospitalization, re-

hospitalization when appropriate)   Prevents multiple transfers / MCG can direct to

appropriate hospital   Prevents trauma of re-location for patient and family   *Coffee Regional preparing for VBP (P4P)

Current Sites

  Shady Acres   Eatonton   Sparta   Providence Sparta   Greene Point   Scott   Oak View   Oak View N&R

  Oconee   Lillian Carter   Toombs   Four County   Dawson   Chaplinwood   Orchard Manor *

Next Steps

 Equipment upgrade as funds available  Wireless capability for all centers

(portable units)  Ethica champion  Focused ER projects

Positioned for Future

 Current advantage in SNF market  Helpful marketing strategy  Reimbursement / quality indicators RT

hospitalizations, re-hospitalizations  Community benefit / retention of not for

profit status  Position for changes – ACO  Associate health capability

Our Future

 Specialty consultations  Primary care follow up  Associate health  Partner with group health insurer  Position for VBP  Position for ACO

VBP Partners through Telemedicine

 Shady Acres Nursing & Rehabilitation  Coffee Regional Hospital  SNF + Trauma Site  Decrease transfers  Decrease hospitalizations / re-

hospitalizations  Appropriate care in appropriate setting

Slow Progress but………………………………. Progress None the Less

  Increase emphasis on utilization   Increase education and support  Educate physicians  Continue baby steps

Thank You

Questions

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