Telehealth in Michigan: A Status Report

Sally Davis

Imagine a world where anyone can get health care when they need it.

Defining the field Telehealth

Events Connections

Telemedicine Clinical consults Patient encounters Store and forward

Telehome Care Informatics

Finding reality in definitions

NICU infant to motherNeonatologist to pediatric surgeonPediatric echo transmissionPediatric surgery follow-upDietician to parent

Technology in a nutshell Equipment

Room systems, set tops, clinical, desk tops, home health, home monitoring

Transmission ISDN T-1 Internet Protocol

Bandwidth POTS 128kbps and beyond

Status of Telehealth in Michigan Established Networks

UPTN, REMEC, DOC, VA Applications Why these network?

Rural Funding

Activity level

Others: UMHS, Hospice of Michigan, Lifeways Mental Health

Why it makes sense for us..Weather

Isolation

Sparse population

Travel time, risks and distance

Quaternary health care 18+ hour drive

Success Measures

Steady growth and expansion Continuation post initiation Integration into system Multiple uses Evidence of acceptance Administrative support Value to the organization Continuous objective evaluation

Developing Networks

Northeast, HNHS, Alpena, Southwest Michigan RHI funding Applications Challenges in developing

Practitioner buy in Start up funding Process Practicality Sustainability post grant funding

Michigan Challenges

Licensure, credentialsPayment, reimbursementSafety, Liability InfrastructurePrivacy, Security

UPTN Web Sitewww.mgh.org/telehealth/index.html

Michigan Telehealth Policy Group

Web Site

http://www.msu.edu/~pwhitten/policy/