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Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019
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Page 1: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Telehealth in Palliative Care

Corey JenkinsUniversity of Wyoming / WIND

Wyoming Telehealth Network (WyTN)

June 24, 2019

Page 2: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

ObjectivesBasic telehealth-related definitions and

concepts

Benefits from patient, provider, healthcare facility, and community perspective

Other telehealth use cases

Steps to implementation

Telehealth demo

Page 3: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.
Page 4: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

What is Telehealth?

Telehealth is the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include video conferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications1.(1) HRSA Federal Office of Rural Health Policy

Page 5: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Definitions

Telemedicine: Remote clinical services Telehealth: Remote non-clinical services (e.g. provider

training, CME, admin mtgs) plus remote clinical services Three types:

Store-and-Forward or asynchronous Remote patient monitoring Real-time

Originating site: Location of the patient Distance site: Location of practitioners delivering telehealth ZOOM: HIPAA-secure video conferencing

platform offered no-cost to Wyoming providers/facilities

Page 6: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Benefits of Telehealth

PatientRural patients can access providers/specialists while

staying in local communities (distance, weather)

Engage specialists without added travel

Improved outcomes through earlier diagnosis

Lowers patient’s travel costs – missed work/school

Fewer ER visits and hospital readmissions

Hospitalized patients can stay in home community

Patients less likely to sacrifice care due to higher costs and time away

Page 7: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Benefits of Telehealth

Provider

Providers can more easily serve patients in underserved areas – easing shortages

Practices can become more efficient

Faster access to specialist consultations

Receive training/CME without travel

Better community image

Page 8: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Benefits of Telehealth

Healthcare FacilityMore revenue by keeping pts local – managed

remotely

Expanded services – better community image

Staff training – no travel costs

CommunityMore specialty care available locally

$ spent for healthcare stays in community

Increased availability of care is attractive to new businesses looking to relocate

Page 9: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Other Use Cases

Tele-ICU

Tele-Stroke

Tele-ER

Tele-pharmacy

Acute Care (Stitches Acute Care)

Teladoc/AmWell/MDLIVE, etc…

Direct Fee for Service

Specialty Care

Page 10: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Implementing a Telehealth Program

Steps Is telehealth right for you?Request no-cost, HIPAA-secure Zoom license at

www.wyomingtelehealth.org.What types of conditions are you comfortable treating

via telehealth?Will extra equipment be needed at origination or

distance sites?Provider licensure and credentialing, as appropriate.Set-up of physical facilities.Documentation (patient and facility)Assign and train telehealth staff.Practice, practice, practice…

Page 11: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Telehealth Demo

Zoom

User-friendly – easy scheduling options

Web-based - no additional costly hardware

HIPAA-secure

No-cost

Screen sharing feature

Flexible uses – telemedicine or large meetings

Data available for telehealth metrics

Page 12: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Next Telehealth Webinar

Telestroke in WyomingDavid Wheeler, MD, PhD, FAAN, FAES

Wednesday, June 26, 2019

12:00 to 1:00 pm MT

This session will update participants on current telestroke

practices in Wyoming and will discuss how a telestroke program can lead to better patient outcomes.

www.wyomingtelehealth.org

Page 13: Telehealth in Palliative Care - University of Wyoming · Telehealth in Palliative Care Corey Jenkins University of Wyoming / WIND Wyoming Telehealth Network (WyTN) June 24, 2019.

Corey Jenkins, M.S.

[email protected]

(307)766-2948

www.wyomingtelehealth.org

Questions?

Corey Jenkins, [email protected]

(307)766-2948wyomingtelehealth.org


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