Telehealth in Palliative Care
Corey JenkinsUniversity 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
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
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
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
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
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
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
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…
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
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
Corey Jenkins, M.S.
(307)766-2948
www.wyomingtelehealth.org
Questions?
Corey Jenkins, [email protected]
(307)766-2948wyomingtelehealth.org