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The National Telehealth Webinar Series April 27, 2017 Presented by the National Consortium of Telehealth Resource Centers
The National TelehealthWebinar Series
April 27, 2017
Presented by the National Consortium of Telehealth Resource Centers
Upcoming Events• Northeast Regional Telehealth Conference
– May 23-24, Amherst, MA– www.netrc.org
• 2017 California Telehealth Summit– June 5-7, Newport Beach, CA– www.caltrc.org
• Indiana Rural Health Conference with UMTRC Telehealth Track– June 13-14, French Lick, IN– www.umtrc.org
• Telemedicine & Telehealth Service Provider Showcase– October 2-3, Phoenix, AZ– www.southwesttrc.org
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• Time is reserved at the end for Q&A– Please ask questions via the Q&A Box
• Please fill out the post-webinar survey
• The webinar is being recorded
• Recordings will be posted to our YouTube Channel
Engaging Providers with Telehealth
Technology: Training Modules and
Communications Strategies
Student Consultation Team
Deana Barakat
MPH Candidate
Maria Cerda
Journalist, MA,
MPH Candidate
Alaa Qari
Dentist, DScD
Dental Public
Health Candidate
Kalpita Patel
MPH Candidate
Meaghan Wostbrock
MPH Candidate
Agenda ▪ Background
▪ Literature Results
▪ Intervention Tele-T
▪ Implementation
▪ Questions
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15 mins
Our Client
NETRC OFFICE
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The Northeast Telehealth
Resource Center (NETRC),
on behalf of the National
Consortium of Telehealth
Resource Centers
Project Goals
● Increase physician awareness, interest, and willingness to
participate in telehealth programs (primarily live
videoconferencing)
● Focusing on increasing access to health care in rural and other
underserved communities
Health Care Access in Rural Areas
▪ Chronic health conditions are more prevalent
among rural individuals
▪ Socio-economic challenges disproportionately
affect them
▪ Transportation difficulties, limited healthcare
supply (density of health providers), lack of
quality health care, geographic isolation, and
financial constraints
▪ Discrepancy in health insurance coverage
(10.4% less)
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Needs Assessment
Who is the target group?
Bennett et al., 2008; National Center for Health Workforce Analysis, 2010; Larson and Hill 2005.
Plan to Address The Project Goals
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Intervention Plan
Literature Review
Implementation
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Literature Results
Tip: Before designing an intervention
review the literature on the topic. This will
allow you to identify potential strengths and
weakness of other programs you may want
to consider
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Literature Results
Social Ecological Model
Tip: When planning an intervention, use the Social Ecological Model to ensure that all factors are being considered. This will help determine the target for the intervention.
Adapted from the Centers for Disease Control and Prevention (CDC), The Social Ecological Model: A Framework for
Prevention, http://www.cdc.gov/violenceprevention/overview/social-ecologicalmodel.html (retrieved April 21, 2014).
Providers are the main gatekeepers of
telehealth patient use.
Key factors to engage providers in using telehealth:
▪ Positive acceptance
▪ Trainings that facilitate proper use of this
technology
▪ Patient-centered communication
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Literature Results
Brooks, Turvey, & Augusterfer, 2013; Kingue, Angandji, et al., 2013; Agha, Schapira, et al., 2009; Whitten & Mackert, 2005.
Interpersonal level components are any “formal and informal social networks and social supports systems, including family, work groups, and friendship networks, among others.” (McLeroy, Steckler, and Bibeau, 1988)
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Intervention
Aim of Tele-T Intervention
Health and Quality of Life Outcomes
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Increase telehealth usage by both providers
and patients
Improve access to healthcare for chronic disease
Tip: Intervention planning: research conducted informs about existing gaps that need to be addressed in the intervention.
Tip: Consider some practical tools that facilitate the intervention planning, and evaluation processes such as the logic model.
Improved chronic disease
outcomes in patients due to access of care
Target Population: Adult Underserved Residents of Rural
Massachusetts with Chronic Health Conditions
Tele-T Intervention
Goals of The Training: Providers will....
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▪ Understand how and when to advise patients to
use videoconferencing services
▪ Know that telehealth services can increase
access to appropriate care
▪ Be able to explain how, when, and where to
access telehealth services
▪ Believe that telehealth services are an
appropriate alternative to in-person care
▪ Be able to explain the personal benefits and
advantages of using telehealth services
Tip: In intervention planning, it is essential to personalize your intervention to the target group by conducting a needs assessment review, observations, and/or interviews.
Tele-T Intervention
Online Training Modules
Modules will consist of brief 5-
minute training videos that
present information relevant to
providers in an engaging and
interesting way.
In-Person Extended Trainings
In-Person Trainings will be 30-minutes in length and will be tailored
to specific organizations and hospitals. These trainings will present telehealth information in a way that
is relevant to the providers and administrators in their unique
environment.
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Tip: Have a paper/ electronic prototype, or mock-up to test the intervention idea with your target group and stakeholders to get feedback (wireframes).
Tele-T Intervention:Online Training
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Module 1 Module 2
Module 3 Module 4
Introductory Video
Tips: 1. Create modules using physician’s core values and framing theory.2. Include only direct and essential information that is easy to learn.3. For all content, give a practical example that is personal to a physician's practice.
Tele-T Intervention:
Online Training Modules
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Modules with Online Training Capsules for Physicians
Introduction Video Capsule 1: How to Navigate Online Training Modules
Module 1: What is
Telehealth and Why You Should
Use it
Module 2:How, When, and Where to Access
Telehealth Services
Module 3: When and How to Get Your Patients
Onboard
Module 4:Money Matters -
Getting Reimbursed
Capsule 1: Understanding Telehealth
Capsule 2: What are the benefits of using Telehealth services
Capsule 3: Listen to a Peer
Capsule 4: Review & Assessment
Capsule 1: How to Access Telehealth Services
Capsule 2: When to Access Telehealth Services
Capsule 3: Where to Access Telehealth Services
Capsule 4: Review & Assessment
Capsule 1: Determining Which Patients can use Telehealth
Capsule 2: Identifying Patient Resources for Telehealth
Capsule 3: Patient FAQ
Capsule 4: Review & Assessment
Capsule 1: Saving Time and Money
Capsule 2: Getting Reimbursed
Capsule 3: Advocacy
Capsule 4: Review & Assessment
Tele-T Intervention
Online Training
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Introductory Video (audio only)
Capsule 1: How to Navigate Online Training
Modules
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Tele-T Intervention
Module 1
Module 1: What is Telehealth and Why You Should
Use It
Capsule 1: Understanding Telehealth
Capsule 2: What are the benefits of using Telehealth services
Capsule 3: Listen to a Peer
Capsule 4: Review & Assessment
Tele-T Intervention
Module 2
Module 2:How, When, and Where to Access
Telehealth Services
Capsule 1: How to Access Telehealth Services
Capsule 2: When to Access Telehealth Services
Capsule 3: Where to Access Telehealth Services
Capsule 4: Review & Assessment
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Tele-T Intervention
Module 2
Bedside manners
Patient’s
faith in
doctor
(Campbel, Shin, 2011) 24
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Tele-T Intervention
Module 3
Module 3: When and How to Get Your Patients
Onboard
Capsule 1: Determining Which Patients can use Telehealth
Capsule 2: Identifying Patient Resources for Telehealth
Capsule 3: Patient FAQ
Capsule 4: Review & Assessment
Tip: Promote patient-centered communication, as it helps maintain a good interpersonal relationship and facilitates an exchange of information and empowers patients in decision making.
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Tele-T Intervention
Module 4
Module 4:Money Matters - Getting Reimbursed
Capsule 1: Saving Time and Money
Capsule 2: Getting Reimbursed
Capsule 3: Advocacy
Capsule 4: Review & Assessment
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Tele-T Intervention
Module 4
Time Saving Benefits of Telehealth
Travel to distant specialists is not necessary for patients.
Providers can save time commuting to work.
Continuing education credits from telehealth can avoid time spent out of the office.
(Well, 2015)
Place your screenshot here
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Tele-T Intervention
Website Wireframe
Tele-T Intervention:Monitoring
and Evaluation
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Tip: A proper monitoring and evaluation plan needs to be considered to help understand the effects of the intervention on the target population.
After Completing the
Training
Evaluation of the
traction the
website is
receiving.
Evaluation of the
knowledge gained
through watching
the online
modules.
Tele-T Intervention:
In-person Training
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Personalized trainings provided on
demand and tailored based on the
organization needs and culture.
Tele-T Intervention:
In-person Training Contents
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30 min In-Person Trainings (4-6 sessions)
Provider TrainingWhat is Telehealth and Why You
Should be Using It
Administrator TrainingDeveloping Resources and Utilizing
Support
Topics to Cover: ● Increase telehealth knowledge ● Trainings with different patient
scenarios ● Bedside E-Manners● Technology training● Discussion with a peer● Scheduling
Topics to Cover: ● Reimbursement ● Scheduling ● Facilitating physician training● How to get technology to
providers and patients ● Technology proficiency ● HIPAA
Tele-T Intervention:
In-person Training
Considerations
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For Physicians:
▪ Finding a Champion
▪ Nurses Onboard
▪ Best Practice Manual
▪ Flexible Schedule
▪ Peer to Peer Conversation
For Administrators:
▪ Building a Timeline
▪ Building a Budget
▪ Disseminating Technology
▪ Onboarding Physicians
Tip: Before the training, several meetings should take place between the hospital administrator and the program manager to better understand the organization’s needs and culture.
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Implementation
Tele-T User
Implementation
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Strategy
Wireframe Mobile App Infographic
Place your screenshot here
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Implementation:
Tele-T Mobile Application
Implementation:Tele-T
Infographic
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Implementation:Tele-T
Infographic
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Tip: When designing
your infographic, be
sure that you are
telling a story by
referring to a
problem and then
providing a solution.
Communication Strategies for
Considerations
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▪ Raise provider awareness
▪ Gain buy-in from patients
▪ Engage stakeholders
▪ Peek the interest of potential funders
▪ Raise general awareness about
telehealth
Tip: There are many
ways that communication
can support an
intervention choose the
one or few that are most
strategic for your target
population.
“Special Thanks
Professor Jacey Greece, DSc, MPH
Andrew Solomon MPH, NETRC
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Acknowledgment
QUESTIONS & FEEDBACK?
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Contact Information
Deana Barakat
MPH Candidate
Maria Cerda
Journalist, MA,
MPH Candidate
Alaa Qari
Dentist, DScD
Dental Public
Health Candidate
Kalpita Patel
MPH Candidate
Meaghan Wostbrock
MPH Candidate
The National Telehealth Webinar Series
3rd Thursday of every month
Telehealth Topic: Chronic Care Management and Remote Patient Monitoring: Improve Care Coordination while increasing revenue.
Presenter: Bonnie Britton, MSN, RN, ATA Fellow, Executive Director, Reconnect4Health
Date: Thursday, May 18, 2017
Times: 8:000AM HST, 10:00AM AKDT, 11:00AM PDT, 12:00PM MDT, 1:00PM CDT, 2:00PM EDT
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TRC activity is supported by grants from the Office for the Advancement of Telehealth, Federal Office of Rural Health Policy, Health Resources and Services Administration, DHHS
