BROOKE YEAGER, MSC, RRT PROGRAM COORDINATOR, EMERGENCY AND INPATIENT TELEMEDICINE SERVICES MEDICAL...
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Transcript of BROOKE YEAGER, MSC, RRT PROGRAM COORDINATOR, EMERGENCY AND INPATIENT TELEMEDICINE SERVICES MEDICAL...
B R O O K E Y E A G E R , M S C , R R T
P R O G R A M C O O R D I N AT O R , E M E R G E N C Y A N D I N PAT I E N T T E L E M E D I C I N E S E R V I C E S
M E D I C A L U N I V E R S I T Y O F S O U T H C A R O L I N A
WHAT IS TELEMEDICINE?TelehealthBroad definition of health services provided across a
distance through electronic medical information exchange
Telemedicine The use of electronic communications to exchange
medical information from one site to another to provide medical care to a patient.
TELEHEALTH ON THE RISE
Year Georgia TeleHealth Encounters
2006 82007 8,000+2008 9,900+2009 18,000+2011 40,000+2012 70,000+
TELEHEALTH ON THE RISEConsumer Demands Fast, convenient tech
Value-Based Care Changing payer system
Politicians Agree!
High-speed Broadband Connectivity 3% homes in 2000 70% homes in 2013
Source: http://venturebeat.com/2014/10/20/why-telemedicines-window-is-finally-opening/
ORGANIZATION OF SERVICES
MUSC PROGRAMSOperational School-Based Clinics (RTs and asthma management) Maternal-Fetal Medicine Neurology EEG Pediatric Emergency and Critical Care Pediatric GI Pediatric Burn ICU (and ICU Innovations) Psychiatry (Victim/Trauma Specialty) Outpatient Services (Nutrition, Sickle Cell, Pediatrics, Transplant follow-up, Surgical follow-up, etc.)
In Development Sexual Assault Pediatric Heart Transplant Neonatology Cardiology Child Abuse Wound Care/Skilled Nursing
BARRIERS TO SUCCESS
(DIMINISHING) BARRIERS Lack of reimbursement (improving) Parity Laws and
Medicare Coverage Credentialing (by proxy) Connectivity (increasing) Cost of technology (decreasing) Fear of change/unknown (we have to change this)
PARITY LAWS
CREDENTIALINGCredentialing of individual providers at each outlying facility has
traditionally been a big road block
New CMS and Joint Commission standards allow for credentialing-by-proxy
Referring facility agrees to accept credentialing decisions by the consulting facility
Consulting facility must be Joint Commission accredited Consulting facility provides a list of physicians credentialed to provide the
selected services Referring facility provides performance review information to assure quality
of care
These options should substantially reduce the time and resources required for credentialing procedures.
EVOLUTION OF TECHNOLOGY
The speed of innovation is both a blessing and a curse.
“State of the Art” three years ago may now be obsolete.
Must avoid “New Toy Syndrome”
Adaptability and flexibility of system is absolutely essential Standard communication platform Wireless capability Ability to integrate with or transition to handheld devices Constant feedback and process improvement
TELEHEALTH EQUIPMENT
TELEMEDICINE UNITS
PERIPHERALS
OPPORTUNITIES FOR RESPIRATORY THERAPISTS
Outpatient monitoring (COPD, Asthma, and home vent patients)
Physician offices (telespirometry)
Education
Management
Questions