Telehealth/TelemedicineHealthcare Delivery in

2015

Agenda• Telehealth vs. Telemedicine• Portfolio of Products and

Services• ROI

Telehealth – Definition #1

Telehealth - is the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. Source: Health Resources and Services Administration -www.hrsa.gov/telehealth

Telehealth – Definition #2

Telehealth - is the delivery of health-related services and information via telecommunications technologies. Telehealth could be as simple as two health professionals discussing a case over the telephone or as sophisticated as doing robotic surgery between facilities at different ends of the globe. Source: Wikipedia

What is the Difference Between Telehealth and Telemedicine?

Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, Telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. Source: Healthit.gov

Medicare Reimbursement for Telehealth

Medicare reimburses for Telehealth at the same rate as face-to-face. Medicare also reimburses $18 per session for the staff person presenting with the client (Telehealth originating site facility fee - CPT code Q3014). Medicare imposes three restrictions on the use of Telehealth:Geographic - The consumer must be located in a non-metropolitan statistical area, or a rural census tract within a metropolitan statistical area. Note: you need to provide State code County code + census tract from your street address search.Facility type - The consumer must be located in a qualifying facility such as a Skilled Nursing Facility, and accompanied by a staff person.Procedure - Must be an approved procedure for Telehealth

Medicare Reimbursement

Bottom line as it relates to reimbursement:

Reimbursement for Medicare covered services, including those with telemedicine applications, must satisfy federal requirements of efficiency, economy and quality of care.

Telehealth Kiosk Initiatives

1. Video Receptionist Kiosk2. NHS - Vitals Kiosk3. Telemedicine Kiosk4. Patient Self Check In

Video Receptionist

Video Receptionist

• Kiosk replaces receptionist in Doctors office• If patient encounters an issue during check-in they can

initiate a teleconference with a receptionist • ROI - One video receptionist can handle 4-5 doctor

offices if used in tandem with patient self check-in software

• FTE Funds can be reallocated to patient care givers

NHS Vitals Kiosk

Data captured at kiosk

• Blood Pressure• Body Mass Index (BMI)• Pulse• Irregular heart rhythm• Blood sugars• INR – Blood coagulation • Non-contact thermometer• Questionnaires including Pill check for contraception

Vitals Kiosk ROI

• Product reduces vitals entry time (15-20% of MedTech’s time is data entry) and streamlines operations

• Increases revenue1. # of patients seen per day – increases2. # of patients seen per month – increases3. Monthly revenue - increases

Telemedicine Kiosk

Telemedicine Kiosk

Patient Self Check In Software and Hardware • Improves Patient Access to Clinicians • Shortens Patient Wait Time for Return Patients • Allows PSR to handle new patients inputting

demographic and insurance data correctly• Helps reduce the use of paper, ink and other

supplies need in traditional patient check in• PSR can be trained in other areas to enhance

their value to the hospital

Patient Check in Kiosks Integration

• Patient Check in Software can be integrated into various EHR’s

• Cooperation between the Hospital IT Staff, the EHR provider and the software and hardware providers is key

• Proper deployment of kiosks is important for patient utilization

• Train hospital employees on the technology and how it helps them-this is very important

Patient Check needs to be easy to see

Patient Check In needs to be simple

ROI for Telehealth

“That's been one of the major problems with business strategy -- that there's no clear ROI for Telehealth and telemedicine services yet until insurance reimbursement changes.“

Harry Rhodes, director of HIM practice excellence for the American Health Information Management Association and co-chair of the national Mobile Health Workgroup

The future

"The technology advances focused on improving the quality and cost-effectiveness of care are moving Telehealth forward, but where we're seeing real innovation is in the concept of patient-centered care -- with patients now squarely in the center as consumers of care. It's not just a conceptual issue, but one that's also propelled by benefit designs and consumer demand for more convenience and access.“

Reed Tuckson, president-elect of the American Telemedicine Association

ROI Conclusions for Telehealth

• Video Receptionist Kiosk - Measurable• Vitals Kiosk – Measurable• Telemedicine Kiosk – TBD• Patient Self Check In Kiosks-Measureable• ROI is not attained without adaptation and

utilization of the technology – how do you get the utilization numbers needed to make a solid ROI case?

Michael G. Tullochmtulloch@connectedts.com

262.437.8092www.connectedts.com

Charlie Beale Cbeale@uhsweb.com

352.672.2537www.uhsweb.com