Telehealth

presented by:Telehealth Resource Centers

Office for the Advancement of TelehealthHealth Resources and Services Administration

February 22, 2008

…. clinical care was available anytime and anywhere

…. clinicians could obtain consultations with medical centers of excellenceanytime and anywhere

…. home bound patients could be monitored remotely anytime and anywhere

…. medical education programs wereavailable anytime and anywhere

This is the potential of telehealthThis is the potential of telehealth

© California Telemedicine & eHealth Center 2008. Please request permission to use. Photos used with permission. February 2008

Clinical care provided from a distance

The use of electronic communication and information technologies to provide or support clinical care

Primary Care

Medical Specialties

Intensive Care Services

Emergency Departments


Telehealth encompasses telemedicine & other uses for communications technologies

Health professions educationAdministrationHomeland SecurityPublic HealthConsumer EducationEvaluation ResearchRegional Health Information Sharing

- Dr. Dena Puskin Federal Office for the Advancement of Telehealth

Clinician shortagesMisdistribution of providersRural/Urban underservedAging populationTravel time, cost & hardshipDelayed treatmentLanguage barriersClinical education programsAdministrative meetings


Reduces barriers to accessIncreases efficiency for providersReduces overall health care costsImproves quality of care

Consultant and primary provider communicationEducation to providers

Reduces delays in careIncreases patient satisfactionImproves health outcomesVirtual accessibility


Clinical ServicesPrimary & Specialty CareeICUEmergency Department

Educational ServicesProvider EducationPatient Education

Administrative Meetings

Principal componentsCameraViewing ScreenCodecScopes and peripheralsTransmission method

Tandberg Telemedicine Unit


Statewide SystemsNetworksUniversity Based SystemsRegional SystemsIndependent Health Care Organizations

Live InteractiveStore and ForwardEmergency ResponsePatient Education KiosksHome Health MonitoringEducational ServicesVideoconferencing

Polycom Telemedicine Unit


Patient visits using videoconferencing where patient & provider are communicating in real time. Allows provider to assess patient using medical scopes adapted for image transmittalSpecialty services

DermatologyUrologyPsychiatryOrthopedicsNeurologyPain ManagementEndocrinologyENTRheumatology Georgia Rural Healthcare Initiative


Dental Services

Connecting friends & family

Family Counseling

Support Groups

Patient education

Administrative MeetingsSacred Health Hospital

Telestroke Program Pensacola Florida


• Outpatient Clinics• Mental Health Centers• Intensive Care Units• Correctional Facilities

• Emergency Departments• Emergency Transport Units• Surgery Suites

Can be applied in many situations and locations

Minnesota Telehealth Network Wadena

In Touch Health


Oklahoma State University Center for Health Sciences Telemedicine Bus

The Oklahoma State Mobile Telemedicine Clinic began operation in March 2007The mobile telemedicine unit also coordinates with emergencyorganizations on disaster response


Polycom Mobile Responder

General Devices EMS System

The City of Tucson will soon initiate telemedicine in citywideambulance service


Children

School Sites

Children’s Hospital of Los Angeles


Telemedicine via Satellite

Loma Linda UniversityMobile Telemedicine Vehicle


Improve Quality of Care – Avoid MedicalErrors

Multilingual

Culturally Competent

Trained in Medical Terminology

Meet legal/contract requirements

Photo courtesy of

Pine Tree Society, Maine

Learn more www.pinetreesociety.org


Diabetic Retinopathy ScreeningRound Valley Indian Health Service

Second Opinion Dermatology System

Images are obtained at a local care center and transmitted for review by a clinician at a remote site

Picture and history adequate for diagnosisAllows clinician to do work when convenientMaximizes use of clinician time


Mee Memorial Hospital

Green field California


Technology that supports monitoring of chronic conditions

COPD – peak flowDiabetes

Permission pending

Health Hero

Visiting Nurse & Health Servicesof Connecticut


Allows patients to receive health education andhealth counseling services.

Allows clinical staff to participatein educational programs withoutleaving theircommunities

University of California Davis


Permission pending

Administrators, providers and others in many locations can more efficiently hold administrative meetings.


MedicareMedicaidPrivate Payors• Blue Cross / Blue ShieldState Initiatives

Intellectual Property RightsRisk ManagementCredentialing and PrivilegingInterstate LicensureTelecommunications LawPrivacyFraud and Abuse

Some success factorsChampionCoordinatorEducation and trainingEngagement of primary care providersAvailability of servicesTechnical and program supportStable technologyFunding & reimbursement mechanisms

ReimbursementPhysician ChampionsInstitutional Buy-inConvenienceTelecommunications CostsProgram SustainabilityInterstate Licensing

Put in all logos

Equipment OptionsPractice GuidesProgram DesignReimbursement Business Models

Program Support & AssistanceProgram Support & AssistanceAssist health care organizations, networks and providers to implement cost-effective telehealth programs.Serve as a focal point for advancing the effective use of telehealth technologies.


National Telehealth Resource Centerwww.telehealthlawcenter.org

California Telemedicine & eHealth Centerwww.cteconline.org

Great Plains Telehealth Resource & Assistance Centerwww.gptrac.org

Midwest Alliance for Telehealth and Technology Resourceswww.midwesttrc.org

Northeast Telehealth Resource Centerwww.northeasttrc.org

Northwest Regional Telehealth Resource Centerwww.nrtrc.org

Telehealth

Health & Medicine

Transcript of Telehealth