Telehealth Best Practices CP320.01 5/4/2015. Goal and Objectives Goal: Provide health care...
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Transcript of Telehealth Best Practices CP320.01 5/4/2015. Goal and Objectives Goal: Provide health care...
Telehealth Best Practices
CP320.01 5/4/2015
Goal and Objectives
Goal: Provide health care organizations with best practices for
implementing a telehealth program.
Objectives:
• Understand the importance of leadership’s role in running a
successful telehealth program
• Clearly define the goals for the program
• Analyze the patient population to determine monitoring needs
• Track results for sustained success
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Best Practices for Creating a Telehealth Program
Top-Down Leadership Commitment
Build an Innovative Culture
Establish Financial Objectives
Identify Program Goals
Establish Model of Care and Resource Allocation
Develop a Targeted Implementation Plan
Integrate Standards and Plan for Scalability
Develop a Targeted Marketing Strategy
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Golden Rule: Leadership Commitment
Leadership Commitment
Commitment from C-Level is critical to success
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Strategy
Tactics
• Create the vision through your model of care
• Drive cultural shift with defined staff
roles/responsibilities
• Develop a business plan
• Establish realistic goals
• Hold staff accountable for implementing and
managing the program
Integrate telehealth into the care management of the patient
Build an Innovative Culture
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Innovative Culture
The Power of Vision drives cultural change within your organization
The vision identifies where you want to be, rather than where you are today
• Fosters commitment and energizes people
• Establishes standards
• Creates a bridge between the present and future
Remote Monitoring Value
• Increased Access Increased Volume
• Improved Communication Improved outcomes and care coordination
• Presence in Remote Community Competitive Edge
• Driver of Ancillary Services Private pay, mPERS
Financial Objectives
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Revenue Generation
Cost Avoidance
Expense Reduction
Increase Other
Services
Business Development
Test New Markets
What are Your Financial Objectives?
Why Measure Your Program Results?
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Be a star referral source for hospitals
CMS Penalties for Low Performers
October 1, 2011
Hospital readmission rates are measured for
Medicare patients with: CHF, AMI and Pneumonia
October 1, 2012
The worst performing hospitals (bottom 25%) will
lose 1% of total Medicare payments with thefollowing disease added: COPD, CABG, PTCA and post-surgical vascular conditions
Oct 1, 2013
Hospital readmission rates are reassessed for all
7 diseases and worst performing hospitals (bottom 25%) are penalized 1% of Medicare payments
October 1, 2017Percentage of Medicare payments lost to the
worst performers will rise to 2%
Cost Per Visit
Traditional (HHA , MD office, ED) 48 minutes (cost/encounter)
Genesis Touch:
Video 20 minutes (cost/encounter)
Tele-triage
(phone call/assessment after VS acquisition) 5-10 minutes (cost/encounter)
Savings: XX minutes $XX.XX
Visit Type Time Cost / Visit
Identify Program Goals
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Clearly Identified Program Goals
Develop Goals consistent with the Telehealth Vision:
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Achieve stakeholder satisfaction
Improving Outcomes
• Reduce re-
hospitalizations
• Improve care
management
• Patient
• Clinical Provider
• Payer
Financial ROI
• Increase referrals
• Increase market share
• Partner with providers
Example Program Goals
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Example GoalsKey Performance Indicators
(KPI)
Realize a x% improvement in the acute care hospitalization rate within 6 months from the start of the telehealth program when x% of the average daily census is using telehealth.
Achieve a high satisfaction rate based upon survey results from physicians and patients each quarter.
Reduce cost per visit, increase nursing efficiencies, reduce LUPA’s, reduce re-hospitalizations within 60 days.
Achieve stakeholder satisfaction
Improving Outcomes
Financial ROI
Measurement Criteria
How to measure outcomes:
• Analyze a geographic subset of your patient population
• Establish baseline measurements for the subset
– Number of monitors vs. average daily census
– Current rehospitalization rates
– Number of nursing visits per episode
– Number of monitored days per episode
• Utilize the above measurements as a benchmark for comparison after
telehealth is implemented
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Checkpoint: Do you have enough monitors on enough patients to positively impact
outcomes?
Data Analysis
Measure results against goals• Patient Management:
– Management and triage of patient health data
– Care management and the coordination of care
– Clinical interventions
• Clinical Efficiency
– Allocation of clinical resources to meet the needs of the patient
– Clinical documentation practices which outline a consistent plan of care
– Utilization of best practice product and process tools
– Predetermined product capabilities and best practice supported workflow
• Program Effectiveness
– Alignment of resources/roles/responsibilities to support processes and procedures
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Data analysis is the most critical, yet most overlooked practice.
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Establish Model of Care
and Resource Allocation
Telehealth Delivery Model
Considerations:
• Share leadership vision and goals
• Evaluate your resources and determine program roles / responsibilities
• Outline expectations for nursing practice and expectations for success
• Create a workflow processes:
• Case Management
• Triage
• Equipment Management
• Data collection and analysis
• Awareness of increased consumerism within our healthcare system
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Case Management – Care Coordination
A process for managing patient data should be
Implemented to provide oversight 7 days a
week, holidays and weekends.
The ideal candidate to oversee the program is your
strongest clinician.
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Stratify the Patient Population
Monitor Placement: Which patients should be monitored?
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Disease state: Review the patient’s current condition(s)
Number of nursing visits per episode: Can the number of visits be reduced through the introduction of telemonitoring?
Number of monitored days per episode: Recertify if patient hasn’t fully recovered
High-risk populations: Polypharmacy
Develop a Targeted Implementation Plan
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Rollout Program
Implement your model of care with a small
segment of your patient and nurse population
before rolling out more widely
Review results to:
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Know when the patient needs a visit
Teach patient about disease process
Provide information to physician as needed
Empower the patient to take an active role in their care
Program Evaluation
Review all aspects of your initial targeted program:
• Revise your model of care to suit agency needs
• Identify your long-term telehealth champions
• Develop a contingency plan to maintain the program in the event of
employee turnover
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Every agency is different and will find a model that best suits them
Peer Review
Utilize information gained from the program participants:
• How could we manage the patient more effectively?
• Could we have prevented the hospitalization?
• Did we miss the signs of deterioration?
• What are the key takeaways from installing and utilizing the
monitor with patients?
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Integrate Standards and Plan for Scalability
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Integrate Standards
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• Document the processes and procedures you created for
your telehealth program
• Communicate them to your team to ensure that every
patient who is placed on a monitor receives consistent
care
Plan for Scalability
• Develop a plan to expand the program within your
current agency location
• If you have multiple branches, identify a strategy for
incorporating telehealth within each location and a
timetable for deployment
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Develop a Targeted Marketing Strategy
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Marketing and Wide-Scale Deployment
Marketing is a great resource and provides much needed referrals in
a competitive environment
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Marketing Materials
• Create a Solution Overview that
communicates your value
• Develop a case study based on your
initial targeted implementation
• Seek co-branded marketing
opportunities
Grow Your Census
• Contact referral sources, including
hospitals and physicians
• Contact current patients to educate
them about your telehealth program
Look for 3rd party validation of your program results
Conclusion
Telehealth can provide tremendous value to patients and care providers when a thorough strategy is developed.
Telehealth is like a garden, it requires constant care and attention in order to flourish!
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Learn More
Get in Touch with Me at:[email protected]
Reach out to your regional representative or call 1-888-353-5440
Learn More about Honeywell Life Care Solutions online:www.honeywelllifecare.com
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Select ServicesReduce costs and improve care coordination with Honeywell’s telehealth monitoring services. We help remove the complexity associated with offering telehealth by monitoring your patients from our nurse call center headquarters.
https://www.honeywelllifecare.com/SelectServices