Telepsychiatry primer
15
Why every psychiatric hospital should have a telepsychiatry program
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Transcript of Telepsychiatry primer
Why every psychiatric
hospital should have a
telepsychiatry program
Why setup a telepsychiatry
program?
Generate new revenue streams,
reap reimbursement bonuses
1
2
2
Expand hospital catchment area
and increase inpatient utilization
Improve access, patient satisfaction
and hospital branding
2
3
Telepsychiatry is reimbursable by
Medicare, Medicaid and private payers
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Source: National Conference of State Legislatures
Medicaid reimburses $300-$500 an
hour for telepsychiatry in top 10 states
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Rank State Reimbursement bonus
per session
Reimbursement/hour*
1 Alaska - $492.49
2 North Dakota $27.43 $481.97
3 Delaware $23.76 $356.36
4 Wyoming $20.00 $349.97
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*Calculation assumes 3 sessions per hour on average, with 1 of 5 patients being a new patient
4 Wyoming $20.00 $349.97
5 Washington $20.00 $337.54
6 Oklahoma $23.35 $322.85
7 New Mexico $22.47 $322.63
8 Oregon $20.72 $305.90
9 Colorado $21.30 $293.52
10 Idaho $20.00 $292.78
Telepsychiatry expands hospital
catchment area, increases admissions
2
FQHCSNF
PCP
Rural
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FQHC – Federally Qualified Health Center, SNF – Skilled Nursing Facility, PCP – Primary Care Physician,
CAH – Critical Access Hospital
Military bases
CAH
Correctional
facilities
clinics
Telepsychiatry improves patient
access, satisfaction and hospital branding
3
6
Why some hospitals are still
hesitant and why you shouldn’t be
Reimbursement is too low or non-
existent, ROI is unproven
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Current technology is expensive and
burdensome
Telemedicine is not comparable to
in-person consultations
Medicare/Medicaid reimburse 25%
more for telepsychiatry
25%*Medicare/Medicaid
reimbursement bonus
in rural areas
No reimbursement
bonus for in-person
consultations
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Note: *Figure varies by state
ROI magnified by increased
high-margin inpatient utilization
100 6-101Every
Telepsychiatry
consultations
Inpatient
admissions
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Note: 1. Based on 1DocWay data, varies depending on type of originating site; 2. Assumes $800 revenue
per patient per day, 6 days average stay; 3. Assumes 70% fixed cost for hospitals
$20-$34K3
Additional
inpatient
EBITDA
$29-$48K2
Additional
inpatient
revenue
Telepsychiatry technology is now
inexpensive and easy to use…
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Just need a computer, webcam and a HIPAA
compliant web platform with video chat capability
…and adds efficiency by integrating
scheduling, patient notes, and workflows
Scheduling EHR
Patient notes
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LabsE-prescribe
Telepsychiatry is just as safe and
effective as in-person consultations
The Effectiveness of Telemental
Health Applications (TMH): A Review
Hailey D, Roine R, Ohinmaa A
Canadian Journal of Psych; Nov 2008
“A review of 65 studies found that in
83% of studies, TMH was judged to
Feasibility, acceptability, and
sustainability of telepsychiatry for
children and adolescents
Myers K, Valentine J, Melzer S
Psychiatric Services, Nov2007
“Telepsychiatry is a feasible and
acceptable approach to providing
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83% of studies, TMH was judged to
have been successful.”
“There was evidence of success with
TMH in the areas of child psychiatry,
depression, dementia, schizophrenia,
suicide prevention, posttraumatic
stress, panic disorders, substance
abuse, eating disorders, and
smoking prevention.”
acceptable approach to providing
psychiatric services to youths.”
Is telepsychiatry equivalent to face-
to-face psychiatry?
O’Reilly R, Bishop J, et al
Psychiatric Services, Jun 2007
“Telepsychiatry produced clinical
outcomes that were equivalent to
those achieved when the service was
provided face to face.”
Telemedicine offers additional
clinical benefits
Whole System
Demonstrator Program,
Headline Findings –
December 2011 (UK):
• Lowers spending on
chronically ill by 13%
Ontario Telehealth Network
Report (May 2012):
• 64 – 66 % decrease in
hospital admissions
• 72 – 74% reduction in
VA Telehealth Study:
• 25% reduction in bed days
• 19% reduction in hospital admissions
• 56% total utilization
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chronically ill by 13%
• 45% reduction in
mortality rates
• 20% reduction in ED
visits
• 14% reduction in bed
days
• 14% reduction in elective
procedures
• 72 – 74% reduction in
emergency department
visits
• 16 – 33% decrease in
number of PCP visits
• 95 – 97% reduction in
walk-in clinic visits
• High levels of patient and
provider satisfaction
• 56% total utilization reduction for depression
• Eliminated co-pays for telemedicine sessions
• Targeted over 200,000 telemed encounters for 2012
• Proposed nationwide telemed licensure for VA doctors
What can you do today to setup a
telepsychiatry program in your hospital?
Speak to your hospital executives
about telepsychiatry
14
Incorporate telepsychiatry as part of
your hospital’s strategic initiatives
Speak with a telepsychiatry
specialist, such as 1DocWay
![Letter to Editor E-Health, Telemedicine and Telepsychiatry ...ijpcp.iums.ac.ir/article-1-2674-fa.pdf · [2] Myers K, Cain S. Practice parameter for telepsychiatry with chil-dren and](https://static.fdocuments.in/doc/165x107/5f92bd649994c21ac2605eac/letter-to-editor-e-health-telemedicine-and-telepsychiatry-ijpcpiumsacirarticle-1-2674-fapdf.jpg)
