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    PowerPoint Presentation PowerPoint Presentation Presentation Transcript

    • CAMC Health Education and Research Institute Our Telehealth Experience Sharon Hall, MS, President Barbara McGee, RN, MSN, Education Specialist II CAMC Health Education and Research Institute
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Since the introduction of Telehealth at the CAMC Institute in the early ’90s, our objectives have remained the same:
        • Provide expert clinical consultation via telehealth technology to patients/clients in underserved and geographically isolated areas of West Virginia (avg. 400 consults per year for past 5 years)
        • Broadcast continuing educational opportunities for healthcare providers (avg. 35 live CME programs/month and 48 archived CME programs/month)
        • Provide community health education and web-based health information (WV Mini Medical School for the Public)
        • Provide a means for healthcare professionals to participate in professional organizations, community health forums and administrative video conferencing (WV Hospital Assoc, WVDHHR)
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical consultations have been provided in a wide variety of medical disciplines/specialties including:
        • Behavioral Medicine and Psychiatry
        • Internal Medicine
        • Cardiovascular Medicine
        • Maternal-Fetal Medicine
        • Pediatrics
        • Otolaryngology
        • Post operative surgical assessment
      • Top five consultation priorities in US
        • Cardiology
        • Rheumatology
        • Dermatology
        • Neurology
        • Psychiatry
      • Top five consultation priorities at CAMC
        • Dermatology
        • Behavioral Medicine
          • - Adolescent and Geriatric
        • Pediatric Pulmonology
          • - Pediatric Asthma Clinic
        • Neurology
        • Endocrinology
      CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • CAMC Center for Telehealth has provided more than 5,000 clinical consultations with 12 WV rural health care facilities:
        • Critical Access Hospital
        • Rural Health Clinics
        • FQHC Clinics
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical Milestones:
        • 1994: 1st teledermatology consultation with Boone Memorial Hospital
        • 1996: 1st dual clinical consultation with a cardiologist and pulmonologist at CAMC with “their” patient at Braxton County Memorial Hospital
        • 1998: 1st “live” pediatric echocardiogram on a 3 month old infant from Roane General Hospital
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical Milestones (continued):
        • 2000: 1 st Diabetes Education Program presented from CAMC to 3 rural health care facilities, simultaneously
        • 2002: Pilot Project “ Home Monitoring of Congestive Heart Failure Patients: Its Impact on Re-hospitalization, Quality of Life and Cost”
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical Milestones (continued):
        • 2007: Perinatal Ultrasound/Telehealth Project developed
        • - WVU School of Medicine
        • - CAMC Health Education and Research Institute Center for Telehealth
        • - West Virginia Perinatal Partnership
        • - Greenbrier Valley Physicians, Inc
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical Milestones (continued):
        • Goal of the Perinatal Ultrasound/Telehealth Project
        • - To improve management of patients with high risk pregnancies by face to face, live interactive clinical consultations as well as “real-time” maternal-fetal ultrasound capabilities
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical Milestones (continued):
        • 2008: Perinatal Ultrasound/Telehealth Project
        • - Network development
        • - Equipment acquisition and installation
        • - Initial Perinatal Telehealth Demonstration between CAMC and Greenbrier Physicians, Inc.
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Clinical Milestones (continued):
        • A by-product of this network development has been the development of a Pediatric Asthma Clinic between Women and Children’s Hospital and the Robert C. Byrd Family Medicine Clinic in Lewisburg, WV
        • Dr. Robert Kaslovsky, WVU Department of Pediatrics is the consultant for this clinic
    • CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)
      • Our anticipated outcome is to provide real time maternal-fetal consultations with using ultrasound and telehealth technology to improve care for high risk obstetrical patients in rural communities of West Virginia.
      • Other anticipated benefits would include
        • - Keeping the patient in her home community for specialty care
        • - Moving information not the patient
        • - Supporting the care of the primary care providers
        • - Keeping health care dollars at the local level for ancillary care
        • - (Laboratory testing, radiology and pharmacy needs)
    • WHAT’S IN THE FUTURE??
      • Telehealth Assessment – February 2008 - Areas of Interest
      • Emergency/Trauma
      • Stroke
      • Cardiology
      • Critical Care
      • Sepsis
      • Endocrine/Diabetes
      • Geriatric Services
      • Consultative Specialty Care
      • Telehealth Assessment – February 2008 – Perceived Barriers
      • Reimbursement Methodology
      • Lack of Highest Quality Technology/Infrastructure
      • Lack of Capital for Equipment
      • Costs of Line Charges
      • Concern to Maintain Referral Systems
      • Lack of Understanding of Potential Capacity/Benefit
      WHAT’S IN THE FUTURE??
      • Focus Now On Connectivity
      • Telehealth Alliance – Partnerships to Advance Telehealth
      • Focus on Service Development
      • Appropriate Service Delivery
      • Standard of Care
      • Efficient and Cost Effective
      • Focus on Barriers
      • Education and Development
      • Funding Sustainability
      • Reimbursement
      WHAT’S IN THE FUTURE??
      • Goals – Improve Access
      • Confidence of Providers and Patients
      • Highest Quality of Care (Equal to On-site Care)
      • Gains Confidence of Providers and Patients
      WHAT’S IN THE FUTURE??
      • Questions?
      CAMC Health Education and Research Institute: Our Telehealth Experience (1994 to present)