There are many types of outcomes when we think of Telemedicine, and the first is usually the patient outcomes. But there is also an outcome that reflects in our tag line “Working together for better care” – a programmatic and partnership outcome of better care. We can all provide good care for our patients, but often time we can provide better care when we partner and work together. If we are all the spider webs, we can tie up that lion that represents better health outcomes/access for the children of Georgia.
How we reach that outcome of better care…Who we are
How we formulated our program to reach the outcome
The sites we use to reach that outcome, which wouldn’t be possible without our partner, GPT
And as we look to 2013 (go to next slide to discuss program growth)
Our opportunities for the futureChallenges for the future include regulations, supply meeting demand (i.e. the right type of specialties offered and an adequate amount of practitioners to meet demands)
So what are the outcomes that we have seen as a result of working with Telemedicine sites and referring physicians across Georgia?
First tele-fetal echo, pictured is Dr. Cyrus Samai and Dr. Nanci Stauffer, pediatric cardiologists.
We look forwarding to continue with our partnerships throughout Georgia and build new ones in the future.
5.march 19 2013 gpt conference dd fritch levens
Telemedicine Working Together for Better Care July 14, 2011 Best Care…Healthier Kids1.23.13
When spider webs unite, they cantie up a lion. - Proverb Telemedicine: Working Together for Better Care 2
Who We Are Telemedicine: Working Together for Better Care 3
Children’s Healthcare of Atlanta• Childrens serves our community with three hospitals and 17neighborhood locations, including four Immediate Care Centers and aPrimary Care Center. … at Egleston … at Scottish Rite … at Hughes Spalding Telemedicine: Working Together for Better Care 4
System Mission: To make kids better today and healthiertomorrowProgram Mission: To partner with Georgia’s communities to increaseaccess to pediatric specialty care and offer pediatricspecific education to clinicians and providers. Telemedicine: Working Together for Better Care 5
Program Development Subspecialist at Egleston Stephanie Blank Center for Safe and Telemedicine Marcus Autism Healthy Children Program Subspecialist at Scottish Rite Telemedicine: Working Together for Better Care 6
Presenting Sites• Healthcare Organizations• Private Practices/clinics• Community Health Sites – Schools – Public Health Departments – Child Advocacy Centers Telemedicine: Working Together for Better Care 7
Current Sites • Participating with 43 presenting sites throughout Georgia • 14 specialties with 25 physicians - Future: 15 specialties 27 physicians • + 23 Child Advocacy Sites (Map does not include Child Advocacy Centers) Telemedicine: Working Together for Better Care 8
Clinical Services OfferedCurrent Specialties and Number of Coming soon: Physicians: • Autism (1)• Allergy and Immunology (1) • Apnea (1)• Autism (1)• Cardiology (1)• Child Protection (3)• Concussion/Neurosurgery (1)• Endocrinology (1) Specialist Participating• Fetal ECHO (9) 27• Gastroenterology (1) 30 25• Nephrology (2) 20 2• Orthopedics (1) 10 0• Pulmonology (2) 2009 Current Future• Sports Medicine/Concussion (1)• Urology (1) Telemedicine: Working Together for Better Care 9
Technology and Scopes Telemedicine: Working Together for Better Care 10
Our Patients… • We have served 2,343 patients since inception 2012 Number of Patients Seen Total 971 Marcus 524Specialist 355 CPC 92 0 200 400 600 800 1000 1200 Total/Overall Number of Patients Seen • 1200 2009: 88 1000 823 971 800 • 2010: 461 600 400 461 200 88 • 2011: 823 0 2009 2010 2011 2012 • 2012: 971 Telemedicine: Working Together for Better Care 11
Program Growth and Opportunities• Community Health • School-based Telemedicine (41) • Child Advocacy Centers (24) • Public Health (14) • Division of Family and Children Services (159)• Internet-based solutions• Remote Patient Monitoring / Care Coordination• Distance Learning – building relationships, referrals Telemedicine: Working Together for Better Care 12
Outcomes Telemedicine: Working Together for Better Care 13
Convenience and Savings for Patients Year to Date…Per visit: Median Range Miles Saved 362 72-524 Cost of miles saved $199 $39-$288 Hours Saved Traveling 6.6 1.3-9.5 School days 84% of our patients would have missed *Children greater than 5 y/o school to travel to Atlanta Work Days Missed >80% of our parents would have missed *One adult present a full day of work to travel to Atlanta• Patients served live in 74 of the Georgia’s 159 counties • 47% of all counties •All outside of the MSA•78% of our patients are covered by Medicaid /CMO’s• Overall cost of miles saved: $139,655 (0.55/mile) Telemedicine: Working Together for Better Care 14
Collaborative Consults Telemedicine: Working Together for Better Care 15
Better Patient Outcomes• The patient: • 17 y/o female diagnosed with Nephrotic syndrome (a kidney disorder) • Lives in Columbus with her 70 year old grandmother• Before Telemedicine: • Her grandmother would drive her to Atlanta to see Dr. Larry Greenbaum when she was able, but it was difficult. • Her condition was worsening and she was not making appointments to his clinic here in Atlanta. At that time Mary was at very high risk for Kidney failure.• After Telemedicine: • He has seen her several times via Telemedicine with The Medical Center in Columbus Georgia since her first Telemedicine appointment in March of 2011. • She is consistently making appointments, her condition is improving and her risk for kidney failure has drastically decreased! Telemedicine: Working Together for Better Care 16
Happy Parents… It was extremely convenient rather thandriving 4 hours to Atlanta. The staffing wasexceptional. Very friendly andaccommodating. …I think this was an awesome opportunity especially for those who are unable to travel to Atlanta. …The visits are always great. Staff and doctor are very caring and …The visit was great! The concerned about my childs staff was very courteous and condition. I enjoy these visits every helpful. This was a first time time. visit with telemedicine and a wonderful experience. Thank you and your staff. Telemedicine: Working Together for Better Care 17
Coming together is a beginning, staying together is progress and working together is success. - Henry FordTelemedicine: Working Together for Better Care 18
Contacts DD Fritch-Levens, MSN, MHA, RN Contact Center Director email@example.com Jill Davis, MPH Telemedicine Program Manager Jill.firstname.lastname@example.org 404-785-9333 Telemedicine: Working Together for Better Care 19