0
IT’S ALL ABOUT IMPACT

A NEW EQUATION FOR HEALTH CARE
Gutenberg/Google

2
3
4
5
6
7
8
THE PROBLEM
BUILDING A FOUNDATION FOR A MEDICAL HOME FOR CHILDREN
 VOLUME : VALUE
 OUTCOMES : QUALITY
THE PLACE
Berrien County
THE CASE
Counties With Best Health
Outcomes = Green

Greatest Health Needs = Red.
Berrien County
Georgia Health Disparitie...
THE INV

Socioeconomic Summary
Grades
A
B
C
D
F = Berrien
Georgia Health Disparities
Report 2008
Social and Economic Indicators

F

Mortality

F

Illness Events (Hospital Admits & Emergency
Visits)

F

Prenatal Care & B...
THE SQUARE
THE MODEL
INTEGRATED STUDENT SYSTEM OF CARE
ISSC

Services
Primary
Acute
Specialty

Service Integration
Care Coordination
...
Medical
Psychological
Therapeutic
Clinical Services
Continuity of Care
Data Exchange
Telemedicine
Service Integration

ISS...
MOST EFFECTIVE DOSE
What is a School-Based Health Center?
Children's Health Insurance Reauthorization Act of 20091:

(A) IN GENERAL.—The term ...
Why Start a SBTC?
 Health has a direct impact on student learning
 Education
 Absenteeism
 Learning Experience
 Incre...
WHY Cont’d?
 Students like them
 SBHCs are 5 minutes or 50 feet from the student’s
world2
 Increase in yearly medical v...
How Do SBTCs work?
 Using an Open Access Telehealth model, schools can

connect to:

 Primary Care Physicians for chroni...
Who Should be Involved?

The Entire

Community
Where In The US?
Where In Georgia?
School Based Telehealth Center
Data:
• 13 SBTCs already exist in 3
districts
• 9 Primary/Elementary
• 4 ...
Where In Georgia?
School Based Telehealth Center
Data:
• 13 SBTCs already exist in 3
districts
• 9 Primary/Elementary
• 4 ...
GEORGIA PARTNERSHIP FOR TELEHEALTH
Patient Centered Telehealth Model

Insurance

DATA

RN/Case
Manager

EMR/HIE/HM/GPT

Pr...
LEVERAGING PUBLIC - PRIVATE
PARTNERSHIPS
Accountable Care Organizational Structures
Public Health – Public Safety – Public...
I AM YOUR FUTURE
References
1.
2.
3.

Children's Health Insurance Program Reauthorization Act 2009, 111 USC § 2110 (2009).
Ammerman, Adrien...
School Based Telehealth - Matt Jansen
School Based Telehealth - Matt Jansen
School Based Telehealth - Matt Jansen
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School Based Telehealth - Matt Jansen

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  • (point 2) Compared to 59% of students who did not have access to a SBHC, 71% who did report having yearly medical visits
  • Georgia Partnership For Telehealth believes in working with local communities to leverage their existing resources
  • Transcript of "School Based Telehealth - Matt Jansen"

    1. 1. IT’S ALL ABOUT IMPACT A NEW EQUATION FOR HEALTH CARE
    2. 2. Gutenberg/Google 2
    3. 3. 3
    4. 4. 4
    5. 5. 5
    6. 6. 6
    7. 7. 7
    8. 8. 8
    9. 9. THE PROBLEM
    10. 10. BUILDING A FOUNDATION FOR A MEDICAL HOME FOR CHILDREN  VOLUME : VALUE  OUTCOMES : QUALITY
    11. 11. THE PLACE Berrien County
    12. 12. THE CASE Counties With Best Health Outcomes = Green Greatest Health Needs = Red. Berrien County Georgia Health Disparities Report 2008
    13. 13. THE INV Socioeconomic Summary Grades A B C D F = Berrien Georgia Health Disparities Report 2008
    14. 14. Social and Economic Indicators F Mortality F Illness Events (Hospital Admits & Emergency Visits) F Prenatal Care & Birth Outcomes F Primary Care Access F Mental Health Access C-
    15. 15. THE SQUARE
    16. 16. THE MODEL INTEGRATED STUDENT SYSTEM OF CARE ISSC Services Primary Acute Specialty Service Integration Care Coordination Data Exchange Telemedicine/On-Site Care Early Intervention Services Child/Family Centered Case Mngt Primary Prevention Support Academic/Counseling/Health Ed Screening & Assessment School Nurse/Guidance Counselor Program Coordinator/Teacher/Parent • GPT’s Integrated Student System of Care (ISSC) model is an integrated framework for clinic and non-clinical services. ISSC promotes a healthcare ecosystem through the implementation of a telemedicine program(s). • ISSC provides a broad array of service integration, continuity of care, and data exchange strategies that include, but are not limited to: family-centered case management services; adult/child health and wellness education services; and clinical health services.
    17. 17. Medical Psychological Therapeutic Clinical Services Continuity of Care Data Exchange Telemedicine Service Integration ISSC Family-Centered Case Management Early Intervention Services Academic/Counseling/Health ED Primary Prevention Support School Nurse Guidance Counselor Human Services Specialist Screenings & Assessments
    18. 18. MOST EFFECTIVE DOSE
    19. 19. What is a School-Based Health Center? Children's Health Insurance Reauthorization Act of 20091: 
(A) IN GENERAL.—The term ‘school-based health center’ means a health clinic that—
 (i) is located in or near a school facility of a school district or board or of an Indian tribe or tribal organization; (ii) is organized through school, community, and health provider relationships; (iii) is administered by a sponsoring facility; (iv) provides through health professionals primary health services to children in accordance with State and local law, including laws relating to licensure and certification; and (v) satisfies such other requirements as a State may establish for the operation of such a clinic. (B) SPONSORING FACILITY: (i) A hospital. (ii) A public health department. (iii) A community health center. (iv) A nonprofit health care agency. (v) A school or school system. (vi) A program administered by the Indian Health Service or the Bureau of Indian Affairs or operated by an Indian tribe or a tribal organization.’’
    20. 20. Why Start a SBTC?  Health has a direct impact on student learning  Education  Absenteeism  Learning Experience  Increased access to:  Healthcare (primary care & episodic care)  Mental Healthcare  Oral Healthcare  Specialist  Pharma
    21. 21. WHY Cont’d?  Students like them  SBHCs are 5 minutes or 50 feet from the student’s world2  Increase in yearly medical visits2  3.4 hours saved from parents missing work (avg of $43 in lost wages)3  Reduced ED visits (avg savings per family $224)3  Creates a true system of care for the student
    22. 22. How Do SBTCs work?  Using an Open Access Telehealth model, schools can connect to:  Primary Care Physicians for chronic or episodic care  Specialty Centers providing care such as:  Psychiatry  Nephrology  Cardiology  “Other”- ologies  Other schools for:  School to school consultations  District meetings  Conference sites for training and CMEs
    23. 23. Who Should be Involved? The Entire Community
    24. 24. Where In The US?
    25. 25. Where In Georgia? School Based Telehealth Center Data: • 13 SBTCs already exist in 3 districts • 9 Primary/Elementary • 4 Middle/High • HRSA funding is allowing 28 more to be funded • 17 Primary/Elementary • 13 Middle/High • 3 Other • GPT projects a total of 41 funded SBTCs by the end of 2013
    26. 26. Where In Georgia? School Based Telehealth Center Data: • 13 SBTCs already exist in 3 districts • 9 Primary/Elementary • 4 Middle/High • HRSA funding is allowing 28 more to be funded • 17 Primary/Elementary • 13 Middle/High • 3 Other • GPT projects a total of 41 funded SBTCs by the end of 2013
    27. 27. GEORGIA PARTNERSHIP FOR TELEHEALTH Patient Centered Telehealth Model Insurance DATA RN/Case Manager EMR/HIE/HM/GPT Primary Care Other Clinics HM DATA EMR/HIE/HM/GPT MONITORING Employers PATIENT Schools Nursing Homes SPECIALISTS HIE 30
    28. 28. LEVERAGING PUBLIC - PRIVATE PARTNERSHIPS Accountable Care Organizational Structures Public Health – Public Safety – Public Education Federally Qualified Health Centers State/Region/District Partnerships Georgia Community Service Board Service Integration Models Primary Care – Mental Health TeleHealth/Telemedicine Provider Formula for IMPACT Project D.A.V.I.D. Data Analysis via Individual Dynamics
    29. 29. I AM YOUR FUTURE
    30. 30. References 1. 2. 3. Children's Health Insurance Program Reauthorization Act 2009, 111 USC § 2110 (2009). Ammerman, Adrienne. "School Based Healthcare: Why It Is Common Sense." South Eastern Education Network Winter 14.3 (2012): Web. Young, T. L., and C. Ireson. "Effectiveness of School-Based Telehealth Care in Urban and Rural Elementary Schools." Pediatrics 112.5 (2003): 1088-094. Matt Jansen, MPA Georgia Partnership For Telehealth Executive Director Matt..jansen@gatelehealth.org
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