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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

  • 1. IT’S ALL ABOUT IMPACT A NEW EQUATION FOR HEALTH CARE
  • 2. Gutenberg/Google 2
  • 3. 3
  • 4. 4
  • 5. 5
  • 6. 6
  • 7. 7
  • 8. 8
  • 9. THE PROBLEM
  • 10. BUILDING A FOUNDATION FOR A MEDICAL HOME FOR CHILDREN  VOLUME : VALUE  OUTCOMES : QUALITY
  • 11. THE PLACE Berrien County
  • 12. THE CASE Counties With Best Health Outcomes = Green Greatest Health Needs = Red. Berrien County Georgia Health Disparities Report 2008
  • 13. THE INV Socioeconomic Summary Grades A B C D F = Berrien Georgia Health Disparities Report 2008
  • 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. THE SQUARE
  • 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. 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. MOST EFFECTIVE DOSE
  • 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. 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. 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. 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. Who Should be Involved? The Entire Community
  • 24. Where In The US?
  • 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. 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. 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. 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. I AM YOUR FUTURE
  • 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