Tele health & skilled nursing facilities

The Changing Face ofHealthcareTelemedicineinSkilled Nursing Centers

The Ever ChangingFaceOf HealthcareTelemedicine+Skilled Nursing CentersMaking First Steps

Why Telemedicine  Access to specialist without need for travel  Keep patient in safe, comfortable environment  Allow centers capability to take different patient types  Eliminate unnecessary transfers, use of ER and avoidable hospitalizations

Community Benefit  Centers are not for profit  Community benefit required to retain status  Centers should reach out to local physicians  Centers may or may not be able to bill

Today  Utilization remains limited  Must use to become comfortable  Psychiatric and wound care most used  Occasional dermatology  Emergency telemedicine usage should be increased  Pilot between Shady Acres and Coffee Regional Hospital

Why Emergency Telemedicine  Use when non life threatening situations occur  Always ask attending if “We can get an emergency telemedicine consult before transfer”  Allows us to treat in house (Avoiding hospitalization, re- hospitalization when appropriate)  Prevents multiple transfers / MCG can direct to appropriate hospital  Prevents trauma of re-location for patient and family  *Coffee Regional preparing for VBP (P4P)

Current Sites  Shady Acres   Oconee  Eatonton   Lillian Carter  Sparta   Toombs  Providence Sparta   Four County  Greene Point   Dawson  Scott   Chaplinwood  Oak View   Orchard Manor *  Oak View N&R

Next Steps  Equipment upgrade as funds available  Wireless capability for all centers (portable units)  Ethica champion  Focused ER projects

Positioned for Future  Current advantage in SNF market  Helpful marketing strategy  Reimbursement / quality indicators RT hospitalizations, re-hospitalizations  Community benefit / retention of not for profit status  Position for changes – ACO  Associate health capability

Our Future  Specialty consultations  Primary care follow up  Associate health  Partner with group health insurer  Position for VBP  Position for ACO

VBP Partners throughTelemedicine  Shady Acres Nursing & Rehabilitation  Coffee Regional Hospital  SNF + Trauma Site  Decrease transfers  Decrease hospitalizations / re- hospitalizations  Appropriate care in appropriate setting

Slow Progressbut……………………………….Progress None the Less  Increase emphasis on utilization  Increase education and support  Educate physicians  Continue baby steps

Thank YouQuestions ?

Tele health & skilled nursing facilities

by Lloyd Sirmons on Mar 15, 2011

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Tele health & skilled nursing facilities — Presentation Transcript