What You Need To Get Going<br />…and…<br />How To Find It!<br />
Disclosure<br />The Accreditation Council for Continuing Medical Education  (ACCME) requires all speakers to make a verbal...
Why me?<br />One of the TRCs<br />Built and run telehealth programs<br />Involved in telehealth since 1993<br />Dirt! (old...
Who is the GPTRAC?<br />One of several federally-designated regional TRCs around the nation<br />Established in 2006<br />...
What do we do?<br />Provide guidance<br />Gather information<br />Answer questions<br />Share tools and resources<br />Pro...
Who do we serve?<br />Hospitals<br />Clinics<br />Providers<br />Safety-net Organizations<br />Schools<br />Nursing Homes<...
Overview:<br />General<br />Planning<br />Operations<br />Training<br />Technology<br />Reimbursement<br />Evaluation<br />
What you need…<br />
How to find it…<br />
Just starting<br />Definitions<br />Information<br />Articles<br />
TRCs<br />www.telehealthresourcecenter.org<br />Telehealth Resource Centers<br />
ATA<br />http://www.americantelemed.org<br />American Telemedicine Association <br />
HRSA<br />www.hrsa.gov/telehealth/default.htm<br />Office for the Advancement of Telehealth<br />
Publications<br />Telemedicine and e-Health <br />Journal of Telemedicine and Telecare<br />
Planning<br />Project Management<br />Business Planning/ROI<br />Needs/Readiness Assessments<br />
Need a map<br />
CTEC<br />www.cteconline.org<br />Telehealth Program Developer<br />7-step process<br />
GPTRAC<br />www.gptrac.org<br />Planning Process<br />Pilot<br />Business Case<br />Micro Planning<br />Macro Planning<br ...
OAT/HRSA<br />http://telehealth.muhealth.org/general%20information/TAD.html<br />
Business Plans<br />Business & Finance SIG – Member Groups – ATA<br />
operations<br />Organizational Structure<br />Policies/Procedures<br />Standards/Guidelines<br />Forms<br />Staffing<br />...
Operations?<br />
www.telehealthresourcecenter.org<br />
Operations<br />www.telehealthresourcecenters.org <br />
Policies/Procedures<br />
Policies/Procedures<br />Example<br />
ATA<br />http://www.americantelemed.org<br />American Telemedicine Association <br />
Standards/Guidelines<br />
Forms<br />
Forms<br />
Staffing<br />
Remote Sites<br />www.gptrac.org <br />
training<br />Learning Centers<br />Clinical:  Initial and On-going<br />Distance Education<br />
Learning Centers<br />Methods:<br />In-person Sessions<br />On-Line Learning<br />Focus on:<br />Clinical<br />Administrat...
UC-Davis<br />Center for Health & Technology<br />
UC-San Diego<br />Telemedicine Learning Center<br />
University of Arizona<br />Telemedicine Training Center<br />
Internal Training<br />Not everyone can “go” for training<br />Need to:<br />Develop comfort and understanding<br />Establ...
Nursing Training<br />www.gptrac.org <br />
Distance Education<br />Receiving:<br />Look around for opportunities<br />Technology allows you to stretch!<br />Options:...
Resources:<br />
Distance Education<br />Providing:<br />Teach your presenters<br />Engage the remote locations<br />Make accommodations to...
Distance Education<br />www.gptrac.org<br />
Example<br />http://www.medicine.virginia.edu/education/more/telemedicine/projects/craig<br />
technology<br />Equipment<br />Peripherals<br />Network<br />
Equipment<br />Videoconferencing<br />Remote Monitoring<br />Peripherals<br />
Videoconferencing<br />Room Units<br />Telepresence<br />Desktop <br />Web-based<br />Etc…<br />
Remote Monitoring<br />Home Health <br />ICU<br />Connectivity<br />What is available?<br />What is needed?<br />Integrate...
Peripherals<br />Stethoscope<br />Otoscope<br />Examination Camera<br />Dermascope<br />Ultrasound<br />Scale<br />Etc…<br />
Equipment<br />
Equipment<br />Resources<br />
Rules & Regs<br />Licensing<br />Credentialing/Privileging<br />HIPAA<br />Reimbursement<br />Liability/Risk<br />
Licensing<br />Physicians<br />Nurses<br />Pharmacy<br />Others…<br />
State Medical Board<br />Unique to each state<br />Federal of State Medical Boards<br />
State Nursing Board<br />Nurse Compact <br />23 States (approx.)<br />No?  Check with your state’s Board of Nursing<br />
CTeL<br /><ul><li>Center for Telehealth & eHealth Law</li></ul>www.telehealthlawcenter.org<br />
Credentialing<br />CMS<br />JCAHO<br />Your facility’s risk manager or attorney<br />Center for Telehealth & eHealth Law<b...
Privileging<br />www.jointcommission.org<br />
HIPAA<br />Center for Telehealth & eHealth Law<br />http://telehealthlawcenter.org/?c=181<br />
Reimbursement<br />CMS<br />Center for Telehealth & eHealth Law<br />State Medicaid<br />Third party payors<br />
CMS<br />http://www.cms.gov/MLNProducts/downloads/TelehealthSrvcsfctsht.pdf<br />
CTeL<br />http://telehealthlawcenter.org/<br />
State Medicaid<br />
State Medicaid<br />Example<br />Take a look at each state’s laws and/or rules/regulations.<br />
State Medicaid<br />Example<br />As of: July 1, 2009<br />
Other Payers<br />Just bill ‘em…<br />Call and ask<br />Check at CTeL<br />Check at ATA<br />
Other Payers<br />Some states have mandates for coverage<br />Otherwise…<br />Aetna<br />Blue Cross<br />Etc.<br />
evaluation<br />Determining the Value<br />Tracking & Collection<br />Forms<br />
www.southwesttrc.org<br />
General Resources<br />TRCs<br />ATA<br />Other Centers<br />
Comments<br />
Comments<br />
4 New TRCs<br />Georgia<br />Arkansas<br />Kansas<br />Hawaii<br />
One at a time…<br />
Contact me:<br />Mary DeVany, Outreach Director<br />medevany@gmail.com<br />Toll-Free:  888-239-7092<br />www.gptrac.org<...
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ATA Mid-Year Conference - GPTRAC Presentation

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as part of the UCDavis Pediatric Symposium, 2010

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ATA Mid-Year Conference - GPTRAC Presentation

  1. 1. What You Need To Get Going<br />…and…<br />How To Find It!<br />
  2. 2. Disclosure<br />The Accreditation Council for Continuing Medical Education (ACCME) requires all speakers to make a verbal disclosure of all relevant financial relationships with any commercial interest and the nature of the financial interest pertaining to this lecture.<br />None!<br />
  3. 3. Why me?<br />One of the TRCs<br />Built and run telehealth programs<br />Involved in telehealth since 1993<br />Dirt! (old as…)<br />
  4. 4. Who is the GPTRAC?<br />One of several federally-designated regional TRCs around the nation<br />Established in 2006<br />Located at University of Minnesota/IHI<br />Extensive telehealth program implementation experience<br />75+ years, combined<br />
  5. 5. What do we do?<br />Provide guidance<br />Gather information<br />Answer questions<br />Share tools and resources<br />Provide education<br />Encourage collaboration <br />Gather regional information<br />
  6. 6. Who do we serve?<br />Hospitals<br />Clinics<br />Providers<br />Safety-net Organizations<br />Schools<br />Nursing Homes<br />Etc.<br />
  7. 7. Overview:<br />General<br />Planning<br />Operations<br />Training<br />Technology<br />Reimbursement<br />Evaluation<br />
  8. 8. What you need…<br />
  9. 9. How to find it…<br />
  10. 10. Just starting<br />Definitions<br />Information<br />Articles<br />
  11. 11. TRCs<br />www.telehealthresourcecenter.org<br />Telehealth Resource Centers<br />
  12. 12. ATA<br />http://www.americantelemed.org<br />American Telemedicine Association <br />
  13. 13. HRSA<br />www.hrsa.gov/telehealth/default.htm<br />Office for the Advancement of Telehealth<br />
  14. 14. Publications<br />Telemedicine and e-Health <br />Journal of Telemedicine and Telecare<br />
  15. 15. Planning<br />Project Management<br />Business Planning/ROI<br />Needs/Readiness Assessments<br />
  16. 16. Need a map<br />
  17. 17. CTEC<br />www.cteconline.org<br />Telehealth Program Developer<br />7-step process<br />
  18. 18. GPTRAC<br />www.gptrac.org<br />Planning Process<br />Pilot<br />Business Case<br />Micro Planning<br />Macro Planning<br />Readiness<br />Evaluate<br />Expand<br />Enhance<br />Implementation Cycle<br />
  19. 19. OAT/HRSA<br />http://telehealth.muhealth.org/general%20information/TAD.html<br />
  20. 20. Business Plans<br />Business & Finance SIG – Member Groups – ATA<br />
  21. 21. operations<br />Organizational Structure<br />Policies/Procedures<br />Standards/Guidelines<br />Forms<br />Staffing<br />Remote Partner Locations<br />
  22. 22. Operations?<br />
  23. 23. www.telehealthresourcecenter.org<br />
  24. 24.
  25. 25. Operations<br />www.telehealthresourcecenters.org <br />
  26. 26. Policies/Procedures<br />
  27. 27. Policies/Procedures<br />Example<br />
  28. 28. ATA<br />http://www.americantelemed.org<br />American Telemedicine Association <br />
  29. 29. Standards/Guidelines<br />
  30. 30. Forms<br />
  31. 31. Forms<br />
  32. 32. Staffing<br />
  33. 33. Remote Sites<br />www.gptrac.org <br />
  34. 34. training<br />Learning Centers<br />Clinical: Initial and On-going<br />Distance Education<br />
  35. 35. Learning Centers<br />Methods:<br />In-person Sessions<br />On-Line Learning<br />Focus on:<br />Clinical<br />Administrative<br />Technology<br />Etc.<br />
  36. 36. UC-Davis<br />Center for Health & Technology<br />
  37. 37. UC-San Diego<br />Telemedicine Learning Center<br />
  38. 38. University of Arizona<br />Telemedicine Training Center<br />
  39. 39. Internal Training<br />Not everyone can “go” for training<br />Need to:<br />Develop comfort and understanding<br />Establish competency<br />Assure service continuation<br />
  40. 40. Nursing Training<br />www.gptrac.org <br />
  41. 41. Distance Education<br />Receiving:<br />Look around for opportunities<br />Technology allows you to stretch!<br />Options:<br />The TRCs<br />The Health Systems in your region<br />Others<br />Expect quality, and encourage it.<br />
  42. 42. Resources:<br />
  43. 43. Distance Education<br />Providing:<br />Teach your presenters<br />Engage the remote locations<br />Make accommodations to facilitate learning at the remote locations<br />Teaching aides/hand-outs<br />On-site resources<br />
  44. 44. Distance Education<br />www.gptrac.org<br />
  45. 45. Example<br />http://www.medicine.virginia.edu/education/more/telemedicine/projects/craig<br />
  46. 46. technology<br />Equipment<br />Peripherals<br />Network<br />
  47. 47. Equipment<br />Videoconferencing<br />Remote Monitoring<br />Peripherals<br />
  48. 48. Videoconferencing<br />Room Units<br />Telepresence<br />Desktop <br />Web-based<br />Etc…<br />
  49. 49. Remote Monitoring<br />Home Health <br />ICU<br />Connectivity<br />What is available?<br />What is needed?<br />Integrated vs. Stand-alone<br />
  50. 50. Peripherals<br />Stethoscope<br />Otoscope<br />Examination Camera<br />Dermascope<br />Ultrasound<br />Scale<br />Etc…<br />
  51. 51. Equipment<br />
  52. 52. Equipment<br />Resources<br />
  53. 53. Rules & Regs<br />Licensing<br />Credentialing/Privileging<br />HIPAA<br />Reimbursement<br />Liability/Risk<br />
  54. 54.
  55. 55. Licensing<br />Physicians<br />Nurses<br />Pharmacy<br />Others…<br />
  56. 56. State Medical Board<br />Unique to each state<br />Federal of State Medical Boards<br />
  57. 57. State Nursing Board<br />Nurse Compact <br />23 States (approx.)<br />No? Check with your state’s Board of Nursing<br />
  58. 58. CTeL<br /><ul><li>Center for Telehealth & eHealth Law</li></ul>www.telehealthlawcenter.org<br />
  59. 59. Credentialing<br />CMS<br />JCAHO<br />Your facility’s risk manager or attorney<br />Center for Telehealth & eHealth Law<br />
  60. 60. Privileging<br />www.jointcommission.org<br />
  61. 61. HIPAA<br />Center for Telehealth & eHealth Law<br />http://telehealthlawcenter.org/?c=181<br />
  62. 62. Reimbursement<br />CMS<br />Center for Telehealth & eHealth Law<br />State Medicaid<br />Third party payors<br />
  63. 63. CMS<br />http://www.cms.gov/MLNProducts/downloads/TelehealthSrvcsfctsht.pdf<br />
  64. 64. CTeL<br />http://telehealthlawcenter.org/<br />
  65. 65. State Medicaid<br />
  66. 66. State Medicaid<br />Example<br />Take a look at each state’s laws and/or rules/regulations.<br />
  67. 67. State Medicaid<br />Example<br />As of: July 1, 2009<br />
  68. 68. Other Payers<br />Just bill ‘em…<br />Call and ask<br />Check at CTeL<br />Check at ATA<br />
  69. 69. Other Payers<br />Some states have mandates for coverage<br />Otherwise…<br />Aetna<br />Blue Cross<br />Etc.<br />
  70. 70. evaluation<br />Determining the Value<br />Tracking & Collection<br />Forms<br />
  71. 71.
  72. 72. www.southwesttrc.org<br />
  73. 73.
  74. 74.
  75. 75. General Resources<br />TRCs<br />ATA<br />Other Centers<br />
  76. 76. Comments<br />
  77. 77. Comments<br />
  78. 78.
  79. 79.
  80. 80.
  81. 81. 4 New TRCs<br />Georgia<br />Arkansas<br />Kansas<br />Hawaii<br />
  82. 82.
  83. 83. One at a time…<br />
  84. 84. Contact me:<br />Mary DeVany, Outreach Director<br />medevany@gmail.com<br />Toll-Free: 888-239-7092<br />www.gptrac.org<br />

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