Case Study
“Building A Sustainable Telemedicine Cooperative:
The Arizona State-Wide Telemedicine Program”
Ronald S. Weinst...
Case Study
1. Pre-Implementation Phase
2. Implementation Phase
3. Medical Services
Telemedicine
Telehealth
mHealth, etc.
Case Study
I. Pre-implementation Phase
1. Mandate
2. Public Policy
3. Governance
4. Infrastructure
5. Sustainable Business...
Case StudyMANDATE
Tucson
Arizona Legislature’s Challenge
Charter Sites Case StudyInfrastructure
Arizona Telemedicine Program - Corps of Engineers
Case Study
1998-2001
Arizona Telemedicine Program
Telecommunications Utility
Case Study
2014
Case Study
Case Study
Case Study
I. Pre-implementation Phase
1. Mandate
2. Public Policy
3. Governance
4. Infrastructure
5. Sustainable Business...
Case Study
I. Pre-implementation Phase
1. Mandate
2. Public Policy
3. Governance
4. Infrastructure
5. Sustainable Business...
Case Study
1. Training Program
Training Centers
2. Marketing Program
Health Fairs, NPR, etc.
3. Telemedicine Service Roll-...
Telemedicine Training Programs
> 8-9 programs per year (since 2000)
> 1200 trainees
> 100+ healthcare organizations
Case S...
“I think these lectures are a real
plus for physicians like me, who
live in rural areas but are always
interested in recei...
Case Study
1. Teleradiology
25 hospitals; 1.3 M Cases
2. Telepsychiatry
NARBHA-120,000 pateint encounters
3. Telecardiolog...
“Telemedicine dramatically
increases compliance with
appointments if you can be
seen in your own
community.”
Sara Gibson, ...
Case Study
Telecardiology
“We see telemedicine
as an important
opportunity to improve
patient care.”
Bart M. Demaerschalk, M.D
Vascular Tele-neurolo...
“It works. It
saves people’s
lives.”
Jack Porter
Former Mayor
Bisbee, Arizona
Case Study
Telestroke
“We have the
opportunity to
change the way
health care is
delivered.”
Deborah Dahl,
Banner Vice Presidnet
Case Study
$68,0...
Case Study
Tele-Home Health Care
Flagstaff Medical Center in Northern Arizona
Pilot project: 50 Patients with Hx Congestive Heart Failure*
• Decreased hosp...
“Care Beyond Walls and
Wires is the best thing
ever for me, and the best
thing for my dad.”
Rita Yazzie
Case Study
T Case Study
Tele-Support Groups
“Telemedicine Is
pivotal for diabetic
retinopathy.”
Mark B. Horton, M.D.
Case Study
REMOTE SCREENING FOR
DIABETIC RETINOPA...
Case Study
1. Teleradiology
25 hospitals; 1.3 M Cases
2. Telepsychiatry
NARBHA-114,000 encounters
3. Telecardiology
Yuma R...
IHT2
Case Study
Why Telemedicine?
 Gap Services
 Urgent Services
 Mandated Services
IHT2
Case Study
“In some cases the patient
can be treated locally instead
of bringing the patient to us
by helicopter, which costs
$10,000...
Why Arizona?
 Geography
 Leadership
 Culture
IHT2
Case Study
University of Arizona
Land Grant University
“Land Grant University
Mission for the Future”
 Develop partner
relationships...
Barriers
 Legal, regulatory
 Reimbursement
 Culture
IHT2
Case Study
.>> Acute Shortages of
Telehealth Service Providers...
Telemedicine
1- saves live
2- reduces health-care costs
3- improves assess
4- managing chronic diseases
5- disease prevent...
Case Study
For Copies
Please Contact
Angel Holtrust at:
aholtrust@telemedicine.arizona.edu
Thank you!
rweinstein@telemedicine.arizona.edu
IHT2
Case Study
iHT² Health IT Summit San Francisco – Case Study “Building A Sustainable Telemedicine Cooperative: The Arizona State-Wide ...
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iHT² Health IT Summit San Francisco – Case Study “Building A Sustainable Telemedicine Cooperative: The Arizona State-Wide Telemedicine Program” with Ronald Weinstein, M.D., Director, Arizona Telemedicine Program

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iHT² Health IT Summit San Francisco – Case Study “Building A Sustainable Telemedicine Cooperative: The Arizona State-Wide Telemedicine Program” with Ronald Weinstein, M.D., Director, Arizona Telemedicine Program

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iHT² Health IT Summit San Francisco – Case Study “Building A Sustainable Telemedicine Cooperative: The Arizona State-Wide Telemedicine Program” with Ronald Weinstein, M.D., Director, Arizona Telemedicine Program

  1. 1. Case Study “Building A Sustainable Telemedicine Cooperative: The Arizona State-Wide Telemedicine Program” Ronald S. Weinstein, M.D. Director, Arizona Telemedicine Program Tucson, Arizona President Emeritus, American Telemedicine Association (Serial Entrepreneur) Case Study
  2. 2. Case Study 1. Pre-Implementation Phase 2. Implementation Phase 3. Medical Services Telemedicine Telehealth mHealth, etc.
  3. 3. Case Study I. Pre-implementation Phase 1. Mandate 2. Public Policy 3. Governance 4. Infrastructure 5. Sustainable Business Plan 1. Mandate AZ State Legislature (1996) 2. Public Policy 8 AZ Foundational Policies 3. Governance Non-Statutory Overarching Authority (Arizona Telemedicine Council) 4. Infrastructure Arizona Rural Telemedicine Network 5. Business Plan Application Service Provider (ASP) Model GENERAL TOPICS ARIZONA CASE STUDY
  4. 4. Case StudyMANDATE
  5. 5. Tucson Arizona Legislature’s Challenge Charter Sites Case StudyInfrastructure
  6. 6. Arizona Telemedicine Program - Corps of Engineers Case Study
  7. 7. 1998-2001 Arizona Telemedicine Program Telecommunications Utility Case Study
  8. 8. 2014 Case Study
  9. 9. Case Study
  10. 10. Case Study I. Pre-implementation Phase 1. Mandate 2. Public Policy 3. Governance 4. Infrastructure 5. Sustainable Business Plan 1. Mandate AZ State Legislature 2. Public Policy 8 Foundational Policies 3. Governance Non-Statutory Overarching Authority (Arizona Telemedicine Council) 4. Infrastructure Arizona Rural Telemedicine Network GENERAL CATEGORIES ARIZONA CASE STUDY 5. Business Plan (recurrent revenue stream) Application Service Provider (ASP) Model Case StudyBusiness Plan
  11. 11. Case Study I. Pre-implementation Phase 1. Mandate 2. Public Policy 3. Governance 4. Infrastructure 5. Sustainable Business Plan 1. Mandate AZ State Legislature 2. Public Policy 8 Foundational Policies 3. Governance Non-Statutory Overarching Authority (Arizona Telemedicine Council) 4. Infrastructure Arizona Rural Telemedicine Network 5. Business Plan-continuous revenue stream Arizona Telemedicine Program-- Application Service Provider (ASP) Model Members – 55 healthcare organizations GENERAL CATEGORIES ARIZONA CASE STUDY
  12. 12. Case Study 1. Training Program Training Centers 2. Marketing Program Health Fairs, NPR, etc. 3. Telemedicine Service Roll-Out Teleradiology, telepsychiatry, etc. 4. Assessment Programs Best practices, QA, provider satisfaction 5. Supplemental Funding TRC, International Programs GENERAL CATEGORIES ARIZONA CASE STUDY I. Pre-implementation Phase 1. Mandate 2. Public Policy 3. Governance 4. Infrastructure 5. Sustainable Business Plan II. Implementation Phase 1. Training program 2. Marketing 3. Telemedicine Service Roll-Out 4. Assessment Programs 5. Supplemental Funding
  13. 13. Telemedicine Training Programs > 8-9 programs per year (since 2000) > 1200 trainees > 100+ healthcare organizations Case StudyTRAINING PROGRAM
  14. 14. “I think these lectures are a real plus for physicians like me, who live in rural areas but are always interested in receiving new information.” Dexter DeWitt, MD Case Study
  15. 15. Case Study 1. Teleradiology 25 hospitals; 1.3 M Cases 2. Telepsychiatry NARBHA-120,000 pateint encounters 3. Telecardiology Yuma RMC Neonatal Intensive Care Unit 4. Telestroke Mayo Clinic - 13 AZ rural hospital network 5/6. Telepatient-monitoring Banner eICU; Flagstaff CHF program GENERAL CATEGORIES ARIZONA CASE STUDY III. Telemedicined/Telehealth Services 1. Telemedicine 2. Telehealth 3. Telenursing 4. Telepharmacy 5. Tele-home health 6. Telemetry 7. Prevention 8. Distance education
  16. 16. “Telemedicine dramatically increases compliance with appointments if you can be seen in your own community.” Sara Gibson, MD Telepsychiatry
  17. 17. Case Study Telecardiology
  18. 18. “We see telemedicine as an important opportunity to improve patient care.” Bart M. Demaerschalk, M.D Vascular Tele-neurologist Mayo Clinic-Scottsdale Case Study Telestroke
  19. 19. “It works. It saves people’s lives.” Jack Porter Former Mayor Bisbee, Arizona Case Study Telestroke
  20. 20. “We have the opportunity to change the way health care is delivered.” Deborah Dahl, Banner Vice Presidnet Case Study $68,000,000 savings/Peter Fine, Banner CEO Tele-eICU
  21. 21. Case Study Tele-Home Health Care
  22. 22. Flagstaff Medical Center in Northern Arizona Pilot project: 50 Patients with Hx Congestive Heart Failure* • Decreased hospitalizations: 3.26 vs. 1.82 over 6 months • Fewer days hospitalized: 13.98 vs. 5.13 days • Cost saving: $92,317 per patient over 6 months * Pts. provided with wireless devices to track weight, blood pressure and activity levels daily. Data automatically transmitted. Brookings Institute Conference on Mobile Health March 2014 Case Study
  23. 23. “Care Beyond Walls and Wires is the best thing ever for me, and the best thing for my dad.” Rita Yazzie Case Study
  24. 24. T Case Study Tele-Support Groups
  25. 25. “Telemedicine Is pivotal for diabetic retinopathy.” Mark B. Horton, M.D. Case Study REMOTE SCREENING FOR DIABETIC RETINOPATHY
  26. 26. Case Study 1. Teleradiology 25 hospitals; 1.3 M Cases 2. Telepsychiatry NARBHA-114,000 encounters 3. Telecardiology Yuma RMC Neonatal Intensive Care Unit 4. Telestroke Mayo Clinic - 13 AZ rural hospital network 6. Telepatient-monitoring Banner eICU; Flagstaff CHF program GENERAL TOPICS ARIZONA CASE STUDY III. Telemedicined/Telehealth Services 1. Telemedicine 2. Telehealth 3. Telenursing 4. Telepharmacy 5. Tele-home health 6. Telemetry 7. Prevention 8. Distance education 7. Tele-medication monitoring University of Arizona College of Pharmacy
  27. 27. IHT2 Case Study
  28. 28. Why Telemedicine?  Gap Services  Urgent Services  Mandated Services IHT2 Case Study
  29. 29. “In some cases the patient can be treated locally instead of bringing the patient to us by helicopter, which costs $10,000 to $20,000.” Daniel M. Caruso, MD
  30. 30. Why Arizona?  Geography  Leadership  Culture IHT2 Case Study
  31. 31. University of Arizona Land Grant University “Land Grant University Mission for the Future”  Develop partner relationships with communities and industries.  Advance local and global impacts of  University of Arizona knowledge creation.  Ann Weaver Hart, Ph.D. President University of Arizona IHT2 Case Study
  32. 32. Barriers  Legal, regulatory  Reimbursement  Culture IHT2 Case Study .>> Acute Shortages of Telehealth Service Providers “Practicing Medicine on a Unicycle”
  33. 33. Telemedicine 1- saves live 2- reduces health-care costs 3- improves assess 4- managing chronic diseases 5- disease prevention 6- improves quality of life Case Study
  34. 34. Case Study For Copies Please Contact Angel Holtrust at: aholtrust@telemedicine.arizona.edu
  35. 35. Thank you! rweinstein@telemedicine.arizona.edu IHT2 Case Study

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