Let’s talk TelehealthBunburyWednesday 10th April 2013Lesley Pugh
What is Telehealth?Telehealth is defined as a consultationbetween a health consumer and a healthcareprovider employing the simultaneous real-time use of both an audio and visualconnection.
Aims Of Telehealth:•Remove barriers around accessing medicalservices, particularly in rural and remote areas•Facilitate improved patient care
Estimated cost savings for Emilyand MattExplanation Expenses AmountsVisit 1:Travel to Toowoomba with noovernight stay (371 km)Childcare. Unpaid leave Matt. PetrolFood and consumables$674.24Visit 2:Travel to Toowoomba withovernight stay (371 km) and friendto help look after childrenChildcare. Unpaid leave Matt. PetrolFood and consumablesAccommodation$894.54Visit 3:Travel to Toowoomba with noovernight stay (371 km)Childcare. Unpaid leave Matt. PetrolFood and consumables$674.24Total costs $2243.02
Telehealth considerations• Appoint a clinic champion• Setting up your clinic– Staff education– Talk IT– Protocols and processes– Establishing a Telehealth space– Troubleshooting & back up plans• The Telehealth consultation– Clinical factors– Documentation• After the consultation– Feedback– Lessons learned
MBS EligibilityPractitioner Rules Eligibility Item numberSpecialist Registered specialist No restrictionsPatient end GP’s, NP’s, PN’sMidwives & AHW’sTelehealth eligibleareasPractice nurses Register nurses onbehalf on GPTelehealth eligibleareas10983Aboriginal HealthWorkerAHW on behalf of aGPNo restrictions 10983Midwives With a providernumberTelehealth eligiblearea821508215182152NursePractitionersWith a providernumberTelehealth eligiblearea822208222182222Registered agedcare FacilitiesMust register withMedicareNo restrictionsr
Patient-end ServicesMBS item descriptor Video consultationpaymentFace to face paymentA :lasting at least 5 min. 2100 $22.45 3 $16.60B: lasting less than 20 min. 2126 $48.95 23 $36.30C: lasting at least 20 min. 2143 $94.95 36 $70.30D: lasting at least 40 min. 2195 $139.70 44 $103.50Item 10983 $32.40
Extra information• Time based consultations• Multiple consultations on same day• Multiple telehealth consultations on the same day• Nurse item numbers not time based
Thinking outside the Telehealthbox• Sometimes driven by the MBS eligibilitywhen that might not be the most importantoutcome..• Improved patient health outcomes• Improved communication and collaborationbetween health professionals• Improved confidence for GP’s• Sense of importance of care for patients• Consider an out of pocket fee for patients
Frequently asked questionsQuestion Yes NoCan Telehealth consultations be conducted for hospital inpatients Are Telephone consults considered a Telehealth consultation Do specialists have area eligibility restrictions Do Aged Care Facilities have area eligibility restrictions Does the GP need to be in the consultation for the entire time
Nursing and MidwiferyTelehealth ConsortiaEducation• 4 hour online education being developed• Module 1 & 2 available now and further 7 modules progressivelyavailable over next month• Registration www.apna.asn.au/telehealthStandards and Guidelines• Being developed by ANF• Due for release late March 2013
Telehealth consortia partnersAustralian Practice Nurses Association (APNA)www.apna.asn.auAustralian Nursing Federation (ANF)www.anf.org.auAustralian College of Midwives (ACM)www.midwives.org.auAustralian College of Nurse Practitioners (ACNP)www.acnp.org.auCouncil of Remote and Rural Nurses (Cranaplus)www.crana.org.au
Useful Telehealth websites• Australian College of Rural and Remote Medicine(ACRRM)www.ehealth.acrrm.org.au/telehealth• Doctor Connecthttp://www.doctorconnect.gov.au/internet/otd/Publishing.nsf/Content/locator• MBS online:http://www.mbsonline.gov.au/telehealth
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