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  1. 1. Wadena’sWadena’s Experience withExperience with TelemedicineTelemedicine
  2. 2. FAIRVIEW-UNIVERSITY OF MINNESOTA TELEMEDICINE NETWORK Hibbing Wadena Aitkin Minneapolis Onamia Red Wing . Crosby Cook Moose Lake Mille Lacs/ Onamia Mora Littlefork Bigfork
  3. 3. Telemedicine Since 1994Telemedicine Since 1994  FUMTN Telemedicine NetworkFUMTN Telemedicine Network – Most Specialists from UMPMost Specialists from UMP – Most Coordination of Services from U of MMost Coordination of Services from U of M
  4. 4. Tri-County HospitalTri-County Hospital Critical Access Hospital (25 bed)Critical Access Hospital (25 bed) Non-ProfitNon-Profit Located in Health ProfessionalLocated in Health Professional Shortage Area (HPSA)Shortage Area (HPSA)  10 Family Practice M.D.’s10 Family Practice M.D.’s  1 General Surgeon1 General Surgeon  1 Radiologist1 Radiologist  6 Mid-Levels (FNP/PA’s)6 Mid-Levels (FNP/PA’s)
  5. 5. Referral PatternsReferral Patterns  St. Cloud – EMS TransfersSt. Cloud – EMS Transfers  FargoFargo  Twin Cities – Trauma/Sub SpecialistsTwin Cities – Trauma/Sub Specialists
  6. 6. Specialty Outreach TableSpecialty Outreach Table TelemedicineTelemedicine VIA TELEMEDICINEVIA TELEMEDICINE VISITSVISITS TOTAL VISITSTOTAL VISITS OrthopedicsOrthopedics 278278 KneeKnee 3030 ShoulderShoulder 184184 Foot/AnkleFoot/Ankle 1111 Wrist/HandWrist/Hand 3636 SpineSpine 33 DermatologyDermatology 243243 PsychiatryPsychiatry 110110 TOTALTOTAL 631631
  7. 7. TCH Specialty OutreachTCH Specialty Outreach Table OnsiteTable Onsite ONSITE 2005ONSITE 2005 VISITSVISITS TOTAL VISITSTOTAL VISITS CardiologyCardiology 514514 OrthopedicsOrthopedics 584584 KneeKnee 180180 ShoulderShoulder 1717 SpineSpine 352352 Foot/AnkleFoot/Ankle 3535 UrologyUrology 667667 OncologyOncology 267267 OpthalmologyOpthalmology 168168 TOTALTOTAL 2,2002,200
  8. 8. TCH Telehealth ApplicationsTCH Telehealth Applications  Teleradiology (MD to Rural Health Clinics)Teleradiology (MD to Rural Health Clinics)  Telepharmacy (RPH to Rural HealthTelepharmacy (RPH to Rural Health Clinics)Clinics)  Wound Care (RN to long term care facility)Wound Care (RN to long term care facility)  Speech Therapist to schoolsSpeech Therapist to schools  16-Bed Psych Hospital to ER Triage16-Bed Psych Hospital to ER Triage  Jail Health – ER TriageJail Health – ER Triage Telehome care, hospice, home monitoring,Telehome care, hospice, home monitoring, med compliancemed compliance
  9. 9. EquipmentEquipment  Down from $100,000 to under $10,000Down from $100,000 to under $10,000  Ongoing Line ChargesOngoing Line Charges (Universal Services – equalize rural rates to(Universal Services – equalize rural rates to urban rates)urban rates)
  10. 10. VideoVideo
  11. 11. Why Do Telemedicine?Why Do Telemedicine?  Avoids travel – for patients/providersAvoids travel – for patients/providers  Makes increased outreach possibleMakes increased outreach possible  Stretches scarce health professionalsStretches scarce health professionals  Keeps revenue in local communityKeeps revenue in local community
  12. 12. Revenue Example forRevenue Example for Outreach TelemedicineOutreach Telemedicine “Episodes or Care” -“Episodes or Care” - OrthopedicsOrthopedics  Facility FeeFacility Fee  X-rays, scansX-rays, scans  LabsLabs  Rehab PT/OTRehab PT/OT  Home Health CareHome Health Care  Swing BedsSwing Beds  Specialist fees paid same as face-to-faceSpecialist fees paid same as face-to-face
  13. 13. Why it works in WadenaWhy it works in Wadena  Specialist M.D. Access through UMPSpecialist M.D. Access through UMP  Need is presentNeed is present  Wadena M.D.’s supportive, make referralsWadena M.D.’s supportive, make referrals  All specialty visits conducted same face-to-All specialty visits conducted same face-to- face onlineface online  Gold standard equipment andGold standard equipment and telecommunication service providertelecommunication service provider  Excellent nurses, supportive AdministrationExcellent nurses, supportive Administration
  14. 14. Patient and MDPatient and MD Satisfaction: 99%Satisfaction: 99%
  15. 15. For more information or to visitFor more information or to visit Wadena, please contact:Wadena, please contact:  Maureen Ideker, RN, Director of PatientMaureen Ideker, RN, Director of Patient Care Services 218-631-7481 orCare Services 218-631-7481 or maureen.ideker@tricountyhospital.orgmaureen.ideker@tricountyhospital.org  Robin Klemek, RN, Outreach ManagerRobin Klemek, RN, Outreach Manager 218-631-7497 or218-631-7497 or robin.klemek@tricountyhospital.orgrobin.klemek@tricountyhospital.org

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