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  • 1. Wadena’s Experience with Telemedicine
  • 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. Telemedicine Since 1994
    • FUMTN Telemedicine Network
      • Most Specialists from UMP
      • Most Coordination of Services from U of M
  • 4. Tri-County Hospital Critical Access Hospital (25 bed) Non-Profit Located in Health Professional Shortage Area (HPSA)
    • 10 Family Practice M.D.’s
    • 1 General Surgeon
    • 1 Radiologist
    • 6 Mid-Levels (FNP/PA’s)
  • 5. Referral Patterns
    • St. Cloud – EMS Transfers
    • Fargo
    • Twin Cities – Trauma/Sub Specialists
  • 6. Specialty Outreach Table Telemedicine 631 TOTAL 110 Psychiatry 243 Dermatology 3 Spine 36 Wrist/Hand 11 Foot/Ankle 184 Shoulder 30 Knee 278 Orthopedics TOTAL VISITS VISITS VIA TELEMEDICINE
  • 7. TCH Specialty Outreach Table Onsite 352 Spine 2,200 TOTAL 168 Opthalmology 267 Oncology 667 Urology 35 Foot/Ankle 17 Shoulder 180 Knee 584 Orthopedics 514 Cardiology TOTAL VISITS VISITS ONSITE 2005
  • 8. TCH Telehealth Applications
    • Teleradiology (MD to Rural Health Clinics)
    • Telepharmacy (RPH to Rural Health Clinics)
    • Wound Care (RN to long term care facility)
    • Speech Therapist to schools
    • 16-Bed Psych Hospital to ER Triage
    • Jail Health – ER Triage
    • Telehome care, hospice, home monitoring, med compliance
  • 9. Equipment
    • Down from $100,000 to under $10,000
    • Ongoing Line Charges
    • (Universal Services – equalize rural rates to urban rates)
  • 10.
    • Video
  • 11. Why Do Telemedicine?
    • Avoids travel – for patients/providers
    • Makes increased outreach possible
    • Stretches scarce health professionals
    • Keeps revenue in local community
  • 12. Revenue Example for Outreach Telemedicine “Episodes or Care” - Orthopedics
    • Facility Fee
    • X-rays, scans
    • Labs
    • Rehab PT/OT
    • Home Health Care
    • Swing Beds
    • Specialist fees paid same as face-to-face
  • 13. Why it works in Wadena
    • Specialist M.D. Access through UMP
    • Need is present
    • Wadena M.D.’s supportive, make referrals
    • All specialty visits conducted same face-to-face online
    • Gold standard equipment and telecommunication service provider
    • Excellent nurses, supportive Administration
  • 14. Patient and MD Satisfaction: 99%
  • 15. For more information or to visit Wadena, please contact:
    • Maureen Ideker, RN, Director of Patient Care Services 218-631-7481 or maureen.ideker@tricountyhospital.org
    • Robin Klemek, RN, Outreach Manager
    • 218-631-7497 or robin.klemek@tricountyhospital.org