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Evolving Healthcare
at Internet Speeds
Yulun Wang, PhD
Founder, Chairman & CIO, InTouch Health
Past President, American Telemedicine Association
Our	Healthcare	Impera/ve
Increasing	Specializa/on	&		
Fewer	Physicians	
Sources:
Left: National Research Council. Best Care at Lower Cost: The Path to Continuously Learning Health Care in
America. Washington, DC: The National Academies Press, 2013. / American Board of Medical Specialists
Right: Association of Medical Colleges (AAMC) (2006). Help Wanted: More Use Doctors – Projections
Indicate America Will Face Shortage of M.D.s by 2020 [Brochure]. AAMC.
0	
200000	
400000	
600000	
800000	
20	
66	
84	
145	
1970	 1980	 1990	 2000	 2010	
Number	of	Special/es	
2015 InTouch Telehealth Innovation Forum
The	Healthcare	Delivery	BoDleneck	
ELECTRONIC	HEALTH	RECORDS	$	
HEALTHCARE	INFORMATION	EXCHANGE	$	
PERSONALIZED	MEDICINE	$	
REMOTE	MONITORING	$	
BIG	DATA	$
ACA	Enabling	Telemedicine	
Senate	Requests	Telemedicine	Hearing,	April	2015
•  Reimbursement	
•  Licensure	
•  Creden/aling	
•  Privileging	
•  Legal/Regulatory	
•  Pay	for	Volume	à	Pay	for	Value	
•  Pay	for	Performance	
•  Bundled	Payments	
•  ACOs	
•  Penal/es	for	Re-admits	
•  Reducing	Licensure	Barriers	
•  Fed	&	State	Mandated	Reimbursement	
•  Interstate	Medical	Licensure	Compact	
•  Minimizing	Legal	&	Regulatory	Barriers	
•  OIG	Advisory	Opinion	regarding	Telemedicine	
Telemedicine	
Historic	
Barriers	
Healthcare	
Reform	
Healthcare	Reform	is		
Accelera/ng	Telehealth	Adop/on
Telehealth	Market	Segments	
Segment	 Acute	Care	 Post-Acute	 Primary	Care	
Acuity	Level	 High	 Moderate	 Low	
Care	
Management	
Physician	Directed	 Physician	Directed	 Consumer	Directed	
Customers	
•  Health	Systems	
•  Hospitals	
	
•  Health	Systems	
•  Hospitals	
•  Retail		
•  Consumers		
•  Payers	
•  Large	Employers	
Offering	
Opportunity	
•  Technology	PlaZorm	
•  Clinical	Services	
•  Technology	PlaZorm	
•  Clinical	Services	
•  Technology	PlaZorm	
•  Clinical	Services
~1.5	mil	
online	pa/ent	
consulta/ons	
~150,000	
pa/ents	
diagnosed	
via	telestroke	
~600,000	
ICU	pa/ents	
remotely	
monitored	
Improving	Pa/ent	Lives
Tele-Stroke
Hub	Customer	
#	of	
Sites	
Thomas	Jefferson	 29	
Wake	Forest	Bap/st	 10	
Dignity	Health	 18	
Michigan	Stroke	Network	 31	
Providence	Oregon	 19	
Mission	Hospital	 11	
6	Health	System	Avg.	 20	
2,206	
2,754	
3,331	
683	 840	 1,007	
0	
500	
1,000	
1,500	
2,000	
2,500	
3,000	
3,500	
Year	1	 Year	2	 Year	3	
6	Health	System	Composite	
Avg.	Consults	and	Transfers	–	Years	1,	2	&	3	
Network	TeleStroke	Consults	 #	Pa/ent	Transfers	
	$972		
	$1,728		
	$2,160			$1,564		
	$1,968		
	$2,396		
74	
95	
117	
	-				
	20.0		
	40.0		
	60.0		
	80.0		
	100.0		
	120.0		
	140.0		
	$-				
	$500		
	$1,000		
	$1,500		
	$2,000		
	$2,500		
	$3,000		
Year	1	 Year	2	 Year	3	
Thousands	
20	Spoke	Sites	Average	
Baseline	Margin	Projected	 Average	Margin	Achieved	($$)	
Avg.	#	Endovascular	Procedures	
Measure	
InTouch	
Customers	
Na/onal		
Goal	/	Avg.	
		Door	to	Neurology	Eval.	 8	min.	 20	min.	
		Door	to	CT	First	Slice	 18	min.	 25	min.	
		Door	to	IV	t-PA	Started	 43	min.	 <	60	min.	
		t-PA	Administra/on	Rate	 19%	 5%	
*Based	on	20,000	stroke	pa/ents	over	110	hospitals	using	InTouch	TeleHealth	Network	
Health	Systems	experience	19%	tPA	admin.	rate	
TeleStroke	Outcomes
11	
EXPANDING	ACCESS	EXPANDING	ACCESS	
TO	CARE	ANYWHERE
2015 InTouch Telehealth Innovation Forum
Enhanced	Visualiza/on	
Through	Thermal	Imaging
Visual	Search	for	
TeleDerm	or	Wound
Telemedicine Comes of Age (Yulun Wang)

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