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Illustrations of Telehealth Innovations

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Illustrations of Telehealth Innovations

  1. 1. Illustrations of Telehealth Innovations September 16, 2020
  2. 2. CME Credit • Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State Medical Society to sponsor continuing medical education for physicians. The Bridgeport Hospital Yale New Haven Health designates this live activity for a maximum of one (1) AMA PRA Category 1 CreditsTM. Physicians should claim only credits commensurate with the extent of their participation in the various activities. • This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Bridgeport Hospital Yale New Haven Health and the Weitzman Institute. Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State Medical Society to provide continuing medical education for physicians. • The content of this activity is not related to products or services of an ACCME- defined commercial interest; therefore, no one in control of content has a relevant financial relationship to disclose and there is no potential for conflicts of interest.
  3. 3. Illustrations of Telehealth Innovations https://intouchhealth.com/
  4. 4. COVID-19 in the United States 6,604,355 cases on 9/16/20 up 6,326,791 cases on 9/8/20 195,765 deaths https://coronavirus.jhu.edu/map.html
  5. 5. COVID-19 News Updates • WHO -highest single-day record in global infections on 9/13 with 307,930 new cases • India leads ~100,000 cases a day – Argentina, Indonesia increasing • United Nations -up to 265 million people could face starvation by the end of the year (April 2020)
  6. 6. COVID-19 News Updates • AstraZeneca resumes vaccine trial • Pfizer CEO – data expected end of October – Possible vaccine distribution before end of 2020 – Expanding to more vulnerable populations
  7. 7. Speak softly to reduce viral spread • A 6-decibel reduction in average vocalization intensity –lowers transmission risk – equal to doubling the ventilation rate in a room • A loudness increase of about 35 decibels, the difference between whispering and shouting, boosts particle emission rate by 50 times • “Quiet zones” -high-risk indoor environments – Clinic waiting rooms, dining facilities https://bit.ly/3hiXws2
  8. 8. Resources • Nuvance health 1150+ articles reviewed: https://spark.adobe.com/page/usNN4WCpWhNOy/ • CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html https://emergency.cdc.gov/coca/calls/2020/ • WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 • Johns Hopkins: https://coronavirus.jhu.edu/map.html • Others https://www.thelancet.com/coronavirus https://covidactnow.org/
  9. 9. Illustrations of Telehealth Innovations: Esperanza Health Centers Jeffrey McInnes Director of Billing and Patient Access Esperanza Health Centers
  10. 10. Esperanza Health Centers Building Sustainability • Within 3 weeks of Illinois stay-at-home order, telehealth use grew from 0% to 74% of patient encounters • Initial implementation was led by two directors, allowing for rapid rollout and scale, but additional bandwidth was required to transition from disruption to long-term strategy • Conducted agency-wide interviews across care teams to: – Learn what was and wasn’t working – Leverage the talent of the care teams in developing sustainable systems • Developed task force to address common challenges – At-home BP Monitors – Patient connectivity issues solvable through local resources – Resolve scheduling, administrative challenges
  11. 11. Illustrations of Telehealth Innovations: Presbyterian Medical Services Doug Smith Executive Vice President, Presbyterian Medical Services
  12. 12. Presbyterian Medical Services Telehealth Access in Rural New Mexico • Operates 60 facilities Statewide – 900 miles furthest distance between locations – Rural and Frontier status – smaller footprints • Geography and infrastructure challenges • Addressing access – Hotspots / mobile devices – Deploying phone and video devices to patients – Working with the Navajo Nation on internet access • Initial Outcomes • Long-term Implications and Next Steps
  13. 13. Telehealth Rapid Response 0 5000 10000 15000 20000 25000 30000 35000 40000 February March April May June Presbyterian Medical Services Face to Face Telehealth
  14. 14. Illustrations of Telehealth Innovations: Community Health Center Inc. Kate Gager Patient Experience Supervisor, Community Health Center, Inc. Sydney Kennedy Assistant Director of Telehealth Administration, Community Health Center, Inc.
  15. 15. Visit Types
  16. 16. Tele-MAT Hybrid Visit Nurse Visit •Standard in- person nurse visit timeframe •Vital testing •Overview •UDS screening •Same billing Nurse bring in kiosk •Mobile-kiosk •Laptop with modified software & hardware to only launch Zoom Provider Visit • Provider located offsite • Billing similar with added telehealth modifier Room cleaning protocol – wipes for kiosk, standard cleaning protocols Patient In-Person
  17. 17. 20 * This initiative is supported by
  18. 18. Thank You! https://www.weitzmanlearning.org/the-path-forward/

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