Telemedicine

1. © American Telemedicine Association
© American Telemedicine Association
Telemedicine Today
Jonathan D. Linkous, CEO
American Telemedicine
Association

2. © American Telemedicine Association
NAME GAMES
Telemedicine
Telehealth
E-Health Telecare
Remote Medicine
m-Health

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A COUPLE OF HELPFUL
DISTINCTIONS
HIT and Informatics
Telemedicine

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Focused on support
systems
• Electronic Records
• E-Prescribing
• Management
Information Systems
• Electronic Payments
HIT AND INFORMATICS

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Focused on patient
care
• Telehealth
• Mobile Health
(mHealth)
• Remote Monitoring
• Outsourced
Specialty Services
TELEMEDICINE

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© American Telemedicine Association
WORLDWIDE DRIVERS FOR
TELEMEDICINE
• Accelerating demands and costs
• Shortages of health professionals
• Global public health concerns

7. © American Telemedicine Association
Kathleen Casey-Kirschling
January 1, 1946, 12:00:01 am

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694,000
1,078,000
384,000
32,000,000

9. © American Telemedicine Association
© American Telemedicine Association
TSUNAMI OF CHRONIC ILLNESS
“Frequent Flyers”
•5-10 percent of admissions, 1 percent of
users
•22 percent of costs
•Primary chronic conditions:
cardiac/COPD/mental health/diabetes

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COST OF CHRONIC CONDITIONS
10

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© American Telemedicine Association
Country 2000 2050
World 10.0% 21.4%
China 6.9% 22.7%
Germany 23.2% 34.5%
United States 16.1% 25.5%
POPULATION > 60 YEARS

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© American Telemedicine Association

13. © American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE

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© American Telemedicine Association
HISTORY OF TELEMEDICINE
Boston Logan Airport to Massachusetts General
Hospital 1967

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© American Telemedicine Association
HISTORY OF TELEMEDICINE
STARPAHC – On the Papago Indian Reservation
1975

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TELEMEDICINE
CIRCA 2005

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HOSPITAL HUB-AND SPOKE
NETWORKS
200
networks
3,000+
sites

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© American Telemedicine Association
ARIZONA
TELEMEDICINE
PROGRAM
© American Telemedicine Association

19. © American Telemedicine Association
TELEMEDICINE SERVICES
Outsourced services –
teleradiology, neurology,
mental health
Service contracts -
prisons, oil rigs,
ships, international

20. © American Telemedicine Association
© American Telemedicine Association
TEXAS
PRISON
HEALTH
MEDICAL
NETWORK
© American Telemedicine Association

21. © American Telemedicine Association
© American Telemedicine Association
VETERANS
ADMINISTRATION
© American Telemedicine Association

22. © American Telemedicine Association
EMERGENCY SERVICES
AND DISASTER RESPONSE

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CONTINUING MEDICAL
EDUCATION

24. © American Telemedicine Association
TELEMEDICINE
CIRCA 2013

25. © American Telemedicine Association
BIG MED

26. © American Telemedicine Association
• Abdominal
Radiology
• Angiography and
Interventional
Radiology
• Body Imaging
• Breast Imaging
• Cardiovascular
Radiology
• Chest Radiology
• Diagnostic
Radiology
• Emergency
Radiology
• Gastrointestinal
Radiology
• Genitourinary
Radiology
• Head and Neck
Radiology
• Interventional
• Mammography
• MRI Radiology
• Musculoskeletal
• Neuroradiology
• Nuclear Medicine
• Nuclear
Radiology
• Pediatrics
• Radiation
Oncology
• Teleradiology
• Thoracic
• Ultrasound
• Vascular and
Interventional
Radiology

27. © American Telemedicine Association
OUTSOURCED AND SHARED
SPECIALTY SERVICES

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ONLINE SERVICES AND
CONSUMER HEALTH APPS

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ADVANCED TECHNOLOGIES
Robotics
Remote
Surgery
Live Monitoring via
Cell Phones

30. © American Telemedicine Association
© American Telemedicine Association
PATIENTS SERVED BY TELEMEDICINE 2012
North America data

31. © American Telemedicine Association
© American Telemedicine Association
PATIENTS SERVED (2012)
Civilian Network Consults
Federal Network Consults
Remote Monitoring
Implanted Devices
Cardiac Monitoring
Internet-Pharmacy Services
Internet Clinical Consults
Teleradiology
Outsourced Specialists

32. © American Telemedicine Association
1. Historic resistance to change
2. Lack of consistent adoption and
integration pathways
3. Changing service delivery
models and payment coverage
ADOPTION ISSUES

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© American Telemedicine Association
RESISTANCE TO CHANGE
Discovery to implementation in medicine = 15 years
TIME
Rate
of
Change
Society
Business
Technology
Healthcare

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WHAT ATA DOES

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© American Telemedicine Association
ROAD MAPS FOR ADOPTION
AND INTEGRATION

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© American Telemedicine Association
ATA PRACTICE GUIDELINES
Goal
Quality
Assurance for
Payers, Public,
Policy Leaders

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Technical
Clinical Business
ATA PRACTICE GUIDELINES

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© American Telemedicine Association
COLLABORATIONS

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© American Telemedicine Association
OTHER ATA ACTIVITIES
Member Networks
Meetings and
Education

40. © American Telemedicine Association
© American Telemedicine Association
Identifying and
Translating
Market Changes
Consulting with
Policy Leaders
OTHER ATA ACTIVITIES

41. © American Telemedicine Association
© American Telemedicine Association
• 600 Scientific Presentations
• 200,000 Square Feet of Exhibits
• 6,000 Attendees
The World's Largest Telemedicine, Telehealth &
mHealth Trade Show
ATA 2013 - 18th Annual International Meeting & Trade
Show
May 5-7, 2013 in Austin, TX
www.ATA2013.org

42. © American Telemedicine Association
© American Telemedicine Association
www.americantelemed.org
1100 Connecticut Avenue, Suite 540
Washington, DC 20036