2009: 2 service lines with 2 physiciansCurrently: x service lines with x physiciansFuture: x service lines x physicians
First tele-fetal echo, pictured is Dr. Cyrus Samai and Dr. Nanci Stauffer, pediatric cardiologists.
In order for Children’s to have a statewide brand that is recognized and trusted by all of Georgia, we must build stronger community relationships across the state. Telemedicine is a service that we can offer without time and travel barriers. We can provide quality care in their community and work to become the resource they turn to for all of their pediatric needs.Telemedicine provides better coordinated care. Each referring physician is provided a consult note within 5 business days of the child’s appointment. Our telemedicine specialist are providing outreach visits to form face-to-face relationships with primary care docs. In return this builds stronger relationships, better coordinated care and better care for the patient.Patients and families have an overall favorable response to telemedicine. The one thing we hear the most is how grateful they are for not having to get in Atlanta traffic!- Our patient feedback shows telemedicine patients overall rating of care is 4.88 out of 5.0.
Telemedicine Working Together for Better Care 2012 July 14, 2011 …To transform pediatric healthcare and be the leading voice for the health of Georgia’s children.11.5.12
Children’s Healthcare of Atlanta• Childrens serves our community with three hospitals and 17neighborhood locations, including four Immediate Care Centers and aPrimary Care Center. … at Egleston … at Scottish Rite … at Hughes Spalding Telemedicine: Working Together for Better Care 2
Program Development Subspecialist at Egleston • Currently: 13 specialties with 25 physicians Stephanie • Future: 17 specialties 30Blank Centerfor Safe and Telemedicine Marcus physicians Autism Healthy Children Program • Currently participating with 43 presenting sites Subspecialist throughout Georgia at Scottish Rite Telemedicine: Working Together for Better Care 3
Clinical Services OfferedCurrent Specialties and Number of Coming soon: Physicians: • Autism (1)• Allergy and Immunology (1) • Dermatology (1)• Autism (1) • Hepatology (1)• Cardiology (1) • Neurosurgery (1)• Child Protection (3) • Sleep Medicine (1)• Concussion (1) • Sports Medicine (1)• Cystic Fibrosis (1)• Endocrinology (1)• Fetal ECHO (9) Specialist Participating• Gastroenterology (1) 30 25• Nephrology (2) 30• Orthopedics (1) 20 2 10• Pulmonology (2) 0• Urology (1) 2009 Current Future Telemedicine: Working Together for Better Care 4
Presenting Sites• Healthcare Organizations• Private Practices/clinics• Community Health Sites – Schools – Public Health Departments – Child Advocacy Centers Telemedicine: Working Together for Better Care 5
Program DetailsProvided by the Children’s Provided by Specialist• State of the art technology • 2 hours of clinic availability per month• Coordination and continuity of care • Clinic support to partner with Telemedicine• A highly valued partnership with a state-wide staff to ensure coordination of care network of presenting sites and liaisons• Internal and external marketing and promotion• A partnership with the Children’s physician liaison team• Scheduling of new and follow-up patients• Management of the credentialing process• An advocate for Legislative, regulatory and compliance issues• Opportunities for participation at national and regional conferences Telemedicine: Working Together for Better Care 6
Telemedicine Consult Telemedicine: Working Together for Better Care 7
Our Patients…• We have served 2,182 patients since inception 2012 Year to Date January - October Number of Patients Seen Total 810 Marcus 436Specialist 295 CPC 79 0 200 400 600 800 1000 Total/Overall Number of Patients Seen 1000 • 2009: 88 800 823 810 600 • 461 2010: 461 400 200 • 88 2011: 823 0 2009 2010 2011 2012 (through • 2012: 810 Oct) Jan- Oct Telemedicine: Working Together for Better Care 8
Our Community… Year to Date…Per visit: Median Range Miles Saved 362 72-524 Cost of miles saved $199 $39-$288 Hours Saved Traveling 6.6 1.3-9.5 School days 84% of our patients would have missed *Children greater than 5 y/o school to travel to Atlanta Work Days Missed >80% of our parents would have missed *One adult present a full day of work to travel to Atlanta• Patients served live in 74 of the Georgia’s 159 counties • 47% of all counties •All outside of the MSA•78% of our patients are covered by Medicaid /CMO’s• Overall cost of miles saved: $139,655 (0.55/mile) Telemedicine: Working Together for Better Care 9
Benefits• Builds stronger statewide relationships / branding• Convenience • Miles • Hours • Work • School• Research – Abstract accepted by Pediatric AcademicSociety “Resource Savings, Family and Societal Benefits of a Statewide Pediatric Telemedicine Program”. Telemedicine: Working Together for Better Care 10
Program Growth and Opportunities• Community Health • School-based Telemedicine • Child Advocacy Centers (24) • Public Health (14) • Division of Family and Children Services (159)• Internet-based solutions• Remote Patient Monitoring / Care Coordination• Distance Learning – building relationships, referrals Telemedicine: Working Together for Better Care 11
Telemedicine: Working Together for Better Care 12