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Resource Savings, Family and Societal Benefits of A Statewide Pediatric Telemedicine Program

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Resource Savings, Family and Societal Benefits of A Statewide Pediatric Telemedicine Program

  1. 1. Resource Savings, Family and Societal Benefits of A Statewide Pediatric Telemedicine Program D.D.Fritch-Levens, MSN, MHA, RN Children’s Healthcare of Atlanta
  2. 2. Locations Children’s Healthcare of Atlanta • Childrens serves our community with three hospitals and 17 neighborhood locations, including four Immediate Care Centers and a Primary Care Center. … at Egleston … at Scottish Rite … at Hughes Spalding2
  3. 3. Current Program Offerings Subspecialist at Scottish Rite TeleEmergency at EG and SR Subspecialist at Egleston TELEMEDICINE PROGRAM3
  4. 4. Our Patients…Our Community • We have served 1,372 patients since inception • 2009: 88 • 2010: 461 • 2011: 823 • Patients served live in 74 of the Georgia’s 159 counties • All outside of the MSA • Representing 47% of Georgia’s counties. • 78% of our patients are covered by Medicaid /CMO’s4 * 2011 Volume = January-December
  5. 5. Program Offerings • Allergy and Immunology (1) Coming soon… • Cardiology (1) • Child Abuse (3) • General Surgery (2) • Cystic Fibrosis (1) • Emergency (64) • Fetal ECHO (9) • Gastroenterology (1) • Nephrology (2) CHOA Physician Credentialing • Neurology (3) 100 88 91 • Orthopedics (1) 80 • Pulmonologist (1) 60 64 64 ED 40 • Rheumatology (1) 20 27 29 Specialist • Neurosurgery (1) 0 2009 Current Future • Endocrinology (1) • Urology (1)5
  6. 6. Growth Since Inception6
  7. 7. Benefits • Builds stronger statewide relationships • Convenience • Miles • Hours • Work • School • Research – Abstract submitted and approved by Pediatric Academic Society “Resource Savings, Family and Societal Benefits of a7 Statewide Pediatric Telemedicine Program”.
  8. 8. Objective  To evaluate the overall resource savings that a Statewide Telemedicine (TM) Program for Children can bring to patients, families and society8
  9. 9. Barriers to Pediatric Sub-Specialty Care • Limited number of pediatric subspecialists • Regionalization of subspecialists/Distance to care • Access to and limited public transportation • Direct and Indirect costs for seeking care • Direct costs: • Travel time • Gas and car wear and tear • Medical transports for chronically ill (Medicaid vans and others) • Indirect Costs/Opportunity Costs • Time from work • Time from school • Impact on remaining family (caring for other children, facilitating transport etc)9
  10. 10. Gas Prices http://www.GasBuddy.com/gb_retail_price_chart.aspx?city1=USA Average&city2=&city3=&crude=nutmeg=36&units=us10
  11. 11. 2011 Data Year to Date…Per visit: Mean Median Range Miles Saved 310 344 72-524 Cost of miles saved $170 $189 $40-$288 Hours Saved Traveling 5.6 6.0 2-9 School days 86% 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 a *One adult present full day of work to travel to Atlanta Overall cost of miles saved: $118,134 (0.55/mile) 476 less days of work missed - Impact on Workforce 476 less cars in Atlanta - Clean Air11
  12. 12. Summary of Findings • Telemedicine represents significant direct cost savings in decreased travel time and expenses for patients & families. • Indirect cost savings include time saved in travel that can be reallocated to school, work or other societal benefits. • The high use by patients with Medicaid reinforces that telemedicine can improve access to care for this often underserved population. • Additional benefits can also be seen as Medicaid patients and those needing assistance in travel (from family or others) can have these resources also reallocated.12
  13. 13. Data Collection  Use of data: • Measure by region • Marketing • Benefits to families by Counties  How is the data collected on an ongoing basis?13
  14. 14. Mileage Table14
  15. 15. Daily Reconciliation/Utilization15
  16. 16. Excel Formulas Miles Saved Time Saved Cost of Miles Saved16
  17. 17. Questions?17
  18. 18. Recognition Resource Savings, Family and Societal Benefits of a Statewide Pediatric Telemedicine Program:  Harold K. Simon, MD, MBA 1,2,3  Daniel A. Hirsh, MD 1,2,3  D.D. Fritch-Levens, RN, MSN, MHA 2  Cyndie Roberson RN 2  Mary Joyce Bacon 2  Linda Cole, RN, MBA 2  Stephanie Fessler, MD 1  Larry A. Greenbaum, MD, PhD 1,2  Michael McConnell, MD 1,2,4  1Department of Pediatrics, Emory University School of Medicine  2Children’s Healthcare of Atlanta  3Department of Emergency Medicine, Emory University  4Sibley Heart Center18

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