1. UAB and Telemedicine
Don Lilly, MBA FACHE
UAB Health System
10/19/12

2. About UABHS
 Own, Manage or Affiliated with 10 hospitals in Alabama
 Over 900 physicians and 11,000 employees
 UAB Hospital one of top 4 largest AMC’s in the country
 Adult Level I Trauma Center
 Level IV NICU
 Comprehensive Centers for Cancer and Transplant
Page

3. Telemedicine
Telemedicine = actual delivery of medical care at a
distance using IT (Gartner)
 Telemedicine vs. Telehealth vs. Telecare
 Rapidly expanding component of future delivery
models
 Supreme Court upholding of ACA paves way for wider
adoptions, though roadblocks still remain.
 Doing nothing may not be an option
Page

4. Success vs. Failure
 Increases the Odds for Success:
 Filling gaps in coverage
 Urgent/Acute services
 Unique Services
 Decreases the Odds for Success
 “Tele-everything” mentality
 High costs/High complexity
 Failure to Launch
Page

5. Goals
 What problem(s) are we trying to solve?
 Gain referrals & admissions?
 Avoid admissions/readmissions?
 Expand education and research?
 Improve quality? Whose?
 Improve Access to UAB Expertise?
Page

6. UAB Approach
 Need to identify scope of telemedicine in order to focus
our efforts
 Org-Org relationships as base
 Focus mainly on acute patient care
 Expand to E-Consult and Monitoring
 Engage in professional organizations (ATA, etc.)
 Create some type of infrastructure
 Gain input from stakeholders
 Tracking and evaluating
Page

7. Support Systems
 What We Have:
 Support from Executive leadership
 Executive/administrative Champions
 Physician Champions
 Regional Relationships
 Service Strategies/Service Lines
 Sophisticated IT Support
 Some projects “launched”
Page

8. Sample Initiatives
 Ambassador
 Physician portal to UAB inpt. and ambulatory
record.
 Future goal is to add imaging component
 Tele-Stroke
 Strategic relationship with 3rd party vendor
 Future goal to duplicate this platform for other
services (Trauma, ED-ED, etc)
 Tele-ICU
 Remote physician coverage of outlying ICU’s
 Question of scale/size/scope
Page

9. Sample Initiatives
 Central Alabama Health Image Exchange (CAHIE)
 Image exchange program developed by UAB
 Live at 2 sites with goal to expand
 UAB Cancer Center Network
 Remote 2nd opinions
 Remote Tumor Boards
 UAB Portal Development
 “Front door” for physicians and patients
Page

10. UABHS
QUESTIONS?
Page 1