Telehealth Secrets Conference 2018 by VSee Speaker: Carey Officer (Nemours) More info here: vsee.com/conference

1. Carey Officer, OVP, Nemours CareConnect,
Center for Health Delivery Innovation
Telehealth for Children

2. Wilmington, Delaware
Orlando, Florida
Nemours at a Glance
 Enduring legacy of Alfred I. duPont
 Patient care by the numbers:
Patients/1.3 million annual encounters
Trainees annually
Residents, fellows & students
Employed physicians
Researchers
Pediatric care locations in five states
Specialties and subspecialties
Employed hospitalists
Collaborating hospitals
410,000
3,800
1,600
724
228
80
42
40
19
Nemours.org

3. Nemours CareConnect
Making care more convenient and keeping care local
Meeting patients where they are
(expanding reach of specialty care)
Consumer home Non-Nemours PCP
Nemours’ PCP offices and
specialty care offices
Schools Cruise ships
Hospital partners’ ER,
ICU and inpatient
24/7 on-demand pediatric care
(direct to consumer)

4. • Nemours’ employed board certified pediatricians
• Offered in 6 states (FL,GA,DE,NJ,PA,MD)
• Real-time Insurance Eligibility with select payers
• Electronic prescriptions, if necessary
• Ability to invite multiple parties to the visit
• Records sent to Patient + PCP – Continuity of Care with
Medical Home
• Kids Health Discharge Instructions – Parent Education
• Available via desktop or mobile device (over 90% mobile)
Nemours CareConnect
24/7 On-demand Care

5. • fever
• cough
• congestion
• runny nose
• colds, flu, upper
respiratory infections
• mild allergic
reactions
• vomiting, diarrhea,
dehydration
• ear, nose and throat
pain or infection
• conjunctivitis (pink
eye)
• animal bites, burns,
cuts
• headaches
• abdominal pain,
change in stool
• infected wounds
• rashes, insect bites
Nemours CareConnect
24/7 On-demand Care
Example of Conditions We Treat

6. Nemours CareConnect
24/7 On-demand Urgent Care
• 94% of users gave a 5-star rating
• Wait times under 5 minutes
• 60% of patients said the on-demand visit saved
them trip to the Emergency Room or Urgent Care
• Satisfier during hurricanes and snow storms –
trusted community resource
Doctor's office
28%
Done nothing
10%
Emergency
room
26%
Retail health
clinic
2%
Urgent care
center
34%
If a patient didn't use this service they would
have gone to ...

7. Opportunity to Reduce Costly Care
Per our Research – Analysis of a Pediatric
Telemedicine Program:
“According to the Florida ER Utilization Report,
there were 528,380 low-acuity pediatric
emergency department visits with an average
charge of $909/patient.*
Therefore, the total pediatric ER cost was
approximately $480.3 million. If 27.9% of our
families used NCC instead of the ER, as the
survey suggested, then the Florida healthcare
system would have potentially saved $113.9
million.”
* Florida Center for Health Information and Policy Analysis. Emergency
Department Utilization Report 2015. Agency for Health Care Administration.
2015.

8. Telehealth Specialty Offerings
 Cardiology
 Endocrinology
 Gastroenterology
 Infectious Disease
 Interventional Radiology
 Nephrology
 Neurology
 Nutrition
 Orthopedics
 Otolaryngologist
 Psychiatry
 Psychology
 Pulmonology
 Rheumatology
 Surgery
 Urology

9. Creating Value for patients
• Saving families drive time and cost to travel
• Increases access to specialty care
• Opportunity to be seen sooner
• Improved patient experience
Nemours was asked to participate in a
Press Ganey Telehealth Pilot – our
likelihood to recommend the service was
at the 95% percentile. Feedback is
strong from our patients and families.

10. Nemours CareConnect – Sports Medicine Telemedicine Study*
A.Atanda, M.Pelton, P.Fabricant, A.Tucker, S.Shah, N.Slamon. Telemedicine utilization in a paediatric sports medicine practice: decreased cost and wait times
with increased satisfaction. Journal of ISAKOS. 2018, Feb 1. doi:10.1136/jisakos-2017-000176.
All values were significant at P<0.001.
Category In-Person Telemedicine
Total Visit Time (min) 68 17
Mean Wait Time (min) 32 2
Total Visit Time (%) 15 88
Labor Cost (dept) $114 $90
Miles Travelled 85 0
Travel Cost (patients) $50 $0
High Patient Satisfaction:
• 98% found the telemedicine visits convenient
• 99% would recommend telemedicine to other patients

11. • Active in 4 schools and 1 childcare center
• Payer reimbursed or grant funded
• Enrollment/Intake process
• Special Needs School: Morning Star Catholic
School (Orlando, FL)
School-based Telehealth

12. What’s Next…
• Enhance diagnosing capabilities at the
point of care via telemedicine -
TytoCare
• Remote Monitoring Pilot –
Hypertension
• Full integration of CareConnect into
the Nemours App
Source:
https://www.tytocare.com/tytohome/
http://www.ideallife.com/how-it-works/

13. Nemours App
Delivering what consumers want
Source: Consumer Perceptions of the Nemours App, December, 2017
Most important features
1 3
2 4
Access to my child’s
entire health record
Ability to schedule
in-office visit
Tools to track my
child’s condition
Access to
online doctor visit

14. Thank you!