Recommended
More Related Content
Similar to Dr. fritch levens gp tpres updated
Similar to Dr. fritch levens gp tpres updated (20)
More from Samantha Haas
More from Samantha Haas (20)
Recently uploaded
Recently uploaded (20)
Dr. fritch levens gp tpres updated
- 1. TERT: Telemedicine Education and Readiness Tool Children’s Healthcare of Atlanta Telemedicine Department
- 2. Children’s Healthcare of Atlanta Children’s Healthcare of Atlanta Program Overview 2
- 3. Children’s Healthcare of Atlanta If you build it, they might come… 3
- 4. Children’s Healthcare of Atlanta Inspired physicians want to know 4
- 5. Children’s Healthcare of Atlanta New Approach • How can we share what we know? – Rules and Regulations – What others are doing – Return on investments – Potential pitfalls/lessons learned • How can we use time wisely but share broadly? • How do we evaluate and communicate whether or not telemedicine is the best option? • How do we have leaders consider options before bricks and mortar? 5
- 6. Children’s Healthcare of Atlanta TERT Telemedicine Evaluation and Readiness Tool • Excel format • Up to date • Relevant to our program • Information from around the nation • Information and tools, previously used in other formats 6
- 7. Children’s Healthcare of Atlanta Excel based education and Assessment tool 7
- 8. Children’s Healthcare of Atlanta What Does TERT Provide? Research 8
- 9. Children’s Healthcare of Atlanta Use Cases-What are others doing? 9
- 10. Children’s Healthcare of Atlanta Financial and Market Analysis 10 Models of Care Delivery - Non- Owned presenting site - Children’s presenting site - Non- owned satellite clinic
- 11. Children’s Healthcare of Atlanta Financial Analysis 11
- 12. Children’s Healthcare of Atlanta Financial Comparisons Baseline - "Bricks and Mortar" Hospital/Clinic Visit Financial Impacts Time (Minutes) Established Patient (25 min visit) Time (Minutes) New Patient (40 min visit) Scheduler (schedule visit) 4 $ 1.40 8 $ 2.80 Registrar (check-in and check-out) 8 $ 2.24 8 $ 2.24 MA (pre-loading and room cleaning) 6 $ 1.76 6 $ 1.76 RN (paperwork and discharge) 8 $ 3.91 8 $ 3.91 MD (patient visit) 25 $ 36.67 40 $ 58.67 Hospital Exam Room Lease (64 sq ft) 30 $ 5.84 60 $ 11.68 Support Allocation ($2095 per FTE) $ 0.86 $ 1.18 Malpractice Insurance ($7592 per FTE) $ 1.52 $ 2.43 Variable Cost per Unit of Service Collection Expense (3.3% of net patient revenue) $ 6.35 $ 8.13 TOTAL MD Visit $ 60.54 $ 92.79 MD Charge $ 275.00 $ 352.00 MD OutPt Reimbursement *linked to reimbursement % $ 192.50 $ 246.40 12 *Hypothetical revenue reflection
- 13. Children’s Healthcare of Atlanta Community Benefit 13 Ancillary Service Average Cost * Weight (% Cases) ** Calc Urinalysis/ Hematology $ 16.25 0.8 $ 13.00 Echocardiogram/ECG $ 110.00 0 $ - Blood Count $ 12.50 0 $ - Sleep Study $ 350.00 0 $ - *Hypothetical revenue reflection Per Visit Earnings $ 110.60 Total Collection Per Visit $ 131.12
- 14. Children’s Healthcare of Atlanta Heat Maps 14
- 15. Children’s Healthcare of Atlanta Practice Evaluation Readiness 15
- 16. Children’s Healthcare of Atlanta Purpose 16
- 17. Children’s Healthcare of Atlanta Readiness Score 17 • 40 questions • Score • Examples: • Based on the evidence in the tool and the structure of our practice, cost will be avoided by the implementation of telemedicine. • Telemedicine will benefit our practice by increasing our geographical market. Not Ready: Your department is not ready to implement a TeleHealth program. To improve readiness, address elements with a score of two or lower. Possibly Ready: Your department is possibly ready to implement a TeleHealth program. To increase the likelihood of success, address elements with a score of three or lower. Ready: Your department is ready to implement the TeleHealth program successfully.
- 18. Children’s Healthcare of Atlanta Proposed Outcome 18
- 19. Children’s Healthcare of Atlanta Questions 19
- 20. Children’s Healthcare of Atlanta Contact Information DD Fritch-Levens, M.S.N., M.H.A., R.N. Contact Center Director d.d.fritch-levens@choa.org 20
Editor's Notes
- 2009 Pilot 2011 Approved Dept 2009-2011 specialty clinic visits only 2012 Child Advocacy LDL and Peer Review 2013 and 2014 decrease in specialty visits, but an increase in LDL’s/touchpoints Overtime- regulations and definitions have changed, causing almost a constant eye on program development
- We initially thought… if we build a telemedicine suite and a network, then the physicians, patients, and referral network will come naturally. We did not grow at the rate we expected
- Providers would come to us, inquiring about participating in TM. We would meet with them one on one, explaining telemedicine. We still were not growing at the rate we expected.
- Research on: Patient Satisfaction Provider Satisfaction and Usability Symptom Outcome Accuracy of Assessment Quality of Care Cost Avoidance
- Use Cases of Telemedicine in Pediatrics
- Financial Analyses based upon four different models of delivering telemedicine
- Financial Analyses based upon four different models of delivering telemedicine
- Bricks and Mortar hospital or clinic Distant Site Prestenting site * Financial tools for every scenario
- Why should a private practice or hospital consider offering TM? What is in it for them? Community Benefit
- Heat map software to load patient population throughout the state Compare to current presenting site Determine where sites are needed
- How ready is the practice or program? What should the practice or program consider to ensure that they are making the best operational decision?
- The goal of the tool is to educate and help program leaders at Children’s make a data-driven decision about the implementation of telemedicine for their practice. The use of this tool is intended for program leaders, both operational and medical, and telemedicine program leaders; some guided and some self-directed sections. At the conclusion of the education and assessment tool, the leaders should be knowledgeable of the offerings and have a full understanding of how the offerings would fit into their existing model. The hope is that this tool will be used for developing our future program. We are currently in the process of completing validation of the tool with an existing potential practice.
- Read and evaluate- provide a readiness score to assist the practice in determining if TM is a viable option Not definitive- a guide, bringing potential risks to the attention Practice clinical leaders and operational leaders, almost forces ensure inclusion
- We are currently in the process of completing validation of the tool with an existing potential practice. Upon validation, we have reason to believe that practices will want to implement telemedicine, so the ultimate outcome is to onboard more specialties to provide more specialty care to rural and underserved Georgian children. The use of this tool is intended for program leaders, both operational and medical, and telemedicine program leaders; some guided and some self-directed sections. At the conclusion of the education and assessment tool, the leaders should be knowledgeable of the offerings and have a full understanding of how the offerings would fit into their existing model. The hope is that this tool will be used for developing our future program. We are currently in the process of completing validation of the tool with an existing potential practice.