1. Telemedicine is best for patient care as it allows patients to receive care from specialists without having to travel long distances.
2. It helps providers communicate with doctors to get consultations and second opinions, improving care.
3. Telemedicine saves organizations money by reducing travel costs for patients and providers.
Introduction to Improving Municipal Health SystemsElmer Soriano
This document summarizes a webinar given by Dr. Bien Eli Nillos on municipal health systems in Candoni, Negros Occidental, Philippines. Dr. Nillos discussed the health challenges faced in Candoni such as high maternal and infant mortality. He outlined community initiatives established to address these issues, including partnerships between various community groups and upgrading local health facilities. The outcomes showed improvements in key health indicators like decreased maternal mortality ratio. Dr. Nillos emphasized the importance of engaging the community and a systems approach involving "hardware, software, and peopleware".
The Canada Health Infoway Plan document outlines Canada Health Infoway's mission to foster and accelerate the development of electronic health records across Canada. It discusses the need for EHR in Canada due to rising healthcare costs and an aging population. Infoway aims to have 50% of Canadians with an electronic health record by 2010. The document summarizes Infoway's programs, investments, and progress in implementing EHRs, as well as the expected benefits to stakeholders such as improved care quality, access, and productivity for patients and healthcare providers.
Dr, joycelyn lawrence telehealth summit 2014Samantha Haas
This document summarizes the mission and activities of a school-based health program. The program aims to deliver health services to children and adolescents, ensure their health needs are met, advocate for school health, educate future healthcare providers, and improve student academic performance through better health. It provides an overview of the populations served at various schools, health indicators of the student body such as poverty levels and asthma rates, insurance coverage rates, current on-site health services including telehealth, and estimated cost savings from telehealth services.
The document provides design details for various hotel and architectural spaces, including the hotel lobby, hotel suites, a villa living room, and a tea bar/restaurant. Key details include an indoor greenhouse in the lobby dome with changing fiber optic lights, a glass box cantilever with adjustable glass for views or privacy in the hotel suites, and theme incorporations like galactic bathroom colors or a space shuttle floor design. Other sections describe an eclectic villa living room and tea bar counter designs.
Memorial Health University Medical Center developed a TeleStroke platform in collaboration with Georgia Partnership for TeleHealth to expand stroke care to rural hospitals. The TeleStroke platform uses a hub-and-spoke model with real-time audio/video conferencing to allow Memorial Health stroke specialists to evaluate patients at community hospitals and determine if tPA administration is appropriate within the treatment window. The TeleStroke program aims to increase tPA treatment for eligible stroke patients and improve patient outcomes in the region.
The document discusses how schools must change from "Success by Chance" to "Success by Design" to better serve students. It outlines how Ware County Schools in Georgia developed a model of achievement and accountability through instructional components and management/governance to improve graduation rates for all students. It also discusses how the district has expanded beyond traditional education through partnerships in healthcare via school-based health centers and telehealth, establishing the new normal of integrating education and healthcare reform.
Atif Aslam is a Pakistani singer and actor. He was born in 1983 in Wazirabad, Pakistan and studied at PAF College Lahore where he completed his bachelor's degree in computer science. He began his music career in 1998 by winning several singing competitions at his college. He later formed the band Jal and recorded their first hit song "Aadat". After leaving Jal, he began a successful solo career and has released several popular albums. He has also sung many hit songs for Bollywood films. In 2011, he made his acting debut in the film "Bol".
Introduction to Improving Municipal Health SystemsElmer Soriano
This document summarizes a webinar given by Dr. Bien Eli Nillos on municipal health systems in Candoni, Negros Occidental, Philippines. Dr. Nillos discussed the health challenges faced in Candoni such as high maternal and infant mortality. He outlined community initiatives established to address these issues, including partnerships between various community groups and upgrading local health facilities. The outcomes showed improvements in key health indicators like decreased maternal mortality ratio. Dr. Nillos emphasized the importance of engaging the community and a systems approach involving "hardware, software, and peopleware".
The Canada Health Infoway Plan document outlines Canada Health Infoway's mission to foster and accelerate the development of electronic health records across Canada. It discusses the need for EHR in Canada due to rising healthcare costs and an aging population. Infoway aims to have 50% of Canadians with an electronic health record by 2010. The document summarizes Infoway's programs, investments, and progress in implementing EHRs, as well as the expected benefits to stakeholders such as improved care quality, access, and productivity for patients and healthcare providers.
Dr, joycelyn lawrence telehealth summit 2014Samantha Haas
This document summarizes the mission and activities of a school-based health program. The program aims to deliver health services to children and adolescents, ensure their health needs are met, advocate for school health, educate future healthcare providers, and improve student academic performance through better health. It provides an overview of the populations served at various schools, health indicators of the student body such as poverty levels and asthma rates, insurance coverage rates, current on-site health services including telehealth, and estimated cost savings from telehealth services.
The document provides design details for various hotel and architectural spaces, including the hotel lobby, hotel suites, a villa living room, and a tea bar/restaurant. Key details include an indoor greenhouse in the lobby dome with changing fiber optic lights, a glass box cantilever with adjustable glass for views or privacy in the hotel suites, and theme incorporations like galactic bathroom colors or a space shuttle floor design. Other sections describe an eclectic villa living room and tea bar counter designs.
Memorial Health University Medical Center developed a TeleStroke platform in collaboration with Georgia Partnership for TeleHealth to expand stroke care to rural hospitals. The TeleStroke platform uses a hub-and-spoke model with real-time audio/video conferencing to allow Memorial Health stroke specialists to evaluate patients at community hospitals and determine if tPA administration is appropriate within the treatment window. The TeleStroke program aims to increase tPA treatment for eligible stroke patients and improve patient outcomes in the region.
The document discusses how schools must change from "Success by Chance" to "Success by Design" to better serve students. It outlines how Ware County Schools in Georgia developed a model of achievement and accountability through instructional components and management/governance to improve graduation rates for all students. It also discusses how the district has expanded beyond traditional education through partnerships in healthcare via school-based health centers and telehealth, establishing the new normal of integrating education and healthcare reform.
Atif Aslam is a Pakistani singer and actor. He was born in 1983 in Wazirabad, Pakistan and studied at PAF College Lahore where he completed his bachelor's degree in computer science. He began his music career in 1998 by winning several singing competitions at his college. He later formed the band Jal and recorded their first hit song "Aadat". After leaving Jal, he began a successful solo career and has released several popular albums. He has also sung many hit songs for Bollywood films. In 2011, he made his acting debut in the film "Bol".
Stewart Ferguson, PhD
Acting CIO, Alaska Native Tribal Health Consortium and Director, Alaska Federal Health Care Access Network (AFHCAN)
John Kokesh, MD
Medical Director, Department of Otolaryngology, Alaska Native Medical Center
(2/11/10, Workshop 3, 12.30)
Connecting Alaska: Telehealth on the TundraVideoguy
The document discusses how GCI is using telehealth and broadband connectivity to improve healthcare access in rural Alaska. It describes the challenges of serving small, isolated communities across Alaska's vast territory. A case study of the Yukon Kuskokwim Health Corporation highlights how telemedicine is helping to address mental health issues, expand specialty care, and reduce costs by avoiding long-distance medical travel. The technology enables real-time video consultations, transmission of medical images, and access to electronic health records across the region.
The document discusses rural health challenges in North East LHIN, a region covering 400,000 square kilometers in Northern Ontario. The region has a dispersed population of 560,000 people that is declining and aging. Compared to provincial averages, the region has higher rates of smokers, heavy drinkers, obesity, and chronic disease. There is also a shortage of health care professionals. The region is served by over 200 health service providers across several sub-regions.
The document summarizes the impact of the AFHCAN telehealth project in Alaska over 8 years. It discusses how telehealth has helped address Alaska's unique geographic challenges by enabling healthcare access for remote communities. Key points include:
- Telehealth has helped prevent unnecessary patient travel in about 80% of specialty consultations and 20% of primary care cases, saving an estimated $14 million in travel costs annually.
- Wait times for specialty consults have been reduced from over 4 months to within a few weeks on average.
- Telehealth has enabled improved care coordination and post-operative follow-up for remote patients.
- It has also helped address provider shortages in rural areas and reduce costs associated with provider recruitment
Stewart Ferguson, PhD
Acting CIO, Alaska Native Tribal Health Consortium and Director, Alaska Federal Health Care Access Network (AFHCAN)
John Kokesh, MD
Medical Director, Department of Otolaryngology, Alaska Native Medical Center
(4/11/10, Illott, 2.15)
The newsletter provides updates on environmental health activities in Will County. It discusses that mosquito traps are being set to monitor for West Nile virus. It also details an upcoming medical distribution drill and the release of an emergency response manual. Additionally, it proposes a groundwater use restriction ordinance due to sulfate contamination from historical industrial activities. Lastly, it promotes National CPR and AED Awareness Week and provides the monthly calendar.
Country reports presented at Tropical Community Healthcare and Research 2015, at Khon Kaen University, Thailand on 8th July 2015 by members of 13 countries.
This document discusses racial disparities in the treatment of cardiovascular disease. It provides an overview of health care disparities, noting they are differences in quality of care that are not due to access, clinical needs, or patient preferences. The document reviews literature finding racial minorities receive fewer cardiovascular procedures than whites. It also outlines federal programs and recommendations from the Institute of Medicine to address disparities through increased data collection, provider training, and health system changes. The role of perfusionists in efforts to eliminate disparities through education and data collection is discussed.
Slides from Dr. Maxine Liggins, area director in the Los Angeles County Department of Public Health, from her presentation to the 2011 California Health Journalism Fellowships.
The document proposes a demonstration project called ASCEND that would accelerate scalable community emergency networks. It would link regional healthcare facilities, private and public assets under a unified vision to create an integrated medical evacuation solution for regional emergencies. The project would implement software and operations to coordinate facilities, ambulances, hospitals and other resources across multiple jurisdictions to improve emergency response capabilities and allow the region to access additional national assistance if needed to handle large-scale incidents.
The Community Health Aide Program (CHAP) in Alaska addresses healthcare staffing shortages in remote, rural villages by training and certifying local community members as Community Health Aides and Practitioners to provide primary healthcare services under physician supervision and according to standards in the Alaska Community Health Aide/Practitioner Manual. CHAP has been successful in sustainably delivering culturally acceptable healthcare to over 250,000 patients annually in 180 village clinics across Alaska through focused training and support of community health professionals.
Appraisal to D C Bolangir sent for DAPCU SPEAKDAPCUSPEAK
1) The document discusses NACP-III activities at the district level in India. Under NACP-III, implementation is further decentralized to district and sub-district levels.
2) Each district is categorized based on epidemiological criteria, and a differential package of services is planned. District AIDS Prevention and Control Units (DAPCUs) are formed in A and B category districts to implement prevention strategies.
3) The role of DAPCUs is to implement NACP strategies, converge with NRHM activities, and facilitate intersectoral convergence across different departments. Key activities include prevention programs for high-risk groups, bridge populations, vulnerable groups, and the general population.
Telehealth is used in Alaska to provide specialty care like hepatitis C and HIV treatment to rural areas. The Alaska Native Tribal Health Consortium runs a program called LiverConnect that uses telehealth for hepatitis C and HIV consultation. LiverConnect holds weekly videoconferences where rural providers present patient cases to ANTHC specialists. The specialists provide treatment recommendations and education. Telehealth reduces costs and travel times for specialty care. It has increased access to care and reduced wait times for appointments. LiverConnect case studies show how telehealth is used to diagnose and manage conditions like autoimmune hepatitis.
Reducing Cancer Challenge Webinar Deck (12/6/12)health2dev
This document summarizes a webinar discussing efforts to reduce cancer among women of color. It provides background on breast and gynecological cancers rates and disparities among racial and ethnic groups. The webinar focused on a challenge to develop a mobile application to provide underserved and minority women with information on cancer prevention, screening, and treatment options in multiple languages. The application would allow interface with patient health records to provide reminders and support regarding preventive services timing.
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Kelli Buckreus
This document discusses screening for diabetes in Indigenous communities in Alberta, Canada. It provides background information on the high prevalence of diabetes and risk factors in Indigenous populations. It also reviews different community-based screening programs that have been implemented in Indigenous communities in Canada and their findings. The document discusses debates around population-based screening and considerations for conducting research and screening in Indigenous communities. It profiles some initiatives in Alberta to conduct mobile diabetes screening and monitoring of complications in Indigenous communities.
North Coast Breast Health Community Assessment: Needs, Assets and Opportunities Dolly England
This document provides a needs assessment of breast health resources in Oregon's North Coast counties, with a focus on Columbia County. It finds that Columbia County has limited breast cancer resources, including a single mammography site, no dedicated coordinator for a program assisting low-income women, and limited educational materials. However, the county also has access to Oregon's only mobile mammography van. The assessment provides data on demographics, poverty levels, driving times to mammography sites, and identifies organizations in the breast health network for each county. It aims to use these findings to improve outreach and reduce cancer disparities in these rural communities.
This document summarizes plans to expand healthcare services in Antelope Valley through the creation of the Antelope Valley Community Clinic (AVCC). The region has a population of 440,000 but lacks adequate primary care access. AVCC will open a 15,000 square foot clinic and later a 25,000 square foot community health and wellness center. The clinic aims to provide primary care, dental, and preventative services to the uninsured. Funding needs include $1.2 million for the clinic and $973,000 for the wellness center. Committed funds come from local hospitals and health groups. Future plans include expanding services to other underserved communities in the region.
This document summarizes plans to expand healthcare services in Antelope Valley through the creation of the Antelope Valley Community Clinic (AVCC). The region has a population of 440,000 but lacks adequate primary care access. AVCC will open a 15,000 square foot primary care clinic and later a 25,000 square foot community health and wellness center. The clinic aims to provide medical, dental and preventive services to the uninsured. Funding needs include $1.2 million for the clinic and $973,000 for the wellness center. Support has been committed from local hospitals and health groups, and additional funding is being sought through grants.
Abraham Baldwin Agricultural College is located in Tifton, Georgia. Tammy Carter and Troy Spicer are registered nurses who work at the college. Both Carter and Spicer have master's degrees in nursing and Spicer is also a family nurse practitioner.
This document summarizes Georgia's telehealth initiative. It discusses plans to expand access to care through telehealth while not replacing the medical home. Telehealth is currently used across Georgia to deliver services like WIC and increase access to specialty care. The document outlines various telehealth projects across different departments, including high risk OB care, children's services, infectious disease care, and dentistry. It discusses partners, funding sources, goals of increasing access and capacity, and next steps like securing more funding and expanding available services.
Stewart Ferguson, PhD
Acting CIO, Alaska Native Tribal Health Consortium and Director, Alaska Federal Health Care Access Network (AFHCAN)
John Kokesh, MD
Medical Director, Department of Otolaryngology, Alaska Native Medical Center
(2/11/10, Workshop 3, 12.30)
Connecting Alaska: Telehealth on the TundraVideoguy
The document discusses how GCI is using telehealth and broadband connectivity to improve healthcare access in rural Alaska. It describes the challenges of serving small, isolated communities across Alaska's vast territory. A case study of the Yukon Kuskokwim Health Corporation highlights how telemedicine is helping to address mental health issues, expand specialty care, and reduce costs by avoiding long-distance medical travel. The technology enables real-time video consultations, transmission of medical images, and access to electronic health records across the region.
The document discusses rural health challenges in North East LHIN, a region covering 400,000 square kilometers in Northern Ontario. The region has a dispersed population of 560,000 people that is declining and aging. Compared to provincial averages, the region has higher rates of smokers, heavy drinkers, obesity, and chronic disease. There is also a shortage of health care professionals. The region is served by over 200 health service providers across several sub-regions.
The document summarizes the impact of the AFHCAN telehealth project in Alaska over 8 years. It discusses how telehealth has helped address Alaska's unique geographic challenges by enabling healthcare access for remote communities. Key points include:
- Telehealth has helped prevent unnecessary patient travel in about 80% of specialty consultations and 20% of primary care cases, saving an estimated $14 million in travel costs annually.
- Wait times for specialty consults have been reduced from over 4 months to within a few weeks on average.
- Telehealth has enabled improved care coordination and post-operative follow-up for remote patients.
- It has also helped address provider shortages in rural areas and reduce costs associated with provider recruitment
Stewart Ferguson, PhD
Acting CIO, Alaska Native Tribal Health Consortium and Director, Alaska Federal Health Care Access Network (AFHCAN)
John Kokesh, MD
Medical Director, Department of Otolaryngology, Alaska Native Medical Center
(4/11/10, Illott, 2.15)
The newsletter provides updates on environmental health activities in Will County. It discusses that mosquito traps are being set to monitor for West Nile virus. It also details an upcoming medical distribution drill and the release of an emergency response manual. Additionally, it proposes a groundwater use restriction ordinance due to sulfate contamination from historical industrial activities. Lastly, it promotes National CPR and AED Awareness Week and provides the monthly calendar.
Country reports presented at Tropical Community Healthcare and Research 2015, at Khon Kaen University, Thailand on 8th July 2015 by members of 13 countries.
This document discusses racial disparities in the treatment of cardiovascular disease. It provides an overview of health care disparities, noting they are differences in quality of care that are not due to access, clinical needs, or patient preferences. The document reviews literature finding racial minorities receive fewer cardiovascular procedures than whites. It also outlines federal programs and recommendations from the Institute of Medicine to address disparities through increased data collection, provider training, and health system changes. The role of perfusionists in efforts to eliminate disparities through education and data collection is discussed.
Slides from Dr. Maxine Liggins, area director in the Los Angeles County Department of Public Health, from her presentation to the 2011 California Health Journalism Fellowships.
The document proposes a demonstration project called ASCEND that would accelerate scalable community emergency networks. It would link regional healthcare facilities, private and public assets under a unified vision to create an integrated medical evacuation solution for regional emergencies. The project would implement software and operations to coordinate facilities, ambulances, hospitals and other resources across multiple jurisdictions to improve emergency response capabilities and allow the region to access additional national assistance if needed to handle large-scale incidents.
The Community Health Aide Program (CHAP) in Alaska addresses healthcare staffing shortages in remote, rural villages by training and certifying local community members as Community Health Aides and Practitioners to provide primary healthcare services under physician supervision and according to standards in the Alaska Community Health Aide/Practitioner Manual. CHAP has been successful in sustainably delivering culturally acceptable healthcare to over 250,000 patients annually in 180 village clinics across Alaska through focused training and support of community health professionals.
Appraisal to D C Bolangir sent for DAPCU SPEAKDAPCUSPEAK
1) The document discusses NACP-III activities at the district level in India. Under NACP-III, implementation is further decentralized to district and sub-district levels.
2) Each district is categorized based on epidemiological criteria, and a differential package of services is planned. District AIDS Prevention and Control Units (DAPCUs) are formed in A and B category districts to implement prevention strategies.
3) The role of DAPCUs is to implement NACP strategies, converge with NRHM activities, and facilitate intersectoral convergence across different departments. Key activities include prevention programs for high-risk groups, bridge populations, vulnerable groups, and the general population.
Telehealth is used in Alaska to provide specialty care like hepatitis C and HIV treatment to rural areas. The Alaska Native Tribal Health Consortium runs a program called LiverConnect that uses telehealth for hepatitis C and HIV consultation. LiverConnect holds weekly videoconferences where rural providers present patient cases to ANTHC specialists. The specialists provide treatment recommendations and education. Telehealth reduces costs and travel times for specialty care. It has increased access to care and reduced wait times for appointments. LiverConnect case studies show how telehealth is used to diagnose and manage conditions like autoimmune hepatitis.
Reducing Cancer Challenge Webinar Deck (12/6/12)health2dev
This document summarizes a webinar discussing efforts to reduce cancer among women of color. It provides background on breast and gynecological cancers rates and disparities among racial and ethnic groups. The webinar focused on a challenge to develop a mobile application to provide underserved and minority women with information on cancer prevention, screening, and treatment options in multiple languages. The application would allow interface with patient health records to provide reminders and support regarding preventive services timing.
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Kelli Buckreus
This document discusses screening for diabetes in Indigenous communities in Alberta, Canada. It provides background information on the high prevalence of diabetes and risk factors in Indigenous populations. It also reviews different community-based screening programs that have been implemented in Indigenous communities in Canada and their findings. The document discusses debates around population-based screening and considerations for conducting research and screening in Indigenous communities. It profiles some initiatives in Alberta to conduct mobile diabetes screening and monitoring of complications in Indigenous communities.
North Coast Breast Health Community Assessment: Needs, Assets and Opportunities Dolly England
This document provides a needs assessment of breast health resources in Oregon's North Coast counties, with a focus on Columbia County. It finds that Columbia County has limited breast cancer resources, including a single mammography site, no dedicated coordinator for a program assisting low-income women, and limited educational materials. However, the county also has access to Oregon's only mobile mammography van. The assessment provides data on demographics, poverty levels, driving times to mammography sites, and identifies organizations in the breast health network for each county. It aims to use these findings to improve outreach and reduce cancer disparities in these rural communities.
This document summarizes plans to expand healthcare services in Antelope Valley through the creation of the Antelope Valley Community Clinic (AVCC). The region has a population of 440,000 but lacks adequate primary care access. AVCC will open a 15,000 square foot clinic and later a 25,000 square foot community health and wellness center. The clinic aims to provide primary care, dental, and preventative services to the uninsured. Funding needs include $1.2 million for the clinic and $973,000 for the wellness center. Committed funds come from local hospitals and health groups. Future plans include expanding services to other underserved communities in the region.
This document summarizes plans to expand healthcare services in Antelope Valley through the creation of the Antelope Valley Community Clinic (AVCC). The region has a population of 440,000 but lacks adequate primary care access. AVCC will open a 15,000 square foot primary care clinic and later a 25,000 square foot community health and wellness center. The clinic aims to provide medical, dental and preventive services to the uninsured. Funding needs include $1.2 million for the clinic and $973,000 for the wellness center. Support has been committed from local hospitals and health groups, and additional funding is being sought through grants.
Abraham Baldwin Agricultural College is located in Tifton, Georgia. Tammy Carter and Troy Spicer are registered nurses who work at the college. Both Carter and Spicer have master's degrees in nursing and Spicer is also a family nurse practitioner.
This document summarizes Georgia's telehealth initiative. It discusses plans to expand access to care through telehealth while not replacing the medical home. Telehealth is currently used across Georgia to deliver services like WIC and increase access to specialty care. The document outlines various telehealth projects across different departments, including high risk OB care, children's services, infectious disease care, and dentistry. It discusses partners, funding sources, goals of increasing access and capacity, and next steps like securing more funding and expanding available services.
The Hancock Healthcare Access Initiative aims to improve access to emergency and primary care in Hancock County through a partnership model. Hancock County ranks poorly in health factors, social economic factors, and physical environment. Approximately 68% of emergency room visits were for non-emergent issues and there is limited primary care access. The initiative would use emergency medical technicians trained in telemedicine to conduct in-home exams and diagnostics to treat non-emergency issues. This would decrease emergency room overuse and transportation costs while strengthening primary care. The goals are to enhance emergency care, decrease non-emergency transportation and emergency room use, provide 24/7 minor illness access, and ultimately decrease hospital readmissions by improving care transitions and prevention.
Telemedicine provides benefits to both physicians and patients. It allows physicians to expand their reach to serve more rural or underserved areas while improving patients' access to care and quality of life. However, telemedicine must be practiced according to the rules of state medical boards to ensure quality, safety, and compliance. The document outlines Georgia's rules for physicians, which require the establishment of a patient relationship, maintenance of proper records, credentialing of physician extenders, emergency contact information, and annual in-person examinations to practice telemedicine according to the highest standard of care.
The document discusses predictions for the future growth of telehealth. Sensors will continuously monitor vital signs and activities. Annual growth in telehealth is predicted to be 18.5% worldwide through 2018 and 56% annually in the US, reaching $1.9 billion by 2018. Consumer demand and government support will drive telehealth to become mainstream healthcare. Telehealth also enables greater international collaboration in business and healthcare missions.
The 2015 GPT Spring Conference focused on telehealth and the Southeastern TeleHealth Resource Center (SETRC) which provides technical assistance to advance telehealth in several southeastern states. SETRC's education arm, the National School of Applied TeleHealth (NSAT), offers online telehealth certification courses and has collaborated with various organizations across the U.S. and internationally to provide telehealth training. NSAT graduates come from 42 U.S. states and 16 foreign countries.
This document discusses how telehealth can help control healthcare costs, improve outcomes, avoid readmissions, and modify patient behavior. It provides examples of how telehealth is being used at UMMC and Mississippi to expand access to specialty care, support chronic disease management, improve care coordination, and enhance population health through tools like remote patient monitoring and data analytics. The goal is to improve quality, efficiency and safety through telehealth while empowering patients and preventing unnecessary hospitalizations and ER visits.
Mario gutierrez georgia trc 2015 mario finalSamantha Haas
The 6th Annual Georgia Partnership for TeleHealth Spring Conference will take place from March 25-27 in Savannah, Georgia. Telehealth uses digital technologies to enhance healthcare delivery and support. It can help redistribute healthcare expertise to where it is needed and create greater value. Common telehealth modalities include live video, store-and-forward, remote patient monitoring, and mobile health. Both federal and state policies will need to evolve to support greater use of telehealth as the healthcare system shifts from volume-based to value-based care.
We have a global presence to serve customers worldwide. With offices in North America, Europe, and Asia, we support over a million users across 150 countries. Our international teams help ensure customers have a consistent experience regardless of location.
The document discusses Berrien School-Based TeleCare Clinics. It appears to be written by Kayla Money, who is identified as the RN and nurse at Berrien Middle School. The document likely provides information about telehealth clinics operating within the Berrien school system.
This document summarizes the business case for remote patient monitoring. It outlines how remote monitoring has progressed from initial technologies to integrated virtual care solutions. It shows how new care delivery models incentivize providers to adopt remote monitoring to reduce costs and improve outcomes. Studies show remote monitoring can significantly reduce hospitalizations, ER visits, and costs for patients with chronic conditions. The document concludes by describing opportunities for hospitals, physicians, and post-acute providers to leverage remote monitoring.
This document discusses building a successful telehealth program. It begins by outlining the key components needed: a clinical business model that identifies needs and services, appropriate technology, and consideration of legal and reimbursement factors. The author describes three domains of telehealth - hospital/specialty care, integrated primary care, and transitions/monitoring. Different value propositions apply to each. Business models discussed include fee-for-service payments, travel reduction, remote hiring/retention, and remote monitoring. The document stresses adopting approaches aligned with the "Triple Aim" of improving patient experience, population health and reducing costs. It emphasizes having a team of champions, partners, and support from Telehealth Resource Centers.
This document provides information about Memorial University Medical Center (MUMC) and its telestroke program. MUMC is a 654-bed tertiary care hospital and regional referral center located in Georgia and South Carolina. It serves as the region's only level 1 trauma center and children's hospital. MUMC has been recognized as a primary stroke center and for its treatment of stroke patients according to national guidelines. The document outlines statistics on MUMC's stroke patients and telestroke program which allows neurologists to evaluate and treat acute stroke patients at regional spoke sites via telemedicine. The telestroke program has increased the number of patients receiving tPA and improved outcomes since its launch in 2011.
The document discusses the challenges facing healthcare systems due to an aging population and rising costs. It argues that new models of care delivery enabled by connected technologies can help address these issues. Specifically, it envisions a future where remote patient monitoring, clinical decision support, and analytics help manage chronic conditions and shift care settings to be more efficient and preventative. Realizing this vision will require overcoming historical barriers through incremental innovation and the development of an interoperable technology-enabled care ecosystem.
With A Successful Telehealth Program Comes An Unbeatable ROI
This document discusses the telehealth program and connections of Tift Regional Medical Center (TRMC) in Tifton, Georgia. It provides a list of the current telehealth connections TRMC has established, including with primary care physicians, neurology, nephrology, wound care, infectious disease, sleep lab follow-ups and more. It also lists potential future opportunities for telehealth connections including with dialysis, neurology, diabetic education, and continuing education. In summary, the document outlines the existing telehealth program partnerships and services of TRMC and possibilities to expand the program in the future.
The document lists different levels of exhibitors at an event, including Platinum Plus exhibitors at the top, followed by multiple Gold exhibitors, and then several Silver exhibitors listed afterwards in descending order.
Ellen bolch & max stachura advanced telehomecareSamantha Haas
RightHealth provides remote patient monitoring and chronic disease management using technologies like remote monitoring devices, video visits, electronic health records, and clinical decision support. Their population health model focuses on chronic disease management through risk stratification, physician-led care teams, and care coordination across settings. Studies show their program reduces hospital readmissions and Medicare charges. They propose a bundled payment program to further monitor and prevent rehospitalizations for certain conditions over 90 days post-discharge. Background literature supports telehealth tools for caregiver support, independent living for elders, and positive quality perceptions of telehomecare. Video conferencing can allow inspection for signs like edema or depression and detect changes from a baseline. Some patients feel video is better for openness while
This document summarizes Joseph Zanga's efforts to simplify the credentialing process for telemedicine physicians to provide specialty services at Midtown Medical Center in Columbus, Georgia. It outlines the challenges of the previous lengthy 47-page credentialing packet and 24 required documents. It then describes the process developed to allow credentialing by proxy based on the distant site's credentialing, in accordance with Joint Commission requirements. This new streamlined process involving verification of key documents has enabled Midtown to credential 15 telemedicine physician consultants to expand specialty services.
Dr. winston price decatur co telehealth march 26Samantha Haas
The document discusses the implementation of a telehealth program in Decatur County schools. The program establishes telehealth clinics in school nurses' offices to provide virtual visits with physicians for minor health needs of students. This allows students to be treated without missing school. The program launched at two schools in 2015 and has since expanded access to healthcare in rural areas while reducing barriers to care. Metrics show it has saved time in treating conditions like ear infections and behavioral health issues. Partnerships within the community will help ensure the long-term sustainability of telehealth in Decatur County.
1. The AFHCAN Telehealth Program
Stewart Ferguson, PhD
Chief Information Officer (CIO)
Alaska Native Tribal Health Consortium
Context
The Role of Telemedicine
Impact of Telemedicine
Financial Model for Telemedicine
The Future
Alaska Native Tribal Health Consortium 1
2. ALASKA
• 1st in land mass
– 1,420 miles (N-S)
– 2,400 miles (E-W)
• 33,900 miles of shoreline
– More than all of the contiguous National Travel and
states combined. Safety Board (NTSB)
reported 436
• 47th in road miles commuter aircraft
– 75% Alaskan communities unconnected by accidents in Alaska
a road to a hospital. from1990-2004 (2.8
– 25 of these have no airport. accidents a month) -
accounting for 36%
of all commuter
• Population density is 1.1 persons/mile2 aircraft accidents in
– 70 times smaller than the national average. the US.
Alaska Native Tribal Health Consortium 2
3. ALASKA’s PHYSICIANS
• 49% of all physicians in Alaska are primary care physicians
(2002 data). U.S. average is 28%
• Alaska is 48th in “doctors to residents” ratio
– 65% are located in Anchorage
– Shortages in many specialties
– 579 Community Health Aides in 200 villages provide nearly ½ million
encounters each year.
AI/AN U.S. Gap
DISPARITIES: MD 73.9 220.6 66% Lower
Health Staff per
DD 24.0 61.8 61% Lower
100,000 people
Nurse 229.0 849.9 73% Lower
Alaska Native Tribal Health Consortium 3
4. Rural residents travel an average of 147 miles one way
for access to next level of care.
Point Hope
Kotzebue
Chicago Ann Arbor
Anchorage
Washington DC
Alaska Native Tribal Health Consortium
4
8. Historically, Alaska Native and Canadian First Nations
populations have been burdened with a high
prevalence of otitis media and associated morbidity.
The incidence of ambulatory care visits related to otitis
media for American Indian and Alaska Native children
is twice that for all U.S. infants.
The placement rate for tympanostomy tubes in these
children less than age five was 20 times higher in
Alaska compared to the continental U.S.
Alaska Native Tribal Health Consortium 8
9. Alaska Tribal Health System
• The Indian Health Service funds only about
65% of the level of need.
• The tribal organizations must fund-raise to
obtain sufficient funds to provide quality care.
– Uncompensated care impacts the ability of these
health care systems to provide care to their
beneficiaries as well as others.
Alaska Native Tribal Health Consortium
9
10. Designing A Primary Care Tool
• Ear Disease
– Audiometer, Tympanometer, Video
Otoscope
• Heart Disease
– ECG & Vital Signs Monitor
• Respiratory Illness
– Spirometer & Vital Signs Monitor
• Trauma, Skin & Wound
– Digital Camera
• Dental Problems
– Dental Camera
• General
– Scanner & Forms
Alaska Native Tribal Health Consortium 10
11. A User Interface Designed by Users
11
Alaska Native Tribal Health Consortium
12. AFHCAN Telehealth Program
Cases Created per Year Managed by ANTHC
Federally funded
35,000
30,000
25,000
28 Staff
Cases Created
20,000
15,000
10,000
11 year Operational History
5,000 33,000 cases/year
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 131,628 Cases (ATHS)
Installed Customer base includes:
Alaska: 248 sites, 44 organizations
59 operational systems in 2011
1,443 providers in 2011
22,763 patients in 2011 (16% of AN pop)
Other states and countries
Alaska Native Tribal Health Consortium 12
13. THE ROLE OF TELEMEDICINE
Alaska Native Tribal Health Consortium 13
15. Audiology
Cardiology
Care Coordination
Role of Telemedicine Center
Dental
Dermatology
Emergency
• S&F • VtC Department
Endocrinology
– 3% of encounters – Cardiology Family Medicine
– Primary Care (75%) – Liver/Hepatitis Gastroenterology
HIS
– Specialty Care (25%) – Pediatrics Internal Medicine
Neurosurgery
– Triage / Planning – Breast Cancer Opthalmology
– Discharge Planning Screening Orthopedics
Otolaryngology
– Esoteric : Abuse … – Mental Health / API Pediatrics-
Outpatient
Podiatry
Pulmonology
– Teleradiology • RPM Rheumatology
– Telepharmacy Surgery
Urology
Women’s Health
Alaska Native Tribal Health Consortium 15
16. By the numbers …
131,628 Cases created
65,314 Patients served
2,968 Providers involved
1,854 Providers creating
ATHS (Alaska Tribal Health System)
(1/1/2001 to 3/31/2012) Alaska Native Tribal Health Consortium 16
18. Why do you do Telemedicine?
Best for patient care
Helps me communicate with a doctor
Saves my organization money
Most convenient to the patient
Improves patient satisfaction
Makes me more efficient
Gives me confidence in doing the right thing for the patient
Increase access to care
0% 10% 20% 30% 40% 50% 60%
• Best for patient care
• Increased access for care
Alaska Native Tribal Health Consortium 18
19. Telehealth Impact on Extended
Waiting Times (> 4 months)
50% 47%
Percent Appointment Availability With 5
45%
40%
Month or Longer Wait Time
35%
30%
25%
20%
15%
10% 8%
5% 3%
0%
Pre-Telemed With With
1991-2001 Telemed Telemed
(n=1216) 2002-2004 2005-2007
(n=276) (n=210) Data courtesy of Phil
Hofstetter
Alaska Native Tribal Health Consortium 19
20. Joslin Vision Network (JVN)
Portable JVN Pilot
Deployment of the IHS-JVN in Alaska using a portable
platform reversed a seven year decline in rates for the state
70%
15% Increase
60%
50%
DR Exam Rate
40%
30%
25% Decrease Portable JVN
20% implemented
10%
0%
Alaska Native Tribal Health Consortium 20
21. Pre-Operative Planning for Ear Surgery Using
Store-and-Forward Telemedicine
John Kokesh M.D., A. Stewart Ferguson Ph.D., Chris Patricoski M.D.
40%
The average
35%
difference was not
Percent of Patients
30%
statistically
25%
different between
20%
NonTelemed the two groups:
15%
Telemed 32 minutes for the
10%
telemedicine
5%
evaluation group
0%
and 35 minutes
-3 -2.5 -2 -1.5 -1 -0.5 0.5 1 1.5 2 2.5 3
for the in-person
Actual Surgical Time - Planned Surgical Time (hrs)
evaluation group
Comparison of surgical time (actual surgical time – estimated
surgical time) for telehealth and non-telehealth cases. Values in the
right half of the plot represent cases which took longer than planned (42% of telehealth
cases and 47% of non-telehealth cases); values in the left half represent cases that
took less time than planned (58% of telehealth cases and 53% of non-telehealth
cases)
Alaska Native Tribal Health Consortium
22. Annual Travel Savings (by Case Role)
$7,000,000
$6,000,000
$5,000,000
$4,000,000
$3,000,000
$2,000,000
$1,000,000
$0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Primary Care Specialty Care
Alaska Native Tribal Health Consortium 22
23. Speed of Reply
Turnaround Time
1 Day Same Day 4 Hour 2 Hour 1 Hour
100%
91%
80%
73%
% Cases
60% 59%
40% 43%
28%
20%
0%
Alaska Native Tribal Health Consortium 23
24. How important is the speed of reply?
(% “Extremely Important)
When using AFHCAN for patient care – how important is the speed
of reply of the consulting doctor?
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
High User (Initiator) High User (Consultant) Medium User (Initiator) Medium User (Consultant)
• Speed of response is clearly more important to Initiators compared to
Consultant
• High User Initiators - 43% rated this 5 out of 5 (“Extremely Important”)
Alaska Native Tribal Health Consortium
24
25. THE FINANCIAL MODEL FOR TELEHEALTH
Alaska Native Tribal Health Consortium 25
26. Medicaid-Eligible Patients
Medicaid
Medicaid Payments
payments $70,000
totaled $60,000
$269,893 to $50,000
$40,000
ANMC for $30,000
specialty $20,000
$10,000
telehealth $0
consults. 2003 2004 2005 2006 2007 2008 2009
A total of 5,925 telehealth specialty
consults with provided to 3,663 unique
patients.
Alaska Native Tribal Health Consortium 26
28. Medicaid Study: 2003-2009
Decreased Travel = Cost Savings
Quantity Cost
Claims Paid by Medicaid 4,482 ($269,894)
Telemedicine Prevented Travel 3,662 $3,116,034
Notes:
• Travel is saved for 75% of all patients.
• Assume all patients under 18 need an escort
• Travel costs based on 1 week advance fares
Net Savings Realized by Medicaid $2,846,140
Note: For every $1 spent by Medicaid on
reimbursement, $10.54 is saved on travel costs.
Outreach clinics saved another $3.4m in travel costs
Alaska Native Tribal Health Consortium 28
29. In FY11, 301 pediatric patients were
transported from the YKHC by LifeMed at
a cost to Medicaid of $2.86 million
Average cost: $9494 per patient
Telehealth may prevent 20% of such
transports
Alaska Native Tribal Health Consortium 29
30. In FY11, the total amount spent on non-
emergent medical travel and
accommodation for all IHS patients in
Alaska was $38.6 million
Patients aged 0-18 years accounted for
53.7% of all travel & accommodation costs
statewide
Alaska Native Tribal Health Consortium 30
31. THE FUTURE
Alaska Native Tribal Health Consortium 31
33. Growing Usage
100%
90%
80%
70% High & Medium Users (11 YR) n=14
60%
High & Medium Users (10 YR) n=10
50%
40% High & Medium Users (9 YR) n=6
30%
20% High & Medium Users (8 YR) n=5
10%
0% 100%
1 2 3 4 5 6 7 8 9 10 90%
80%
70% High & Medium Users (10 YR) n=8
60%
High & Medium Users (9 YR) n=13
50%
40% High & Medium Users (8 YR) n=5
30%
20% High & Medium Users (7 YR) n=4
10%
0%
1 2 3 4 5 6 7 8 9 10
Alaska Native Tribal Health Consortium 33
34. Improve Performance with Scale
Cases Created per Year
4,000 • Good will and
3,500
3,000 commitment
Cases Created
2,500
2,000 • Earned time off for
1,500
1,000 volume done
500
0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
• Provider time allocated
(Proj)
to telemedicine
Median Turnaround Time (hrs)
3.5 • Financial incentive to
Median Turnaround Time (Hrs)
3.0
2.5
do the “additional”
2.0
1.5
work
1.0
0.5
0.0
2010 Q4 2011 Q1 2011 Q2 2011 Q3 2011 Q4 2012 Q1
Alaska Native Tribal Health Consortium
35. The Commoditization of Telehealth
• Telehealth will part of a blended health
visualization
– Video, Audio, Health Record, Images, Devices
• Lightweight commodity platforms
– Portable, direct to desktop
– Integrated into local EHR
– HTM will evolve to smart systems, full integrated
• Leverage large scale infrastructures e.g. MPI
Alaska Native Tribal Health Consortium 35
36. Technology is a STRATEGY to
improve performance
and to manage
costs & risk
37. Pay for Value
• Simplified Fee Structures
– Existing coding poor match
• Business models will move well past “fee for
service” concepts - eVisits, employee
plans, systemic approaches.
• Fee for Service will not be as relevant.
Bundled case management plans and other
plans make more sense.
Alaska Native Tribal Health Consortium 37
38. Drivers for Different Business Models
• Telehealth is only a financially viable solution at scale
• Scale is HARD.
– Few models for maximizing performance at scale
– May drive Buy versus Build outsourced care
• Need risk avoidance models e.g. ACO, HMO
• Demand will continue to outstrip resources
– Non traditional usage models for efficiency gains
– Innovative pilot models needed – opportunity exists
• Market differentiator – Empower consumers
• Need business models NOT based on reimbursement
Alaska Native Tribal Health Consortium 38