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.
First of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
Telehealth and telemedicine have been widely used to deliver healthcare services like patient/clinician contact, disease prevention and curative care, advice, reminders, education, monitoring, and remote admissions. This presentation covers
- What is Telehealth
- Difference between Telehealth and Telemedicine
- The market of Telehealth
- The problem/need gap it solves
- The attitude of clinicians and patients towards Telehealth
- Telehealth benefits and limitations
- Telehealth services/modalities
- Adoption stages
- Telehealth Case study
Telehealth blossomed during COVID and in doing so has created future demand in a burgeoning healthcare market; (65%) say they plan to continue to use telehealth after the pandemic ends (including half of seniors). In order to meet this new demand, healthcare providers must now also be tech service providers. How can the medical field adapt and equip doctors for the future where website manner is just as important as bedside manner? This panel will unpack everything from doctors of the future, innovation for advanced virtual care, and how telehealth can help usher in a more efficient industry.
This presentation is from the TMLT webinar, Telemedicine: Managing Your Risks. The presentation reviews regulatory requirements for physicians and health care organizations using telemedicine in Texas.
Building A Chronic Care Management Program That Can ScaleVSee
Achieving 100% COVID Readiness with Chronic Care Telehealth
Chronically ill patients in the US account for 76% of all physician visits. They are also the most susceptible to COVID and COVID-related illnesses. With COVID variants on the rise, telehealth and remote patient monitoring (RPM) are essential to keeping these patients safe, while providing quality care and improving outcomes.
In addition, studies have shown that remote patient monitoring improves patient self-management and leads to earlier interventions. It can also reduce emergency hospital visits 30%. In 2015 Medicare began reimbursing clinicians for using remote patient monitoring technology to manage chronically ill patients with 2+ chronic conditions with Chronic Care Management (CCM) codes. In more recent years, it also began reimbursing remote patient monitoring (RPM) services for a wider range of patients.
Find out how you can become COVID ready by laying the foundations for a successful telehealth Chronic Care Management program on the next Telehealth Secrets webinar. Join us live with CEO Ajay Gehlot, MD, MBA of CareConnect Health–one of the largest primary care providers in the state of Georgia
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
First of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
Telehealth and telemedicine have been widely used to deliver healthcare services like patient/clinician contact, disease prevention and curative care, advice, reminders, education, monitoring, and remote admissions. This presentation covers
- What is Telehealth
- Difference between Telehealth and Telemedicine
- The market of Telehealth
- The problem/need gap it solves
- The attitude of clinicians and patients towards Telehealth
- Telehealth benefits and limitations
- Telehealth services/modalities
- Adoption stages
- Telehealth Case study
Telehealth blossomed during COVID and in doing so has created future demand in a burgeoning healthcare market; (65%) say they plan to continue to use telehealth after the pandemic ends (including half of seniors). In order to meet this new demand, healthcare providers must now also be tech service providers. How can the medical field adapt and equip doctors for the future where website manner is just as important as bedside manner? This panel will unpack everything from doctors of the future, innovation for advanced virtual care, and how telehealth can help usher in a more efficient industry.
This presentation is from the TMLT webinar, Telemedicine: Managing Your Risks. The presentation reviews regulatory requirements for physicians and health care organizations using telemedicine in Texas.
Building A Chronic Care Management Program That Can ScaleVSee
Achieving 100% COVID Readiness with Chronic Care Telehealth
Chronically ill patients in the US account for 76% of all physician visits. They are also the most susceptible to COVID and COVID-related illnesses. With COVID variants on the rise, telehealth and remote patient monitoring (RPM) are essential to keeping these patients safe, while providing quality care and improving outcomes.
In addition, studies have shown that remote patient monitoring improves patient self-management and leads to earlier interventions. It can also reduce emergency hospital visits 30%. In 2015 Medicare began reimbursing clinicians for using remote patient monitoring technology to manage chronically ill patients with 2+ chronic conditions with Chronic Care Management (CCM) codes. In more recent years, it also began reimbursing remote patient monitoring (RPM) services for a wider range of patients.
Find out how you can become COVID ready by laying the foundations for a successful telehealth Chronic Care Management program on the next Telehealth Secrets webinar. Join us live with CEO Ajay Gehlot, MD, MBA of CareConnect Health–one of the largest primary care providers in the state of Georgia
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Model Telemedicine Program Shows Improved Care and Cost Savings for Congestiv...Steve Brown
Model Telemedicine Program Shows Improved Care and Cost Savings for Congestive Heart Failure Patients: Presentation at the Telemedicine in Care Delivery Conference, Pisa, Italy, June 13, 2002
Chronic Care Management Coding Guidelines Effective January 1, 2017Manny Oliverez
The Centers for Medicare and Medicaid Services (CMS) recently released new billing requirements for chronic care management services. CMS initiated these latest billing changes in order to improve payment accuracy for CCM services as well as reduce the administrative burden for providers.
Visit Our Website: http://www.CaptureBilling.com/
Telemedicine presentation delivered at the conference sponsored by HEALTHePRACTICES, ICanNY and Windstream Communications entitled Healthcare Technology and the Networks Which Make it Happen.
This powerpoint presentation was put together by Suleima Salgado, Telehealth Director at the Georgia Department of Public Health, and presented on August 26 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at Virtual Services for Children, where they are, and where they're going.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxjasoninnes20
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Case Studies in Telehealth AdoptionThe mission of The Comm.docxcowinhelen
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxwendolynhalbert
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Use of Plan-Do-Study-Act (PDSA) Cycles to Strengthen Routine Immunization in ...JSI
The Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. This project conducted qualitative research to understand the experience of QI Teams in using PDSA cycles to improve routine immunization service delivery. It was found that the RED Quality Improvement (QI) approach encouraged greater facility-community linkages through engagement in PDSA cycles.
This was presented at the IHI Africa Forum on Quality and Safety in Healthcare in Durban, South Africa.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
4. Plan of Action
• Capitalize on existing infrastructure to deliver additional innovative
services across Georgia.
– Increase access to care while not replacing medical home
• In 2011, DPH expanded the delivery of high-quality services to
counties throughout the state via telehealth with support from the
Special Supplemental Nutrition Program for Women, Infants,
and Children (WIC).
– This allowed for WIC to reach more than 300,000 monthly clients who
participate in program
6. Telehealth vs. Telemedicine
• Telehealth- the use of electronic information and
telecommunications technologies to support long-distance clinical
health care, patient and professional health-related education,
public health and health administration. Technologies include
videoconferencing on a secure, private network with store-and-
forward imaging, streaming media, and wireless communications.
• Telemedicine – the use of medical information exchanged from
one site to another via electronic communications to improve a
patient’s clinical health status. Telemedicine includes a growing
variety of applications and services using two-way video, email,
smart phones, wireless tools and other forms of
telecommunications technology. May involve medical scopes, x-
rays, ultrasound or other medical applications.
7. Telehealth Goals
• Increase access to care
Address the state’s most pressing health
challenges, including infant mortality, oral
health, obesity and associated diseases
Connect Georgians with the specialized
care they need that may not exist in every
community, i.e. monitoring of a high-risk
pregnancy.
• Increase capacity at DPH sites
statewide
Implement Telehealth in each of the state’s
18 Public Health Districts and all 159
counties
8.
9. Network Hub (Waycross, GA)
• Waycross was chosen as the State
hub because of the rural location
which allows us to receive the
Universal Services Funds as well as
a history of telehealth use and
experience.
• SEHD began using Telemedicine at
Ware County Health Department in
1993.
• Due to success of program, SEHD
decided to build its own network.
• Funding was secured from grants,
programs, and special projects.
10. Telehealth Use / Benefits
• Administrative/Operational - employment interviews, staff
meetings, worksite wellness, distant learning, state of public health
updates, translations, etc.
• Emergency Preparedness – During times of disaster/emergency we
use network for community partner engagement, language
translation, planning, communication, disease monitoring, and
training
_____________________________________________________________________________
_BENEFITS:
• Decreased travel (limited funding)
• Access to specialty services & new technology (closer to home)
• Increased Distance Learning Opportunities
• Target Hard to Reach populations
11. Telemedicine
• Patient Site - the actual
location where a patients is
located
• Medical Cart – interactive and
secure telecommunications
system
• Physician Site – The site
where physician or practitioner
is located
• Medical Cart
• Distant Site
• Originating Site
13. High Risk OB Clinic
• Centering Pregnancy
• Ultrasound / Colposcopy
• Consult w/ Maternal Fetal
Medicine Specialist
Children’s Medical Services
• Developmental & Genetics
• Endocrinology
• Nephrology
• Neurosurgery
• Pulmonology
• Sickle Cell
Telemedicine Projects
WIC Nutrition
• Breastfeeding Support
• Nutrition Education
• Staff Training/Development
Infectious Disease (HIV/AIDS)
• Patients at local clinics see
DPH Infectious Disease
specialist
• Mobile presentations from
home or community setting
14. • Access to telemedicine allows ultrasounds and
Maternal Fetal Medicine consults to be done
on- site
• On-site telemedicine allows for better
coordination of services
• Through a partnership with Women’s
Telehealth, Dr. Patterson is included in
facilitated discussions in Centering sessions on
pre-term labor and gestational diabetes via the
telemedicine cart
• Telemedicine allows easy access to providers for
many consult needs including cardiac,
dermatology and mental health
High Risk OB (Centering)
15. • Individual Education &
Consultation
• Group Nutrition services on
demand
• Breastfeeding Support &
Boot Camps
• Staff Training and Updates
• Translations
WIC (Women, Infants, & Children
16. Caseload average @ one County
Health Department:
Pulmonology CHOA 87
Pulmonology GRU 31
Nephrology GRU 42
Endo/Diabetic Dr. Wright 82
Looking to expand and provide
Genetics & Neurology
•CMS provides Care Coordination
•CMS can assists eligible families
with medications, tests, or supplies,
if needed.
Children’s Medical Services
17. • Patients at local clinic see
Infectious Disease Specialist
• Mobile Presentations from
home or Health Department
• Mobile applications geared
towards the more immuno-
compromised patients with
difficulty traveling to clinics
• Primarily a PH RN or Nurse
Practitioner present patient
Infectious Disease (HIV/AIDS)
18. • School-based dental clinic
provides cleaning, fluoride, x-
rays, and education
• Referrals and case
management for follow-up
• Primarily HRSA Grant funded
• Access to children in four
counties
Teledentistry
19. Additional Pilots
• Department of Behavioral Health & Developmental Disabilities
– Home Health Patient Monitoring Pilot
– Using existing rural health field nurses to diagnose, assess
clients and connect w/ doctors in Atlanta (ER Diversion)
• Department of Juvenile Justice Tele-psychiatry pilot
– Mental Health consults / med checks
– Using existing case workers to present to DJJ doctors from DPH
• Breast Cancer Genomics TM Project:
– to increase access to HBOC screening for women between the
ages 18-49, focusing on racial and ethnic minorities and the
medically underserved
• Collaborative School-based behavioral health telemedicine
pilot
– Columbus, GA
20. Additional Pilots
• Pediatric Primary Care Telemedicine Pilot in a Rural County
Health Department
– Echoles County Health Department
– Collaborative efforts with GPT, Wellcare, DCH and Private
Physician
• Sickle Cell Telemedicine Pilot Clinic
– Emory & Bibb County Health Department
– Lowndes County Health Department & Georgia Regents Univ.
• Environmental Health Telehealth Pilot:
– DeKalb County Board of Health
– Pilot project to use mobile solutions in the field during
environmental health food inspections, pool inspections, etc.
22. Georgia Telehealth Highlights:
Targeted telemedicine efforts based on health outcomes (barriers
to care & rural access gaps)
•Telehealth capability in all 159 counties
– USDA funded (network / infrastructure)
– Significant increase in utilization (training/education)
– Strong statewide coordination (partnerships with private/public)
•Fourteen telemedicine carts successfully deployed
– On average, approximately 250 patients are currently being
served , per month via Telemedicine, statewide
– Four additional carts to be deployed by May 2015
– Mobile equipment for home health visits & disaster response
•Over $1 million secured in grant funding
– Strong grant applications which show collaboration
(Teledentistry, HRSA, Georgia Technology Authority, ASTHO,
Public Health Preparedness, State Programmatic funding)
23. Telehealth/Telemedicine Funding
• Universal Service Funds
– Available b/c rural location; reduced cost for monthly
line charges
• State Programmatic Funding
– Special Supplemental Nutrition Program for Women,
Infants, and Children
– Oral Health Program
– Emergency Preparedness
• Grants for Telehealth Networks
– Teledentistry (Schools/HDs), Home Health High Risk OB
– All grants (include TH language)
24. Telehealth/Telemedicine Funding
• Public Health Emergency Preparedness (PHEP
Grant) $250k
– Infrastructure and Equipment focused
– One-time expenses without reoccurring cost
– Justification: Allows us to use equipment year-round so
that in times of emergency staff are familiar with
equipment and can activate/deploy as needed
• Broadband Grants $200k
Physician Survey Business Model
Certified Training Marketing/Communications
Equipment Travel/Professional Development
25. Next Steps
• Secure Additional Funding Sources
– Purchase additional telemedicine carts
• Increase Distant Learning Opportunities
– Internal & Stakeholders
• Expand Network
– Develop sustainable business model
• Increase available services
– Expand Teledentistry
– Expand High Risk OB / Centering Pregnancy
– Division of Family & Children Services (DFACS)
Georgia is ranked 27th in Obesity, 46th in Low Birth weight, and 44th in Infant Mortality
The future of health care has arrived, and it can happen within Georgia’s local health departments.
Our funding has come from various sources through the years. These include:
grants for telehealth networks;
programmatic funding – programs participating in the network share costs of operations; &
Universal Services Funds are available because we are a rural location, thus funding a great portion of the monthly line charges associated with running the network.
Waycross – HIV/pediatric neurosurgery/WIC/Genetics/Asthma
Dougherty County HD– high risk OB clinic connecting Dougherty Co. Health Dept. with Women’s Telehealth in Atlanta
Cherokee County HD- HIV clinic
Glynn County HD- Pediatric Neurosurgery clinic and now are formally working on HIV clinic w/ existing DPH physician
Valdosta – (2 carts) - Endocrinology Clinic, Pulmonology Clinic, Nephrology, Genetics, Sickle Cell clinic, and HIV
Columbus- HIV clinic
Gainesville: HIV clinic
Cobb/Douglas: HIV clinic
Clayton: HIV clinic
Macon: Genetics Clinic w/ Emory
Dublin: Sickle Cell Clinic (currently coordinating final circuit install)
Next to Deploy: Rome: HIV clinic
These are photos of some of the equipment located in the Waycross hub that runs the network.
Building out the SEHD network provided flexibility in equipment and lines, plus made all operations internal which improved usability. The network is a private closed network, allowing us to put measures in place to assure privacy and HIPAA compliance. We control the external connections coming into the network at the Waycross hub. The network is dedicated for videoconferencing and thus independent of your data network so it won’t slow traffic for data connections and day-to-day operations.
Over the past couple of years we have been expanding the hub infrastructure to build capacity for the network. Earlier this year, we brought in OC3 and Fiber Broadband services to allow us improved connectivity to outside networks.
Pulmonology CHOA- 2 ½ days per month
Pulmonology GRU- 1 day per month (1/2 day)
Nephrology- Every other month, ½ day
Endo/Diabetic- one day per month
Sickle Cell- One day per month
Projects under development:
Stephanie Blanks Foundation – child sexual abuse
Gwinnett Medical Center Concussion Institute – Education / Evaluation
Gwinnett HD_ TB Program ( Direct Observation Therapy)
GMC Family Practice Residency Program
Telephone providers (Sprint/AT&T)
For scheduling contact:
GA Public Health Video Network
1.855.PHVIDEO
[email_address]
