The document discusses telehealth and provides information on:
- The American Telemedicine Association's role in promoting telehealth.
- How telehealth can help address issues like access to care and costs.
- Examples of telehealth uses like in homes, healthcare facilities, and schools.
- The current state of Medicaid and Medicare telehealth coverage and gaps.
- Efforts to expand telehealth coverage through federal and state legislation.
- Models for interstate telehealth licensure and the states involved in each.
- Resources from the American Telemedicine Association on state telehealth policies.
Kevin Burke, American Academy of Family Physicians, presented on the AAFP Federal Affairs Update at the State Legislative Conference on November 6, 2015.
Kevin Burke, American Academy of Family Physicians, presented on the AAFP Federal Affairs Update at the State Legislative Conference on November 6, 2015.
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...HFG Project
This presentation was given by Suneeta Sharma at a side session at the Prince Mahidol Award Conference (PMAC) in Bangkok, Thailand, on January 29, 2017.
MACRA Proposed Rule: Issues & OpportunitiesPolsinelli PC
A proposed rule implementing the 2015 Medicare Access and CHIP Reauthorization Act (MACRA) outlines changes to the Medicare program to migrate from payment for volume to arrangements linked to quality and value. This webinar will review key provisions of the proposed rule and their impact on existing and future payment structures, including key issues, opportunities, and potential areas for comment and modification before the rule is finalized.
On our agenda:
-MACRA background and policy objectives expressed in proposed rule
-Changes to existing Medicare reimbursement programs
-Merit-Based Payment Incentive System (MIPS) program proposals
-Alternative Payment Models (AMP) proposals
-Implications, opportunities, and issues under the proposed rule
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...HFG Project
This presentation was given by Suneeta Sharma at a side session at the Prince Mahidol Award Conference (PMAC) in Bangkok, Thailand, on January 29, 2017.
MACRA Proposed Rule: Issues & OpportunitiesPolsinelli PC
A proposed rule implementing the 2015 Medicare Access and CHIP Reauthorization Act (MACRA) outlines changes to the Medicare program to migrate from payment for volume to arrangements linked to quality and value. This webinar will review key provisions of the proposed rule and their impact on existing and future payment structures, including key issues, opportunities, and potential areas for comment and modification before the rule is finalized.
On our agenda:
-MACRA background and policy objectives expressed in proposed rule
-Changes to existing Medicare reimbursement programs
-Merit-Based Payment Incentive System (MIPS) program proposals
-Alternative Payment Models (AMP) proposals
-Implications, opportunities, and issues under the proposed rule
The application dev tools market is billions of dollars each year, and COBOL is a big chunk of that. Did you know – the COBOL computer language remains responsible for 2/3 of the world’s business IT systems. Did you know there are many times more COBOL-based transactions executed each day than there are Google & YouTube searches.
If some more recent technology gets more attention and makes more noise, well COBOL is by contrast the silent majority of corporate IT, which quietly, relentlessly gets on with running the world’s economy.
On the IBM mainframe, COBOL is the standard for core business systems. Roughly 5,000 clients on z today, but IBM z Systems represent the majority of all the world’s COBOL. Hundreds of billions of LOCs. Hundreds of thousands of developers.
However elsewhere COBOL is a huge concern and runs across hundreds of distributed platforms.
Also there is a whole segment of proprietary environments where – although the platform itself may no longer be strategic – the applications on those platforms, which are often COBOL, have enduring business value.
And COBOL users comprise the length and breadth of global big business, across a variety of industries.
Over 90% of the fortune100 and fortune 500. a who’s who of big industry. Very strong in FS, insurance, retail, government, auto, and elsewhere. But also major ISVs and smaller organizations too.
Literally thousands of organisations across dozens of countries use the Micro Focus brand to run and modernize their IT systems. If you have checked your bank account, got an insurance quote, booked a vacation, payed your mortgage, shipped a package… you’ve been using COBOL today.
Taking those systems and providing a springboard to future environments, future technology, is what we do. KEEP IT, BUILD IT, RUN IT.
By partnering with the best in today’s operating environments such as SUSE, we are providing efficiency, value and flexibility for our customers.
تعريف الإعلال:
تغيير يطرأ على حروف العلة الثلاثة:
أـ قلب الحرف إلى حرف آخر.
ب ـ بحذف الحركة ( أي تسكين الحرف ).
جـ ـ حذف الحرف
ويكون خاصًّا بحروف العلة الثلاثة.
إذا وقعت الواو أو الياء في المواضع التالية تقلب إلى همزة:
أ ـ إذا وقعت الواو أو الياء متطرفة بعد ألف زائدة: سماء، بناء، دعاء/ أصلها : سماو، دعاو، بناي.( حلاوة، قَاوَل، غزْو).
ب ـ إذا وقعت الواو أو الياء عيناً لاسم فاعل بشرط أن يكون الفعل أجوف. قال/ قائل ، باع/ بائع( عاور).
جـ ـ إذا وقعت الواو أو الياء بعد ألف مفاعيل أو ما يشبه هذا الجمع، بشرط أن تكون الواو أو الياء مدة ثالثة في المفرد. صحيفة / صحائف، عجوز/ عجائز، وتنطبق هذه القاعدة على الألف بهذا الشرط. قلادة/ قلائد.( قساوِر، معايش)، و ( منائر، مصائب).
#MFSummit2016 Operate: Introduction to software collaboration and networkingMicro Focus
An overview of current status and release plans in Micro Focus for the traditional Novell products, including rebranding to Micro Focus efforts and upcoming releases. Presenter: Neil Harrison, Solutions Consulting Director
PMK no. 58 tahun 2016 tentang Sponsorship Bagi Tenaga KesehatanStefanus Nofa
Permenkes ini mengatur khusus tentang mekanisme sponsorship kepada dokter, apoteker dan tenaga kesehatan lain dalam rangka peningkatan kemampuan di bidangnya. Beberapa hal yang diatur dalam aturan ini sesuai dengan kesepakatan bersama Komisi Pemberantasan Korupsi (KPK), Kemkes, GP Farmasi, dan organisasi profesi pada Februari 2016 lalu.
Composition levy GST ( Composition Scheme GST )CA-Amit
Only taxable persons whose ‘aggregate turnover’ does not exceed Rs. 50 lacs in a financial year will be eligible to opt for payment of tax under the composition scheme.As per Section 16, Goods and/or services on which composition tax has been paid under Section 8 is not eligible for input tax credit.
Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
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.
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
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What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
2024: The FAR - Federal Acquisition Regulations, Part 36
Telehealth - Latoya Thomas
1. AAFP 2016 State
Legislative Conference:
Modernizing the Regulatory
Framework for Telehealth
Latoya S. Thomas
October 28, 2016
2. The American Telemedicine Association (ATA) is the leading
international resource and advocate promoting the use of
advanced remote medical technologies.
ATA and our members work to fully integrate telemedicine into
transformed healthcare systems to improve quality, equity and
affordability of healthcare throughout the world.
• Established in 1993
• Over 8,000 members world-wide
About ATA
4. Telemedicine’s Value
• Barriers of time and
distance
• Professional shortages
• Disparities in access to
care
• Quality of care
• Hospital readmits, ER
overuse
• Costs of delivery
• Convenience and patient
choice
Telemedicine
Healthcare
Facilities
Military
MobileHome
School
5. Opportunities & Goals
• Knock down
government barriers
• Promote “value”
innovative payment
and service models
• Address care delivery
problems: Cost,
access, outcomes,
productivity
Coverage &
Payment
Clinical
Practice &
Licensure
Portability
Provider &
Care
Networks
6. Telehealth in the Home
• 36 state Medicaid plans cover
telehealth in the home
• 17 state Medicaid plans cover
remote patient monitoring
• Better health outcomes and
cost savings
• Clinical applications: Primary and
urgent care, Skilled nursing,
mental and behavioral health,
rehabilitation, obstetrical care
and monitoring, long term and
post-acute care, chronic disease
management
7. Telehealth in Healthcare Facilities
• Access to specialty care
• Triage
• Stroke
• Dermatology
• ICU
• Psychiatry
• Obstetrics
• Alcohol and substance abuse
counseling
• Hospitals, community health centers,
rural health clinics, skilled nursing
facilities, provider’s office
• Statewide and regional networks of
care
• Linguistic and cultural competency
• Care coordination
• Remote image interpretation
• Integrated care
8. School-based Telehealth
• 2000 school-based
health centers nationally
• 25 million children
currently eligible for
Medicaid
• 18 state and community-
based programs using
school-based telehealth
• 18 state Medicaid plans
cover telehealth in schools
• Clinical applications:
Primary care, mental and
behavioral health,
dentistry, speech-language
therapy
9. • All cover imaging
• 49 states cover
something
– 49 telemental
health
– 36 home
telehealth
– 17 remote
patient
monitoring
– 12 store-and-
forward
50 State Medicaid Models Today
10. Telemedicine Service Coverage Gaps:
Medicaid vs. Medicare
DE MS NV NM MEDICARE
Parity A A A A F
Patient Setting A A A A C
Eligible
Technologies
F B F C C
Distance or
Geography
Restrictions
A A A A C
Eligible Providers A A A A C
Physician-provided
Services
A A B A B
Mental/behavioral
Health Services
A A A A B
Rehabilitation A N/A A A F
Home Health B A B B F
Informed Consent B B A A A
Telepresenter A A A A A
Source: Thomas, L. & Capistrant, G. American Telemedicine Association. “State Telemedicine Gaps Analysis” January 2016.
11. Telehealth & Medicare
CONNECT for Health Act
• S. 2484: Sen. Brian Schatz (D-HI)
• H.R. 4442: Rep. Diane Black (R-
TN)
Telehealth Enhancement Act
• H.R. 2066: Rep. Gregg Harper
(R-MS)
Medicare Telehealth Parity Act
• H.R. 2948: Rep. Mike Thompson
(D-CA)
12. States with Parity Laws for Private
Insurance Coverage of Telemedicine (2016)
States with the year of enactment: Alaska (2016)*, Arizona (2013)*, Arkansas (2015), California (1996), Colorado (2001), Connecticut (2015), Delaware
(2015), Georgia (2006), Hawaii (1999), Indiana (2015), Kentucky (2000), Louisiana (1995), Maine (2009), Maryland (2012), Michigan (2012), Minnesota (2015),
Mississippi (2013), Missouri (2013), Montana (2013), Nevada (2015), New Hampshire (2009), New Mexico (2013), New York (2014), Oklahoma (1997), Oregon
(2009), Rhode Island (2016), Tennessee (2014), Texas (1997), Vermont (2012), Virginia (2010), Washington (2015) and the District of Columbia (2013)
States with proposed/pending legislation: In 2016, Illinois, Iowa, Massachusetts, New Jersey, North Carolina, Ohio, and Pennsylvania
*Coverage applies to certain health services.
13. State Composite Ratings for
Coverage and Reimbursement
Source: Thomas, L. & Capistrant, G. American Telemedicine Association. “State Telemedicine Gaps Analysis” January 2016.
14. The State of Telemedicine in Your Professional Board
• Hold telemedicine to the same
standard as in-person care
– Remote supervision and collaborative
agreements
– Establishing a provider-patient
relationship
– Initial and follow-up visits
– Telepresenter/facilitator
– Patient informed consent
– Provider and patient location
– Technology allowed
– Prescribing and Dispensing
15. State Physician Practice and Licensure Composite Grade
Change Sept. 2014 – Dec. 2015
Source: Thomas, L. & Capistrant, G. American Telemedicine Association. “State Telemedicine Gaps Analysis” January 2016.
16. Interstate Licensure Models
National Reciprocity
Department of Defense
TRICARE (S 2934 § 705(d) and HR 2725)
Department of Veterans Affairs (S 2170 and HR 2516)
Medicare (S 1778 and HR 3081)
Expedited
Federation of State Medical Boards (FSMB) – 17 states joined
Alabama, Arizona, Colorado, Idaho, Illinois, Iowa, Kansas, Minnesota, Mississippi, Montana, Nevada, New
Hampshire, South Dakota, Utah, West Virginia, Wisconsin and Wyoming.
Mutual Recognition
National Council for State Boards of Nursing (Enhanced NLC)
Arizona, Florida, Idaho, Missouri, New Hampshire, Oklahoma, South Dakota, Tennessee, Virginia, and
Wyoming
Idaho and Wyoming joined the APRN Compact
Association for State and Provincial Psychology Boards (PSYPACT) – Needs 7 states
Arizona
Federation of State Boards of Physical Therapy – Needs 10 state
Arizona, Missouri, Oregon and Tennessee
19. • 2016 ATA Policy Priorities
• State Policy Toolkits
• State Gaps Analyses
• State Legislative Matrix
• (Members Only)
– State Legislative and
Regulatory Trackers
– Monthly State Webinar
• State Policy Checklist
• ATA Wiki
• Telemedicine Practice
Guidelines
• State Medicaid Best
Practices
o Telemental and Behavioral
o Remote Patient Monitoring
and Home Video Visits
o Store-and-forward
o School-based
o Managed Care
o Telestroke
o High-risk Pregnancies
o Telerehabilitation
ATA State Policy Resources
http://www.americantelemed.org/policy-page/state-policy-resource-center