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Wibberly-2014
This document provides guidance on getting a telehealth program started. It recommends assessing needs, use cases, priorities, best practices, and technology solutions. Key steps include evaluating organizational readiness, connectivity requirements, compliance with HIPAA, and establishing an implementation timeline, business plan, and technology infrastructure. The document emphasizes starting small with a pilot, then growing the program through quality improvement efforts. It provides resources from the Mid-Atlantic Telehealth Resource Center to help organizations launch a telehealth initiative.
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Wibberly-2014
- 1. From Soup to Nuts: Gettinga Telehealth Program Off the GroundGoing the distance…so you don’t have to… Virginia Rural Health Association Annual Conference December 11, 2014
- 2. No Longer Innovation,But Necessity Telehealth + Rural
- 3. Rural Population HealthChallenges Telehealth + Rural
- 4. But Not JustRural Telehealth + Rural?
- 5. Why Telehealth? Successes AcrossDemographics, Geography and Applications
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- 7. Assess Needs and Readiness Organizational Clinical Financial Technology •Current IT infrastructure • Broadband connectivity • Network integrity (security, utilization, firewalls, hardware, QoS) • Existing equipment • Staffing Needs • Providers • Patients • Data/ Information Coding and Billing Administration • Buy-In • Staffing • Scheduling • Training • Policies, Procedures and Protocols Purchasing Contracting
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- 11. Assess Priorities Pick One AreaOf Need To Start With. Consider: • Low hanging fruit (area that can yield an easy win/quick success) • Existing champions (area where you already have buy-in – clinical champions or financial incentives or strong partners or existing investments)
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- 13. Assess Tech Solutions 1. Livevideo (synchronous) consults Video conferencing technology Telepresence Telemedicine
- 14. Assess Tech Solutions Hardware CODECSoftware CODEC CODEC = COmpression, DECompression (or more simply a decoder) *CODECS can be proprietary or standards-based
- 15. Assess Tech Solutions 2. Storeand Forward (asynchronous)
- 16. Assess Tech Solutions 3. RemoteMonitoring
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- 20. Assess What You NeedTo Make Sure You Understand 1. Covered Entities: Does HIPAA apply to me and my practice? 2. Personal Health Information (PHI): What is it? 3. Business Associates: Who Are They? 4. HIPAA Safeguards: What Do I Need To Think About? HIPAA Compliance
- 21. Assess 5. Working withVendors: But What If They All Claim to be HIPAA Compliant? Five questions to ask: • Which of these items on the ePHI list CAN your company access, even if you don't normally view it? • Could we view your Risk Assessment? (A required HIPAA compliance measure.) • Would you be willing to sign OUR BAA? • If they have access to ePHI, would you send a list of the administrative, physical and security measures that you have in place? • Do you have a third party audit report on your HIPAA compliance? The lack of one may not be a deal- breaker, but it is useful) as a comparison point.
- 22. Assess 6. The PenaltyBox: What’s My Risk?
- 23. Existing and PotentialRelationships Assess
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- 25. Establish Business Plan andFinancial Models
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- 29. Define Processes, Policies andProcedures
- 30. Implement Start Small, PilotTest and Then Grow
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- 34. You Can StartHere! http://matrc.org/
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