Maureen Ideker, MBA, BSN, RNDirector of Telehealth

Telehealth In the State and Region and at Essentia Health

Blandin Foundation Conference November 13 -14, 2012

EssentiaTelehealth Development and Growth

•Plan to include all clinics, hospitals and long term care sites within Essentia and begin outreach to affiliates.

•Growth thru Hub and Spoke Development.

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•Broadband infrastructure – enables information flow

•Monitoring and communication devices used by patients/providers

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•Interactive video•Tele-robotics•Virtual-reality technology•iPhone

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Business Plans For FY 2012 at Essentia

• Emergency Services• Hospitalist• Psychiatry• CHF• Dermatology

Business Plans For FY 2013 at Essentia

• Nephrology

• Wound Care

• Diabetic Care (Dietician, Pharmacist)

• Medical Weight Loss

• Stroke Care

• LongTerm Care

•Access to specialty care•Stretch provider resources•Keep patients in rural facilities•Save travel time•Save transport (LTC, jail health)

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Traditional Benefits of Telehealth

(Patient-Centered)

•Pay for performance•Decrease costs/improve outcomes•Provider interest•Demographics•Maintaining elderly at home•Government incentives (Stimulus Funding)• Improved technology/connection

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Future Benefits (Economy-Centered)

•Physician/Practitioner Office•Critical Access Hospital (CAH)•Federally Qualified Health Center (FQHC)•Hospital•Rural Health Clinic•Hospital-based or CAH-based Renal

Dialysis Center (including satellites) •Skilled Nursing Facility•Community Mental Health Center

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Eligible Sites - CMS

•Health Professional Shortage Area (HPSA)•Non-MSA county•Must be live, interactive services•Patient must receive service in an eligible

rural site (Hospital, Clinic, etc.)•Provider payment is the same as for an in-

person visit•A facility fee is paid to remote sites

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Medicare Reimbursement

• CMS has identified these: – Physician (MD/DO)– Nurse Practitioner– Physician Assistant– Nurse Midwife– Clinical nurse specialist– Clinical psychologist– Clinical social worker– Registered dietician/nutrition professional

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Eligible Providers

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Reducing hospital stays thru Telehome Monitoring. Research Shows………

MN Telehealth Network Research

1998 – TeleHome monitoringN = 150

(CHF, Diabetes, COPD)

University of Minnesota

Daily recording of- Weight- Blood Pressure- Pulse- Oxygen Saturation- Spirometry- Daily Diary Log

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TeleHome monitoring

(CHF Example)

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Patient Outcomes:

Admissions to a higher level of care

•Facility Fee•X-rays, scans•Labs•Rehab PT/OT•Home Health Care•Swing Beds•Surgeries •Specialist fees paid same as face-to face

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Win-Win Situation for Rural and Urban Sites

Maureen Ideker, MBA, BSN, RNmaureen.ideker@essentiahealth.o

rg320-748-8239