Telehealth In the State and Region and at Essentia Health
18
Maureen Ideker, MBA, BSN, RN Director of Telehealth Telehealth In the State and Region and at Essentia Health Blandin Foundation Conference November 13 -14, 2012
description
Transcript of Telehealth In the State and Region and at Essentia Health
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.
3
•Broadband infrastructure – enables information flow
•Monitoring and communication devices used by patients/providers
4
•Interactive video•Tele-robotics•Virtual-reality technology•iPhone
5
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)
8
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
9
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
10
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
11
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
12
Eligible Providers
13
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
15
TeleHome monitoring
(CHF Example)
16
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
17
Win-Win Situation for Rural and Urban Sites
