A frank look at the specific challenges and successes of deploying telemedicine for oncology consults - from the Telehealth Failures & Secrets To Success Conference: vsee.com/telehealth-failures-conference

1. THE CHALLENGES OF A
TELEMEDICINE PILOT
PROJECT
Carolina Escobar. MD
December, 2th 2016

2. Physicians Projected supply and demand

3. Health professional shortage area

6. System capacity barriers to anticipate
growth of HCT
■ Human resources.
■ Patient access Barriers.
■ Structural Constraints.
– Adequate facilities.
– Efficient and safe care delivery models.
– Infrastructure to meet demand.

7. Advantages of Telemedicine
Reduces the variability of diagnoses and enhances clinical
management and delivery of health care services by Improving:
• Access
• Quality
• Efficiency
• Cost-effectiveness

8. 8
USON Telemedicine Project Milestones
T3 Project – Telemedicine decision December 2015
Formulate Telemed work group January 2015
RFI Vendors (12 Vendors) February 2015
RFP Vendors (4 Vendors) March/April 2016
Pilot Approval April 2016
Vendor Selection (Vsee) May 2016
IT/Vsee Connectivity Testing May/June 2016
Contracting/MSA with Vsee June 2016
Trained all local ITs June 2016
Enlisted & trained pilot users July 2016
Added GT modifier into iKM July 2016
Created scheduling codes in Vision August 2016
Pilot Proton Mid-August 2016
First Patient Mid-August 2016
Created user reference guide October 2016
10th Patient on platform October 2016
Pilot TeleGenetics TBD – and soon

9. Major barriers to adoption of telemedicine
■ Regulatory
– Licensure, Liability,
Legality
■ Financial
– Equipment and
infrastructure cost,
sustainability
■ Cultural
– Preconceived
physician and patient
bias, Social
differences

10. Challenges
■ Administrative engagement.
– Lack of a unified vision.
– Financial and technology support.
■ Physician engagement.
– Site selection.
– Initial involvement and active participation.
– Burnout with EHR and meaningful use implementation .
■ Master planning.
■ Sustainability.

11. Role of Reimbursement
Healthcare has been stuck here because of the payment structure, the
urgent financial structure limits this innovation and fails to take into
account patient engagement and drive efficiencies.
- Alex Hunter, president of EthosPartners
The primary constraint of change is not necessarily technology but how the financing mechanism for
healthcare reimbursement will be evaluated and modified going forward.
-Eric Topol
For a health system to pay for a mobile-health solution, it must deliver healthcare better than existing
solutions.

12. Telemedicine benefits

13. What telemedicine should look like