Rebecca Gwilt's presentation at the VRHA Conference

1. Telehealth, HIT, and mHealth:
Beyond “Bright Shiny Objects”
Rebecca E. Gwilt, Esq
Nixon Law Group
Healthcare Solutions Connection
© 2015 Healthcare Solutions Connection, LLC

2. A Roadmap for Innovators
Where are
we?
Where do we
want to go?
How do we
get there?
Are we
there?
Business Transformation and Innovation Management
Strategic Planning for…
© 2015 Healthcare Solutions Connection, LLC

3. Presentation Roadmap
What is Telehealth? mHealth? Health IT?
The Rural Challenge
The Problem/Solution Time Warp
Vendor Vetting
Cost Considerations
The Living Implementation
© 2015 Healthcare Solutions Connection, LLC

4. What is Health IT?
Health information technology: The application of
information processing involving both computer hardware
and software that deals with the storage, retrieval, sharing,
and use of health care information, data, and knowledge for
communication and decision-making (ONC)
© 2015 Healthcare Solutions Connection, LLC

5. What is Telehealth?
• Video-conferencing and streaming media
• Remote provider training and patient education
• Remote monitoring
• Store-and-forward
• Wireless communication
Methodologies for
Telehealth
Delivery
A collection of means or methods for enhancing health care,
public health, and health education delivery and support
using Health IT (CCHP)
© 2015 Healthcare Solutions Connection, LLC

6. What is Telemedicine?
The use of medical information exchanged from one site to
another via Health IT to improve a patient’s clinical health
status (ATA)
© 2015 Healthcare Solutions Connection, LLC

7. What is mHealth?
Mobile health: Generation, aggregation, and dissemination
of health information via mobile and wireless devices
(HIMSS)
• Information gathering
• Information generation
• Information sharing
“Apps” that help
patients manage
Health and
Wellness
© 2015 Healthcare Solutions Connection, LLC

8. The Rural Challenge
• Patient migration
• Patient health acuity
• Patient health literacy
• Lack of insurance
• Geography
• Poverty
• Decreased funding
• Increased costs
© 2015 Healthcare Solutions Connection, LLC

9. Telehealth in the Rural Setting
Access to
Primary Care
• Transportation
Challenges
• Cultural Barriers
• Shortage of
providers
Access to
Specialists
• Shortage of
providers
Care
Coordination
• Complex chronic
condition
management
Patient-
centered
Care
• Health literacy
• Medication
adherence
• Access to
medical
information
Physician
Mentorship
• Lack of specialty
training
© 2015 Healthcare Solutions Connection, LLC

10. The Problem/Solution Time Warp
© 2015 Healthcare Solutions Connection, LLC

11. Cost Considerations
ROI [%] = [Gain of Investment – Cost of Investment] / Cost of Investment
Provider Goals
• Patient satisfaction
• Clinical and financial improvement
• Patient adoption
Financial ROI
• Cost avoidance (e.g. LOS reduction)
• Additional revenue (e.g., patient attraction and retention)
• Market differentiation
Clinical ROI
• Increase compliance
• Access to specialty services
© 2015 Healthcare Solutions Connection, LLC

12. Vendor Selection and Vetting
Do they have the abilities, time and tools
to benefit?
Put ‘em through the wringer
Google… and other resources
FIRST: Define Success.
© 2015 Healthcare Solutions Connection, LLC

13. Living Implementation
Staff
Training
PILOT
Feedback
Loop
Process
Protocols
© 2015 Healthcare Solutions Connection, LLC

14. Case Studies, abbr.
Culpeper Regional Hospital
Olde Towne Pediatrics
Chippenham Pediatrics
© 2015 Healthcare Solutions Connection, LLC

15. Questions?
Rebecca Gwilt, Esq.
(757) 846-4936
rebecca.gwilt@nixonlawgroup.com
www.healthcaresolutionsconnection.com