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Telehealth: beyond bright shiny objects

Rebecca Gwilt's presentation at the VRHA Conference

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Telehealth: beyond bright shiny objects

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 10. The Problem/Solution Time Warp © 2015 Healthcare Solutions Connection, LLC
  11. 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. 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. 13. Living Implementation Staff Training PILOT Feedback Loop Process Protocols © 2015 Healthcare Solutions Connection, LLC
  14. 14. Case Studies, abbr. Culpeper Regional Hospital Olde Towne Pediatrics Chippenham Pediatrics © 2015 Healthcare Solutions Connection, LLC
  15. 15. Questions? Rebecca Gwilt, Esq. (757) 846-4936 rebecca.gwilt@nixonlawgroup.com www.healthcaresolutionsconnection.com

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