Telehealth presentation from the 2014 VRHA conference

1. From Soup to
Nuts:
Getting a Telehealth
Program Off the
GroundGoing the distance…so you
don’t have to…
Virginia Rural
Health Association
Annual
Conference
December 11, 2014

2. No Longer Innovation, But Necessity
Telehealth + Rural

3. Rural Population Health Challenges
Telehealth + Rural

4. But Not Just Rural
Telehealth + Rural?

5. Why Telehealth?
Successes Across Demographics,
Geography and Applications

6. Where To Start?

7. Assess
Needs and Readiness
Organizational
Clinical
Financial
Technology
• Current IT infrastructure
• Broadband
connectivity
• Network integrity
(security, utilization,
firewalls, hardware,
QoS)
• Existing equipment
• Staffing
Needs
• Providers
• Patients
• Data/
Information
Coding and Billing
Administration
• Buy-In
• Staffing
• Scheduling
• Training
• Policies, Procedures and
Protocols
Purchasing
Contracting

8. Assess
Use Cases

9. Assess
Use Cases

10. Assess
Use Cases

11. Assess
Priorities
Pick One Area Of Need To Start With.
Consider:
• Low hanging fruit (area that can yield
an easy win/quick success)
• Existing champions (area where you
already have buy-in – clinical
champions or financial incentives or
strong partners or existing investments)

12. Assess
Best Practices

13. Assess
Tech Solutions
1. Live video (synchronous) consults
Video conferencing technology
Telepresence Telemedicine

14. Assess
Tech Solutions
Hardware CODEC Software CODEC
CODEC = COmpression, DECompression
(or more simply a decoder)
*CODECS can be proprietary
or standards-based

15. Assess
Tech Solutions
2. Store and Forward (asynchronous)

16. Assess
Tech Solutions
3. Remote Monitoring

17. Assess
Tech Solutions

18. Assess
Tech Solutions
4. mHealth

19. Assess
Connectivity Needs

20. Assess
What You Need To Make Sure You Understand
1. Covered Entities: Does HIPAA apply to me
and my practice?
2. Personal Health Information (PHI): What is it?
3. Business Associates: Who Are They?
4. HIPAA Safeguards: What Do I Need To Think
About?
HIPAA Compliance

21. Assess
5. Working with Vendors: But What If They All Claim
to be HIPAA Compliant?
Five questions to ask:
• Which of these items on the ePHI list CAN your
company access, even if you don't normally view it?
• Could we view your Risk Assessment? (A required
HIPAA compliance measure.)
• Would you be willing to sign OUR BAA?
• If they have access to ePHI, would you send a list of the
administrative, physical and security measures that you
have in place?
• Do you have a third party audit report on your HIPAA
compliance? The lack of one may not be a deal-
breaker, but it is useful)
as a comparison point.

22. Assess
6. The Penalty Box: What’s My Risk?

23. Existing and Potential Relationships
Assess

24. Establish
Implementation Timeline

25. Establish
Business Plan and Financial Models

26. Establish
Technology Infrastructure

27. Your Telehealth Team
Establish

28. Define
Roles and Responsibilities

29. Define
Processes, Policies and Procedures

30. Implement
Start Small, Pilot Test and Then Grow

31. Quality Improvement
Improve

32. Resources

33. Who We Are?

34. You Can Start Here!
http://matrc.org/

35. And Here!
http://matrc.org/summit/

36. Contact
For More Information:
www.facebook.com/MATRC
www.MATRC.org