SLIDE 1 Telehealth in South Carolina:
Collaboration, Care Models and the Continuum of Care
Kathryn King Cristaldi, MD, MHS Associate Program Director, National Telehealth Center or Excellence James T. McElligott, MD, MSCR Executive Medical Director, Center for Telehealth
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Objectives
The learner will
› Be able to articulate the current state of development of telehealth in South Carolina › Have an understanding of the most common forms of telehealth in use in the State › Be able to discuss the value of various applications of telehealth › Have an understanding of payment innovations that enable telehealth
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Telehealth Overview
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National Trends in Telehealth
The global market is projected to reach over $9 billion
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Telehealth in South Carolina
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HRSA National Telehealth Center of Excellence
➢One of two National Telehealth Centers of Excellence in the country ➢Medical University of South Carolina ➢University of Mississippi ➢Funded in 2017 with three- year award
SLIDE 8 HRSA and the COE
Health Resources and Services Administration HRSA Federal Office of Rural Health Policy
FORP
Rural Telehealth Research Center
Office for Advancement of Telehealth
OAT
Telehealth Resource Centers
TRC
Telehealth Network Grant Program
TNPG
Office of Rural Health Policy
ORHP
Telehealth Center
COE
https://www.hrsa.gov/ruralhealth/programo pportunities/fundingopportunities
SLIDE 9 Telehealth expertise required
- “Successful telehealth program
with breadth, depth, and high volume”
- 77 unique services; > 140 sites;
27 SC counties
- Care settings: 28 hospitals; 90
community clinics; 50 schools and alternate sites
https://www.hrsa.gov/ruralhealth/programo pportunities/fundingopportunities
SLIDE 10 Service to underserved areas required
medically underserved areas with high prevalence of chronic disease”
completely or partially medically underserved regions
https://www.hrsa.gov/ruralhealth/programo pportunities/fundingopportunities
SLIDE 11 COE Vision
- Apply rigorous, team science to characterize telehealth best
practices
- Develop materials and programs to facilitate ‘next level’ telehealth
SLIDE 12 3- Year HRSA Cooperative Agreement
- “National clearinghouse for telehealth research, resources, and
technical assistance”
- Living laboratory
- Impact of telehealth on healthcare spending
- Provider and patient engagement in telehealth
- Open access network evaluation and dissemination
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HRSA Telehealth Center of Excellence Ford Cristaldi MUSC Center for Telehealth McElligott Valenta
- 3. Technical Assistance
- 2. Dissemination materials
- 4. Consultation
Federal and Local Healthcare Spending OAN Evaluation and Best Practice Dissemination Provider and Patient Engagement Program Coordinator Kruis Telehealth as Model for Implementation
Practices Evaluation of Behavioral Health Focused Telehealth Programs Creating and Evaluating a Primary Care Telehealth Menu
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The Mission
Improve the health of all South Carolinians through Telehealth (South Carolina Telehealth Alliance) Telehealth for efficient, effective care (Center for Telehealth)
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School-Based Telehealth
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Supporting Community Practices with Co- management in the Medical Home
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Telehealth Overview
Synchronous, cart-based and software enabled consultation
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Telestroke
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Telestroke
SLIDE 23 Telehealth Overview
Synchronous, in-hospital 24/7 monitoring
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SLIDE 25 Telehealth Overview
Asynchronous and mHealth Remote Patient Monitoring
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Department of Mental Health
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Direct to Patient
SLIDE 29 Service Development Innovation
Telehealth Service Strategy
- Ensures strategy is defined, maintained and then implemented
Telehealth Service Design
- Consistent approach to design and development
Telehealth Service Transition
- Period of testing through go-live
Telehealth Operations
- Supports responsive and stable services
Continual Quality Improvement
- Aligns services to customers’ needs
Telehealth Service Strategy
Telehealth Service Design Telehealth Service Transition Telehealth Operations
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“Classic” telehealth Restriction Relief Remote Patient Monitoring Virtual Check-Ins Multidisciplinary Care Team Payment Models
› Behavioral Health Integration Services
Reimbursement Innovation
SLIDE 31 Telehealth Industry Engagement Paradox
Technology Manpower Payment Models
Delivery Infrastructure Business Model
Industry Healthcare
SLIDE 32 Innovations in Collaboration
Examples:
- School-based care
- Mental health support for hospitals
- Telestroke
SLIDE 33 Innovations in Care Models
Examples:
- Remote patient monitoring for diabetes
- Tele-ICU
- Tele-sitter for hospitalized patients
- Direct-to-Consumer
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Innovations in the Continuum of Care Embrace the Asynchronous!
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Outsourced Staffing Models
Interoperable Technology Alternative Payment Models Outsourced Virtual Manpower
SLIDE 36 Influencing Strategy
Value
Hospital Support Services Business Health MUSC Service Extension Priority Health Disparities Cost Avoidance Institutional Facility Support Services Primary Care Support Services
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What’s to Come?
“In My Day…..”
