Saint Lukes eHealth/Virtual Care Evolving models of Virtual Care - - PowerPoint PPT Presentation

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Saint Lukes eHealth/Virtual Care Evolving models of Virtual Care - - PowerPoint PPT Presentation

Jul 22, 2023 432 likes •735 views

Saint Lukes eHealth/Virtual Care Evolving models of Virtual Care Stephen Kropp, MS, System Director of Virtual Health Services Where there is no vision, the people parish Proverbs 29:18 Governance The way rules, norms, and

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Saint Luke’s eHealth/Virtual Care

Evolving models of Virtual Care

Stephen Kropp, MS, System Director of Virtual Health Services

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  • Where there is no vision, the people parish…… Proverbs 29:18

Governance – The way rules, norms, and actions are structured, sustained and regulated and held accountable. (Wikipedia)

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Saint Luke’s eHealth—Outreach History

SAINT LUKE’S HEALTH SYSTEM 3

CONTENTS CONFIDENTIAL AND SUBJECT TO THE ATTORNEY/CLIENT PRIVILEGE – DO NOT DISTRIBUTE

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Changing Health Care Landscape

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Fee-for- Service

Volume– based Traditional, acute care paradigm Based on illness

Value-Based

Quality Safety Patient satisfaction Reduced cost

Population Health Management

Global payment Wellness/ prevention Medical home Managing chronic disease

Payment models

Goals: touch more patients, improve care, improve efficiency

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SLHS eHealth Driving Principles

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Market Expansion Operational Efficiency Competitive Differentiation Defensive Strategy How large is the

  • pportunity?

Are the program benefits equal to or greater than the cost to produce them? What distinguishes our programs from competitors? Do we need to react to competing eHealth programs?

In 2010, Saint Luke’s eGovernance Council defined four goals to evaluate and guide investment decisions.

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Buckminster Fuller—Knowledge Doubling Curve

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  • The curve begins in year AD 1; human’s

“knowledge unit” took a 198,000 years to accumulate

  • By 1500, human knowledge had doubled to

two units

  • In 1750, with introduction of the printing

press, it doubled to four units

  • By 1900, human knowledge had doubled again
  • In 1950, knowledge doubled again to 16 units
  • At the time Critical Path was published in

1982, human knowledge was doubling every 18 months

  • Now, human knowledge is doubling every

12 – 13 months

  • IBM predicts human knowledge could soon

double every 12 hours.

(Source: Critical Path)

Time – Historical

Linear Growth Exponential Growth

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Rural Missouri Hospital Telemedicine Usage and Patient Retention

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2017

50% 80%

2017

Usage percentage Retention percentage

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SLHS SSA Regional Hospital Markets

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Kansas Hospitals

23 Hospitals

Missouri Hospitals

27 Hospitals SLHS Regional Facility

Allen Anderson Andrew Atchison Atchison Barton Bates Benton Bourbon Brown Buchanan Caldwell Carroll Cass Cedar Chariton Clay Clinton Coffey Cooper Crawford Daviess DeKalb Doniphan Douglas Franklin Gentry Grundy Harrison Henry Hickory Holt Howard Jackson Jackson Jefferson Johnson Johnson Lafayette Linn Linn Livingston Lyon Marshall Mercer Miami Moniteau Morgan Nemaha Neosho Nodaway Osage Pettis Platte Polk Pottawatomie Ray Saline Shawnee St Clair Sullivan Vernon Wabaunsee Woodson Worth

4 5 3 2 1 9 8 7 12 13 1 4 15 16 1 7 19 20 21 22 23 24 25 26 27 29 30 31 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 6 10 11 18 28 32

Wyandotte Leavenworth

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How does eGovernance impact the rise or fall

  • f a strong Telemedicine program?
  • Listen
  • Incentive Alignment
  • Congruent with
  • rganizational strategic plan
  • Homework
  • Pilot
  • Develop your 90 day plan
  • Mission, Vision, Values

consistent with organization

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Due Diligence in the selection of your stakeholders

  • Don’t always start with the

lowest hanging fruit.

  • Profiling is PC when identifying

key leaders possessing the vision and energy to innovate.

  • Executive sponsorship coupled

with clinical engagement is as important as O2.

  • IT is a necessary member, not a

driving force.

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COO

Executive Sponsor

System Director of Virtual Care

Operations

Virtual Innovative Health Specialists

Physician sponsors

IT, Nursing, Mrktg, Outreach, Pharm, Post Acute,

Enablers

Chief Innovation Officer

eGovernance Lead

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Establishing a Strong Market Presence

Telemedicine Rapid Expansion: “One report claims that, globally, Telemedicine will be a $36.2 billion industry by 2020. Up from $14.3 billion in 2014”. AARP—February/March 2018 Exercise Your Governmental Relations Office regularly: 2015 – 2018: Statewide Telemedicine Legislative Summit in Jefferson City–Summit for Health Care Providers, Insurers, Telemedicine Industry and Missouri Legislators

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Source: Beck M. How telemedicine is transforming health care. Wall Street Journal. June 26, 2016.

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SLHS eHealth Service

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CMS is trying to keep pace with the pace of healthcare evolution.

  • Chronic Care Remote Physiologic Monitoring
  • If finalized, the new codes go live Jan. 1, 2019
  • 33% less time
  • Separate payment for initial set up and training
  • Clinic staff are allowed to conduct the encounter

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Provider engagement and training

  • Work closely with your system

transfer program.

  • Identify regional demand for

each specialty

  • Internal assessment with

specialties in demand

  • Determine provider resources

and stretch RVU goals for each requested specialty

  • Virtual Innovative Health

Specialist (VIHS)

  • Technology must be intuitive to

care givers

  • Training should not exceed 15

minutes for the technology

  • Once the providers register and

explore the sand-box, create a series of mock patients on-which to practice

  • Staff from originating site spends

time with providers nurse

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The Hedrick Experience: Problem

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500 550 600 650 700 750 800 850 2011 2012 2013 Admissions Transfers

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The Hedrick Experience: Solution

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200 400 600 800 1000 1200 2011 2012 2013 2014 2015 2016 2017 Admissions (Med Surg, ICU, & Swing) Transfers 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 7000 7500 8000 8500 9000 9500 2011 2012 2013 2014 2015 2016 2017 ER Visists % of ER Transfers to ER Visits

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Apache Data – Ratios

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Apache Data – Ratios (cont.)

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Apache Data – Ratios (cont.)

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Apache Data – Mortality with Sepsis

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Take Saint Luke’s With You Wherever You Go

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Cost Savings

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Saint Luke’s 24/7—Targeting Employees

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ePulse

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Saint Luke’s 24/7 Brand Awareness

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Engaging Households on Multiple Fronts

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Patient Impact

  • As a core competency within the Saint Luke’s Health System,

the real patient impact is summed up in this brief video. https://youtu.be/wUKBGFvppTk

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Thank you.

Questions?

Stephen Kropp, M.S. Saint Luke’s Health System skropp@saintlukeskc.com

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CONTENTS CONFIDENTIAL AND SUBJECT TO THE ATTORNEY/CLIENT PRIVILEGE – DO NOT DISTRIBUTE