Telemedicine Amanda Martin Steve North Disclosure WE HAVE NOTHING - - PowerPoint PPT Presentation

School-Based Health Care via Telemedicine

Amanda Martin Steve North

Disclosure

WE HAVE NOTHING TO DISCLOSE

Who is in the room?

• Thank you for responding to the survey
• n= various

17 organizations from 14 states

Who is in the room?

Role: 10 Administration 2 Clinicians 3 Both

Time in the field

5 10 15 20 25 30 35 40 1 2 3 4 5 6 7 8 9

Organization

Simple Hub & Spoke

Hub Spoke

Basic Hub & Spoke

Hub

Spoke Spoke Spoke

Basic Hub & Spoke

Hub

Spoke Spoke Spoke Spoke Spoke Spoke Spoke

Busy Hub

Hub

Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke

Multiple Hubs, Multiple Spokes

Multiple Hubs

Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke

Linked SBHCs

SBHC SBHC SBHC SBHC SBHC

Equipment/Technology

Live, two-way audio and video

• Otoscope
• Stethoscope
• Exam camera
• Spirometry
• iPad (for surveys & education)
• More?

DATA, DATA, DATA

YOUR RESPONSES

Data from this group

Years providing tSBHC 1-4 years Origination sites 1-22 sites Distant sites 1-11 sites Visits provided 444 was highest number Percent of students enrolled 10%-50% Total District Population 100-10,000 % of enrolled patients seen 4-11%

What types of school-based health care do you currently provide via telemedicine?

• Answered: 8 Skipped: 0

Where are your school-based originating sites (patient) located

Where are your distant sites (provider) located?

Who presents the patient at the originating site (patient)?

• Answered: 7 Skipped: 1

Who pays for the presenter's time?

Q12: Do you bill for ANY of the school- based telemedicine services provided?

Q13: Do you receive a "site fee" or any type of reimbursement from any insurers for using telemedicine services in addition to billing for the office visit E&M code?

Do you bill independently or through a third party?

Q15: Are you measuring any outcomes in your project? (Select all that apply)

Have you presented or published any of the data collected from your?

Who is the sponsoring organization for the school-based telemedicine program?

What types of funding sources have you used/are you using?

School-Based Health Alliance Census Data

SBHCs Providing Telehealth

Unique programs 52 Unique Schools 132 States 25 states

SBHA 13-14 Census Services Provided

Schools Programs States

Behavioral Health 30 19 15 Oral Health 9 6 5 Health Education 1 1 1 Nutrition 4 4 4

Do we know of other programs

Rochester, NY

Name: Health-e-Access Number of Sites: 50+ Type of Care: Acute care only Sponsoring org: University of Rochester Providers: 10 PCMHs and NP at University of Rochester Billing: Unclear Years in Operation 10

New Mexico

Name: Envision New Mexico Number of Sites: 19 School-based health centers Type of Care: Child and Adolescent Psychiatry Sponsoring org: UNM Department of Pediatrics Providers: Psychiatrists at UNM Billing: Yes Years in Operation 8

Kiosks

Austin, MN

Name: HealthSpot Number of Sites: 2 Type of Care: Acute care only for teachers and dependents Sponsoring org: Austin Public Schools District and Mayo Clinic Providers: Local Mayo Clinic physicians Billing: Yes Years in Operation Launched in Feb 2015

Pennsylvania

Name: Virtual School Counselor Network Number of Sites: ??? (170 patients 2014-2015 school year) Type of Care: Providing IEP Sponsoring org: As above Providers: LCSWs, LPCs Billing: Directly reimbursed by schools Years in Operation 1

Western North Carolina

Name: Health-e-Schools Number of Sites: 22 Type of Care: Primary care for all students, faculty & staff plus pediatric psychology & cardiology, adolescent consults Sponsoring org: The Center for Rural Health Innovation Providers: Family Nurse Practitioner, specialists Billing: Yes Years in Operation 4

Contact Information

• Amanda Martin

– Amanda.martin@crhi.org

• Steve North, MD, MPH

– Steve.north@crhi.org