Welcome You Bronze Sponsors: Exhibitors: Non-profit: Pacific - - PowerPoint PPT Presentation

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Welcome You Bronze Sponsors: Exhibitors: Non-profit: Pacific - - PowerPoint PPT Presentation

Dec 25, 2023 495 likes •1.11k views

2020 NRTRC TAO VIRTUAL CONFERENCE Northwest Regional Telehealth Resource Center and the Telehealth Alliance of Oregon Welcome You Bronze Sponsors: Exhibitors: Non-profit: Pacific Northwest University of Health Sciences University of Utah

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Northwest Regional Telehealth Resource Center and the Telehealth Alliance of Oregon

Welcome You

2020 NRTRC TAO VIRTUAL CONFERENCE

Pacific Northwest University of Health Sciences University of Utah Health Clinical Neuroscience

Bronze Sponsors: Exhibitors: Non-profit:

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VIRTUAL SESSION INSTRUCTIONS

  • Audio and video are muted for all participants
  • Use the Q&A feature to ask questions
  • Moderator will read questions to the speaker
  • Presentation slides are posted at

https://nrtrc.org/sessions. Recordings will be posted after the conference.

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  • Moderator: Brian Wayling
  • Presenter:

– Alyssa Francis, Program Director, CutisCare USA

Telemedicine: Access to Wound Care in Rural Healthcare Communities

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Telemedicine: Access to Wound Care in Rural Healthcare Communities Alyssa M. Francis, MSA, MPM, FAAPM Boca Raton, Florida Billings, Montana

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Disclosures

Relevant Financial Relationships:

  • Employed by CūtisCare, USA as a Program

Director receiving a salary I will be discussing how the use of Telemedicine and Telehealth has been expanded to meet needs of wound care patients in rural

  • communities. The data provided has been

authorized by healthcare facility to be shared.

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CūtisCare, USA

CūtisCare LLC is the nation's leading provider of multi-place hyperbaric services for acute care hospitals, including major research and trauma centers. CūtisCare is the only industry provider that can offer to our hospital partners a next generation of comprehensive wound management services that includes either a monoplace or multi-place hyperbaric medicine platform as adjunctive therapy. CūtisCare has a committed focus

  • n healthcare regulatory

compliance, physician driven

  • utcomes, clinical quality and

patient care satisfaction.

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  • Billings is a dynamic and

beautiful community of over 112,000 residents nestled between the Yellowstone River and a nine-mile long cliff face known as the Rimrocks

  • Billings is the largest city in

Montana and the Northern Rocky Mountain Region.

  • Billings serves as a regional

center for commerce, transportation, energy, healthcare, entertainment, and education.

Billings, Montana

  • Billings is located on the high plains in

south-central Montana, giving it more abundant sunshine and less snow than in the mountains to the west. It is an

  • utdoor lover’s paradise, with hiking,

biking, deer and elk hunting and trout fishing within driving distance. Also, within about an hour’s drive are the Red Lodge Mountain ski area and the Little Bighorn Battlefield National

  • Monument. Historic Yellowstone

National Park lies less than three hours to the southwest.

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Billings Clinic

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Provider Panel

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Podiatry Provider Panel

Sarah Sample-Eppinger, DPM

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Billings Clinic Service Region Population Estimates (2020)

Riverton

Fremont

Casper Powell

Park

Cody

Hot Springs

Thermopolis

Bighorn

Lovell Greybull

Washakie

Worland

Sheridan

Sheridan

Johnson

Buffalo

Campbell

Gillette

Crook

Lincoln Flathead Sanders M i n e r a l Lake Glacier Missoula Ravalli Beaverhead Granite

Deer Lodge

Powell Toole Pondera Teton Lewis & Clark Cascade Jefferson

Silver Bow Broadwater

Madison Gallatin Sweet Grass S t i l l w a t e r Meagher Wheatland Judith Basin Chouteau Hill Blaine Fergus

Golden Valley

Carbon Big Horn Yellowstone Musselshell Petroleum Phillips Valley Garfield Rosebud Treasure Powder River Carter Custer Fallon Prairie

Wibaux

Dawson McCone Richland Roosevelt Sheridan Daniels Missoula Dillon Bozeman Havre Lewistown

Livingston Big Timber Columbus

Billings Red Lodge Hardin

Roundup

Forsyth Miles City Baker Glendive Sidney Wolf Point Glasgow

Weston Natrona

Great Falls Kalispell Williams Williston Divide McKenzie Dickinson

Golden Valley Billings

Dunn Stark

Slope Bowman Adams Hettinger

Missoula

11,827 29,547 4,459 7,811 8,257 30,652 45,263 7,512 78,716 39,110 6,933 1,202 1,636 11,588 2,791 9,035 650 1,057 1,059 8,403 1,402 1,234 13,217 162,668 4,463 532 7,392 4,177 11,537 10,814 6,736 11,002 1,008 9,417 1,730 3,362 17,607 4,316 1,940 2,344 10,475 3,745 16,946 117,968 8,575 1,870 5,238 12,103 70,172 81,709 20,007 107,921 13,394 4,859 6,383 2,392

Liberty

6,157 12,059 27,743 119,850 7,167 45,279 2,946 3,757 9,457 9,362 35,054 1,967 37,866 13,094 3,684 1,744 436 3,157 2,240 498 32,539 2,819

* Population is 2020 Claritas LLC estimates.

13,400

Douglas

Converse

Primary Secondary Tertiary

Population Sq. Miles Pop. Density Yellowstone 162,668 2,635 61.7 Secondary 56,522 26,101 2.2 Tertiary 432,624 99,065 4.4 TOTAL: 651,814 127,801 5.1 Park

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Billings Clinic Wound Care Appointments, CY2018

Riverton

Fremont

Casper Powell

Park

Cody

Hot Springs

Thermopolis

Bighorn

Lovell Greybull

Washakie

Worland

Sheridan

Sheridan

Johnson

Buffalo

Campbell

Gillette

Crook

Lincoln Flathead Sanders M i n e r a l Lake Glacier Missoula Ravalli Beaverhead Granite

Deer Lodge

P

  • w

e l l Toole Pondera Teton Lewis & Clark Cascade Jefferson

Silver Bow Broadwater

Madison Gallatin Park Sweet Grass S t i l l w a t e r Meagher Wheatland Judith Basin Chouteau Hill Blaine Fergus

Golden Valley

Carbon Big Horn Yellowstone Musselshell Petroleum Phillips Valley Garfield Rosebud Treasure Powder River Carter Custer Fallon Prairie

Wibaux

Dawson McCone Richland Roosevelt Sheridan Daniels Missoula Dillon Bozeman Havre Lewistown

Livingston Big Timber Columbus

Billings Red Lodge Hardin

Roundup

Forsyth Miles City Baker Glendive Sidney Wolf Point Glasgow

Weston Natrona

Great Falls Kalispell Williams Williston Divide McKenzie Dickinson

Golden Valley Billings

Dunn Stark

Slope Bowman Adams Hettinger

Missoula Liberty Douglas

Converse

Primary Secondary Tertiary

2,576 1 24 6 9 175 63 2 7 42 21 107 113 2 6 11 4 9 4 1 4 86 37 4 4 9 5 25 1 9 3 9 16 4 7 88 1 1

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Billings Clinic Wound Care Appointments, CY2019

Riverton

Fremont

Casper Powell

Park

Cody

Hot Springs

Thermopolis

Bighorn

Lovell Greybull

Washakie

Worland

Sheridan

Sheridan

Johnson

Buffalo

Campbell

Gillette

Crook

Lincoln Flathead Sanders M i n e r a l Lake Glacier Missoula Ravalli Beaverhead Granite

Deer Lodge

P

  • w

e l l Toole Pondera Teton Lewis & Clark Cascade Jefferson

Silver Bow Broadwater

Madison Gallatin Park Sweet Grass S t i l l w a t e r Meagher Wheatland Judith Basin Chouteau Hill Blaine Fergus

Golden Valley

Carbon Big Horn Yellowstone Musselshell Petroleum Phillips Valley Garfield Rosebud Treasure Powder River Carter Custer Fallon Prairie

Wibaux

Dawson McCone Richland Roosevelt Sheridan Daniels Missoula Dillon Bozeman Havre Lewistown

Livingston Big Timber Columbus

Billings Red Lodge Hardin

Roundup

Forsyth Miles City Baker Glendive Sidney Wolf Point Glasgow

Weston Natrona

Great Falls Kalispell Williams Williston Divide McKenzie Dickinson

Golden Valley Billings

Dunn Stark

Slope Bowman Adams Hettinger

Missoula Liberty Douglas

Converse

Primary Secondary Tertiary

2,796 24 1 12 39 89 38 8 69 4 88 141 48 4 2 7 13 120 49 1 16 15 2 2 3 11 3 58 1 1 5 1 14

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Billings Clinic Wound Care Appointments Referred, CY2019

Riverton

Fremont

Casper Powell

Park

Cody

Hot Springs

Thermopolis

Bighorn

Lovell Greybull

Washakie

Worland

Sheridan

Sheridan

Johnson

Buffalo

Campbell

Gillette

Crook

Lincoln Flathead Sanders M i n e r a l Lake Glacier Missoula Ravalli Beaverhead Granite

Deer Lodge

P

  • w

e l l Toole Pondera Teton Lewis & Clark Cascade Jefferson

Silver Bow Broadwater

Madison Gallatin Park Sweet Grass S t i l l w a t e r Meagher Wheatland Judith Basin Chouteau Hill Blaine Fergus

Golden Valley

Carbon Big Horn Yellowstone Musselshell Petroleum Phillips Valley Garfield Rosebud Treasure Powder River Carter Custer Fallon Prairie

Wibaux

Dawson McCone Richland Roosevelt Sheridan Daniels Missoula Dillon Bozeman Havre Lewistown

Livingston Big Timber Columbus

Billings Red Lodge Hardin

Roundup

Forsyth Miles City Baker Glendive Sidney Wolf Point Glasgow

Weston Natrona

Great Falls Kalispell Williams Williston Divide McKenzie Dickinson

Golden Valley Billings

Dunn Stark

Slope Bowman Adams Hettinger

Missoula Liberty Douglas

Converse

Primary Secondary Tertiary

230 3 1 3 5 6 2 5 8 19 9 2 2 2 32 2 1 3 2 3 11 1 6 1 1 1 1 1

Does not include appointments referred by Billings Clinic Podiatrists or Wound Care providers (Hurd, Raboy), but does include other Billings Clinic referring providers.

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Services Provided in Our Clinic

– The Center functions in a collaborative fashion with

the primary care physician or provider and/or referring physician

– Comprehensive and Advanced Services – Advanced Podiatric Services: Treatment of diabetic

  • r complex wounds of the foot and ankle.

– Hyperbaric Medicine for specific indications – Telemedicine and Outreach Education

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Building Relationships

–Team traveled to multiple locations for meet-and- greet or educational lunch-and-learns –Relationship development is key to partnership –Building trust with multiple communities and cultures

https://tribalnations.mt.gov/tribalnations

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Miles City, MT August, 2017

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Billings Clinic - Cody Clinic August, 2017

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Central Montana Medical Center (CMMC), Lewistown September, 2017

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Livingston Healthcare – HBOT Training Summer 2019

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Miles City, MT Fall 2019

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Pioneer Medical Center Big Timber, MT Fall, 2019

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What is Telehealth and Telemedicine?

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Importance and Relevance to a Healthcare Practice

  • Geographic distance prevents specialty medicine to

be provided in rural and frontier communities

  • Cost of travel to urban areas for patients who live in

the region

  • Eliminates provider’s need to travel and incur travel

costs, time away from clinic and family

  • Provider's real-time interactions for both patients

and providers

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Telemedicine In Wound Care

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The Positive Impacts of Using Telemedicine in Wound Management

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Telemedicine for Wound Care: Utilization Within Billings Clinic and Region

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Partnerships: EMTN

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Challenges

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Advantages and Successes

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  • Statistics: CY 2018 - 41, CY 2019 - 74
  • Pilot project to bring Telemedicine into Inpatient

Wound Care

  • Partnerships = Success
  • We are here to support the provider, patients

and communities

In Conclusion