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 Health Clinical Neuroscience
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.
Telemedicine: Access to Wound Care in Rural Healthcare Communities • Moderator: Brian Wayling • Presenter: – Alyssa Francis, Program Director, CutisCare USA
Telemedicine: Access to Wound Care in Rural Healthcare Communities Alyssa M. Francis, MSA, MPM, FAAPM Boca Raton, Florida Billings, Montana
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.
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 on healthcare regulatory compliance, physician driven outcomes, clinical quality and patient care satisfaction.
Billings, Montana Billings is a dynamic and • • Billings is located on the high plains in beautiful community of over south-central Montana, giving it more 112,000 residents nestled abundant sunshine and less snow than between the Yellowstone River in the mountains to the west. It is an and a nine-mile long cliff face outdoor lover’s paradise, with hiking, known as the Rimrocks biking, deer and elk hunting and trout Billings is the largest city in • fishing within driving distance. Also, Montana and the Northern within about an hour’s drive are the Rocky Mountain Region. Red Lodge Mountain ski area and the Little Bighorn Battlefield National Billings serves as a regional • Monument. Historic Yellowstone center for commerce, National Park lies less than three hours transportation, energy, to the southwest. healthcare, entertainment, and education.
Billings Clinic
Provider Panel
Podiatry Provider Panel Sarah Sample-Eppinger, DPM
Billings Clinic Service Region Population Estimates (2020) Divide Sheridan Daniels Lincoln Hill Glacier Toole 1,967 Flathead Liberty 1,730 3,362 17,607 Williams 20,007 13,394 107,921 4,859 Roosevelt 2,392 Blaine Havre Valley 37,866 Kalispell 11,537 Wolf Point Williston 4,177 Glasgow Pondera 6,736 6,383 Richland Teton Chouteau McKenzie Sidney 7,392 Sanders 27,743 Phillips 13,094 10,814 6,157 McCone 4,316 Lake 12,059 Dunn Cascade Dawson Fergus 1,402 Great M 3,684 Lewis & 1,234 Golden Valley 498 i 8,403 n Falls e 11,002 r Clark a Judith 81,709 Garfield Glendive Powell Petroleum l Stark Missoula Billings Missoula Basin Lewistown 1,059 3,757 Prairie 70,172 532 32,539 Dickinson Wibaux 1,744 119,850 Missoula 1,940 1,057 Slope Rosebud Meagher Fallon Musselshell 2,819 Hettinger Granite Broadwater 1,008 7,167 Roundup 2,344 436 9,035 Custer 2,791 1,870 Treasure Golden Wheatland 45,279 2,946 4,463 Bowman Adams Forsyth Miles City Baker Jefferson 5,238 650 Valley 9,362 3,157 Sweet 2,240 Deer 11,588 12,103 Yellowstone Silver Gallatin Ravalli Lodge Grass 9,417 Bow Park 162,668 1,202 Big 117,968 35,054 Billings Timber Columbus 3,745 1,636 Hardin Carter Bozeman r e Livingston t Beaverhead Madison a Powder w 10,475 13,217 l l Carbon i Primary 16,946 t River Dillon S Big Horn 8,575 Red Lodge 9,457 Sheridan Secondary Powell 30,652 Lovell Crook Park Sheridan Campbell Greybull Cody Tertiary 7,512 Bighorn Gillette Buffalo 29,547 11,827 Weston 45,263 Washakie 8,257 Worland Hot 6,933 Johnson 7,811 Springs 4,459 Population Sq. Miles Pop. Density Thermopolis Yellowstone 162,668 2,635 61.7 Converse Secondary 56,522 26,101 2.2 Fremont Natrona 39,110 Tertiary 432,624 99,065 4.4 13,400 78,716 TOTAL: 651,814 127,801 5.1 Riverton Casper Douglas * Population is 2020 Claritas LLC estimates.
Billings Clinic Wound Care Appointments, CY2018 Divide Sheridan Daniels Lincoln Hill Glacier 6 Toole Flathead Liberty 7 Williams Roosevelt Blaine Havre Valley 1 Kalispell Wolf Point 88 Williston Glasgow Pondera 1 37 Richland 4 Teton Chouteau McKenzie Sidney Phillips Sanders 4 McCone 4 Lake Dunn Dawson Fergus 4 M Lewis & 4 Golden Valley i n 11 e Great Falls r 4 Clark a Judith Garfield Glendive Petroleum l Stark P Cascade Missoula Billings Missoula o Basin Lewistown w Prairie 1 7 e Dickinson l Wibaux Missoula l Slope Rosebud Fallon Musselshell Hettinger Granite Broadwater Meagher 21 Roundup 24 Custer Treasure Golden Wheatland Bowman Adams 42 Forsyth Miles City Baker Jefferson 6 Valley Sweet Deer 1 2 Yellowstone Silver Gallatin Ravalli Lodge 63 Grass Bow Park 175 Big 2,576 9 Beaverhead Billings Timber Columbus 2 Hardin Carter Bozeman 9 r e Livingston t Madison a Powder 113 w l l Carbon i 86 t River Dillon S Big Horn 107 Red Lodge Sheridan Powell Lovell Park 5 Sheridan Crook Cody Greybull Gillette 16 Buffalo 25 Bighorn Primary 9 1 Worland Weston Washakie Hot Secondary Campbell Johnson Springs 9 9 Thermopolis Tertiary Converse Fremont Natrona 3 Riverton Casper Douglas
Billings Clinic Wound Care Appointments, CY2019 Divide Sheridan Daniels Lincoln Hill Glacier 4 Toole Flathead Liberty 3 Williams Roosevelt Blaine Havre Valley Kalispell Wolf Point 58 Williston Glasgow Pondera 24 49 Richland 11 Teton Chouteau McKenzie Sidney Phillips Sanders 14 1 1 McCone Lake Dunn Dawson Fergus M Lewis & Golden Valley i n 2 e Great Falls r 7 Clark a Judith Garfield Glendive Petroleum l Stark P Cascade Missoula Billings Missoula o Basin Lewistown w Prairie e Dickinson l Wibaux Missoula l Slope Rosebud Fallon Musselshell Hettinger Granite 1 Broadwater Meagher 4 Roundup 1 Custer 5 Treasure Golden Wheatland Bowman Adams 69 Forsyth Miles City Baker Jefferson 12 Valley Sweet Deer 48 Yellowstone Silver Gallatin Ravalli Lodge 38 Grass Bow 1 Park 89 Big 2,796 13 Beaverhead Billings Timber Columbus 8 Hardin Carter Bozeman 39 r e Livingston t Madison a Powder 141 w l l Carbon i 120 t River Dillon S Big Horn 88 Red Lodge Sheridan Powell Lovell Park 16 Sheridan Crook Cody Greybull Gillette 3 Buffalo 15 Bighorn Primary 2 Worland Weston Washakie Hot Secondary Campbell Johnson Springs Thermopolis Tertiary Converse Fremont Natrona 2 Riverton Casper Douglas
Billings Clinic Wound Care Appointments Referred, CY2019 Divide Sheridan Daniels Lincoln Hill Glacier Toole Flathead Liberty 1 Williams Roosevelt Blaine Havre Valley Kalispell Wolf Point 6 Williston Glasgow Pondera 3 2 Richland 11 Teton Chouteau McKenzie Sidney Phillips Sanders 1 1 1 McCone Lake Dunn Dawson Fergus M Lewis & Golden Valley i n 2 e Great Falls r 2 Clark a Judith Garfield Glendive Petroleum l Stark P Cascade Missoula Billings Missoula o Basin Lewistown w Prairie e Dickinson l Wibaux Missoula l Slope Rosebud Fallon Musselshell Hettinger Granite 1 Broadwater Meagher Roundup Custer 1 Treasure Golden Wheatland Bowman Adams 5 Forsyth Miles City Baker Jefferson 1 Valley Sweet Deer 9 Yellowstone Silver Gallatin Ravalli Lodge 6 Grass Bow 1 Park 5 Big 230 2 Beaverhead Billings Timber Columbus 2 Hardin Carter Bozeman 3 r e Livingston t Madison a Powder 19 w l l Carbon i 32 t River Dillon S Big Horn 8 Red Lodge Sheridan Powell Lovell Park 3 Sheridan Crook Cody Greybull Gillette 3 Buffalo 2 Bighorn Primary Worland Weston Washakie Hot Secondary Campbell Johnson Springs Thermopolis Tertiary Converse Fremont Natrona Riverton Does not include appointments referred by Billings Casper Douglas Clinic Podiatrists or Wound Care providers (Hurd, Raboy), but does include other Billings Clinic referring providers.
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 or complex wounds of the foot and ankle. – Hyperbaric Medicine for specific indications – Telemedicine and Outreach Education
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