Jenelle O’Donnell, Telemedicine Coordinator Broadband Healthcare Applications: Telemedicine Jenelle O’Donnell, Telemedicine Coordinator

About Winona Health Nonprofit healthcare provider Winona Health has: Winona Health is governed by a board of community volunteers who adopts governance policies and practices to guide the organization’s fulfillment of its mission: to improve the health and well-being of the community and the patients it serves. Winona Health has: -More than 60 physicians and associate providers -13 specialties -More than 1,100 employees -More than 400 volunteers -99-bed hospital -140-bed nursing home -60-apartment assisted living community -20-apartment assisted living community for memory care  

Starting Our Telemedicine Adventure… Federal Beacon Grant Awarded in 2011 Started Telemedicine visits in August 2012 Wanted to focus our start on Primary Care With the intension to progress to specialty care Partnered with local broadband operator Hiawatha Broadband Corporation-Winona, MN

What is Telemedicine? What is the audience’s perception of Telemedicine? Do they know what it is?

Winona Health’s definition: Telemedicine: A professional medical appointment between a patient and a Provider through interactive video conference. Telehealth: The delivery of health related services and patient information via telecommunication technologies. Example: sending an x-ray or collecting vital signs for the ability to monitor patients at home.

Other Broadband Uses… HIE—being able to get pt records from Mayo or Gundersen without having to fax or mail the records.

Who is involved to make this work? Winona Health HBC A-Vu Media Corp Around the outside of this circle is the community of Winona----Winona works really hard to keep everything connected and keep it’s comm members healthy

What types of locations are connected? Nursing Homes x4 Remote Clinics x2 Home and Community Options St. Mary’s University Schools Home Care, Hospice, & Palliative Care Assisted Living Urgent Care Southern Cities Psychiatry Clinic Faribault, MN Winona Health Shared ePortal

What departments/services are offered? Diabetes Education Nutrition Services Psychiatry & Counseling Family Practice Internal Medicine Student Health Pediatrics Family Medicine We have MDs, PAs, and NPs all providing appointments with in these departments/services

Key Uses of Telemedicine Psychiatry Shortage of providers especially at Nursing Homes Urgent Care High volume times Wound Care Utilize specialists no matter where the patient is Remote Clinics & specialist access Able to provide the right resource to see patients Diabetes and Nutrition Education Allows patients the flexibility to be seen when they want to

Positive Outcomes Positively impact disease management Improve overall health status and quality of life Apply new technology Increase access to health care Improving communication and coordination Controlling costs Creating Community Just as it takes a village to raise a child, there is a sense here that it takes a community to keep one healthy.

Benefits of Telemedicine Increasing access to healthcare by providing an alternative way to connect with a provider Saving time Efficient Quality and clarity-both video and appointment Opportunity to invite remote family members to appointments or care conferences Costs the same as a face to face clinic visit and most insurance companies now pay for Telemedicine Significant cost savings Ambulance transports and ED visits

More Benefits of Telemedicine… Saves travel for both patients and providers Especially if they have mobility issues Reduce re-admission to the hospital Flexibility of the system Improve patients’ overall health status and quality of life in a manner that is convenient for the patient and creates a meaningful patient experience **Create a cost-effective model for health care delivery

Barriers to Telemedicine Connectivity to rural areas ex. Home Care Limits the use of this technology & reduces access to patients in need of care Credentialing and Privileging of providers Licensure in every state in which they see patients Credentialed at every building where patients are located Reimbursement for services or certain providers Diabetic Educator to NH’s Visits in the home

What is the future of Telemedicine at Winona Health? Worksite Wellness Add Providers & locations in & around Winona BUILD THE NETWORK Gain Access to Specialists at other facilities Aim to keep more patients close to home and heal closer to home at Winona Health Goals and Future State of Winona Health Telemedicine So think about how this may benefit you or a family member. Are there ways in which you can impact someone’s health by suggesting Telemedicine? Ask your doctor about Telemedicine!!

Closing Points Telemedicine technology works It’s robust and adaptable Telemedicine is one of the solutions needed to address the challenges in healthcare.

QUESTIONS?