Expanding Sleep Care Through Telemedicine Luke Roling Telehealth Project Manager Sleep Center Management Services (c) 2013 American Academy of Sleep Medicine

Conflict of Interest Disclosures for Speakers 1. I do not have any relationships with any entities producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, OR 2. I have the following relationships with entities producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Type of Potential Conflict Details of Potential Conflict Grant/Research Support Consultant Speakers’ Bureaus Financial support AASM SleepTM-- Employee Other 3. The material presented in this lecture has no relationship with any of these potential conflicts, OR 4. This talk presents material that is related to one or more of these potential conflicts, and the following objective references are provided as support for this lecture: 1. Sleep Telemedicine Implementation Guide, Singh et. al, 2016

What is Telemedicine? “Formally defined, telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology.” - American Telemedicine Association

Telehealth vs. Telemedicine

Where Do You Start? Sleep Medicine Telemedicine Implementation Task Force (2015-2016) FREE download at https://www.aasmnet.org/tmguide/ Workflow and strategy tips Hardware and software needs Business considerations Legal/Regulatory summary Encounter guidance Case studies

Sleep Telemedicine Care Settings Equally applicable to multiple care settings: Individual Sleep Centers DME Companies Health Systems/Hospitals Psychologists/Psychiatrists Primary Care/Non-sleep specialists

Considerations: Selecting Your Telemedicine Vendor Two theories to telemedicine: Direct to consumer Pros-- Patients find you...out of pocket payments Cons-- Rigid...Little to no patient/provider relationship Direct to Provider Pros-- Flexible...able to maintain relationships with patients Cons-- Effort needed to find patients Pick a platform that best serves your needs!

Considerations: IT Infrastructure Internet Speeds– WIFI reliability Hardware Desktop, Laptop, Smartphone, Tablet Microphone, Speakers, Camera Browser Compatability Data Security/HIPAA Compliance

Considerations: Designing Your Workflow Center-to-Center or Center-to-Home Is a physical exam required or necessary? Do I feel comfortable with my patient’s ability to access telemedicine on their own? Are my patients on Medicare? Do I have access to affiliated satellite locations? Do I have partnerships or relationships with local community clinics?

Workflow Cont… Staffing Do I require a telemedicine champion? Specific telemedicine-only staff? Do I reallocate staff to best serve my telemedicine services?

Workflow Cont… Goal Setting Patient satisfaction? Patient volume and flow? Expanding your reach? Reducing no-shows and overhead? Raised therapy compliance? Ready access to referral sources? Work-from-home opportunity for me?

Generating Revenue Expanding your clinical reach Practice in any state where you are licensed with malpractice insurance Cultivating relationships with community centers and employers White-labeled, center-branded marketing material Reimbursable patient education visits No more phone consults! Reliable; secure self-pay capabilities

Saving Revenue & Cutting Costs May serve as a replacement for your other web domains and secure mailing systems Cut down on patient no-shows Cost-effective staffing solutions Explaining visual concepts visually Getting it right the first time

Saving Revenue & Cutting Costs May serve as a replacement for your other web domains and secure mailing systems Cut down on patient no-shows Cost-effective staffing solutions Explaining visual concepts visually Getting it right the first time

Transitioning to the Future Payment bundles/pay-for-performance Patient-centered healthcare HSAT assistance Software-based Direct to Provider strategy Promotes creativity, clinical flexibility and adaptability for future of telemedicine

Business Outlook 2014 global market– $14 billion Expanded annual growth of 14.3% Estimated 2020 global market-- $36.30 billion Transparency Market Research Growth is driven by Demand for quicker access to healthcare Need for data privacy Favorable reimbursement policies

Finding Your Patients Onboard existing patients More efficient visits More patients visited each day Community Healthcare Centers/Clinics https://findahealthcenter.hrsa.gov/ Rural and urban areas within your state

Screening Existing Patients for Telemedicine Access to high-speed internet? Laptop? Necessary Equipment? Access to supported browsers? Google Chrome, Firefox, and IE 8 and above How are my patients insured? Paying out of pocket? Do my patients want a telemedicine encounter? Are they comfortable with technology?

Patient Misconceptions Source: strategy&-- Consumer Survey 2014

AASM Investment Sleep and Telemedicine Task Force September course: http://aasmnet.org/telemedicine2017 AASM SleepTM First telemedicine platform built by a medicial specialty/subspecialty Launched January 2016

What is AASM SleepTM? Cloud-based telemedicine software With an internet connection, hold live-video encounters with patients Collect self-pay payments securely Store and share PHI; assured HIPAA compliance Built, operated, and maintained by the American Academy of Sleep Medicine (AASM)

Thank You Questions? Luke Roling– Telehealth Project Manager, AASM SleepTM luke@sleeptm.com (630) 737-9751