The Impact of Telemedicine on Rural Health: What’s happening? In florida? © 2017 7omen’s Telehealth

Advantages of telehealth for rural areas Better, faster access to primary and specialty care for pts. Decreases patient “bypass” from local health resources Proven method to decrease hospital readmissions New revenue (service lines, ancillaries, facility fees) Enhances hospital reputation/ perception with community LOWER COSTS EASY PATIENT ACCESS NEW REVENUE

Actual hospital case study results: First Yr MFM Telemed program: Costs <$135K, Generates >$750K and Est. $4M in retained NICU revenue Community Population approx. 46,000 Community Hospital <1500 births/yr, > 1 hr to MFM Keeps patients and revenue local Hospital Goal: retain 50% of NICU transfers in 1st yr 50% of goal attained in first 90 days of MFM telemed implementation. <5 babies transferred out in 1st year. © 2017 Women’s Telehealth

Results : ATA Published case study WT and GA DCH Cut Preterm Birth Rate in High Risk Area from 18.8% to 8% in 18 months over 500 Pregnancies Cost <$50K, Saves Estimated $5M in NICU Costs © 2016 Women’s Telehealth

Maternal Fetal Telemedicine in Doctor’s offices and clinics Need: 5 provider, urban OB office loses local MFM and patients complain about OOP costs Solution: Contracts to add MFM to office by telemed Rents to own telemed equipment Recurring telemed mo subscription <$500 OB office had space and U/S legacy equip. Results: Telemed installed w/I 45 days from signing Pts got MFM access /same OB office > 1700 high risk OB visits in 18 mo. New revenue: > $4500/mo after expenses Cheaper OOP for pt Case Study presented nationally in 6/2016 © 2017 Women’s Telehealth

Maternal Fetal Telemedicine: Homebound pregnant patient Need: Homebound pregnant patient not able to come in for antenatal care- low risk OB via telemed possible? Solution: Telemed via in EMR AV platform on home device Patient and husband taught VS, urine dips, Doppler Had laptop with camera for linking 2 home visits (1st and 18-20 wk scan) of 13 antenatal Delivering OB participated in some home telemed visits Results: Patient taught to self monitor, used wireless devices All but 2 antenatal visits done via telemed Developed HTN, but with MFM, managed at home Planned delivery w. transport to hospital Delivered healthy , baby girl at term – no complications © 2017 Women’s Telehealth

Guess: How big is this baby Guess: How big is this baby? You will be amazed by today’s telemedicine technology tools.

Strategies to help telehealth adoption in rural areas Funding your project: grant, internal, partners Getting leadership support, involve stakeholders and find an accountable “champion” Enlist help of experienced, strategic partners Develop an ROI that shows sustainability Know realistic expectations for deployment

What about Florida telehealth? Progress great in some areas, slow in others Overall ATA State Composite Score for FL: B Parity Law: None exists, no legislation pending Reimbursement: Gov’t plans OK, pvt - varies Service Delivery/ Payment: No store and forward No statewide network Real time experience: Variable/ check

You can help your organization do something great! Thank you for your time Contact: Tanya Mack 404-478-3017 tmack@womenstelehealth.com www.womenstelehealth.com © 2017 Women’s Telehealth © 2016 Women’s Telehealth