South Carolina Telehealth Alliance 2018 Strategic Plan Kathy Schwarting, MHA Executive Director, Palmetto Care Connections SCTA Advisory Council Co-Chair Ryan Kruis, MSW, LISW-CP SCTA Coordinator

South Carolina Telehealth Alliance

What is the South Carolina Telehealth Alliance (SCTA)? The South Carolina Telehealth Alliance is a statewide collaboration of many organizations joining forces to expand telehealth services across the state. The Alliance provides guidance, assists with strategic development, and advises on technology and standards to develop an open-access network. Administered out of the MUSC Center for Telehealth SCTA Mission: Improve the health of all South Carolinians through Telehealth

SC Telehealth Alliance Funded by the SC Legislature (also leverage other external grants) 300+ connected SC sites 50+ services statewide Annual collaborative strategy Legislative reporting Creating an open-access telehealth network

SCTA Advisory Council Comprised of representatives from the following institutions: MUSC Health Palmetto Care Connections SC General Assembly Members (2) Greenville Health System Palmetto Health McLeod Health SC DMH SC DHHS SCETV Rural Health Clinic Community Hospital

2018 SCTA Strategic Plan

Strategic Planning Process Over 50 leaders representing at least 15 different organizations from across the SC participated 5 externally facilitated sessions focused on specific strategies (Dr. Kathy Wibberly) as well as multiple internal planning sessions/retreats Strategies developed and drafted by workgroup champions; reviewed by the SCTA Advisory Council prior to submitting to DHHS.

2018 SCTA Strategies Deploy a coordinated, open-access telehealth network in South Carolina. 1 Understand and effectively respond to the health needs of SC citizens with an emphasis on those living in underserved and rural areas. 2 Build and scale telehealth clinical services and programs that expand access to care. 3 Broaden mental health and addictive disease telehealth clinical services and programs to increase access to care. 4 Conduct statewide education, training, and promotion to providers and the public to accelerate and spread adoption of telehealth. 5 Develop a telehealth organization structure that encourages and facilitates statewide collaboration among providers in the delivery of health care, education, and research. 6 Establish the value case for telehealth through robust assessment and rigorous analysis of telehealth outcomes. 7 Demonstrate to legislators, payers, providers, and the public the impact of telehealth on improving access, quality, and affordability. 8

Deploy a coordinated, open-access telehealth network in South Carolina. 1 Enhance how different IT groups can work together (shared ticket systems, etc.) Centralized credentialing

2 Optimize telehealth among rural health care clinics Understand and effectively respond to the health needs of SC citizens with an emphasis on those living in underserved and rural areas. 2 Optimize telehealth among rural health care clinics Broadband connectivity, equip and train providers, better understand the successes and challenges of implementing telehealth in rural settings Explore possibilities for use of telehealth to help manage diabetes in a rural clinics

Build and scale telehealth clinical services and programs that expand access to care. 3 Addresses growth of services in the following settings: Hospitals E.g. telestroke, pediatric critical care, adult inpatient Clinics Non-traditional care settings e.g. schools, correctional facilities, skilled nursing facilities Direct-to-consumer (DTC) 40% increase in telehealth consultations supporting primary care clinics (compared to 2016) Tele-ICU has potentially saved 109 lives in the first three quarters of 2017 (actual vs predicted mortality statistics)

Growth in hospitals: Telestroke Statewide coverage of expert stroke care Some of the best stroke response and treatment metrics in the country With the statewide telestroke program, EVERY citizen in South Carolina is now less than an hour from expert stroke care October 2017 provided a record number of telestroke and teleneurology consultations (572), yet stroke transfers to MUSC are at an all-time low (~10%, compared to 24% 3 years ago), keeping more patients in their home communities

Growth in non-traditional settings: School-based Telehealth Network MUSC has partnered with Palmetto Health to lead the SCTA school- based telehealth workgroup and school-based telehealth expansion. One of the fastest growing school- based telehealth networks in the country! School-based telehealth increases access to care for underserved children (more than doubled consult volume in each of the last 3 years; early evidence of cost-savings for high-needs children) Reduced ED visits Reduced Missed Days of School Control Chronic Disease (e.g. asthma)

4 Broad mental health strategy led by SC Department of Mental Health Broaden mental health and addictive disease telehealth clinical services and programs to increase access to care. 4 Broad mental health strategy led by SC Department of Mental Health Specific details being finalized

Growth in Telepsychiatry The SCTA agreement with the South Carolina Department of Mental Health (SCDMH) will provide funding to support statewide expansion of their successful telepsychiatry programs, such as: Emergency Department Telepsychiatry Consultation Program Community Telepsychiatry Program Deaf Services Telepsychiatry EMS Telepsychiatry Program Averaging over 1,700 comprehensive telepsychiatry services per month 38% of telepsych patients received 30-day follow-up care (vs. 13% in control group) $2,300 saved per emergency department visit Over 70,000 DMH telepsych services provided since program inception

Growth in Telepsychiatry SCDMH Emergency Dept. Telepsychiatry SCDMH Community Telepsychiatry

5 Telehealth education focused on: Conduct statewide education, training, and promotion to providers and the public to accelerate and spread adoption of telehealth. 5 Telehealth education focused on: Trainees in health care professional programs Current health care providers (especially those in rural areas) Case-based learning delivered via telehealth HCV Teleconsultation (Dr. Divya Ahuja, USC) Project ECHO (sickle cell, opioid abuse)

6 Engage the SCTA Advisory Council to guide the work of the SCTA Develop a telehealth organization structure that encourages and facilitates statewide collaboration among providers in the delivery of health care, education, and research. 6 Engage the SCTA Advisory Council to guide the work of the SCTA Engage partners and stakeholders not represented on the advisory council Establish unified opinions and priorities on SCTA issues

7 Robust focus on outcomes led by USC, DMH, and MUSC Establish the value case for telehealth through robust assessment and rigorous analysis of telehealth outcomes. 7 Robust focus on outcomes led by USC, DMH, and MUSC SCTA Implementation and Evaluation Grants Deadline: February 26, 2018 RFA available on website: www.sctelehealth.org

8 Engages payers on reimbursement Demonstrate to legislators, payers, providers, and the public the impact of telehealth on improving access, quality, and affordability. 8 Engages payers on reimbursement Includes promoting telehealth awareness

My Telehealth Campaign Spearheaded by SCETV, the SCTA has increased public awareness of telehealth through the My Telehealth campaign Videos and Blog https://www.scetv.org/telehealth Facebook Page https://www.facebook.com/mytelehealth/ Twitter Feed https://twitter.com/my_telehealth

Our New Website www.sctelehealth.org

South Carolina Telehealth Alliance www.sctelehealth.org Kathy Schwarting kathys@palmettocareconnections.org Ryan Kruis ryan@sctelehealth.org