Planning for Telehealth at Your Hospital ASHNHA Telehealth in Alaska Conference July 29, 2014

Work Session Think through how you will plan for your first (or next) telehealth project at your hospital/organization?

What are the goal(s) of your telehealth plan? Considerations: What issue are you trying to fix? (i.e. access to services, travel, communication, satisfaction, distance learning) Who should you talk to about need or interest? (Clinicians, Case Managers, Nursing Staff, IT staff, Quality staff, Administration) What is the scope of your plan? Short term vs long term How does your plan align with organizational strategic objectives What population(s) are you trying to serve?

Who are the stakeholders you need to involve in your plan? Administrative Leadership IT Leadership Clinical Leadership Case Management Front office Unit Clerks Patients Facilities Networking Telecom Others?? Human Resources Contracting Procurement Med Staff Office Legal Providers Health Educators Nurses Pharmacist Ancillary Depts Billing Coding EHR team Distant Site Originating Site

What solution fits your need(s)? What of models of care are best suited for your need? What type of personnel are involved in the workflow? Is the work in “addition to” or “instead of existing” work What type of technology is best suited for your need?

What are the potential barriers to implementation? Where is the funding coming from and how do you sustain it? What are other competing projects or dependencies that may delay the plan (i.e. meaningful use)? Who will hire/supervise the personnel resources needed for your plan? How difficult are these people to hire/find/reallocate? If providers are involved, how will you incentivize them? How will your plan be sustainable with evolving technologies?

What will success look like? Cost avoidance vs Revenue generation? Do you need to track clinical outcomes? What metrics will you use to track outcomes? How will this be done? If successful, how will you sustain and grow the program?