TeleMental Health Brian J Grady, M.D. Director TeleMental Health Department of Psychiatry School of Medicine University of Maryland.

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Presentation transcript:

TeleMental Health Brian J Grady, M.D. Director TeleMental Health Department of Psychiatry School of Medicine University of Maryland

Today’s Topics TMH Overview University Projects TMH Policy Future Directions

TeleMental Health Overview Beginnings Late 1950’s Interactive “Television” 1960’s to 1990’s “Affordable” VideoConferencing late 1990’s to mid 2000’s Evidence Based TMH mid 2000’s to present

The Merger Technology

The Merger Technology Clinical Needs

The Merger Technology Telemental Health Clinical Needs

The Merger Technology Access Clinical Needs

UMB TMH Projects Maryland Youth Practice Improvement Committee – Consortium of Psychiatry Department UMB, Psychiatry Department JHU, Mental Hygiene Administration, Regional Institutes for Children and Adolescents, State C&A Inpatient Units School Based Mental Health Projects Baltimore, Western High School (’04/’05) Prince George Co, Suitland HS & Kettering MS Health Resources and Services Administration Grant - Consortium of Mid-Shore MH CSA, Mental Hygiene Administration, Garrett Co Core Service Agency, St. Mary’s Co Core Service Agency, Psychiatry Department UMB

Required Resources Clinical Champion Distant Site Site Champion Originating Site Administrative Support Technical Support Financial Support

Financing Grants Health Services Resources Administration Department of Agriculture Maryland Community Health Resources Commission Fee for Services Medicare Maryland Public Mental Health System Third Party Reimbursements Contractual Agreements

TMH Policy Regulations Board of Physicians Medicare Medicaid Balanced Budget Act (BBA) of 1997 Benefits Improvement and Protection Act of 2000 (BIPA) Medicaid Draft Regulations

Medicare Originating Sites (additional Medicaid proposed) Physicians or practitioner office Hospital Critical Access Hospital Rural health clinic Federally qualified health center (Elementary, middle, high, or technical school with a supported nursing, counseling or medical office. A college or university student health or counseling office) (County Health, Human and/or Social Service offices or clinics and other county offices appropriate for private clinical evaluations and services)

Qualified Geographical Areas Medicare Health Practice Shortage Areas (HPSAs) Non-Metropolitan Statistical Area (MSA) counties Entities that are Federal telemedicine demonstration projects Medicaid (proposed) Garrett Talbot Allegany Queen Anne’s Worcester Kent Somerset St. Mary’s Wicomico Calvert Dorchester Charles Caroline

Technical Requirements 1. Minimum ISDN or IP bandwidth using H.264 video protocol > 256 kbps 2. Monitor: minimum, non-anamorphic, net display size of 16" diagonally 3. Minimum resolution of 1 Common Intermediate Format/Source Input Format 4. Switched Network or Encryption

Future Directions Vision: TeleMental Health Center of Excellence Clinical Champion Coordinator Resource Technical Resource Education, training & research

Comments, Questions