What value does it bring to Pretend Hospital? Pretend Hospital Logo Caring For You
Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients' health status. Closely associated with telemedicine is the term "telehealth," which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. Pretend Hospital Caring For You
CMS has identified these: ◦ Physician (MD/DO) ◦ Nurse practitioner ◦ Physician assistant ◦ Nurse midwife ◦ Clinical nurse specialist ◦ Clinical psychologist ◦ Clinical social worker ◦ Registered dietician/nutrition professional (as of October 2010)
Physician/Practitioner Office Critical Access Hospital (CAH) Federally Qualified Health Center (FQHC) Hospital Rural Health Clinic Hospital-based or CAH-based Renal Dialysis Center (including satellites) Skilled Nursing Facility Community Mental Health Center (as of October 2010)
Telehealth Services under MedicareCPT/HCPCS Codes Consultants Office or Other Outpatient Visits Psychiatrist Diagnostic Interview Examination Individual Psychotherapy Pharmacologic Management90862 Individual Medical Nutrition TherapyG0270, 97802, End Stage Renal Disease (ESRD) Related Services G0308, G0309, G0311, G0312, G0314, G0315, G0317, G0318 Neurobehavioral Status Exam96116 Follow-up Inpatient Telehealth Consultations G0406, G0407, G0408 Information from Center for Telehealth & e-Health Law (October 2010)
Medicaid ◦ 35 states have established rules for telehealth reimbursement ◦ Minnesota Medicaid Private Pay ◦ 12 states have passed legislation requiring insurance companies to pay for services delivered by telemedicine Contract-based Services
Hospital-based services Providers must be credentialed where the patient is located Privileges must also be granted This process is currently being debated in Congress
Determine if there is a need for the service ◦ Do you have disparities to address? ◦ Lost your provider? ◦ What is the expected patient volume? But, is there a demand? ◦ Are providers asking for the service? ◦ Are patients asking for the service? ◦ Are others already providing the service?
In/Out Patient Specialty Services: – Dermatology – Mental Health – Cardiology – Infectious Diseases – Pediatric Services – Endocrinology – Wound Care – Pulmonology – Oncology – Trauma/ER – Stroke Care …and more
Telepharmacy TeleHome Heath (home monitoring) Remote ICU Monitoring Family Interactions Case/Disease Management Education ◦ staff, provider, family, community
Organizational Budgetary Pretend Hospital Caring For You
Access to add’l care resources Staff competency Community perception Service stability Patient Experience Peer-to-peer interactions
Stretch a tight travel budget Increase ancillary services Service continuation/expansion Enhance the quality of care Market-leader
Impact of Telehealth ◦ Don’t look at it in a “bubble” ◦ A tool of your entire organization ◦ Now vs. Future It is more than hard ROI ◦ Can you afford NOT to have something
Lost Market Share? Professional isolation/burn-out Loss of “hometown dollars” Being viewed as “Behind the Times” Patient Care Liability Not providing a high quality “patient experience”
Pretend Hospital Caring For You
Adds value Strengthens relationships Builds competency Stretches budgets Expands services
Patients Providers Partner facilities Payers
Take a step…even a small one! Figure out what makes sense for your organization If not…you’ll only get further behind