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Published byPhebe Flowers Modified over 8 years ago
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Banner Health Deborah Dahl VP Patient Care Innovation November 6, 2015 One Providers View of Telehealth Regulation
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Banner Health 29 Acute Care hospitals Heart Hospital Children’s Hospital Behavioral Hospital Banner Health Network ACO 400,000 members Banner Health Center and Clinics Banner Medical Groups ~ 1,900 Physicians 3.1 M visits/year Ambulatory Care Operations $7.2 Billion revenue AA- bond rating $444 Million in community benefit including $180 million in charity care (2015 thru September)
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Telehealth across the Continuum Provide hospitals and health systems a sustainable model for 24x7 clinical support of patients across the care continuum Enable enhanced care delivery integrating a centralized Telehealth Center to leverage scarce resources and improve transitions for patients across care areas
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The rule of 7’s 7 states 70 settings 700 health plans 7,000 Practitioners 7,000,000 members
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Hope on the Horizon The Telehealth Modernization Act of 2013 (H.R. 3750) includes the following principles: Informed care: A healthcare professional should have access to and review the medical history of the individual he or she is treating via telehealth. Diagnosis: The health professional should have an interactive conversation with the patient adequate to establish any diagnosis rendered. Documentation: A health professional should document the evaluation and any treatment furnished to the patient, as well as generate a medical record of the encounter. No assurance of outcome: A health professional should make no assurance regarding an outcome, including receiving a prescription. Prescription requirements: Prescriptions provided by the professional should be issued for a legitimate medical purpose only. The prescription should not be a controlled substance and must be filled by a valid dispensing entity.
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HR 3077 & HR 3750 HR 3077, the TELE-MED Act, would permit certain Medicare providers licensed in a state to provide telehealth services to Medicare beneficiaries in a different state. HR 3750, the Telehealth Modernization Act, would promote the provision of telehealth by establishing a federal standard for telehealth, and inducing all states to adhere to the regulations
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