1. Telehealth and Children Summit on Access to Care for Children and Youth with Special Health Care Needs May 25, 2016 Rob Sprang, MBA Director, Kentucky TeleCare

2. Get the right care to the right people at the right time in the right place for the right price

3. Pediatric Telehealth in KY 1995 –Pediatric Cardiology is the first telehealth clinic1995 –Pediatric Cardiology is the first telehealth clinic 1996 - Child Psychiatry Clinic. Rural and DJJ1996 - Child Psychiatry Clinic. Rural and DJJ 1997 – School-Based primary care telehealth1997 – School-Based primary care telehealth 2008 – Developmental Pediatrics/Highlands School2008 – Developmental Pediatrics/Highlands School 2012 – Speech/Language Pathology2012 – Speech/Language Pathology 2013 – Neurology at all CCSHCN sites2013 – Neurology at all CCSHCN sites 2014 – Pediatric Endocrinology, Emergency Medicine2014 – Pediatric Endocrinology, Emergency Medicine 2015 – Nephrology/Kidney Transplant with CCHMC, Cardiac Surgery with CCHMC, Blue Angels OBGYN2015 – Nephrology/Kidney Transplant with CCHMC, Cardiac Surgery with CCHMC, Blue Angels OBGYN 2016 – Pediatric Transport telehealth, High BMI clinic, Pediatric Audiology, Adolescent Medicine2016 – Pediatric Transport telehealth, High BMI clinic, Pediatric Audiology, Adolescent Medicine NEXT – Acute Primary Care to mobile devicesNEXT – Acute Primary Care to mobile devices

4. UK Blue Angels

6. Take it back to work Kentucky has 20+ years experience with telehealth and UK has done over 100,000 clinical encounters with over 20 medical/surgical specialtiesKentucky has 20+ years experience with telehealth and UK has done over 100,000 clinical encounters with over 20 medical/surgical specialties Clinical telehealth visits are reimbursableClinical telehealth visits are reimbursable Kentucky has a statewide telehealth network and a Board of Directors to oversee the workKentucky has a statewide telehealth network and a Board of Directors to oversee the work CCSHCN has been using telehealth for over 2 yearsCCSHCN has been using telehealth for over 2 years Telehealth will be vital for success in new value- based payment modelsTelehealth will be vital for success in new value- based payment models

7. Rob Sprang, MBA 859-218-5105 (o) 859-396-3588 (c) rsprang@uky.edu