1. Expanding Sleep Care Through Telemedicine
Luke Roling
Telehealth Project Manager
Sleep Center Management Services
(c) 2013 American Academy of Sleep Medicine

2. Conflict of Interest Disclosures for Speakers
1. I do not have any relationships with any entities producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, OR
2. I have the following relationships with entities producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Type of Potential Conflict
Details of Potential Conflict
Grant/Research Support
Consultant
Speakers’ Bureaus
Financial support
AASM SleepTM-- Employee
Other
3. The material presented in this lecture has no relationship with any of these potential conflicts, OR
4. This talk presents material that is related to one or more of these potential conflicts, and the following objective references are provided as support for this lecture:
1. Sleep Telemedicine Implementation Guide, Singh et. al, 2016

3. What is Telemedicine?
“Formally defined, telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, , smart phones, wireless tools and other forms of telecommunications technology.”
- American Telemedicine Association

4. Telehealth vs. Telemedicine

5. Where Do You Start?
Sleep Medicine Telemedicine Implementation Task Force ( )
FREE download at
Workflow and strategy tips
Hardware and software needs
Business considerations
Legal/Regulatory summary
Encounter guidance
Case studies

6. Sleep Telemedicine Care Settings
Equally applicable to multiple care settings:
Individual Sleep Centers
DME Companies
Health Systems/Hospitals
Psychologists/Psychiatrists
Primary Care/Non-sleep specialists

7. Considerations: Selecting Your Telemedicine Vendor
Two theories to telemedicine:
Direct to consumer
Pros-- Patients find you...out of pocket payments
Cons-- Rigid...Little to no patient/provider relationship
Direct to Provider
Pros-- Flexible...able to maintain relationships with patients
Cons-- Effort needed to find patients
Pick a platform that best serves your needs!

8. Considerations: IT Infrastructure
Internet Speeds– WIFI reliability
Hardware
Desktop, Laptop, Smartphone, Tablet
Microphone, Speakers, Camera
Browser Compatability
Data Security/HIPAA Compliance

9. Considerations: Designing Your Workflow
Center-to-Center or Center-to-Home
Is a physical exam required or necessary?
Do I feel comfortable with my patient’s ability to access telemedicine on their own?
Are my patients on Medicare?
Do I have access to affiliated satellite locations?
Do I have partnerships or relationships with local community clinics?

10. Workflow Cont… Staffing
Do I require a telemedicine champion? Specific telemedicine-only staff?
Do I reallocate staff to best serve my telemedicine services?

11. Workflow Cont… Goal Setting Patient satisfaction?
Patient volume and flow?
Expanding your reach?
Reducing no-shows and overhead?
Raised therapy compliance?
Ready access to referral sources?
Work-from-home opportunity for me?

12. Generating Revenue Expanding your clinical reach
Practice in any state where you are licensed with malpractice insurance
Cultivating relationships with community centers and employers
White-labeled, center-branded marketing material
Reimbursable patient education visits
No more phone consults!
Reliable; secure self-pay capabilities

13. Saving Revenue & Cutting Costs
May serve as a replacement for your other web domains and secure mailing systems
Cut down on patient no-shows
Cost-effective staffing solutions
Explaining visual concepts visually
Getting it right the first time

14. Saving Revenue & Cutting Costs
May serve as a replacement for your other web domains and secure mailing systems
Cut down on patient no-shows
Cost-effective staffing solutions
Explaining visual concepts visually
Getting it right the first time

15. Transitioning to the Future
Payment bundles/pay-for-performance
Patient-centered healthcare
HSAT assistance
Software-based
Direct to Provider strategy
Promotes creativity, clinical flexibility and adaptability for future of telemedicine

16. Business Outlook 2014 global market– $14 billion
Expanded annual growth of 14.3%
Estimated 2020 global market-- $36.30 billion
Transparency Market Research
Growth is driven by
Demand for quicker access to healthcare
Need for data privacy
Favorable reimbursement policies

17. Finding Your Patients Onboard existing patients
More efficient visits
More patients visited each day
Community Healthcare Centers/Clinics
Rural and urban areas within your state

18. Screening Existing Patients for Telemedicine
Access to high-speed internet?
Laptop? Necessary Equipment?
Access to supported browsers?
Google Chrome, Firefox, and IE 8 and above
How are my patients insured?
Paying out of pocket?
Do my patients want a telemedicine encounter?
Are they comfortable with technology?

19. Patient Misconceptions
Source: strategy&-- Consumer Survey 2014

20. AASM Investment Sleep and Telemedicine Task Force September course:
AASM SleepTM
First telemedicine platform built by a medicial specialty/subspecialty
Launched January 2016

21. What is AASM SleepTM? Cloud-based telemedicine software
With an internet connection, hold live-video encounters with patients
Collect self-pay payments securely
Store and share PHI; assured HIPAA compliance
Built, operated, and maintained by the American Academy of Sleep Medicine (AASM)

23. Thank You
Questions?
Luke Roling– Telehealth Project Manager, AASM SleepTM
(630)