1. Telehealth Program Overview
Dr. Narendra Kini
Miami Children’s Health Systems
Chief Executive Officer
© Miami Children’s Health System 2017

2. School Health Primary Care Services
Settings:
3 Schools
Technology:
Mobile Solution (suitcase)
Commonly seen services:
Minor illnesses
Cold, flu, fever, sore throat, earache
Sinus or upper respiratory infection
Rash or skin conditions
Eye conditions
Allergies
Laryngitis
Head Lice
Insect Bites
Mouth and Cold sores
Healthcare Team:
Family ARNPs and physicians
On site Telehealth Presenter
Statistics:
221 students seen
93% of parents and students surveyed were “Very Satisfied”; 6% surveyed were “Satisfied”

3. Pediatric Subspecialist Services
Domestic and International consults
Provider to provider or direct to consumer consults
Second opinion consults
Domestic emergency medicine care, subspecialist services and inpatient unit – partnership with adult hospitals
33 subspecialty areas
95% of Nicklaus Children’s Hospital privileged physicians are credentialed in telemedicine

4. NICU Babycare
Provide support and education to parents and families post discharge at home for continuity of care
Additional services include Lactation education
Objectives:
reinforce discharge instructions and promote carryover in the home environment
provide advice on common newborn concerns to support the child’s care in the home environment
prevent disease complications by emphasizing the importance of medication adherence and education
optimize parent’s awareness of the newborns health status and facilitate early intervention and follow-up with the pediatrician

5. Telehealth Center
We are re-imagining the healthcare experience and innovating how we support families and children at the point of illness and throughout the continuum of health and wellness
Expanding telehealth into the retail market, partnering with insurance providers and offering wellness services for adults and children.
Support sophisticated video-conferencing, diagnostics and testing, allowing clinicians, parents and patients to consult with a team of specialists
Our Telehealth Center allows us to care and monitor children wherever they are, whenever they need us – bringing expert care and peace of mind to families and children.
In 2016, our Telehealth Command Center saw 625 cases; 383 adult patients and 242 pediatric patients. Current programs are on pace to exceed 2016 volumes by over 25%.

6. Rehabilitation Services
Tele-Dentistry
Tele-Intervention:
Partnership with the State Early Steps Program
Lack of access to Rehabilitation Services in rural Monroe County
Consultation between Infant Toddler Developmental Specialist (ITDS) and Pediatric Rehabilitative Healing Arts Specialists
Specialized Services:
Brachial Plexus Injuries
Intensive Therapy Programs: Constraint Induced Movement Therapy (CIMT)
107 cases seen to date
40- feet unit equipped with two dental operatory suites
State-of-the-art Telehealth equipment
Two-way communication between the mobile unit team and dental colleagues at Nicklaus Children’s Hospital
The program provides dental screenings, assessments and exams to underserved/underinsured children in South Florida (12 years and younger).

7. TytoCare™ Partnership
MCHS and TytoCare™ partnership will serve as a population health management tool and expand telehealth services for consumers.
Bringing remote telehealth services to patients’ homes, schools, global locations, expanding current offerings and improving patient care.
TytoCare is a handheld remote examination device and telehealth platform that enables anyone to capture ear, throat, lung, skin, heart, and temperature exam data
TytoCare platform with integrate with MCH Anywhere®, the MCHS telehealth application.

8. Emergency Medicine TM