1. UCHealth Virtual Health
Colorado Telehealth Alliance
August 30, 2017
Debbie Voyles, MBA HOM
Executive Director

2. Is this the Future of Healthcare?

3. Today’s Agenda Overview of UCHealth Virtual Health at UCHealth
Stroke
Virtual Urgent Care
Remote Patient Monitoring
vICU
Safety View
Centralized Telemetry
Wearables
Provider to Patients
Home
UCHealth Facility
Non-UCHealth Facility
What makes this successful
Q&A

4. About UCHealth
UCHealth is a private, nonprofit health system based in Colorado.
We have 7 hospitals (3 new sites under construction), 22 freestanding EDs and over 100 clinics.
UCHealth is not state or taxpayer supported
We partner with University of Northern Colorado, University of Colorado, and Colorado State University.
UCHealth includes the state’s only Academic Medical Center and is uniquely able to provide advanced care, clinical trials and nationally- renowned specialists
Poudre Valley Hospital
Fort Collins
Medical Center of the Rockies
Loveland
Greeley Hospital
Greeley (opening 2018)
Longs Peak Hospital
Longmont (opening August 31, 2017)
Broomfield Hospital
Denver Metro
University of Colorado Hospital
Denver Metro
Highlands Ranch Hospital
Denver Metro (opening 2018)
Memorial Hospital North
Colorado Springs
Grandview Hospital
Colorado Springs
Memorial Hospital
Colorado Springs

6. Virtual Health Mission
We improve lives through virtual health. In big ways, through innovation and access to healthcare, unlimited by geography, enabled by common technologies. In small ways, by providing compassion and humanity within each personal encounter, anytime, anywhere.

8. Virtual Health and Epic
UCHealth has imbedded Virtual Health into Epic
Utilizes Vidyo as video platform for everything expect Safety View
Same workflows as in person visit
Providers document in the same note format as in person visit
For Virtual Urgent Care and in home visits – launched within My Health Connection
Ability to schedule Joint Appointment with other sites on Epic

9. UCHealth TeleStroke Program
UCHealth Telestroke Network: Timeline and Growth
July 2014:
First Telestroke site implemented
Total Telestroke patients in 2014 = 26
May 2015: Total telestroke sites: 3
--MHC/MHN
--PPRH
Total Telestroke Sites: 5
--Added VVH
--MSTU Aurora, January
--MSTU CO Springs, July
June 2017 – Total Telestroke Sites: 7
--Added PMC and Associated FSED
Total telestroke patients/month = 16 – 20; Project > 250 pts CY2017

10. Virtual Urgent Care (our Direct to Consumer Model)
E-clinic = virtual urgent care
Pilot launched September of last year, staffed by SOM ED physicians
Moving to Emergency Providers at Broomfield Hospital starting September
Approx 400 visits so far
$49 “self-pay” currently
Moving to billing insurance October 23, 2017
Patients access the service through their My Health Connection accounts
Limited clinical scope: UTIs, sinusitis, cough, cold, pink eye, diarrhea, etc…
Program is about improved access and customer service…

11. Basic operational metrics

12. Long’s Peak Hospital

13. Virtual Remote Monitoring

14. Virtual ICU - Detail Located at our Peoria facility
Will use native Epic functionality already owned (Epic Monitor)
One nurse can monitor patients/beds simultaneously
One provider can monitor up to 120 patients/beds simultaneously
Initially, the hub will be staffed by:
One nurse 24x7
One PSC/assistant 24x7
One Provider 7 PM to 7 AM, 24 hours on weekends and holidays

15. Safety View (Virtual Sitters)

16. Safety View - Detail One tech can monitor 12 patients simultaneously
Central monitoring Co-Shared with vICU staff
We assume 36 potential sitter patients per day when fully deployed
Monitoring keeps patients safe through voice redirection
AvaSure
Two way audio communication into one room at a time
One-way video

17. Virtual Telemetry

18. Virtual Telemetry - Detail
One telemetry tech can monitor 45 patients simultaneously
We assume 323 potential telemetry patients per day when fully deployed
Helps with “alarm fatigue” for non-critically ill patients
Continuous cardiac rhythm monitoring,

19. Patient Wearables

20. Patient Wearables - Our Vision
Local and remote clinicians use Epic and alarm management to appropriately monitor and intervene
Replaces Nursing documentation tasks
Algorithms and risk scores embedded in Epic to enable prescriptive intelligence
Device Integration
Local and Remote Surveillance
Sends data to cloud-based, data science partners
Prescriptive Intelligence

21. Inpatient Outpatient Ambulatory Specialty Genetic Counseling
OB/GYN Reproductive
Senior’s Clinic
Neurology-Telestroke
Outpatient
Center for Lungs and Breathing
Remote Monitoring/eSitter/TeleICU
Pharmacy
Neurology-Mobile stroke
Ambulatory MS
Ortho
Behavioral Health-Northern Region
Rehabilitation Services
Gastro-Digestive Health
Depression Center
Hematology
Interpretation Services
Surgery
Burn
Valley View-Didactic
Specialty
Pathology
Dermatology
Radiology
Neurology-Spine
Diabetes Education
Palliative Care
Radiology
Cardiology
eClinic
Oncology

22. Key’s to Success

23. Keys to Success Part of UCHealth Strategic Plan Leadership Support
Foundation is Built within Epic
Readiness Assessments
Epic Workflows
Physician Champions
Dedicated Staff
Virtual Health Team
Virtual Health Steer
Operational Committees
Epic Team
Technology
One size does not fit all

24. If we can dream it – we can do it!

25. Virtual Health Team
Executive Director Debbie Voyles, MBA HOM Medical Director Christopher Davis, MD, DTMH Program Manager David Coffman, MBA PMP Telehealth Architect David Severenuk Telehealth Coordinator MacKenzie Lintz-Lessard Telehealth Analyst John Thompson UCHealth.org