1. The Impact of Telemedicine on Rural Health:
What’s happening? In florida?
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2. Advantages of telehealth for rural areas
Better, faster access to primary and specialty care for pts.
Decreases patient “bypass” from local health resources
Proven method to decrease hospital readmissions
New revenue (service lines, ancillaries, facility fees)
Enhances hospital reputation/ perception with community
LOWER COSTS EASY PATIENT ACCESS NEW REVENUE

3. Actual hospital case study results:
First Yr MFM Telemed program: Costs <$135K, Generates >$750K and Est. $4M in retained NICU revenue
Community Population approx. 46,000
Community Hospital <1500 births/yr, > 1 hr to MFM
Keeps patients and revenue local
Hospital Goal: retain 50% of NICU transfers in 1st yr
50% of goal attained in first 90 days of
MFM telemed implementation. <5 babies
transferred out in 1st year.
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4. Results : ATA Published case study
WT and GA DCH Cut Preterm Birth Rate in High Risk Area from 18.8% to 8% in 18 months over 500 Pregnancies Cost <$50K, Saves Estimated $5M in NICU Costs
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5. Maternal Fetal Telemedicine in Doctor’s offices and clinics
Need: 5 provider, urban OB office loses local MFM
and patients complain about OOP costs
Solution: Contracts to add MFM to office by telemed
Rents to own telemed equipment
Recurring telemed mo subscription <$500
OB office had space and U/S legacy equip.
Results: Telemed installed w/I 45 days from signing
Pts got MFM access /same OB office
> 1700 high risk OB visits in 18 mo.
New revenue: > $4500/mo after expenses
Cheaper OOP for pt
Case Study presented nationally in 6/2016
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6. Maternal Fetal Telemedicine: Homebound pregnant patient
Need: Homebound pregnant patient not able to come in for
antenatal care- low risk OB via telemed possible?
Solution: Telemed via in EMR AV platform on home device
Patient and husband taught VS, urine dips, Doppler
Had laptop with camera for linking
2 home visits (1st and wk scan) of 13 antenatal
Delivering OB participated in some home telemed visits
Results: Patient taught to self monitor, used wireless devices
All but 2 antenatal visits done via telemed
Developed HTN, but with MFM, managed at home
Planned delivery w. transport to hospital
Delivered healthy , baby girl at term – no complications
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7. Guess: How big is this baby
Guess: How big is this baby? You will be amazed by today’s telemedicine technology tools.

8. Strategies to help telehealth adoption in rural areas
Funding your project: grant, internal, partners
Getting leadership support, involve stakeholders and find an accountable “champion”
Enlist help of experienced, strategic partners
Develop an ROI that shows sustainability
Know realistic expectations for deployment

9. What about Florida telehealth?
Progress great in some areas, slow in others
Overall ATA State Composite Score for FL: B
Parity Law: None exists, no legislation pending
Reimbursement: Gov’t plans OK, pvt - varies
Service Delivery/ Payment: No store and forward
No statewide network
Real time experience: Variable/ check

10. You can help your organization do something great!
Thank you for your time
Contact: Tanya Mack
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© Women’s Telehealth