1. Telemedicine Today Jonathan D. Linkous, CEO
American Telemedicine Association

2. NAME GAMES Telemedicine Telehealth m-Health Remote Medicine E-Health
Telecare

3. A COUPLE OF HELPFUL DISTINCTIONS
HIT and Informatics
Telemedicine

4. Focused on support systems Management Information Systems
HIT AND INFORMATICS
Focused on support systems
Electronic Records
E-Prescribing
Management Information Systems
Electronic Payments

5. TELEMEDICINE Focused on patient care Telehealth
Mobile Health (mHealth)
Remote Monitoring
Outsourced Specialty Services

6. WORLDWIDE DRIVERS FOR TELEMEDICINE
Accelerating demands and costs
Shortages of health professionals
Global public health concerns

7. Kathleen Casey-Kirschling
January 1, 1946, 12:00:01 am

8. 694,000
1,078,000
384,000
32,000,000

9. TSUNAMI OF CHRONIC ILLNESS
“Frequent Flyers”
5-10 percent of admissions, 1 percent of users
22 percent of costs
Primary chronic conditions: cardiac/COPD/mental health/diabetes

10. COST OF CHRONIC CONDITIONS

11. POPULATION > 60 YEARS Country 2000 2050 World 10.0% 21.4% China
6.9%
22.7%
Germany
23.2%
34.5%
United States
16.1%
25.5%

13. HISTORY OF TELEMEDICINE

14. HISTORY OF TELEMEDICINE
Boston Logan Airport to Massachusetts General Hospital 1967

15. HISTORY OF TELEMEDICINE STARPAHC – On the Papago Indian Reservation
1975

16. TELEMEDICINE
CIRCA 2005

17. HOSPITAL HUB-AND SPOKE NETWORKS
200 networks3,000+ sites

18. ARIZONA TELEMEDICINE PROGRAM
© American Telemedicine Association

19. TELEMEDICINE SERVICES
Service contracts - prisons, oil rigs, ships, international
Outsourced services – teleradiology, neurology, mental health

20. PRISON HEALTH MEDICAL NETWORK
TEXAS
PRISON HEALTH MEDICAL NETWORK
© American Telemedicine Association

21. VETERANS ADMINISTRATION
© American Telemedicine Association

22. EMERGENCY SERVICES
AND DISASTER RESPONSE

23. CONTINUING MEDICAL EDUCATION

24. TELEMEDICINE
CIRCA 2013

25. BIG MED

26. Abdominal Radiology
Gastrointestinal Radiology
Pediatrics
Radiation Oncology
Angiography and Interventional Radiology
Genitourinary Radiology
Teleradiology
Head and Neck Radiology
Thoracic
Body Imaging
Ultrasound
Breast Imaging
Interventional
Vascular and Interventional Radiology
Cardiovascular Radiology
Mammography
MRI Radiology
Chest Radiology
Musculoskeletal
Diagnostic Radiology
Neuroradiology
Nuclear Medicine
Emergency
Nuclear Radiology
Radiology

27. OUTSOURCED AND SHARED SPECIALTY SERVICES

28. ONLINE SERVICES AND
CONSUMER HEALTH APPS

29. ADVANCED TECHNOLOGIES Live Monitoring via Cell Phones
Remote Surgery
Live Monitoring via Cell Phones
Robotics

30. PATIENTS SERVED BY TELEMEDICINE 2012
North America data

31. PATIENTS SERVED (2012) Outsourced Specialists Teleradiology
Internet Clinical Consults
Internet-Pharmacy Services
Cardiac Monitoring
Implanted Devices
Remote Monitoring
Federal Network Consults
Civilian Network Consults

32. ADOPTION ISSUES Historic resistance to change
Lack of consistent adoption and integration pathways
Changing service delivery models and payment coverage

33. Discovery to implementation in medicine = 15 years
RESISTANCE TO CHANGE
Discovery to implementation in medicine = 15 years
TIME
Rate of Change
Society
Business
Technology
Healthcare

34. WHAT ATA DOES

35. ROAD MAPS FOR ADOPTION AND INTEGRATION
Assuring the major players in healthcare, as well as consumers, that telemedicine can be easily and painlessly be used, is a critical step in assuring its development.

36. ATA PRACTICE GUIDELINES
Goal
Quality Assurance for Payers, Public, Policy Leaders
There is little to turn to for help to guide those involved in healthcare out of this confusion.

37. ATA PRACTICE GUIDELINES
Technical
ATA has 12 Special Interest Groups that will be tapped to provide expertise.
Clinical
Business

38. COLLABORATIONS
ATA will be working with NIST staff to help coordinate many aspects of this effort. Both organizations worked together in support of the development of a set of recommendations for diabetic retinopathy. It is hoped that ATA can access both subject matter experts and coordinating staff within NIST.
In addition, ATA will be seeking financial support from a variety of sources to enable the Association to achieve the goals of this effort.

39. OTHER ATA ACTIVITIES
Meetings and Education
Member Networks

40. Identifying and Translating Market Changes
OTHER ATA ACTIVITIES
Consulting with Policy Leaders
Identifying and Translating Market Changes

41. The World's Largest Telemedicine, Telehealth & mHealth Trade Show
600 Scientific Presentations
200,000 Square Feet of Exhibits
6,000 Attendees
The World's Largest Telemedicine, Telehealth & mHealth Trade Show
ATA th Annual International Meeting & Trade Show May 5-7, 2013 in Austin, TX

42. 1100 Connecticut Avenue, Suite 540
1100 Connecticut Avenue, Suite 540
Washington, DC 20036