1. Improving the world's health and well-being by unleashing health IT innovation Telemedicine / Telehealth in the Age of Health IT Rob Kolodner, MD Chief Health Informatics Officer Open Health Tools September 27, 2013

2. Disruptive Changes are Imminent Markets are disrupted–and products “go viral” that are faster, easier, cheaper, & more convenient than previous ones Add DateOHT "Core" Modular Deck2

3. Disruptive Changes are Imminent Markets are disrupted–and products “go viral” that are faster, easier, cheaper, & more convenient than previous ones Add DateOHT "Core" Modular Deck3

4. THE NEXT WAVE IN HEALTH IT: VIRTUALIZATION OF CARE 27 September 2013OHT Board Meeting - Telemedicine / Telehealth4

5. 27 September 2013OHT Board Meeting - Telemedicine / Telehealth5 Tricorder ≠ Virtualization

6. Patient and care provider in different locations Examples: First Responders with Emergency Departments Consult (remote) – referral (with the patient) Store and Forward Consultation (asynchronous) Virtual Visits / Virtual House Calls Home / Mobile Monitoring (asynchronous) Telemedicine Across the Continuum of Care 27 September 2013OHT Board Meeting - Telemedicine / Telehealth6

7. 27 September 2013OHT Board Meeting - Telemedicine / Telehealth7 Consult-Referral Telemedicine

8. 27 September 2013OHT Board Meeting - Telemedicine / Telehealth8 Virtual Visits Patient Clinician

9. 27 September 2013OHT Board Meeting - Telemedicine / Telehealth9 And The Idea Of A Virtual Visit Is NOT New

10. Still in the early phases of telemedicine/telehealth Current solutions not easily interoperable with EHRs and HIEs – Stove-piped one-off integration solutions Health IT standards are more mature than when EHR adoption began – Opportunity for tools to Sensor creation is becoming exponential – Excellent time to pursue sensor device integration Why Relevant to Open Health Tools? 27 September 2013OHT Board Meeting - Telemedicine / Telehealth10

11. IS TELEMEDICINE/TELEHEALTH AN AREA IN WHICH OHT CAN BE AHEAD OF THE CURVE? 27 September 2013OHT Board Meeting - Telemedicine / Telehealth11