1. Telehealth in Minnesota: At a Crossroads

2. Telehealth in Minnesota: At a Crossroads CURRENT APPLICATIONS Specialty consultation Specialty consultation Direct patient care Direct patient care Training and education Training and education Meetings Meetings

3. Telehealth in Minnesota: At a Crossroads Examples of Current Applications Mental health Mental health Home telehealth Home telehealth Teledermatology Teledermatology Teleradiology Teleradiology Telepharmacy Telepharmacy Emergency consults Emergency consults Cardiology Cardiology e-ICU care e-ICU care Long term care Long term care

4. Why it’s so important for rural Long distances Long distances Health workforce challenges Health workforce challenges Practitioner support Practitioner support Cost savings Cost savings Patients and families can stay in the community or home Patients and families can stay in the community or home

5. Some past challenges Equipment and user costs Equipment and user costs Broadband network availability or conflict Broadband network availability or conflict Security Security Reimbursements Reimbursements Quality and clinical compromises Quality and clinical compromises Technical support Technical support

6. The Drivers Broadband infrastructure expansion Broadband infrastructure expansion Electronic medical records expansion Electronic medical records expansion Reimbursements improving: payers see the savings Reimbursements improving: payers see the savings Universal Service Fund assistance Universal Service Fund assistance Government and foundation funding Government and foundation funding

7. Today’s Panelists Stuart Speedie: University of Minnesota Medical School Stuart Speedie: University of Minnesota Medical School Sandra Schmunk – VA Medical Center Sandra Schmunk – VA Medical Center John Scanlan, MD. – Blue Cross Blue Shield John Scanlan, MD. – Blue Cross Blue Shield Denise Kolb – MN Dept of Human Services Denise Kolb – MN Dept of Human Services Maureen Ideker – Tri-County Hospital, Wadena Maureen Ideker – Tri-County Hospital, Wadena