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Improving Access to Care through Telehealth for Veterans with MS and ALS Sean C. McCoy, PhD Veterans Rural Health Resource Center-Eastern Region

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Presentation on theme: "Improving Access to Care through Telehealth for Veterans with MS and ALS Sean C. McCoy, PhD Veterans Rural Health Resource Center-Eastern Region"— Presentation transcript:

1 Improving Access to Care through Telehealth for Veterans with MS and ALS Sean C. McCoy, PhD Veterans Rural Health Resource Center-Eastern Region http://www.ruralhealth.va.gov/

2 Disclaimer: The views and opinions expressed in this article are those of the author and do not necessarily reflect the official policy or position of any agency of the U.S. government

3 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 3 Distribution of Veteran and non-Veteran MS patients in North Central Florida MS Patients Self-Reported to NFNMSS

4 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 4 MS CVT NEUROLOGY FOLLOW-UP

5 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 5 COMPREHENSIVE ALS CARE

6 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 6 Tele-presenter Demonstrating Reflexes

7 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 7 Caregiver and Patient Satisfaction

8 Clinical Video Telehealth (CVT) Home-based Physical Therapy Exercise Intervention 8

9 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 9 CVT-REHAB – Hub to Home

10 VETERANS RURAL HEALTH RESOURCE CENTER – EASTERN REGION (VRHRC-ER) - 10

11 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 11 Clinical Challenge—Cognitive Rehabilitation Veteran virtual medical center and Exer-games can provide screening and clinician developed rehabilitation plans Current system captures 4 cognitive domains—Executive Function, Attention, Memory, and Visual Processing Uses 4G connected tablet Allows for access at home Adherence rates https://youtu.be/p46-ytjboek

12 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 12 Why is Telehealth Important to Patients with MS and ALS? Use of Clinical Video Televideo (CVT) can: Provide comprehensive Care to MS and ALS patients living in rural and remote areas Provide caregiver support Improve compliance for MS Disease Modifying Therapy Allow rehabilitation and wellness programs to be delivered to the home Improve quality of life and ultimately will reduce costs for MS and ALS care 12

13 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 13 Clinical Challenge—CVT Tele-rehabilitation Veteran travel times limited access to in person-physical therapy Without CVT, therapists rely on Veterans to complete a home based program with little feedback or monitoring Travel to the clinic increased fatigue for many Veterans prior to initiating their sessions As travel time increased, Veterans cancellations and missed appointments increased CVT allows for the direct observation of Veteran performance, and interaction with the therapist in their home Exer-games allow for a remote quantitation of a Veterans movement, performance, and adherence Bluetooth peripherals allow for the tracking of vital signs

14 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 14 Clinical Challenge—VA Virtual Medical Center Veteran virtual medical center will house clinics for all disciplines Allows Veterans to access patient oriented information about diseases Interact with other Veterans in the environment Attend educational classes on exercise and disease management Allows access from computers with an internet connection Repository for all VA generated research summaries www.vamvc.com

15 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 15 Virtual Medical Center-Fitness Center 15

16 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 16 Future Directions & Discussions Using Kinect camera and televideo allows for direct capture of workload Allows for quantitation of treatment plan progress by provider and patient Medication adherence Remote monitoring can allow for early detection of disease progression Ongoing, lifelong wellness promotion for hypokinetic, neurologic, and neurodegenerative disease

17 VETERANS RURAL HEALTH RESOURCE CENTER – EASTERN REGION (VRHRC-ER) - 17

18 VETERANS RURAL HEALTH RESOURCE CENTER – EASTERN REGION (VRHRC-ER) - 18 New Initiatives VITAL+JINTRONIX

19 VETERANS RURAL HEALTH RESOURCE CENTER – EASTERN REGION (VRHRC-ER) - 19 New Initiatives VITAL+JINTRONIX

20 VETERANS RURAL HEALTH RESOURCE CENTER – EASTERN REGION (VRHRC-ER) - 20 New Initiatives VITAL+JINTRONIX

21 VETERANS HEALTH ADMINISTRATION (VHA) – OFFICE OF RURAL HEALTH (ORH) - 21 Virtual Medical Center-Conference Room 21

22 VETERANS RURAL HEALTH RESOURCE CENTER – EASTERN REGION (VRHRC-ER) - 22 Thank You for Your Service

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