1. Telemedicine
Working Together for Better Care
July 14, 2011
Best Care…Healthier Kids
1.23.13

2. When spider webs unite, they can
tie up a lion.
- Proverb
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3. Who We Are
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4. Children’s Healthcare of Atlanta
• Children's serves our community with three hospitals and 17
neighborhood locations, including four Immediate Care Centers and a
Primary Care Center.
… at Egleston … at Scottish Rite … at Hughes Spalding
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5. System Mission:
To make kids better today and healthier
tomorrow
Program Mission:
To partner with Georgia’s communities to increase
access to pediatric specialty care and offer pediatric
specific education to clinicians and providers.
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6. Program Development
Subspecialist at
Egleston
Stephanie
Blank Center
for Safe and
Telemedicine Marcus Autism
Healthy
Children
Program
Subspecialist at
Scottish Rite
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7. Presenting Sites
• Healthcare Organizations
• Private Practices/clinics
• Community Health Sites
– Schools
– Public Health Departments
– Child Advocacy Centers
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8. Current Sites
• Participating with 43
presenting sites
throughout Georgia
• 14 specialties with 25
physicians
- Future: 15 specialties
27 physicians
• + 23 Child Advocacy
Sites
(Map does not include Child Advocacy Centers)
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9. Clinical Services Offered
Current Specialties and Number of Coming soon:
Physicians: • Autism (1)
• Allergy and Immunology (1) • Apnea (1)
• Autism (1)
• Cardiology (1)
• Child Protection (3)
• Concussion/Neurosurgery (1)
• Endocrinology (1)
Specialist Participating
• Fetal ECHO (9)
27
• Gastroenterology (1) 30
25
• Nephrology (2) 20
2
• Orthopedics (1) 10
0
• Pulmonology (2) 2009 Current Future
• Sports Medicine/Concussion (1)
• Urology (1)
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10. Technology and Scopes
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11. Our Patients…
• We have served 2,343 patients since inception
2012
Number of Patients Seen
Total 971
Marcus 524
Specialist 355
CPC 92
0 200 400 600 800 1000 1200
Total/Overall
Number of Patients Seen
•
1200
2009: 88 1000
823
971
800
• 2010: 461 600
400
461
200 88
• 2011: 823 0
2009 2010 2011 2012
• 2012: 971
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12. Program Growth and Opportunities
• Community Health
• School-based Telemedicine (41)
• Child Advocacy Centers (24)
• Public Health (14)
• Division of Family and Children Services (159)
• Internet-based solutions
• Remote Patient Monitoring / Care Coordination
• Distance Learning – building relationships,
referrals
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13. Outcomes
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14. Convenience and Savings for Patients
Year to Date…Per visit: Median Range
Miles Saved 362 72-524
Cost of miles saved $199 $39-$288
Hours Saved Traveling 6.6 1.3-9.5
School days 84% of our patients would have missed
*Children greater than 5 y/o school to travel to Atlanta
Work Days Missed >80% of our parents would have missed
*One adult present a full day of work to travel to Atlanta
• Patients served live in 74 of the Georgia’s 159 counties
• 47% of all counties
•All outside of the MSA
•78% of our patients are covered by Medicaid /CMO’s
• Overall cost of miles saved: $139,655 (0.55/mile)
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15. Collaborative Consults
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16. Better Patient Outcomes
• The patient:
• 17 y/o female diagnosed with Nephrotic syndrome (a kidney disorder)
• Lives in Columbus with her 70 year old grandmother
• Before Telemedicine:
• Her grandmother would drive her to Atlanta to see Dr. Larry Greenbaum
when she was able, but it was difficult.
• Her condition was worsening and she was not making appointments to his
clinic here in Atlanta. At that time Mary was at very high risk for Kidney failure.
• After Telemedicine:
• He has seen her several times via Telemedicine with The Medical Center in
Columbus Georgia since her first Telemedicine appointment in March of
2011.
• She is consistently making appointments, her condition is improving and her
risk for kidney failure has drastically decreased!
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17. Happy Parents
… It was extremely convenient rather than
driving 4 hours to Atlanta. The staffing was
exceptional. Very friendly and
accommodating.
…I think this was an awesome opportunity
especially for those who are unable to travel to
Atlanta.
…The visits are always great. Staff
and doctor are very caring and
…The visit was great! The
concerned about my child's
staff was very courteous and
condition. I enjoy these visits every
helpful. This was a first time
time.
visit with telemedicine and a
wonderful experience. Thank
you and your staff.
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18. Coming together is a
beginning, staying together
is progress and working
together is success.
- Henry Ford
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19. Contacts
DD Fritch-Levens, MSN, MHA, RN
Contact Center Director
d.d.fritch-levens@choa.org
Jill Davis, MPH
Telemedicine Program Manager
Jill.davis@choa.org
404-785-9333
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