1. Resources for Telehealth Program Development presented by: Christine Martin, MT, MBA, PMP Executive Director California Telemedicine & eHealth Center March 18, 2011

2. Futurist View of Mobile Phone 1903? 1924? 1930?

3. … That Future Is Now! Telemedicine will fundamentally change the way we provide and receive health care

4. The Need for Telehealth Services Clinician shortages Distribution of providers Rural/Urban underserved Aging population Travel time, cost & hardship Language barriers Clinical education Disaster response

5. Telehealth Is Important In Rural Healthcare 97% of Land Mass Is Rural 21% of Population Is Rural

6. Federal Vision for Telehealth No matter who you are or where you are you can get the health care you need when you need it

7. And That Means…. The right care at the right time in the right location by the right provider

8. Telehealth Supports Healthcare Goals Increase access and availability Assist with professional shortage Cost effective Improve efficiency Enhance quality of patient care Support local facilities and communities Improve outcomes

9. Telemedicine? Telehealth? What’s the Difference? mHealth? eHealth?

12. Medical Specialties

13. Intensive Care Services

14. Emergency Departments Telemedicine

15. What Is Telehealth? Telehealth Health Professions Education Regional Health Information Sharing Telemedicine Consumer Education Evaluation Research Public Health Administration Homeland Security

16. Uses for Telehealth Clinical Educational Administrative

17. Telehealth Applications Intensive Care Units Inpatient Care Emergency Departments Emergency Vehicles Skilled Nursing Services Outpatient Services Screening Services Disease Monitoring Clinical Education Across Levels & Types of Service Patient Education

19. Mental Health

20. Cardiology

21. Infectious Diseases

22. Pediatric Services

23. Endocrinology

24. Neurology

25. Orthopedics

26. Pulmonology

27. Oncology

28. Ophthalmology

29. RheumatologyMany others

30. Other Applications Telepharmacy Dental Wound Care Home monitoring Remote ICU Monitoring Family Connections Case Management School Care Education staff, provider, family, community

31. Other Applications Dialysis Support groups Speech therapy Pre-commitment assessments Interpreter services Dietary counseling Supervision Post Traumatic Stress Disorder

33. Mental Health Centers

34. Intensive Care Units

35. Correctional Facilities

36. Emergency Departments

37. Emergency Transport Units

38. Surgery Suites

39. Schools

40. Skilled Nursing Facilities

42. New Applications Exploding Mobile phone applications Text based education for pregnant women Motivational messaging for diabetic patients Sensors that monitor vital signs Home monitoring

43. How Will You Get There?

44. All We Have To Do Is Change

45. …. You Go First!

46. Change Graphic from jiscinfonet

47. Development Can Be Challenging Reimbursement / payment strategies Organizational strategic integration Program development Funding for development Operational models Sustainable business models Program costs Credentialing, privileging & accreditation

48. Critical Need forCurrent, Objective, Accurate Information

49. Assistance Is Available! HRSA Designated Telehealth Resource Centers!

50. The TRCs

51. What are the TRCs? Network of expertise and experience HRSA Office of Rural Health Policy Extensive telehealth program implementation experience Program established in 2006 Eight regional centers around the nation & one national for Legal and Regulatory Center

52. Telehealth Resource Centers

53. Some TRC Services On-line resources and information Training Webinars and workshops Presentations Staff training Peer to peer connections Consultation services Videos Research

54. Guidance, Expertise & Support Strategic planning Current advancements & trends Program development Policy development Operations Evaluation Legal and regulatory Equipment selection Provider development Best Practices Sustainability & business models Telehealth Resource Centers

55. Questions Discussion Please feel free to contact me: Christine Martin Executive Director California Telemedicine & eHealth Center cmartin@calhealth.org 916.552.7679