Response by Alexander M. Nason, MBA, MHA, Program Director, Office of Telehealth and Interactive Learning, Johns Hopkins Medicine

1. Challenges to Telehealth in
Academic Medicine
Alex Nason
Program Director
Office of Telehealth and Interactive Learning

2. Historic Billings Building

3. New Clinical Building

4. Expanding Our Global Presence

5. IT @ JHM - Critical Juncture
• ‘Entity centric’ to ‘Patient centered’
• Single tightly integrated solution
• Patient centered care requires coordination of care
across JHM
• Enable operational efficiencies, cost
controls, and productivity
• Achieve quality and patient safety well beyond
meaningful use
• Requires careful TCO and ROI analysis
• Require redesign of care

6. The Origins of JHM
Education
Research
Clinical
Care

7. Consumerism in Health

8. Challenges
• Human Factors and Culture
• Acceptance by Physicians/Patients/Users
• IT Department
• BYOD/Security
• Reimbursement
• Costs
• License / Regulatory
• Evaluation and Research

9. Challenges
• Business Planning –
Sustainability
• Training
• Communication
• Cultural Considerations
• Environment
• Local Legal Issues
• Time Zones (DST)

10. Real World Problems
• Acute Care Response
• Stroke
• Chronic Disease
Management
• Diabetes, Obesity, CHF
• Physician Shortages
• i.e. Intensivists
• Global Issues
• Pandemic Flu
• SARS
• Hurricane Katrina - Asian
Earthquake
• Bio-terrorism
• Global Economics

11. Things to Consider
• Social Networks /
Social Media
• Wisdom of Crowds
• Research….Research
…Research
• Clear question
• Education / Training
• Documented approach
• Security/Theft
• Efforts to ensure
VALIDITY
• Accountable Care
Organizations
• Patient Protection and
Affordable Care Act

15. A Whole New Mind – Daniel Pink
Left Brain
• Sequential
• Logical
• Textual
Right Brain
• Holistic
• Intuitive
• Non-Linear