iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

1. Extending The Enterprise
Through TeleHealth Programs
Transforming How We Think About
The Opportunity

2. Traditional thinking: TeleHealth
technology is good for patients far away.

3. This is how our patients are using
communication technology ...
Not so far
away

4. How do you think about TeleHealth
technology?
1
A different way to
provide clinical services?
2
An infrastructure for more
communication options?
• Needs clinical studies, policies,
• Phone system upgrade and is
outcomes measures, to prove
value before investing
infrastructure investment in
communication technology
• Is it a better version of a
phone call or a worse version
of an in person encounter?
• Benefit limited to clinical
• Providers and patients will
use it as they deem beneficial
• Benefit is system wide

5. How do you think about TeleHealth
technology?
1 Line Level Thinking
2 Systems Thinking
• Finances assessed against
• Finances assessed against
projected clinical benefit
cost alternatives
• Benefits accrue to an
• Benefits accrue to the system
individual, clinic, or
department
and solution is available for
the system
• Decreased upfront costs
• Increased upfront costs
• Increased long term costs and
• Decreased long term costs
complexity
and complexity

6. How do you think about TeleHealth
technology?
1 Line Level Thinking
2 Systems Thinking
• Compare investment against a
• Compared investment
single clinical process
• NPV
• IRR
• ROI
• Payback
against other system
proposed expenses
• $34M upfront for teleICU,
entertainment, education,
simulation, patient services
• $15M upfront cost for
combined solution

7. Extending The Enterprise
Through TeleHealth Programs
Transforming How We Think About
Markets

8. Extending The Enterprise Through
TeleHealth Programs
Social
Networks
Enhanced
communication
Remote data
collection
Self-Care
Support
Patient
Education

9. Extending TeleHealth Programs for
Internal Efficiency and Cost Savings
•
Facilitates delivery of a
number of internal virtual
services
•
Live chat with families from
hospital room
•
Video call routing, security,
and management
•
Infrastructure leveraged for
patient services

10. Extending TeleHealth Programs for
External Efficiency and Cost Savings
• Video communication outside
firewall to patient home
• Load balance virtual patients and
virtual services
• Utilize consumer equipment lowers
cost and increases adoption by
patients
• Aligns with clinical workflow
• Online forms and e-Sign solution

11. Extending TeleHealth Programs
for New Business
•
New market strategies
• Market penetration to
new geographical areas
• Ancillary programs as
revenue generating
services
• Convert to video-capable
call centers

12. Extending The Enterprise
Through TeleHealth Programs
Transforming How We Think About
Ourselves

13. “To transform healthcare delivery, we
must first transform ourselves.”

14. Organization Know Thyself
Line of
Tolerance
Resistance
Change

15. Organization Know Thyself
Line of
Tolerance
Resistance
Pursue with
existing
operations
infrastructure
1
Change

16. Organization Know Thyself
2
Resistance
1
Change
Line of
Tolerance

17. Organization Know Thyself
2
Additional
committed
resources
Resistance
1
Change
Line of
Tolerance

18. Organization Know Thyself
2
Resistance
2
1
Change
Line of
Tolerance

19. Organization Know Thyself
2
Resistance
2
1
Change
Line of
Tolerance
3

20. Organization Know Thyself
2
Resistance
2
Line of
Tolerance
3
New
organizational
model
3
New
LOT
1
Change

21. Organization Know Thyself
Line of
Tolerance
Resistance
Change

22. Personalized Patient Room

25. Thank you
Questions?