Linda Williams, M.D. Christian Milaster, PMP

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1 Linda Williams, M.D. Chief Medical Information Officer Family Medicine Practitioner Olmsted Medical Center - Rochester, MN Christian Milaster, PMP Strategic Telehealth Consultant Ingenium Telehealth

2

3 About OMC 40 miles Not For Profit Multi-Specialty Clinic Level IV Trauma Hospital 150+ Clinicians 1,100+ Employees 5 sites in Rochester, MN (106k) 10 sites in regional communities Hospital Clinics 3 Convenience Care

4 telehealth, telemedicine, televisit, teleexam, telewhat, telewhy

5 Telehealth Internet-based health education Examples: diabetes education weight loss education Telemedicine Personal Health Record, Health Information Exchange Examples: patient portal school portal Telehealth: Delivering Healthcare at a Distance Telemedicine: Practicing Medicine at a Distance

6 Telehealth internet-based health education Telemedicine Personal Health Record, Health Information Exchange Interactive domestic clinical surgical Examples: psychiatric televisits sub-specialty consults ER triage Remote Monitoring periodic continuous Examples: Medical Home Home Blood Pressure, Glucose, Weight Store & Forward consultative evaluative Examples: radiology sub-specialty consults (asynchronous)

7 TeleEducation TeleVisit TeleExam TeleTraining TeleMeeting

8 vision, mission, action

9 Goals Approach Timeline

10 We will apply established telehealth technologies to facilitate the effective management of our patients chronic diseases; to improve the convenience for our patients to interact with their care team; and to create telehealth services that are sustainable.

11 Primary Care Pediatrics, Family Med, Internal Med, Occ Health, Maternity Pregnancy, Birth, Lactation Chronic Diseases Diabetes, CHF, Hypertension, Obesity, Depression, Scope

12

13 10% 10% 0% Interactive 20% 60% Remote Monitoring Store & Forward Webucation Patient Portal

14

15

16

17 off-the-shelf

18 all-in-one wall mount camera speakerphone < $2,000 8 sites

19 cart shelf PC 27 monitor UPS camera speakerphone < $3,000 5 sites stethoscope exam camera otoscope $1,000-$3,000

20 clinical efficacy for patients and providers

21 WhistleStop TelePsychiatry and TelePsychoTherapy 3 Area Nursing Homes

22 TeleEducation Diabetes, Smoking Cessation; Weightloss & Wellness 9 Branch Clinics & NW Clinic

23 TeleVisits, TeleExams Psychiatry, Cardiology, Endocrinology Pre-Op Nursing, Post-Op Surgical 6 Rural Branch Clinics

24 Workplace Telehealth Occupational Health (Pilot) (other specialties possible) 1 Regional Employer (Pilot)

25 TeleConnect Administrative, Care Conferences CME, Training All Branch Clinics 6 Conference Rooms

26

27 User Training Cheat Sheet Troubleshooting Guide Helpdesk Call Contingency Plan Helpdesk Visit 3 rd level Vendor Support

28 Utilization Satisfaction Sustainability Outcomes by location patient financial health by service provider support care plan by provider staff champions no-shows

29 (don t) do that to me one more time

30

31 Technology is Important Communication is Important Process is Important

32

33 photo by flickr user Mikeb1028 Linda Williams, M.D. Chief Medical Information Officer Olmsted Medical Center, Rochester, MN Christian Milaster, PMP Strategic Telehealth Consultant Ingenium Telehealth

34 Technology is a tool to achieve a strategy Choosing the right tool affects the outcome Live technology is not the end point, its use is Real Life is Post- Implementation

35 Technology is a tool to achieve a strategy An outsider to clarify strategy Enthusiasm for Telehealth Choosing the right tool affects the outcome Knowledge to match tools to needs Vendor agnostic Live technology is not the end point, its use is Project management to achieve goals Workflow as part of implementation Real Life is Post-implementation Ensures solutions are sustainable Facilitates a transition to operations

36 Linda Williams, M.D. Chief Medical Information Officer Olmsted Medical Center, Rochester, MN Christian Milaster, PMP Strategic Telehealth Consultant Ingenium Telehealth

37

38 Second (dual) 24 Monitor Webcam Speakers < $400 3 sites

39 ~$300/mth. for ~75 users ~$100/mth./site

40

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