U.S. Telemedicine Public Policy. Gary Capistrant July 22, 2015

Size: px
Start display at page:

Download "U.S. Telemedicine Public Policy. Gary Capistrant July 22, 2015"

Transcription

1 U.S. Telemedicine Public Policy Gary Capistrant July 22, 2015

2 Strong Consumer Wants 24 / 7 / 365 On-demand Convenience Ease Choice Control Direct

3 Drivers Aging population = greater demand & costs = provider shortages Consumer technology savviness Provider experience & acceptance Ubiquity of telecommunications

4 Major Telemedicine Means Video/audio conferencing (real-time, synchronous) Store-and-forward (some delay, asynchronous) Remote patient monitoring Robotic

5 Multiple terms Overview variations of tele-, e-, m-, i-, remote vs. EHR, HIT Goal is simply health Range of apps Solutions, not tech

6 Telemedicine is NOT New Clinically different A service Rural About the technology

7 Applications Vary in Use Most established Examples: radiology, pathology Moderate Examples: stroke diagnosis, ICU, emergency psychiatric evaluations Newer Examples: remote patient monitoring, rehabilitation

8 Barriers Remove and oppose artificial government barriers

9 Major Government Roles Rendering Reimbursement Regulation Research Resources Readiness and recovery

10 Major Public Payors Medicare - NO 1834(m) Physician services CMMI Medicaid - GO No federal law or reg restrictions Common requirements Statewideness Comparability

11 Medicare Today 39.0M in fee-for-service 16.8M in Medicare Advantage 2.1M in Special Needs Plans (SNPs)

12 Medicare FFS Barriers Limited live video Only rural counties (20% of beneficiaries) Limited originating sites Limited providers Only specific procedures No store & forward No remote patient monitoring for chronic conditions

13 Medicare Bills Telehealth Enhancement Act Rep. Gregg Harper (R-MS-3) H.R Medicare Telehealth Parity Act Rep. Mike Thompson (D-CA-5) H.R. 2948

14 ATA State Gaps Analyses

15 States Overall Coverage

16 Parity for Private Insurance

17 50 State Medicaids Today All cover imaging 48 states cover something 23 home telehealth 17 remote patient monitoring 13 store-and-forward Managed care, esp. comprehensive risk-based

18 States Medicaid Coverage

19 States Physician Practices

20 License at Both Ends Multi-state licensure compacts Expedited physicians Reciprocity nurses psychologists? physical therapists One state license model

21 One State License Bills For Medicare TELEmedicine for MEDicare Act S by Sen. Hirono (D-HI) H.R by Rep. Nunes (R-CA-22) For Department of Veterans Affairs Veterans E-Health & Telemedicine Support Act H.R by Rep. Rangel (D-NY-13)

22 Delivery Problems Address care delivery problems Cost, access, quality, productivity

23 Some Problems Addressed Barriers of time and distance Professional shortages Disparities in access to care Quality of care Hospital readmits, ER overuse Costs of delivery Convenience and patient choice

24 Opportunities Increase patient choice, outcomes, convenience, satisfaction Promote value-based innovative payment and service

25 Innovative Pay Models Tweaks Value-based purchasing Pay for performance Reforms Bundling (services, time) Case-mix Sharing (risk, savings, gains) Salary-based Reference pricing, indemnity

26 Medicare Prospects Payment innovations FFS ACOs, bundles, medical homes Medicare Advantage Community health centers Stroke Chronic care

27 Medicaid Best Practices for Telehealth Uses Telemental and Behavioral Health Stroke Managed Care High-Risk Pregnancy Rehabilitation Patient Monitoring & Home Video School-based Store-and-forward

28 Parity Urban Homes Medicaid Prospects Managed care flexibility Remote patient monitoring Focused initiatives Specialty at-risk pregnancies, autism Chronic - health homes Sites school-based

29 AmericanTelemed.org ATAwiki.org Gary Capistrant Chief Policy Officer

30 How to Build Successful Business Operations for a Telemedicine Program Heather M. Meyers, MBA Project Manager, Vanderbilt Telemedicine July 2015

31 How to Build Successful Business Operations for a Telemedicine Program A Unified System and Telemedicine Foundation Leadership Directive Appointed Committees and Roles Steering, Advisory and Subcommittees Members to become experts in Telemedicine industry Clinical Buy-in Building both Quality and Quantity

32 How to Build Successful Business Operations for a Telemedicine Program Determine Telemedicine Objectives and Goals for Individual Services Customary Institutional Mission and Vision Goal for Service Lines: Triple Aim Affordable and Convenient Model Develop and Implement Cost Avoidance Innovation, Strategic Vision and Best Practices through Technology

33 How to Build Successful Business Operations for a Telemedicine Program Awareness, Education and Marketing Creating Brand Recognition Exam space and patient interface Priority order of informing leadership, physicians and consumers

34 How to Build Successful Business Operations for a Telemedicine Program Operating Policies and Procedures Staffing Escalation Policy IT Back-up and Downtime Protocols Initial and Routine Training Procedures Telemedicine User Credentialing Standard of Care Guidelines Minimum requirements

35 How to Build Successful Business Operations for a Telemedicine Program Project Plans and Implementation Operations Understanding Timelines How, When, Where and Why Automated and Integrated Systems IT and EMR Provider adaptability Mirror face to face operations Overcoming inefficiencies

36 How to Build Successful Business Operations for a Telemedicine Program Determining Users Providers Consulting vs. Referring TelePresenters Patients Locations Originating Sites vs. Distant Sites

37 How to Build Successful Business Operations for a Telemedicine Program Clinical Quality and Outcomes Quality: How to make Telemedicine applicable to inperson visit standards Outcomes: Specificity to each clinical specialty Relating back to fulfilling the primary objective and goal Patient Retention Rates

38 How to Build Successful Business Operations for a Telemedicine Program Telemedicine Delivery Models Asynchronous, Synchronous & Remote Monitoring Clinical Virtual Visits: Provider to TelePresenter Multispecialty Remote Clinic and Specialty Satellite Clinics Virtual Visits: Online Direct Provider to Patient Acute care and Dermatology E-visits: Online Provider and Patient Portal Nutrition and Diabetes Management E-Consults : Online Provider to Provider PCP to Dermatology and ED to Neurology

39 Navigating the Legal and Regulatory Rules for the Practice of Telemedicine Terrence Lewis Senior Associate Counsel, Legal Department, University of Pittsburgh Medical Center Copyright 2015-Terrence M. Lewis-UPMC ALL SLIDES

40 Current State of Telemedicine Law Advances in medicine and medical technology related to telemedicine and e-health remain far ahead of the legal precedents and standards for this area of healthcare law in both the US and the EU. 2

41 US and EU Major Telemedicine Legal and Economic Issues: Physician Licensure Physician Hospital Credentialing Online Medicine/Prescribing Patient Privacy and Medical Records Reimbursement 3

42 Physician Licensure US The U.S. Supreme Court has held that states have a compelling interest in the practice of professions within their boundaries, and that as part of their power to protect the public health, safety, and other valid interests, they have broad power to establish standards for licensing practitioners and regulating the practice. 50 different states = 50 different state boards of medicine; currently, there is no national license to practice medicine. Several bills have been introduced in the US Congress If a health professional located in one state treats, diagnoses, or otherwise directs medical care to a patient located in another state, the health professional likely is practicing medicine in that state and needs a medical license from that state. New: Federation of State Medical Boards-Interstate Medical Licensure Compact 4

43 PHYSICIAN CREDENTIALING Physicians providing professional services at hospitals are normally required to obtain medical staff privileges. This can take up to 3-4 months. NEW CMS Proxy Credentialing Rule (Effective July 5, 2011): allows the medical staff of the hospital where the patient is being treated via telemedicine to rely upon the credentialing and privileging done at the hospital where the telemedicine practitioner is located and credentialed. Effect: Streamlined credentialing now available, reducing start-up time for new telemedicine activities. UPMC s Experience: New proxy credentialing rule saves time and resources. 5

44 Establishing the Physician-Patient Relationship-US Online web-portals designed to diagnose and treat patients without an initial in-person medical examination Satisfying the minimum standards of care and establishing a bona-fide physician-patient relationship (varies per state law) Individual States: wide spectrum of regulating first-time visits for non-established patients Current state law of the law and legal/risk/compliance analysis: fluid and not well-defined at this time Prescribing non-controlled substances Patient abandonment issues 6

45 Establishing the Physician-Patient Relationship-US New Developments: 1. Federation of State Medical Boards (FSMB) -Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine 2. American Medical Association (AMA) -New Telemedicine Recommendations 3. Idaho State Board of Medicine -Professional Disciplinary Case related to online treatment and prescribing in the web portal setting 4. Texas State Medical Board-Teladoc Matter 7

46 Patient Privacy And Medical Records US Health Insurance Portability and Accountability Act (1996) (federal law applies to all 50 states) HIPAA Privacy Rule (2000) HITECH Act (2009) 8 Significant restrictions and safeguards for the protection and security of patients protected health information. Individual states may have stricter privacy laws than what is required by HIPAA. HIPAA and individual state privacy laws can be significant challenges; electronic health records and portability of such records to be transmitted in seconds to cross-border add complexity.

47 Reimbursement-US Conditions for Medicare reimbursement of telemedicine services: Patient located in rural/remote areas Live, real-time situations Expansion Occurring at State Level Example: Pennsylvania Medical Assistance Program New rule expands reimbursement for physicians rendering telemedicine consultations to MA patients via interactive telecommunications technology. Under the new rule, all physicians in every subspecialty may be reimbursed for telemedicine consultations. 9

48 Best Practices for Health System-Hospital-Provider Legal Counsel Master the legal issues Learn and fully understand the clinical disciplines involved = engage physician and hospital clinical leadership Work directly with the applicable Chief Quality Officer Work directly with the Information Technology Department= master the technology and IT architecture involved with the project After commencement, follow-up with the clinical, quality and IT personnel to ensure results are achieved 10

49 Recommendations-Telemedicine Legal Standardized national and international telemedicine licenses. Uniform national and international regulations for medical record and patient health information use and storage, in order to ensure protection of patient privacy but permit the secure transmission of patient data cross-border Uniform standards for mhealth technology, including medical devices and mobile medical apps. Development of broader models for telemedicine service reimbursement by the US and EU. 11

Developing a Telemedicine Business Strategy

Developing a Telemedicine Business Strategy Developing a Telemedicine Business Strategy Amber Humphrey, MBA Assistant Director, Vanderbilt Telemedicine Healthcare Financial Management Association March 22, 2016 Discussion Roadmap Defining Telehealth

More information

TELEMEDICINE UPDATE:WHAT S NEW IN 2014? Vanessa A. Reynolds, P.A. vreynolds@broadandcassel.com

TELEMEDICINE UPDATE:WHAT S NEW IN 2014? Vanessa A. Reynolds, P.A. vreynolds@broadandcassel.com TELEMEDICINE UPDATE:WHAT S NEW IN 2014? Vanessa A. Reynolds, P.A. vreynolds@broadandcassel.com What is telemedicine? Telemedicine has been defined as broadly as the use of medical information exchanged

More information

Telemedicine, Telehealth & Mobile Health: The Future Is Today

Telemedicine, Telehealth & Mobile Health: The Future Is Today Telemedicine, Telehealth & Mobile Health: The Future Is Today Kim Harvey Looney, Waller Lansden Dortch & Davis LLP Michael F. Schaff, Wilentz Goldman & Spitzer PA Sidney Welch, Kilpatrick Townsend & Stockton

More information

Telemedicine Reimbursement and Compliance Issues. Agenda. Telemedicine Overview Regulatory Structures. Reimbursement Operational and compliance issues

Telemedicine Reimbursement and Compliance Issues. Agenda. Telemedicine Overview Regulatory Structures. Reimbursement Operational and compliance issues Telemedicine Reimbursement and Compliance Issues Julian Rivera 512.479.9753 julian.rivera@huschblackwell.com Alison Hollender 214.999.6193 alison.hollender@huschblackwell.com Agenda Telemedicine Overview

More information

Telehealth In Virginia. The Regulatory Landscape

Telehealth In Virginia. The Regulatory Landscape Telehealth In Virginia The Regulatory Landscape Introduction Name: Joshua Kaywood Company: WeCounsel Solutions Position: Director of Business Development Email: joshk@wecounsel.com Phone: (678) 779-4958

More information

Terrence Lewis Associate Counsel, University of Pittsburgh Medical Center (Pittsburgh, Pennsylvania, USA)

Terrence Lewis Associate Counsel, University of Pittsburgh Medical Center (Pittsburgh, Pennsylvania, USA) Telemedicine, the Law and the Economics: A View from Both Sides of the Atlantic International Society for Telemedicine & e-health s Med-e-Tel 2014 Conference Terrence Lewis Associate Counsel, University

More information

Telehealth and the Law: An Update from Both Sides of the Atlantic

Telehealth and the Law: An Update from Both Sides of the Atlantic Telehealth and the Law: An Update from Both Sides of the Atlantic John Williams, MD Associate Medical Director, University of Pittsburgh Medical Center International and Commercial Services Division (Moderator)

More information

Expanding Frontier of Telemedicine Clear Skies or Stormy Weather?

Expanding Frontier of Telemedicine Clear Skies or Stormy Weather? I. Advances in Telemedicine 2016 CLM Annual Conference April 6-8, 2016 Orlando, FL Expanding Frontier of Telemedicine Clear Skies or Stormy Weather? A historical look, recent developments and future trends.

More information

Disclosure of Conflict of Interest

Disclosure of Conflict of Interest Challenging the Status Quo of Telehealth in Policy, Technology, & Clinical Care H. Stephen Lieber President and Chief Executive Officer HIMSS Disclosure of Conflict of Interest No Conflict of Interest

More information

May 9, 2014. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515. RE: Telehealth Promotion Act of 2014. Dear Rep.

May 9, 2014. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515. RE: Telehealth Promotion Act of 2014. Dear Rep. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515 RE: Telehealth Promotion Act of 2014 Dear Rep. Thompson: On behalf of the 110,600 physician and student members of the American

More information

A First Look at Attitudes Surrounding Telehealth:

A First Look at Attitudes Surrounding Telehealth: A First Look at Attitudes Surrounding Telehealth: Findings from a national survey taking a first look at attitudes, usage, and beliefs of family physicians in the U.S. towards telehealth. OVERVIEW Telehealth

More information

Committee on Energy and Commerce Committee on Energy and Commerce

Committee on Energy and Commerce Committee on Energy and Commerce June 16, 2014 The Honorable Joe Pitts, Chairman The Honorable Frank Pallone, Ranking Member Subcommittee on Health Subcommittee on Health Committee on Energy and Commerce Committee on Energy and Commerce

More information

PLDW. Telemedicine and the Health Care Industry PANNONE LOPES DEVEREAUX & WESTLLC. by GARY R. PANNONE Managing Partner. and

PLDW. Telemedicine and the Health Care Industry PANNONE LOPES DEVEREAUX & WESTLLC. by GARY R. PANNONE Managing Partner. and Telemedicine the Health Care Industry by GARY R. Managing Partner jillian n. jagling Associate PLDW LOPES DEVEREAUX & LOPES DEVEREAUX & WEST LLC WESTLLC counselors at law Introduction Opportunities Challenges

More information

REPORT 7 OF THE COUNCIL ON MEDICAL SERVICE (A-14) Coverage of and Payment for Telemedicine (Reference Committee A) EXECUTIVE SUMMARY

REPORT 7 OF THE COUNCIL ON MEDICAL SERVICE (A-14) Coverage of and Payment for Telemedicine (Reference Committee A) EXECUTIVE SUMMARY REPORT OF THE COUNCIL ON MEDICAL SERVICE (A-) Coverage of and Payment for Telemedicine (Reference Committee A) EXECUTIVE SUMMARY Telemedicine, a key innovation in support of health care delivery reform,

More information

Telemedicine and the ehealth Revolution: Being Cutting Edge While Remaining Compliant

Telemedicine and the ehealth Revolution: Being Cutting Edge While Remaining Compliant Telemedicine and the ehealth Revolution: Being Cutting Edge While Remaining Compliant Meg R. Garrett, BSN, JD, CPHRM, FASHRM Johns Hopkins Health System Karen Byank Mathura, BSN, JD, CPHRM RCM&D 2 Overview

More information

Telemedicine Offers Growth for Hospitals, Rural Care Opportunities

Telemedicine Offers Growth for Hospitals, Rural Care Opportunities Telemedicine Offers Growth for Hospitals, Rural Care Opportunities The internet and digital technology have transformed our lives, changing the way we keep in touch with our family and friends, shop, pay

More information

Rule 5.2 Definitions. For the purpose of Chapter 5 only, the following terms have the meanings indicated:

Rule 5.2 Definitions. For the purpose of Chapter 5 only, the following terms have the meanings indicated: Part 2635 Chapter 5: Practice of Telemedicine Rule 5.1 Preamble. These regulations are intended to authorize M.D. and D.O. licensees of the Mississippi State Board of Medical Licensure to practice telemedicine

More information

Connected Care Delivers: Telemedicine s Value Proposition. June 8, 2015 National Council of Behavioral Health

Connected Care Delivers: Telemedicine s Value Proposition. June 8, 2015 National Council of Behavioral Health Connected Care Delivers: Telemedicine s Value Proposition June 8, 2015 National Council of Behavioral Health Agenda Introduction U.S. Market Landscape and Outlook Evidence of Cost Savings & Quality Care

More information

State of Payor Network and Reimbursement for Telehealth Services. Tim Maloney, UC Health Vice President of Payor Relations

State of Payor Network and Reimbursement for Telehealth Services. Tim Maloney, UC Health Vice President of Payor Relations State of Payor Network and Reimbursement for Telehealth Services Tim Maloney, UC Health Vice President of Payor Relations Introduction Reimbursement for services delivered via telehealth varies greatly

More information

OPEN MINDS 2012 Planning & Innovation Institute

OPEN MINDS 2012 Planning & Innovation Institute Panel: Trish Cavestany, MSN, RN, CCM Director, Clinical Products and Services, Robert Bosch Healthcare Systems Steve Daviss, MD Chair, Dept Psychiatry, Baltimore Washington Medical Center Chair, Committee

More information

Telemedicine at Alabama Department of Public Health County Health Departments

Telemedicine at Alabama Department of Public Health County Health Departments Telemedicine at Alabama Department of Public Health County Health Departments Goals Define and demonstrate telemedicine Discuss why Alabama can benefit from having telemedicine services Describe role ADPH

More information

Policy on the Appropriate Use of Telemedicine Technologies in the Practice of Medicine

Policy on the Appropriate Use of Telemedicine Technologies in the Practice of Medicine Background and Introduction The Vermont Board of Medical Practice (the Board) is committed to protecting the public and to assisting its licensees to meet their professional obligations by providing quality

More information

TELEMEDICINE, TELEHEALTH, AND HOME TELEMONITORING TEXAS MEDICAID SERVICES. Biennial Report to the Texas Legislature

TELEMEDICINE, TELEHEALTH, AND HOME TELEMONITORING TEXAS MEDICAID SERVICES. Biennial Report to the Texas Legislature TELEMEDICINE, TELEHEALTH, AND HOME TELEMONITORING TEXAS MEDICAID SERVICES Biennial Report to the Texas Legislature As Required by Texas Government Code 531.0216 Texas Health and Human Services Commission

More information

Telemedicine in Physical Health and Behavioral Health

Telemedicine in Physical Health and Behavioral Health Telemedicine in Physical Health and Behavioral Health Collaborative Care Summit April 16, 2015 Shabana Khan, MD Assistant Professor of Psychiatry Western Psychiatric Institute and Clinic University of

More information

RIN 0938-AS06 Medicare Program: Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule December 8, 2014

RIN 0938-AS06 Medicare Program: Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule December 8, 2014 February 6, 2015 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW

More information

TAPPING THE POTENTIAL OF TELEHEALTH. Balaji Satyavarapu [Professional IT Consulting

TAPPING THE POTENTIAL OF TELEHEALTH. Balaji Satyavarapu [Professional IT Consulting ] Balaji Satyavarapu [Professional IT Consulting TELEHEALTH What is it? As recently defined by the Telehealth Advancement Act of 2011 in Section 2290.5 of the California Business and Professions Code,

More information

The Business of Telemedicine

The Business of Telemedicine The Business of Telemedicine Nancy S. Rowe Associate Director, Outreach Arizona Telemedicine Program Industry Overview Telemedicine is Huge! Success stories abound telemedicine saves lives Direct to consumer

More information

Telehealth: Today & Tomorrow National Health Policy Forum

Telehealth: Today & Tomorrow National Health Policy Forum Telehealth: Today & Tomorrow National Health Policy Forum April 11, 2014 Karen E. Edison, MD Philip Anderson Prof. & Chair, Dept. of Dermatology Medical Director, Missouri Telehealth Network Director,

More information

Telemedicine and MPL: The Story So Far

Telemedicine and MPL: The Story So Far F E A T U R E S T O R Y Telemedicine and MPL: The Story So Far I N S I D E M E D I C A L L I A B I L I T Y O N L I N E 1 J U L Y 2 0 1 5 B Y D ANA M URPHY What we re learning from the PIAA Data Sharing

More information

1million Americans using. What is Telemedicine? Today there are... For the Future...

1million Americans using. What is Telemedicine? Today there are... For the Future... N A I C I T S I Y LKine H P OOlemedic T for Te 2 As telemedicine has become more widely accepted as an efficient and high-quality means to deliver healthcare by providers, payers and patients, maybe you,

More information

Global Lab for Innovation

Global Lab for Innovation Global Lab for Innovation Innovation Profile Tele-Dermatology Tele-medicine technologies are used by a Primary Care Physician (PCP) to send case descriptors and photographs to a dermatologist with requests

More information

COMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D.

COMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D. COMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D. Medical Director, Office of Telemedicine Director, Center for Telehealth Senior

More information

STATEMENT. RE: Telemedicine. May 1, 2014. of the. American Medical Association. to the

STATEMENT. RE: Telemedicine. May 1, 2014. of the. American Medical Association. to the STATEMENT of the American Medical Association to the House Committee on Energy and Commerce Subcommittee on Health United States House of Representatives RE: Telemedicine May 1, 2014 Division of Legislative

More information

T h e M A RY L A ND HEALTH CARE COMMISSION

T h e M A RY L A ND HEALTH CARE COMMISSION T h e MARYLAND HEALTH CARE COMMISSION Discussion Topics Overview Learning Objectives Electronic Health Records Health Information Exchange Telehealth 2 Overview - Maryland Health Care Commission Advancing

More information

HR 5380 - Medicare Telehealth Parity Act of 2014 Rep. Mike Thompson (D-CA), Rep. Gregg Harper (R-MS), Rep. Peter Welch (D-VT)

HR 5380 - Medicare Telehealth Parity Act of 2014 Rep. Mike Thompson (D-CA), Rep. Gregg Harper (R-MS), Rep. Peter Welch (D-VT) FACT SHEET Congressional Bill HR 5380 - Medicare Telehealth Parity Act of 2014 Rep. Mike Thompson (D-CA), Rep. Gregg Harper (R-MS), Rep. Peter Welch (D-VT) Author Intent: To amend Title XVIII of the Social

More information

Telemedicine Policy Annual Approval Date

Telemedicine Policy Annual Approval Date Policy Number 2016R0046A Telemedicine Policy Annual Approval Date 4/08/2015 Approved By REIMBURSEMENT POLICY CMS-1500 Payment Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You

More information

Utah Telehealth Study Summary Report. Prepared by Pilot Healthcare Strategies for the Utah Division of Occupational and Professional Licensing

Utah Telehealth Study Summary Report. Prepared by Pilot Healthcare Strategies for the Utah Division of Occupational and Professional Licensing Utah Telehealth Study Summary Report Prepared by Pilot Healthcare Strategies for the Utah Division of Occupational and Professional Licensing June 24, 2014 Top line observations As this report was being

More information

Telehealth services and the Medicare program. Zach Gaumer, Amy Phillips, Ariel Winter, and Jeff Stensland November 5, 2015

Telehealth services and the Medicare program. Zach Gaumer, Amy Phillips, Ariel Winter, and Jeff Stensland November 5, 2015 Telehealth services and the Medicare program Zach Gaumer, Amy Phillips, Ariel Winter, and Jeff Stensland November 5, 2015 Presentation outline Definition of telehealth services Telehealth services under

More information

9/19/2014. Disclosure. Telepractice 101: Practice, Regulation and Reimbursement Janet Deppe, MS CCC-SLP Director, State Advocacy

9/19/2014. Disclosure. Telepractice 101: Practice, Regulation and Reimbursement Janet Deppe, MS CCC-SLP Director, State Advocacy Disclosure Telepractice 101: Practice, Regulation and Reimbursement Janet Deppe, MS CCC-SLP Director, State Advocacy Janet Deppe, Director State Advocacy Financial: I am a paid employee of ASHA Non-Financial:

More information

TELEMEDICINE REIMBURSEMENT MANDATES BY STATE: Medicaid & Private Payer

TELEMEDICINE REIMBURSEMENT MANDATES BY STATE: Medicaid & Private Payer TELEMEDICINE REIMBURSEMENT MANDATES BY STATE: Medicaid & Private Payer Unless otherwise noted, this information came from The Center for Telehealth and E-Health Law, and The American Telemedicine Association

More information

Telemedicine Reimbursement. and Credentialing

Telemedicine Reimbursement. and Credentialing Kim Hoffman Telehealth Coordinator OHSU Telemedicine and Credentialing Kate Kenemer Client Service Analyst University Professional Services Why is it important? Encourages use of telemedicine services

More information

Global Lab for Innovation

Global Lab for Innovation Global Lab for Innovation Innovation Profile econsults The large-scale implementation of secure electronic communications allows primary care practitioners (PCPs) to initiate and receive electronic consultations

More information

DELAWARE DISTRICT OF COLUMBIA MARYLAND. State- Specific Information Recent news, pending action:

DELAWARE DISTRICT OF COLUMBIA MARYLAND. State- Specific Information Recent news, pending action: State DELAWARE DISTRICT OF COLUMBIA MARYLAND State- Specific Information Recent news, June 27, 2012 - Delaware Medicaid program to reimburse for telemedicine- delivered services beginning July 1. Delaware

More information

Telemedicine Policy. Approved By 1/27/2014

Telemedicine Policy. Approved By 1/27/2014 REIMBURSEMENT POLICY Policy Number 2015R0046F Annual Approval Date Telemedicine Policy 1/27/2014 Approved By National Reimbursement Forum United HealthCare Community & State Payment Policy Committee IMPORTANT

More information

TELEMEDICINE POLICY. Page

TELEMEDICINE POLICY. Page TELEMEDICINE POLICY REIMBURSEMENT POLICY Policy Number: ADMINISTRATIVE 4.8 T0 Effective Date: May, 203 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS.. APPLICATION... OVERVIEW... REIMBURSEMENT

More information

NH Broadband Conference May 16, 2014 Grappone Conference Center - Concord, NH

NH Broadband Conference May 16, 2014 Grappone Conference Center - Concord, NH NH Broadband Conference May 16, 2014 Grappone Conference Center - Concord, NH Track: Telehealth and Telemedicine SESSION 1-10:45 am - 11:20 am Telehealth and Telemedicine -The Dartmouth-Hitchcock Perspective

More information

THE HEALTHCARE REGULATORY LANDSCAPE FOR TELEHEALTH

THE HEALTHCARE REGULATORY LANDSCAPE FOR TELEHEALTH THE HEALTHCARE REGULATORY LANDSCAPE FOR TELEHEALTH TECHNOLOGY MAY-RATHON Anthony Choe and Jake Harper Morgan Lewis May 10, 2016 2016 Morgan, Lewis & Bockius LLP Agenda The current regulatory landscape

More information

Strategic Opportunities and Challenges in Telemedicine ALEXANDER NASON JOHNS HOPKINS MEDICINE INTERACTIVE PROGRAM DIRECTOR ANASON@JHMI.

Strategic Opportunities and Challenges in Telemedicine ALEXANDER NASON JOHNS HOPKINS MEDICINE INTERACTIVE PROGRAM DIRECTOR ANASON@JHMI. Strategic Opportunities and Challenges in Telemedicine ALEXANDER NASON JOHNS HOPKINS MEDICINE INTERACTIVE PROGRAM DIRECTOR ANASON@JHMI.EDU Agenda Landscape @ Johns Hopkins Medicine Telemedicine Primer

More information

Telehealth/Telemedicine:

Telehealth/Telemedicine: Telehealth/Telemedicine: The Promise and the Perils Under U.S. Law Janice F. Mulligan,Esq. Law Offices of Mulligan & Banham mulligan@janmulligan.com 619.238.8700 UIA Biotechnology Section Annual Meeting

More information

TELEMEDICINE POLICY. Page

TELEMEDICINE POLICY. Page TELEMEDICINE POLICY REIMBURSEMENT POLICY Policy Number: ADMINISTRATIVE 4.23 T0 Effective Date: July, 205 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS.. APPLICATION... OVERVIEW... REIMBURSEMENT

More information

Avenues for Expanding Telehealth for Mental Health Services

Avenues for Expanding Telehealth for Mental Health Services Avenues for Expanding Telehealth for Mental Health Services September 17, 2013 During 2012, Dr. Karen Rheuban, President of the Virginia Telehealth Network, addressed the Healthy Living/Health Services

More information

Transformers: The Changing Face of Health Care Delivery

Transformers: The Changing Face of Health Care Delivery 1 Transformers: The Changing Face of Health Care Delivery Steve Lokensgard Derek Kang HCCA Compliance Institute April 21, 2015 2 Agenda People Physician Assistants Nurse Practitioners Pharmacists Radiology

More information

Increasing Clinician Efficiency and Patient Engagement Through Virtual Care

Increasing Clinician Efficiency and Patient Engagement Through Virtual Care Increasing Clinician Efficiency and Patient Engagement Through Virtual Care Ronald F. Dixon MD, MA Assistant Professor of Medicine, Harvard Medical School Director, Virtual Practice Project, Massachusetts

More information

Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME)

Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME) Objectives Recognize the problem related to lack of access to pediatric diabetes subspecialist in Rural Maryland. Appreciate the impact of pediatric telehealth delivery of care to improve access to pediatric

More information

CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations February 6, 2015 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, Maryland 21244 RE: CMS-1461-P Medicare

More information

RE: CMS-1345-P; Comments to Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule

RE: CMS-1345-P; Comments to Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-1345-P P.O. Box 8013 Baltimore, Maryland 21244-8013 RE: CMS-1345-P; Comments to Medicare Shared Savings Program:

More information

Telemedicine and Telehealth

Telemedicine and Telehealth Telemedicine and Telehealth July 9, 2014 Ryan Johnson Catherine E. London rjohnson@fredlaw.com clondon@fredlaw.com (612) 492-7160 (612) 492-7464 Agenda What is Telemedicine/Telehealth? Business Models

More information

BEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION

BEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION BEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION Providers contracted for the telehealth service will be expected to comply with all requirements of the performance specifications. Additionally,

More information

Emerging Technologies That Support Transitions of Care. 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner

Emerging Technologies That Support Transitions of Care. 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner Emerging Technologies That Support Transitions of Care 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner Topics of Discussion Drivers of Transitions of Care Technology Perspective:

More information

Once Upon a Time. What is Telemedicine? Why Telemedicine? Why Telegenetics? TELEGENETICS Licensure and Other Legal Barriers to Practice

Once Upon a Time. What is Telemedicine? Why Telemedicine? Why Telegenetics? TELEGENETICS Licensure and Other Legal Barriers to Practice TELEGENETICS Licensure and Other Legal Barriers to Practice CLINICAL IMPLICATIONS OF EMERGING TECHNOLOGIES IN MEDICAL GENETICS Genetic Task Force of Illinois Illinois Department of Public Health Chicago,

More information

Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016

Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016 Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016 Prior Authorization Requirement Yes No Not Applicable * Not covered by Medicare but is covered by HealthPartners Freedom

More information

dermatologists to provide teledermatology services to their patients utilizing a web-based

dermatologists to provide teledermatology services to their patients utilizing a web-based TELEHEALTH POSITION STATEMENT I. INTRODUCTION Iagnosis has developed DermatologistOnCall to allow independent board certified dermatologists to provide teledermatology services to their patients utilizing

More information

Your Telehealth Program:

Your Telehealth Program: 3rd Annual Telehealth Summit of South Carolina Your Telehealth Program: Are You Compliant with the Legal and Regulatory Hurdles? What Do You Need to Know to Make Sure You Don t Trip? Greg Billings Executive

More information

BEST PRACTICES IN TELEHEALTH. Development and Implementation

BEST PRACTICES IN TELEHEALTH. Development and Implementation BEST PRACTICES IN TELEHEALTH Development and Implementation Live tweet - #telehealth2015 Best Practices in TeleHealth Define Goals & Perform a Needs Assessment Confirm your Organizations Readiness Education,

More information

2015 State Telemedicine Legislation Tracking (as of 4/28/2015) *

2015 State Telemedicine Legislation Tracking (as of 4/28/2015) * Alabama Alaska 2015 Telemedicine Legislation Tracking (as of 4/28/2015) * Arizona HB 2454 - Repeals telemedicine abortion prohibition; HB 2489 (STATUS: SIGNED BY GOVERNOR)- Adds some prescription drug

More information

http://www.americantelemed.org/learn/what-is-telemedicine, accessed 12/04/13

http://www.americantelemed.org/learn/what-is-telemedicine, accessed 12/04/13 Tipping Telemedicine Adoption - Barrier Mitigation White Paper March 18, 2014 Introduction This paper outlines the opportunities and challenges associated with the use of telemedicine in current healthcare

More information

Maryland. Medicaid Program: MD Medical Assistance Program. Program Administrator: MD Dept. of Social Services

Maryland. Medicaid Program: MD Medical Assistance Program. Program Administrator: MD Dept. of Social Services Maryland Medicaid Program: MD Medical Assistance Program Program Administrator: MD Dept. of Social Services Regional Telehealth Resource Center Mid-Atlantic Telehealth Resource Center PO Box 800711 Charlottesville,

More information

AARC s Legislative Initiative for 2015 -- The Medicare Telehealth Parity Act Frequently Asked Questions Updated February 20, 2015

AARC s Legislative Initiative for 2015 -- The Medicare Telehealth Parity Act Frequently Asked Questions Updated February 20, 2015 AARC s Legislative Initiative for 2015 -- The Medicare Telehealth Parity Act Frequently Asked Questions Updated February 20, 2015 NOTE: If the Medicare Telehealth Parity Act is reintroduced prior to our

More information

The integration of telehealth How legislation and licensing boards are dealing with the new technology

The integration of telehealth How legislation and licensing boards are dealing with the new technology The integration of telehealth How legislation and licensing boards are dealing with the new technology This article is based on a presentation given by Mike Billings, PT, MS, CEEAA and Mei Wa Kwong, JD

More information

New Hampshire Telemedicine Reimbursement Guide. Franconia Notch, New Hampshire

New Hampshire Telemedicine Reimbursement Guide. Franconia Notch, New Hampshire New Hampshire Telemedicine Reimbursement Guide Franconia Notch, New Hampshire The Northeast Telehealth Resource Center team is pleased to announce our 1 st edition of this Telemedicine Reimbursement Manual.

More information

STATE OF NEBRASKA STATUTES RELATING TO NEBRASKA TELEHEALTH ACT

STATE OF NEBRASKA STATUTES RELATING TO NEBRASKA TELEHEALTH ACT 2014 STATE OF NEBRASKA STATUTES RELATING TO NEBRASKA TELEHEALTH ACT Department of Health and Human Services Division of Public Health Licensure Unit 301 Centennial Mall South, Third Floor PO Box 94986

More information

New York Health Plan Association Challenges and Opportunities of Telemedicine

New York Health Plan Association Challenges and Opportunities of Telemedicine New York Health Plan Association Challenges and Opportunities of Telemedicine Key Federal and State Telehealth Dynamics: Policy, Politics and Best Practices Victoria L. Shapiro Senior Director Health Care

More information

Provider Handbooks. Telecommunication Services Handbook

Provider Handbooks. Telecommunication Services Handbook Provider Handbooks January 2016 Telecommunication Services Handbook The Texas Medicaid & Healthcare Partnership (TMHP) is the claims administrator for Texas Medicaid under contract with the Texas Health

More information

Telemedicine as Part of Your Service Line Strategy. Howard J. Gershon, FACHE Principal, New Heights Group March 2011

Telemedicine as Part of Your Service Line Strategy. Howard J. Gershon, FACHE Principal, New Heights Group March 2011 Telemedicine as Part of Your Service Line Strategy Howard J. Gershon, FACHE Principal, New Heights Group March 2011 1 Session objectives Understand the concept of telemedicine/telemedicine and how it is

More information

Tim Turner Tim Turner & Associates, LLC TEXAS. Health Information Technology Advisory Committee (HITAC)

Tim Turner Tim Turner & Associates, LLC TEXAS. Health Information Technology Advisory Committee (HITAC) Tim Turner Tim Turner & Associates, LLC TEXAS Health Information Technology Advisory Committee (HITAC) Track 1: Getting Started, Organization and Governance Texas Health Information Technology Advisory

More information

Emerging g Trends in Home Care

Emerging g Trends in Home Care Emerging g Trends in Home Care Dana Sheer, ACNP, MSN Susan Beausoliel, BSN, MS, DNP 1 The Triple Aim Goals Quality Improve Patient Outcomes Goal Readmissions Cost Reduce costs/penalties associated w/ readmissions

More information

Session 14. Act Now-Review of the 2015 Telemedicine Law. 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM

Session 14. Act Now-Review of the 2015 Telemedicine Law. 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM Session 14 Act Now-Review of the 2015 Telemedicine Law 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM 1 Speakers Moderator: Mark Sonneborn Presenter: Maureen Ideker RN, BSN, MBA, Great Plains Telehealth

More information

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have

More information

To: Federal Trade Commission Re: Mainstreaming Telemedicine

To: Federal Trade Commission Re: Mainstreaming Telemedicine I am a student at Columbia University. However, this comment to the Federal Trade Commission reflects my own personal opinions. This is not representative of the views of Columbia University or the Trustees

More information

New Developments and Trends in Telemedicine and Telehealth

New Developments and Trends in Telemedicine and Telehealth New Developments and Trends in Telemedicine and Telehealth OSHRM/SOHA Conference September 25. 2015 William M. Freedman, Esq. Cincinnati, Ohio Bill.freedman@dinsmore.com Jenna G. Moran, Esq. Cincinnati,

More information

Licensed Healthcare Providers Guidelines for Telemedicine Using the MyDocNow Platform

Licensed Healthcare Providers Guidelines for Telemedicine Using the MyDocNow Platform Contents 1. Scope of These Guidelines... 2 2. What is Telemedicine?... 2 3. Introduction... 3 4. What Are the Benefits of Telemedicine?... 3 5. Frequently Asked Questions Physician Care and Treatment...

More information

THE ROAD TO TELEHEALTH. Kathy J. Chorba Executive Director kchorba@caltelehealth.org

THE ROAD TO TELEHEALTH. Kathy J. Chorba Executive Director kchorba@caltelehealth.org THE ROAD TO TELEHEALTH Kathy J. Chorba Executive Director kchorba@caltelehealth.org What Is Telemedicine? Direct clinical care provided from a distance using electronic communication to provide or support

More information

GEORGIA MEDICAID TELEMEDICINE HANDBOOK

GEORGIA MEDICAID TELEMEDICINE HANDBOOK GEORGIA MEDICAID TELEMEDICINE HANDBOOK CONNECTING GEORGIA OVERVIEW The Department of Community Health s (DCH) Telemedicine and Telehealth policies are slated to improve and increase access and efficiency

More information

Sec. 531.0216. PARTICIPATION AND REIMBURSEMENT OF TELEMEDICINE MEDICAL SERVICE PROVIDERS UNDER MEDICAID. (a) The commission by rule shall develop and

Sec. 531.0216. PARTICIPATION AND REIMBURSEMENT OF TELEMEDICINE MEDICAL SERVICE PROVIDERS UNDER MEDICAID. (a) The commission by rule shall develop and Sec. 531.0216. PARTICIPATION AND REIMBURSEMENT OF TELEMEDICINE MEDICAL SERVICE PROVIDERS UNDER MEDICAID. (a) The commission by rule shall develop and implement a system to reimburse providers of services

More information

RULES OF THE ALABAMA BOARD OF MEDICAL EXAMINERS CHAPTER 540-X-15 TELEHEALTH. Table of Contents

RULES OF THE ALABAMA BOARD OF MEDICAL EXAMINERS CHAPTER 540-X-15 TELEHEALTH. Table of Contents RULES OF THE ALABAMA BOARD OF MEDICAL EXAMINERS CHAPTER 540-X-15 TELEHEALTH Table of Contents 540-X-15-.01 Purpose 540-X-15-.02 Telehealth Medical Services by Physicians According to Licensure Status 540-X-15-.03

More information

Michael Keeling, Esq. Partner Keeling Law Offices, PC Phoenix Coronado www.keelinglawoffices.com

Michael Keeling, Esq. Partner Keeling Law Offices, PC Phoenix Coronado www.keelinglawoffices.com Michael Keeling, Esq. Partner Keeling Law Offices, PC Phoenix Coronado www.keelinglawoffices.com American Telemedicine Association defines telemedicine as the use of medical information exchanged from

More information

LEGAL IMPEDIMENTS TO THE DISSEMINATION OF TELEMEDICINE

LEGAL IMPEDIMENTS TO THE DISSEMINATION OF TELEMEDICINE LEGAL IMPEDIMENTS TO THE DISSEMINATION OF TELEMEDICINE Diane E. Hoffmann, J.D., M.S. Director, Law & Health Care Program Associate Dean for Academic Programs University of Maryland School of Law Virginia

More information

REGULATORY UPDATE: TELEMEDICINE

REGULATORY UPDATE: TELEMEDICINE REGULATORY UPDATE: TELEMEDICINE Collaborative Technology Solutions: The Future of Healthcare June 13, 2013 Jennifer Breuer, Esq. Drinker Biddle & Reath 312/569-1256 Agenda > Review legal and regulatory

More information

What is the triage process when a member logs in for a Doctor on Demand telemedicine visit?

What is the triage process when a member logs in for a Doctor on Demand telemedicine visit? Telemedicine What is telemedicine? Telemedicine is also referred to as a virtual visit or a video visit, and involves the delivery of clinical services via synchronous, interactive audio and video telecommunications

More information

Telehealth Crash Course: Do States Like Telehealth?

Telehealth Crash Course: Do States Like Telehealth? Telehealth Crash Course: Do States Like Telehealth? September 15, 2015 2015 Epstein Becker & Green, P.C. All Rights Reserved. ebglaw.com This presentation has been provided for informational purposes only

More information

October 10, 2015 Presentation for the Maryland College of Occupational and Environmental Medicine (MCOEM)

October 10, 2015 Presentation for the Maryland College of Occupational and Environmental Medicine (MCOEM) Clyde A. Bernett, Jr. Associate General Counsel Johns Hopkins University Office of the Vice President and General Counsel October 10, 2015 Presentation for the Maryland College of Occupational and Environmental

More information

Telemedicine in Georgia. Bill Boling. Rob Byrd

Telemedicine in Georgia. Bill Boling. Rob Byrd Telemedicine in Georgia Bill Boling Rob Byrd Georgia Telemedicine Act Under the Georgia Telemedicine Act, O.C.G.A. section 33-24-56.4 (the Act ), every health benefit policy as of July 1, 2005 shall include

More information

The Health Care Transformation Glossary

The Health Care Transformation Glossary The Health Care Transformation Glossary which was compiled using a variety of sources helps to educate your staff, governance and community about the new language associated with transformation. Using

More information

Expanding Telemedicine Services in an Effort to Reduce Health Care Costs in the United States

Expanding Telemedicine Services in an Effort to Reduce Health Care Costs in the United States Expanding Telemedicine Services in an Effort to Reduce Health Care Costs in the United States To: Federal Trade Commission From: Jaime Coffino, MPH Candidate, Mailman School of Public Health, Columbia

More information

Health Care 2.0: How Technology is Transforming Health Care

Health Care 2.0: How Technology is Transforming Health Care Health Care 2.0: How Technology is Transforming Health Care Matthew Kaiser, CEBS, SPHR Director, HR Technology and Outsourcing Lockton Kansas City, Missouri The opinions expressed in this presentation

More information

2016 State Telemedicine Legislation Tracking (as of 7/14/2016) *

2016 State Telemedicine Legislation Tracking (as of 7/14/2016) * Alabama HB 29 and SB 18 - Authorizes Bd. Of Hearing Instruments Dealers to develop rulemaking on telepractice (STATUS: Alaska Proposed Arizona Proposed Arkansas California Proposed Colorado Connecticut

More information

The Telehealth Top Ten for 2015

The Telehealth Top Ten for 2015 The Telehealth Top Ten for 2015 Aug 24, 2015 Top Ten By Nathaniel M. Lacktman, Partner, Foley & Lardner LLP This resource is sponsored by: Telehealth continues be an innovative alternative to traditional

More information

California. Medicaid Program: Medi Cal. Program Administrator: California Dept. of Health Care Services (DHCS)

California. Medicaid Program: Medi Cal. Program Administrator: California Dept. of Health Care Services (DHCS) California Medicaid Program: Medi Cal Program Administrator: California Dept. of Health Care Services (DHCS) Regional Telehealth Resource Center: California Telehealth Resource Center (CTRC) 200 P Street,

More information

Telehealth in Utah: Past, Present, Future. National Conference of State Legislatures Utah State Capitol, May 28, 2015

Telehealth in Utah: Past, Present, Future. National Conference of State Legislatures Utah State Capitol, May 28, 2015 Telehealth in Utah: Past, Present, Future National Conference of State Legislatures Utah State Capitol, May 28, 2015 It began with visionary leadership! Governor Mike Leavitt introduced telehealth to Utah

More information

Telehealth s Role in a Medical Home Model. Learning Objectives 4/9/2012

Telehealth s Role in a Medical Home Model. Learning Objectives 4/9/2012 Telehealth s Role in a Medical Home Model Susan Makela, BSN, MPA Director Upper Peninsula Telehealth Network Marquette General Health System Learning Objectives Identify the role telehealth plays in the

More information