Telehealth Specialty Provider

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1 Telehealth Specialty Provider Live tweet - #telehealth2014

2 Telehealth Concept

3 Who We Are Established by physicians in 2005 Multi-specialty telehealth provider Provides 20 telehealth specialties Contracted with 50 physician specialists Provided over 7,000 telehealth patient visits in 65 locations in 2013

4 We provide telehealth services to 65 locations

5 Available Specialties Cardiology Certified Diabetic Education Clinical Psychology Dermatology Endocrinology Family Practice Gastroenterology General Surgery Health Education Infectious Disease Internal Medicine Nephrology Neurology Neurosurgery Nutrition Services Orthopedic Surgery Pain Management Psychiatry Pulmonary Medicine Rheumatology

6 Network & Connectivity Secure Internet Connection Secure Internet Connection

7 Secure Environment Electronic Health Record (EHR) HIPAA Compliant Encrypted Connection

8 Implementation Process 1. Clinic chooses desired specialties 2. CT facilitates specialty provider credentialing process 3. CT guides clinic on IT/Network setup 4. Clinic and CT specialists decide on mutually agreed upon schedules 5. Clinic staff is trained on EHR system and operational workflow 6. Multiple connectivity tests to ensure quality connection between clinic and CT specialists 7. Initial session takes place!

9 Billing & Scheduling Clinic credentials specialist to staff Normal billing process using GT modifier CMS considers telehealth visits same as face-to-face patient encounters Clinic compensates CT based on number of hours utilized for telehealth clinics Minimum required time to reserve telehealth clinic is ONE HOUR

10 Program Setup Clinical Identify specialty services needed Determine clinic hours & frequency Determine patient volume Review protocols to define appropriate conditions for telehealth Technology Assess & purchase telemed equipment Determine bandwidth & network configuration Test equipment & connectivity Operational Identify telehealth champion(s) Select telehealth service provider Review telehealth policies & procedures Setup telehealth billing process with GT modifier Training Recruit & train telehealth coordinator Learn to use and troubleshoot telehealth equipment Electronic Health Records (EHR) training

11 Sample Protocol: Endocrinology CLINICAL USE The following is a listing of clinical conditions appropriate for Endocrinology Telemedicine Consultation: Type I Diabetes Mellitus Type II Diabetes Mellitus Gestational Diabetes Mellitus Hypoglycemia Thyroid Disorders Pituitary Disorders Adrenal Disorders Appointment Scheduling: New Consult: 30 minutes Follow Up: 15 minutes Hyperlipidemia Hyperparathyroidism Hirsutism Polycystic Ovary Disease Osteoporosis Suspected secondary cause for HTN CLINICAL REQUIREMENTS NECESSARY 3 DAYS PRIOR TO SCHEDULED APPOINTMENTS Progress notes relevant to the referral Summary of patients course (frequency, severity and response to medications) History and physical information Current medication profile including allergies Laboratory reports related to chief complaint X-Ray reports related to chief complaint LEVEL OF PRESENTER A clinical presenter trained in telemedicine patient presentation. The presenter also must be an MA or higher. ADDITIONAL PERIPHERAL EQUIPMENT REQUIRED None

12 Our Comprehensive Services Physician Specialties 20 telehealth specialties 50 contracted physician specialists Technical Assistance Identify the necessary equipment Evaluate network requirements Recommend vendors and products Operational Assessment Determine the most effective method of initiating a quality telehealth program Develop telehealth policies and procedures

13 Thank You Questions & Comments Thomas Bell Chief Operating Officer Phone: Fax:

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