Developing a Telemedicine Business Strategy
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1 Developing a Telemedicine Business Strategy Amber Humphrey, MBA Assistant Director, Vanderbilt Telemedicine Healthcare Financial Management Association March 22, 2016
2 Discussion Roadmap Defining Telehealth and Telemedicine Benefits of Telemedicine Regulatory Environment Service Delivery Models Strategic Planning Process Results & Implementation
3 Disclosure I have no relevant financial or nonfinancial relationships within the organizations, products, or services referenced or described in this presentation.
4 Defining Telemedicine e-health Telehealth mhealth Telemedicine Electronic processing Exchange, storage, retrieval All virtual health information and services Clinical services Non-clinical services (i.e., health education, health promotion, health maintenance) Remote clinical services Resolving a Chief Complaint Individual patient interaction
5 Telehealth Terminology Telecare Virtual Medicine e-visit Connected Health e-health
6 Why Telemedicine? Increased access to care Improved compliance Enhanced coordination & quality of care More convenient access to timely treatments Capacity expansion Reduced transfers/readmits Avoided unnecessary test and procedures Reduced costs and travel for patients and providers
7 Telehealth Toolbox Relevant Modalities Use Cases Investment Required Videoconference Asynchronous Store-and-Forward Remote Device Telephone Professional Consultation Diagnosis and Treatment Education and Engagement Ongoing monitoring & Care Coordination Diagnosis and Treatment Education and Engagement Ongoing monitoring & Care Coordination Professional Consultation Ongoing monitoring & Care Coordination Need software, secure internet access for patients Home and hospital-based technology Need additional bandwidth, storage space Can replace non-urgent phone calls and visits More expensive hardware investment Used for high-risk patients in nonhospital site Little tech investment, requires proper staffing Used for pre-visit triage Patient Portal Education and Engagement Mobile App Education and Engagement High security needs require significant investment Must integrate EHR Minimal hardware investment for providers Complex security and data storage issues
8 How Does It Work? Originating Site Location of Patient Digital Video or Images Distant Site Location of Provider Image Source: South Central Telehealth Resource Center; Telehealth 101 Presentation, 2016
9 Regulatory Environment
10 CMS Coverage Requirements Core Eligibility Requirements for CMS Reimbursement 1 Geographic Location of Originating Site 2 Type of Health Provider at Distant Site 3 Type of Institution for Originating Site Must be provided to an eligible beneficiary in an eligible site Site must be located in: 1. A Health Professional Shortage Area outside of a Metropolitan Statistical Area 2. A rural census tract (even within a MSA) 3. A county outside of an MSA Physician Nurse practitioner Physician assistant Nurse midwife Clinical nurse specialist Clinical psychologist and clinical social worker Certified registered nurse anesthetist Registered dietitian or nutrition professional Office of a physician or practitioner Hospital Critical access hospitals Rural health clinic Federally Qualified Health Centers (FQHCs) Skilled nursing facility Hospital-based dialysis center Community mental health center Are You Eligible? Visit the HRSA Medicare Telehealth Payment Eligibility Analyzer website. Sources: Medicare Telehealth Payment Eligibility Analyzer, U.S. Department of Health and Human Resources, Market Innovation Center research and analysis.
11 Parity Laws Parity: comparable coverage and reimbursement for telemedicine-provided services to that of in-person services Image Source: ATA website, 2016
12 Practicing Across State Lines
13 State of Tennessee Two bills passed in 2015, HB 1895 and SB 1223, established telemedicine practice standards. Highlights Law requires private insurers and Medicaid to reimburse for video conference and store-andforward telemedicine services Fax, telephone, and /secure messaging are not considered telemedicine ERISA plans are exempt
14 Service Delivery Models Acute Ambulatory Remote Patient Monitoring Consumer
15 Current Service Lines Acute Ambulatory RPM Consumer Pharmacy Hospital Discharge Consults Neurology Autism Intervention Cardiology Care Coordination Hearing & Speech MFM Genetic Counseling Peds ECHO and EEG reads Psychiatry Sleep Apnea Vascular Surgery Triage Cardiology Discussion, but no current activity
16 Snapshot: Teleneurology Service Description Hospital-based consult service available via contract to any hospital 24/7 coverage for all neurology conditions; not just stroke ipads are used for video exams; no expensive equipment required Impact 9 partner hospitals 1,800+ consults since February % of patients remain at the partner hospital 17
17 Snapshot: Genetic Counseling Service Description Outpatient Maternal Fetal Medicine Patients Cisco Jabber Video is used for counseling sessions Impact 1 remote clinic; add l sites identified 66 average miles saved for provider round trip 1.5 hours average time saved for patients (not coming to main campus) 98% patient satisfaction
18 In Development Hospital-Based Services ICU Consults Emergency Medicine Consults Infectious Disease Consults and Infection Control Support Psychiatry Consults Ambulatory Initiatives Allergy Endo/Diabetes ENT Telephonic Visits Maternal Fetal Medicine Pain Management Pediatric Specialties
19 Where do we go from here?
20 Telemedicine Strategic Planning Process
21 Multidisciplinary Committee VUMC Strategic Development assembled an internal committee to guide the process. Committee represented the following departments: Administration (Adult and Pediatric) Business Development Finance Health IT Procurement Quality
22 Consultant Engagement Benefits of involving a consulting firm: Access to market/industry trends and data Advanced analytics Objectivity Ability to influence change Vanderbilt engaged Sg2 Consulting to lead our telemedicine strategic planning efforts.
23 Stakeholder Interviews Patients, Affiliate Hospitals and Physicians, VUMC Leadership Data Collection Strategic Planning Process Market Data, VUMC Institutional Data, National & Regional Trends Identification of Opportunities Prioritize and Build Framework Roadmap Development Finalize opportunities, develop ROI, create tactical plan
24 Questions?
25 Thank You! Amber Humphrey Asstistant Director, Vanderbilt Telemedicine
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