Changing Landscape: TeleHealth NOSORH Annual Meeting 1 Georgia Partnership for TeleHealth History 2004 Negotiations with Insurance Commissioner Oxendine with Anthem and WellPoint Merger. Result Oxendine s Rural Health Initiative Statewide Telemedicine Program This rural health initiative will provide Georgia citizens with access to the highest quality and most advanced medical care available anywhere in the state. John Oxendine 2 Georgia Partnership for TeleHealth History After the three year telemedicine commitment from WellPoint, the Georgia Partnership for TeleHealth, Inc. 501 (c) (3) (GPT) was formed in December 2007 to continue the successes of the Georgia Telemedicine Program. 3 1
GPT Mission Improve and promote the availability and provision of specialized healthcare services in rural and underserved parts of Georgia. Educate and provide training and technical assistance to hospitals, clinics, and primary care providers to implement and achieve exchange of health information. Reduce the service barriers that exist for patients who live in rural parts of Georgia at a distance from hospitals and other medical facilities. Georgia General Assembly House Bill 291 Section 3 (33 24 56.4) On or after July 1, 2005, every health benefit policy that is issued, amended or renewed shall include payment for services that are covered under such health benefit policy and are appropriately provided through telemedicine in accordance with Code Section 43 34 31.1 SB 183 2012 Allows telemedicine in schools 5 GPT Infrastructure GPT Headquarters is located in Waycross, Ga. Field Based TM Liaisons Regionalized coverage with specific targeted areas Division of responsibilities between presentation, specialty sites and healthcare providers Support for Credentialing and Scheduling All Specialists & Allied Healthcare Providers are required to complete the modified application that is accepted by The Joint Commission. Dedicated toll free scheduling line. 6 2
Telemedicine Open Access Network Model Creates a web of access points Any Presentation Site can connect to any other site Presentation Site Specialty Center Presentation Site Presentation Site Specialty Center Presentation Site Specialty Center Network Technology Private Internet Intranet HIPAA Compliant Network HUBs Archbold Medical Center, Thomasville and Bacon County Hospital, Alma Unlimited bandwidth available. Eligible for Universal Service Funding IP video conferencing standard H.323 Multi point video conferencing 8 9 3
Facts & Stats 600+ rural and specialty sites within the GPT network. Over 200 specialists, representing 36 specialties. 8 encounters in January 2006 9,973 encounters in 2008 31,040 encounters in 2010 40,000 + encounters in 2011 70,000 + encounters in 2012 136,000 + encounters in 2013 10 Top Ten TeleMedicine Encounters 2013 Wound Care Adult Psychiatry Gerontology Psychiatry Neurology Stroke Child Psychiatry Pediatric Endocrinology Dermatology Child Protection Services High Risk Pregnancy OBGYN Cardiology 11 Expansion 2012 2014 Virtual Care in Correctional Settings Mobile Health/Monitoring/Wellness Tele Stroke Care School Based Telehealth Clinics Nursing homes Expansion Alabama Partnership for Telehealth Florida Partnership for Telehealth Telehealth International Partnership In discussions with 12 other states 12 4
Multiple Equipment Options 13 UTILIZATION On track for over 130,000 encounters in 2013 Cost Savings Nursing Home ER Avoidance: 160 ER Visits avoided 2011 resulting in savings of $480,000. School Based Clinics ER Avoidance: 118 ER visits in 2011 resulting in savings of $354,000 Out of 40,009 encounters, a random sample showed an average savings of PT travel of 124 miles per encounter resulting in an estimated pt savings of $762,027 just in fuel. (Does not include lost wages, meals and other travel expenses) 5
Services Provided by GPT Technical assistance in development and implementation of program Equipment installation infrastructure Comprehensive support services; scheduling, credentialing, program coordination On going education and training 24/7 technical support Dedicated telehealth liaison ongoing program support Foundation for expansion 16 Current Status State and National Recognition State Composite Board Department of Health Department of Children and Family Services Press Growth Opportunities/Expansion Telehealth International Partnership States of Georgia, Alabama, Florida School Based Telehealth Programs Corrections Large Organizations 17 Future Trends: Technology Driven Revolution Consumer demand will cause telehealth to become main street health care. Government support & funding will continue to increase. 6
Healthcare Technology Mobile devices/technology, 4G LTE, Healthcare applications will revolutionize healthcare Future of healthcare will be data/information driven, directly to practitioner instantly and constantly Healthcare will be delivered in settings and locations where it doesn t exist today On verge of a new healthcare delivery model Healthcare technology will improve access to care, quality of care, and significantly reduce costs 19 Mobile Health Next Generation of Healthcare Application Driven Significant Reduction of Costs Improves quality of life # of mhealth user applications will reach 247 million, double from 124 million in 2011 10,000 health related apps from Apple Mhealth is the 3 rd fastest growing app category for Apple and Google 20 Technology driven revolution 7
Consumer Demand 8
Over the past 15 years study after study has documented patient satisfaction and support for telehealth services. Such services offer patients the access to providers that might not be available otherwise, as well as medical services without the need to travel long distances. Increasing momentum for government support and funding CMS is adding the following services to the list of Medicare telehealth services for CY 2014: CPT code 99495: Transitional care management services with the following required elements: communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; medical decision making of at least moderate complexity during the service period; face-to-face visit within 14 calendar days of discharge. CPT Code 99496: Transitional care management services with the following required elements: communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; medical decision making of high complexity during the service; period face-to-face visit within 7 calendar days of discharge. 9
Key Partnerships Children s Healthcare of Atlanta Office of Rural Health Bacon County Hospital/Alma Telephone All Medicaid Managed Care Organizations Emory Wellstar Tift Regional Memorial of Savannah Ethica Georgia Regents University Jackson Healthcare 28 Key Partnerships Public Schools Georgia, Tennessee Department of Family and Children Services Community Service Boards Corrections Alabama, Tennessee, Kentucky Louisiana State University Archbold Medical Center Erlanger Health Systems Tallahassee Memorial Hospital University of Georgia Mercer 29 Key Partnerships American International Health Alliance Zambia Defense Force Orlando Health Systems St. Jude s Medical Florida State University University of Miami Auburn University School of Osteopathic Medicine - Dothan UCI Medical Affiliates of South Carolina 30 10
31 32 GPT Missions Guatemala Honduras China Haiti 33 11
Georgia Partnership for Telehealth, Inc. PO Box 1408 Waycross, GA 31502 Paula Guy CEO Paula.guy@gatelehealth.org Phone: 912.285.0902 Web: www.gatelehealth.org 34 12