Linda Williams, M.D. Chief Medical Information Officer Family Medicine Practitioner Olmsted Medical Center - Rochester, MN Christian Milaster, PMP Strategic Telehealth Consultant Ingenium Telehealth
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
telehealth, telemedicine, televisit, teleexam, telewhat, telewhy
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
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)
TeleEducation TeleVisit TeleExam TeleTraining TeleMeeting
vision, mission, action
Goals Approach Timeline
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.
Primary Care Pediatrics, Family Med, Internal Med, Occ Health, Maternity Pregnancy, Birth, Lactation Chronic Diseases Diabetes, CHF, Hypertension, Obesity, Depression, Scope
10% 10% 0% Interactive 20% 60% Remote Monitoring Store & Forward Webucation Patient Portal
off-the-shelf
all-in-one wall mount camera speakerphone < $2,000 ~25@ 8 sites
cart shelf PC 27 monitor UPS camera speakerphone < $3,000 5 @ 5 sites stethoscope exam camera otoscope $1,000-$3,000
clinical efficacy for patients and providers
WhistleStop TelePsychiatry and TelePsychoTherapy 3 Area Nursing Homes
TeleEducation Diabetes, Smoking Cessation; Weightloss & Wellness 9 Branch Clinics & NW Clinic
TeleVisits, TeleExams Psychiatry, Cardiology, Endocrinology Pre-Op Nursing, Post-Op Surgical 6 Rural Branch Clinics
Workplace Telehealth Occupational Health (Pilot) (other specialties possible) 1 Regional Employer (Pilot)
TeleConnect Administrative, Care Conferences CME, Training All Branch Clinics 6 Conference Rooms
User Training Cheat Sheet Troubleshooting Guide Helpdesk Call Contingency Plan Helpdesk Visit 3 rd level Vendor Support
Utilization Satisfaction Sustainability Outcomes by location patient financial health by service provider support care plan by provider staff champions no-shows
(don t) do that to me one more time
Technology is Important Communication is Important Process is Important
photo by flickr user Mikeb1028 Linda Williams, M.D. Chief Medical Information Officer Olmsted Medical Center, Rochester, MN LWilliams@olmmed.org www.olmmed.org Christian Milaster, PMP Strategic Telehealth Consultant Ingenium Telehealth Christian@IngeniumTelehealth.com www.ingeniumtelehealth.com
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
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
Linda Williams, M.D. Chief Medical Information Officer Olmsted Medical Center, Rochester, MN LWilliams@olmmed.org www.olmmed.org Christian Milaster, PMP Strategic Telehealth Consultant Ingenium Telehealth Christian@IngeniumTelehealth.com www.ingeniumtelehealth.com
Second (dual) 24 Monitor Webcam Speakers < $400 ~20 @ 3 sites
~$300/mth. for ~75 users ~$100/mth./site