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CAMC Health Education and Research Institute Our Telehealth Experience

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Barbara McGee, RN, MSN, Education Specialist II. CAMC Health ... Otolaryngology. Post operative surgical assessment. Top five consultation priorities in US ... – PowerPoint PPT presentation

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Title: CAMC Health Education and Research Institute Our Telehealth Experience


1
CAMC Health Education and Research
InstituteOur Telehealth Experience
  • Sharon Hall, MS, President
  • Barbara McGee, RN, MSN, Education Specialist II
  • CAMC Health Education and Research Institute

2
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Since the introduction of Telehealth at the CAMC
    Institute in the early 90s, our objectives have
    remained the same
  • Provide expert clinical consultation via
    telehealth technology to patients/clients in
    underserved and geographically isolated areas
    of West Virginia (avg. 400 consults per year for
    past 5 years)
  • Broadcast continuing educational opportunities
    for healthcare providers (avg. 35 live CME
    programs/month and 48 archived CME programs/month)
  • Provide community health education and
    web-based health information (WV Mini Medical
    School for the Public)
  • Provide a means for healthcare professionals to
    participate in professional organizations,
    community health forums and administrative
    video conferencing (WV Hospital Assoc, WVDHHR)

3
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical consultations have been provided in a
    wide variety of medical disciplines/specialties
    including
  • Internal Medicine
  • Behavioral Medicine and Psychiatry
  • Cardiovascular Medicine
  • Maternal-Fetal Medicine
  • Pediatrics
  • Otolaryngology
  • Post operative surgical assessment

4
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Top five consultation priorities in US
  • Cardiology
  • Rheumatology
  • Dermatology
  • Neurology
  • Psychiatry
  • Top five consultation priorities at CAMC
  • Dermatology
  • Behavioral Medicine
  • - Adolescent and Geriatric
  • Pediatric Pulmonology
  • - Pediatric Asthma Clinic
  • Neurology
  • Endocrinology

5
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • CAMC Center for Telehealth has provided more than
    5,000 clinical consultations with 12 WV rural
    health care facilities
  • Rural Health Clinics
  • Critical Access Hospital
  • FQHC Clinics

6
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical Milestones
  • 1994 1st teledermatology consultation with
    Boone Memorial Hospital
  • 1996 1st dual clinical consultation with a
    cardiologist and pulmonologist at CAMC with
    their patient at Braxton County Memorial
    Hospital
  • 1998 1st live pediatric echocardiogram on a
    3 month old infant from Roane General Hospital

7
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical Milestones (continued)
  • 2000 1st Diabetes Education Program presented
    from CAMC to 3 rural health care facilities,
    simultaneously
  • 2002 Pilot Project Home Monitoring of
    Congestive Heart Failure Patients Its Impact
    on Re-hospitalization, Quality of Life and
    Cost

8
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical Milestones (continued)
  • 2007 Perinatal Ultrasound/Telehealth Project
    developed

- WVU School of Medicine
- CAMC Health Education and Research
Institute Center for Telehealth
- West Virginia Perinatal Partnership
- Greenbrier Valley Physicians, Inc
9
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical Milestones (continued)
  • Goal of the Perinatal Ultrasound/Telehealth
    Project

- To improve management of patients with high
risk pregnancies by face to face, live
interactive clinical consultations as well as
real-time maternal-fetal ultrasound
capabilities
10
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical Milestones (continued)
  • 2008 Perinatal Ultrasound/Telehealth Project

- Network development
- Equipment acquisition and installation
- Initial Perinatal Telehealth Demonstration
between CAMC and Greenbrier Physicians, Inc.
11
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Clinical Milestones (continued)
  • A by-product of this network development has
    been the development of a Pediatric Asthma
    Clinic between Women and Childrens Hospital
    and the Robert C. Byrd Family Medicine Clinic
    in Lewisburg, WV
  • Dr. Robert Kaslovsky, WVU Department of
    Pediatrics is the consultant for this clinic

12
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Our anticipated outcome is to provide real time
    maternal-fetal consultations with using
    ultrasound and telehealth technology to improve
    care for high risk obstetrical patients in rural
    communities of West Virginia.
  • Other anticipated benefits would include

- Keeping the patient in her home community
for specialty care
- Moving information not the patient
- Supporting the care of the primary care
providers
- Keeping health care dollars at the local
level for ancillary care
- (Laboratory testing, radiology and pharmacy
needs)
13
WHATS IN THE FUTURE??
  • Telehealth Assessment February 2008 - Areas of
    Interest
  • Emergency/Trauma
  • Stroke
  • Cardiology
  • Critical Care
  • Sepsis
  • Endocrine/Diabetes
  • Geriatric Services
  • Consultative Specialty Care

14
WHATS IN THE FUTURE??
  • Telehealth Assessment February 2008 Perceived
    Barriers
  • Reimbursement Methodology
  • Lack of Highest Quality Technology/Infrastructure
  • Lack of Capital for Equipment
  • Costs of Line Charges
  • Concern to Maintain Referral Systems
  • Lack of Understanding of Potential
    Capacity/Benefit

15
WHATS IN THE FUTURE??
  • Focus Now On Connectivity
  • Telehealth Alliance Partnerships to Advance
    Telehealth
  • Focus on Service Development
  • Appropriate Service Delivery
  • Standard of Care
  • Efficient and Cost Effective
  • Focus on Barriers
  • Education and Development
  • Funding Sustainability
  • Reimbursement

16
WHATS IN THE FUTURE??
  • Goals Improve Access
  • Confidence of Providers and Patients
  • Highest Quality of Care (Equal to On-site Care)
  • Gains Confidence of Providers and Patients

17
CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)
  • Questions?
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