© American Telemedicine Association
© American Telemedicine Association
Telemedicine Today
Jonathan D. Linkous, CEO
American Telemedicine
Association

© American Telemedicine Association
NAME GAMES
Telemedicine
Telehealth
E-Health Telecare
Remote Medicine
m-Health

© American Telemedicine Association
A COUPLE OF HELPFUL
DISTINCTIONS
HIT and Informatics
Telemedicine

© American Telemedicine Association
Focused on support
systems
• Electronic Records
• E-Prescribing
• Management
Information Systems
• Electronic Payments
HIT AND INFORMATICS

© American Telemedicine Association
Focused on patient
care
• Telehealth
• Mobile Health
(mHealth)
• Remote Monitoring
• Outsourced
Specialty Services
TELEMEDICINE

© American Telemedicine Association
© American Telemedicine Association
WORLDWIDE DRIVERS FOR
TELEMEDICINE
• Accelerating demands and costs
• Shortages of health professionals
• Global public health concerns

© American Telemedicine Association
Kathleen Casey-Kirschling
January 1, 1946, 12:00:01 am

© American Telemedicine Association
694,000
1,078,000
384,000
32,000,000

© American Telemedicine Association
© American Telemedicine Association
TSUNAMI OF CHRONIC ILLNESS
“Frequent Flyers”
•5-10 percent of admissions, 1 percent of
users
•22 percent of costs
•Primary chronic conditions:
cardiac/COPD/mental health/diabetes

© American Telemedicine Association
COST OF CHRONIC CONDITIONS
10

© American Telemedicine Association
© American Telemedicine Association
Country 2000 2050
World 10.0% 21.4%
China 6.9% 22.7%
Germany 23.2% 34.5%
United States 16.1% 25.5%
POPULATION > 60 YEARS

© American Telemedicine Association
© American Telemedicine Association

© American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE

© American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE
Boston Logan Airport to Massachusetts General
Hospital 1967

© American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE
STARPAHC – On the Papago Indian Reservation
1975

© American Telemedicine Association
TELEMEDICINE
CIRCA 2005

© American Telemedicine Association
HOSPITAL HUB-AND SPOKE
NETWORKS
200
networks
3,000+
sites

© American Telemedicine Association
© American Telemedicine Association
ARIZONA
TELEMEDICINE
PROGRAM
© American Telemedicine Association

© American Telemedicine Association
TELEMEDICINE SERVICES
Outsourced services –
teleradiology, neurology,
mental health
Service contracts -
prisons, oil rigs,
ships, international

© American Telemedicine Association
© American Telemedicine Association
TEXAS
PRISON
HEALTH
MEDICAL
NETWORK
© American Telemedicine Association

© American Telemedicine Association
© American Telemedicine Association
VETERANS
ADMINISTRATION
© American Telemedicine Association

© American Telemedicine Association
EMERGENCY SERVICES
AND DISASTER RESPONSE

© American Telemedicine Association
CONTINUING MEDICAL
EDUCATION

© American Telemedicine Association
TELEMEDICINE
CIRCA 2013

© American Telemedicine Association
BIG MED

© American Telemedicine Association
• Abdominal
Radiology
• Angiography and
Interventional
Radiology
• Body Imaging
• Breast Imaging
• Cardiovascular
Radiology
• Chest Radiology
• Diagnostic
Radiology
• Emergency
Radiology
• Gastrointestinal
Radiology
• Genitourinary
Radiology
• Head and Neck
Radiology
• Interventional
• Mammography
• MRI Radiology
• Musculoskeletal
• Neuroradiology
• Nuclear Medicine
• Nuclear
Radiology
• Pediatrics
• Radiation
Oncology
• Teleradiology
• Thoracic
• Ultrasound
• Vascular and
Interventional
Radiology

© American Telemedicine Association
OUTSOURCED AND SHARED
SPECIALTY SERVICES

© American Telemedicine Association
ONLINE SERVICES AND
CONSUMER HEALTH APPS

© American Telemedicine Association
ADVANCED TECHNOLOGIES
Robotics
Remote
Surgery
Live Monitoring via
Cell Phones

© American Telemedicine Association
© American Telemedicine Association
PATIENTS SERVED BY TELEMEDICINE 2012
North America data

© American Telemedicine Association
© American Telemedicine Association
PATIENTS SERVED (2012)
Civilian Network Consults
Federal Network Consults
Remote Monitoring
Implanted Devices
Cardiac Monitoring
Internet-Pharmacy Services
Internet Clinical Consults
Teleradiology
Outsourced Specialists

© American Telemedicine Association
1. Historic resistance to change
2. Lack of consistent adoption and
integration pathways
3. Changing service delivery
models and payment coverage
ADOPTION ISSUES

© American Telemedicine Association
© American Telemedicine Association
RESISTANCE TO CHANGE
Discovery to implementation in medicine = 15 years
TIME
Rate
of
Change
Society
Business
Technology
Healthcare

© American Telemedicine Association
WHAT ATA DOES

© American Telemedicine Association
© American Telemedicine Association
ROAD MAPS FOR ADOPTION
AND INTEGRATION

© American Telemedicine Association
© American Telemedicine Association
ATA PRACTICE GUIDELINES
Goal
Quality
Assurance for
Payers, Public,
Policy Leaders

© American Telemedicine Association
Technical
Clinical Business
ATA PRACTICE GUIDELINES

© American Telemedicine Association
© American Telemedicine Association
COLLABORATIONS

© American Telemedicine Association
© American Telemedicine Association
OTHER ATA ACTIVITIES
Member Networks
Meetings and
Education

© American Telemedicine Association
© American Telemedicine Association
Identifying and
Translating
Market Changes
Consulting with
Policy Leaders
OTHER ATA ACTIVITIES

© American Telemedicine Association
© American Telemedicine Association
• 600 Scientific Presentations
• 200,000 Square Feet of Exhibits
• 6,000 Attendees
The World's Largest Telemedicine, Telehealth &
mHealth Trade Show
ATA 2013 - 18th Annual International Meeting & Trade
Show
May 5-7, 2013 in Austin, TX
www.ATA2013.org

© American Telemedicine Association
© American Telemedicine Association
www.americantelemed.org
1100 Connecticut Avenue, Suite 540
Washington, DC 20036