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  1. Navneet Kathuria, MD, MPA, MBA Executive Director and Chief Medical Officer Premier Healthcare Carolyn Driscoll, LMSW Research Associate YAI Network PHC is a member of the YAI network. Connected Health – What is it?
  2. Telemedicine Telemedicine is the use of technology to remotely deliver health services to patients  Consultations  Health assessments  Diagnosis  Treatment 3/21/2023 2
  3. Telemedicine was Predicted in 1924! 3/21/2023 3 Current Methods:  Real-time Techniques  Store and Forward  Remote Monitoring Current Applications:  Two-way video  Email  Smart phones  Wireless tools
  4. Telehealth 3/21/2023 4 Telehealth services allow patients to access health education and support through their home computers or wireless devices to help manage their health. It also creates a virtual medical community for providers.  Personalized education materials and coaching  Online discussions and support groups  Provider trainings and continuing medical education
  5. VHA’s Care Coordination/Home Telehealth Program supports the care of veterans with chronic conditions in their home  Patients are assigned a care coordinator who selects appropriate telehealth technology  Care coordinators receive daily vital signs, messaging results, and other disease mgmt data  Alerts indicate significant changes and care coordinators intervene 5 3/21/2023 Case Study: Program Outcomes Source: VHA Taking Home Telehealth Services to Scale Nationally: Commonwealth Fund • 25% decrease in nursing home bed days of care • 20% decrease in hospital readmissions • 85% patient satisfaction • Annual savings of $1,999 per patient At-home Telehealth Program for Veterans
  6. e-Referrals developed by San Francisco General Hospital  Structured secure email exchange between primary care doctors and specialists  Covers more than 40 specialties and services  Others adopting – LA County Dept of Health Services, the Mayo Clinic, UCSF, and UCLA 3/21/2023 6 Case Study: Program Outcomes Source: Connected Health: A Review – Healthy Affairs 2014 • 50% decrease in wait time for most SF General specialty clinics • 20% decrease of in-person specialty visits • Improved preparation for specialty visits • Stronger collaboration and satisfaction between primary care and specialists Connecting Patients to Specialists
  7. Benefits of Telemedicine/Telehealth  Increased access to healthcare services  Enhanced access to specialists  Improved quality of care  Reduced hospitalizations/ER visits  Cost-effective method of service delivery  Patient and provider satisfaction
  8. e-Medicine e-Medicine refers to health services and information delivered or enhanced through the Internet.  87% of U.S. adults use the Internet  Looking for health information is the 3rd most popular online activity • 3/21/2023 8 Most Popular Searches Specific Diseases 66% Medical Treatments & Procedures 56% Doctors 56% Hospital & other Medical Facilities 36%
  9. Social Media People separated by time and space can create, share, and exchange information and ideas. Tools used in social media  Blogs  Microblogs (e.g. Twitter)  Content Communities (e.g. Youtube)  Social Networking Sites (e.g. Facebook) 3/21/2023 9
  10. Social Media and HealthCare Case Studies: Dave deBronkart “e-patient Dave”  Diagnosed with advanced kidney cancer given 6 months  Found successful treatment from online patient support community 38 Year-old woman diagnosed with Spontaneous Coronary Artery Dissection (SCAD)  Mother of two young children diagnosed with rare condition offered little guidance  Online support group advocated for and got a doctor from the Mayo Clinic to conduct a research study on their behalf 3/21/2023 10
  11. The possibilities of using the internet and other technologies as tools in healthcare is limitless! What does research show? Patients are using it and making important decisions What’s needed? More healthcare organizations & doctors becoming a part of it! 11 3/21/2023 Social Media and Healthcare – What’s Next?