Telehealth In the State and Region and at Essentia Health
1. Telehealth In the State and
Region and at Essentia
Health
Blandin Foundation Conference
November 13 -14, 2012
Maureen Ideker, MBA, BSN, RN
Director of Telehealth
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3. EssentiaTelehealth
Development and Growth
•Plan to include all clinics, hospitals and
long term care sites within Essentia and
begin outreach to affiliates.
•Growth thru Hub and Spoke
Development.
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4. • Broadband infrastructure – enables
information flow
• Monitoring and communication devices
used by patients/providers
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6. Business Plans For FY 2012 at
Essentia
• Emergency Services
• Hospitalist
• Psychiatry
• CHF
• Dermatology
7. Business Plans For FY 2013 at
Essentia
• Nephrology
• Wound Care
• Diabetic Care (Dietician, Pharmacist)
• Medical Weight Loss
• Stroke Care
• LongTerm Care
8. Traditional Benefits of
Telehealth
(Patient-Centered)
• Access to specialty care
• Stretch provider resources
• Keep patients in rural facilities
• Save travel time
• Save transport (LTC, jail health)
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9. Future Benefits
(Economy-Centered)
• Pay for performance
• Decrease costs/improve outcomes
• Provider interest
• Demographics
• Maintaining elderly at home
• Government incentives (Stimulus Funding)
• Improved technology/connection
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10. Eligible Sites - CMS
• Physician/Practitioner Office
• Critical Access Hospital (CAH)
• Federally Qualified Health Center (FQHC)
• Hospital
• Rural Health Clinic
• Hospital-based or CAH-based Renal Dialysis
Center (including satellites)
• Skilled Nursing Facility
• Community Mental Health Center
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11. Medicare
Reimbursement
• Health Professional Shortage Area (HPSA)
• Non-MSA county
• Must be live, interactive services
• Patient must receive service in an eligible rural
site (Hospital, Clinic, etc.)
• Provider payment is the same as for an in-
person visit
• A facility fee is paid to remote sites
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17. Win-Win Situation for Rural
and Urban Sites
• Facility Fee
• X-rays, scans
• Labs
• Rehab PT/OT
• Home Health Care
• Swing Beds
• Surgeries
• Specialist fees paid same as face-to face
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