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- 1. Ways to Control Costs, Improve Outcomes, Avoid Readmissions And Modify Patient Behavior UMMC TELEHEALTH © 2015 University of Mississippi Medical Center
- 3. You can do all your shopping online and have it arrive at your doorstep. You can securely deposit a check into your account by sending a cell phone image to your bank. You can open your garage door remotely before you get to your driveway. Technology in 2015
- 4. You can see a family member’s expressions when you call them from anywhere in the world. Today, UMMC is performing 35 medical specialties remotely through telehealth. You can get your daily news instantly through the internet. Technology in 2015
- 5. Health Care •Telemedicine •Access •Coordination •On Demand Services Wellness •Personal guide •Support groups •Health navigators Workforce Development •Stackable credentials •Targeted training Research •New models of care •Economic Impact •Health outcomes Education •Distance Learning •Continuing Education •Wellness & Prevention Education Business Development •Healthier workforce •Access to health care services •Employee benefit
- 6. • 89% of healthcare executives said they expect telemedicine to transform the U.S. healthcare system in the next decade (Source: iHealthBeat) • The telemedicine market is expected to reach $43.4 billion by 2019 with a compound annual growth rate of 17.7 percent (Source: BCC Research) • Worldwide revenue for telehealth devices and services is expected to reach $4.5 billion in 2018, up from $440.6 million in 2013 (Source: IHS) • The number of patients using telehealth services will grow to 7 million in 2018, up Why Telehealth?
- 7. • Telemedicine could potentially deliver more than $6 billion a year in healthcare savings to U.S. companies (Source: Towers Watson) • The percentage of healthcare employers offering telemedicine is expected to increase by 68% by next year, from 22% in 2014 to 37% in 2015 (Source: Towers Watson) Why Telehealth?
- 8. • 50/50 – Overall Health Ranking • 49/50 – Obesity • 50/50 – Inactivity • 49/50 – Primary Care Physicians Per Capita • 50/50 – Cardiovascular deaths • 48/50 – High Blood Pressure • 48/50 – Stroke Source: America’s Health Rankings 2014 Annual Report Mississippi Health Rankings
- 9. • 1990’s Diagnostic test interpretation Adult and Pediatric Cardiology • 2003 1st videoconferencing telemedicine Emergency Medicine • 2008 TelePsychiatry underway • 2011 Full-time Staff assigned to Telehealth • 2013 Center for Telehealth formed 35 specialties available 24/7 Telehealth Call Center Our Journey
- 10. Specialty Care Home Health Population Health Interpreters Employee Health Patient Education eICU Transfer Evaluations Urgent Care Diagnostic Test Interpretations Stroke Care Population Health
- 12. • 166 telehealth sites of service (non-affiliated) • 35 medical specialties • 8 types of locations • Nearly 100,000 telehealth visits/year • Over ½ million telehealth visits completed • Increase demand in all sectors Community based partnerships = Success UMMC Center for Telehealth
- 13. Allergy/Immunology Cardiology – Adult Cardiology – Pediatric Corporate Health College Health Dermatology Emergency Medicine Endocrinology Genetics Geriatrics Hospitalists Education ICU services Intellectual & Dev Disabilities Telemetry Infectious Diseases Neurology – Adult Neurology – Pediatric Neonatology Networking services Nursing services Obstetrics/Gynecology Ophthalmology Otolaryngology Pathology Pharmacy Population Health Prison services Psychiatry Radiology School Health Stroke Toxicology Wound Care Remote Patient Monitoring UMMC Telehealth Services
- 14. UMMC Telehealth Call Center 24/7 Operation with clinical & technical support
- 15. eICU Program Overview A comprehensive ICU solution • Remote, centralized nursing care team • Leverages critical care nurse talent • Enabling technology for continuous monitoring • Engages clinicians in the redesign and management of ICU • Standardizes ICU practices • Controlling costs & improving outcomes – Reduction in LOS – Reduction in Ventilator Days – Reduction in self-extubations & falls – Saving lives
- 17. Floor Scale Weight is displayed on screen & Recorded in Pt Record Patient temperature via thermal camera Infection shows up in the form of heat! (Digital temp appears on screen and is recorded) Patient Intake
- 18. Expanding Your Medical Expertise with Kiosks… • History taken • Patient Exam Done by Physician or NP • Diagnosis made • Meds ordered as needed
- 19. •Pharmacist reviews prescription (non-narcotic) •Pharmacist selects proper medication in system •4 Step camera review- each step includes pharmacist visualization/confirmation Licensed Pharmacists
- 21. Access to Health Care, Education & Support Improve access to health care & wellness – Access to Health Care Team – Access to education/support for community providers – Consistent use of evidence-based treatment guidelines – Access for patient and family support
- 22. • Bringing the health care team to the patient – Specialty consults, ancillary services… • Remote Patient Monitoring – Chronic disease management – Care at Home – Avoid Readmissions – Avoid Hospitalizations & ER visits • Personalized Health – Wellness – Wearables • Analytics - Predictive modeling • Population Health – Intelligence Platform / HIN Technology in Healthcare
- 23. The doctor will see you now Saving reducing costs. time and
- 25. Improve Outcomes Provide a Telehealth Access Point by request in traditional and non-traditional settings Develop strategic partnerships Build capacity Strengthen relationships Maximize resources
- 26. UMMC Where the specialist is Rural Hospital Where the patient is Improve Outcomes
- 27. Improve Outcomes
- 28. Improved Quality, Efficiency, Safety in Hospital Safety in Transitions of Care Improved outcomes • early recognition • earlier intervention • minimized complications • decreased LOS Better Coordination of Care Improved Patient Management at Home to Prevent Readmission/ER visits Patient Empowerment Telehealth & RPM in Coordinated Care
- 30. RPM Project in Mississippi
- 31. Chronic Disease Support Using a remote care management (RCM) platform, participants have remote access to education and a team of specialists over a 12 month period. •Daily Health Sessions •Personalized Interventions •Targeted Education •Health Coaching •Behavior Modification •Patient Empowerment
- 32. How does it work? Acute Physiologica l Monitoring Phase 1 Adherence Phase 2 Behavior Change Phase 3 Transition to Self-Management Phase 4 Phase 1 Monitoring signs and symptoms Phase 3 Disease process education Identify resources needed Support for changing behavior Phase 2 Learn new medical regimen Phase 4 Learn and model self-management behaviors Medication management; adherence to orders Demonstrate self-monitoring and response
- 33. How can we engage patients?
- 35. Care Innovations™ Guide Virtual Care Suite – Population Stratified by Risk
- 36. Quality, Efficiency, Safety • Safety in Transitions of care • Improved outcomes: • early recognition • earlier intervention • minimized complications • decreased LOS • Better Coordination of Care • Improved Patient Management at Home to prevent readmission/ER visits • Patient Empowerment What does RPM offer? © 2014 University of Mississippi Medical Center
- 37. Bringing the Health Care Team to the Patient
- 38. Mississippi Diabetes Telehealth Network
- 40. • EMR – Health Information Network/Exchange • Pharmacy data • Claims Data • Remote Monitoring devices • “Wearable” data • Patient Reported data The Whole Picture
- 41. Population Health • Predictive Modeling • Risk Stratification to customize care management service • Target high impact patients • Personalized care plans, interventions, and patient education Prevention Well Members Prevention & Disease Management Low Risk Members Disease Management Moderate Risk Members Episodic Case Management High Risk Multiple Disease States Complex Care Inpatient LTC
- 42. Translate to Meaningful and Actionable Data Intervention
- 43. Patient Testimony © 2015 University of Mississippi Medical Center
- 44. Home-based connected health to overtake hospital-based by 2019 By: Aditi Pai | Oct 14, 2014 The telemedicine market, which according to BCC Research is comprised of “telehospital” and “telehome” technologies, is expected to reach $43.4 billion by 2019 with a compound annual growth rate of 17.7 percent, according to a recent report from the firm.
- 46. Mississippi emerges as leader in telemedicine The state’s dominance in the technology was born out of its own poor health. By David Pittman 2/26/15 5:44 AM EST Six Hospital Programs Awarded for Innovative Community Outreach PR Newswire ATLANTA, Feb. 17, 2015 These five health systems are making the best use of telemedicine February 27, 2015 12:30 pm by Dan Verel Mississippi Proves Surprise Leader in Telehealth Payments By Kerry Young Posted at 11:30 a.m. on Feb. 11 Telehealth early adopters lead the way as interest grows January 26, 2015 | By Susan D. Hall Doing It Differently…
- 47. Seldom heard: Mississippi receives A in health care The Clarion-Ledger September 9, 2014
- 49. Rx: The Quiet Revolution- Preview Travel across America to explore our health care system. Airs April 2nd, 2015 on PBS.
- 52. ? Bridging the gaps in quality healthcare © 2015 University of Mississippi Medical Center