Colorado Telehealth Alliance August 30 2017 Debbie Voyles MBA HOM Executive Director Is this the Future of Healthcare 2 Todays Agenda Overview of UCHealth Virtual Health at UCHealth Stroke ID: 647441
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UCHealth Virtual Health
Colorado Telehealth Alliance
August 30, 2017
Debbie Voyles, MBA HOM
Executive DirectorSlide2
Is this the Future of Healthcare?
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Today’s
Agenda
Overview of UCHealth
Virtual Health at UCHealth
Stroke
Virtual Urgent Care
Remote Patient MonitoringvICUSafety ViewCentralized TelemetryWearablesProvider to Patients HomeUCHealth FacilityNon-UCHealth FacilityWhat makes this successfulQ&A
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UCHealth is a private, nonprofit health system based in Colorado.
We have 7 hospitals (3 new sites under construction), 22
freestanding EDs
and over 100 clinics.
UCHealth
is not state or taxpayer supported
We partner with University of Northern Colorado, University of Colorado, and Colorado State University.UCHealth includes the state’s only Academic Medical Center and is uniquely able to provide advanced care, clinical trials and nationally-renowned specialistsAbout UCHealth
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Poudre Valley Hospital
Fort Collins
Medical Center of the Rockies
Loveland
Greeley Hospital
Greeley (opening 2018)
Longs Peak Hospital
Longmont (opening August 31, 2017)
Broomfield Hospital
Denver Metro
University of Colorado
Hospital
Denver Metro
Memorial Hospital North
Colorado Springs
Grandview Hospital
Colorado Springs
Memorial Hospital
Colorado Springs
Highlands Ranch Hospital
Denver Metro
(opening 2018)Slide5
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Virtual Health Mission
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We improve lives through virtual health. In big ways, through innovation and access to healthcare, unlimited by geography, enabled by common technologies. In small ways, by providing compassion and humanity within each personal encounter, anytime, anywhere.Slide7
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Virtual Health and Epic
UCHealth has imbedded Virtual Health into Epic
Utilizes Vidyo as video platform for everything expect Safety View
Same workflows as in person visit
Providers document in the same note format as in person visit
For Virtual Urgent Care and in home visits – launched within My Health Connection
Ability to schedule Joint Appointment with other sites on Epic8Slide9
UCHealth TeleStroke Program
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UCHealth Telestroke Network: Timeline and GrowthSlide10
Virtual Urgent Care (our Direct to Consumer Model)
E-clinic = virtual urgent care
Pilot launched September of last year, staffed by SOM ED physicians
Moving to Emergency Providers at Broomfield Hospital starting September 11 2017
Approx
400 visits so far
$49 “self-pay” currentlyMoving to billing insurance October 23, 2017Patients access the service through their My Health Connection accountsLimited clinical scope: UTIs, sinusitis, cough, cold, pink eye, diarrhea, etc…Program is about improved access and customer service…
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Basic operational metrics
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Long’s Peak Hospital
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Virtual Remote Monitoring
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Virtual ICU - Detail
Located at our Peoria facility
Will use native Epic functionality already owned (Epic Monitor)
One nurse can monitor 35-45 patients/beds simultaneously
One provider can monitor up to 120 patients/beds simultaneously
Initially, the hub will be staffed by:
One nurse 24x7 One PSC/assistant 24x7 One Provider 7 PM to 7 AM, 24 hours on weekends and holidays 14Slide15
Safety View (Virtual Sitters)
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Safety View - Detail
One tech can monitor 12 patients simultaneously
Central monitoring Co-Shared with
vICU
staff
We assume 36 potential sitter patients per day when fully deployed
Monitoring keeps patients safe through voice redirectionAvaSureTwo way audio communication into one room at a timeOne-way video16Slide17
Virtual Telemetry
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Virtual Telemetry - Detail
One telemetry tech can monitor 45 patients simultaneously
We assume 323 potential telemetry patients per day when fully deployed
Helps with “alarm fatigue” for non-critically ill patients
Continuous cardiac rhythm monitoring,
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Patient Wearables
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Patient Wearables - Our Vision
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Device Integration
Local and Remote Surveillance
Prescriptive Intelligence
Replaces Nursing documentation tasks
Sends data to cloud-based, data science partners
Algorithms and risk scores embedded in Epic to enable prescriptive intelligence
Local and remote clinicians use Epic and alarm management to appropriately monitor and interveneSlide21
MS
Behavioral Health
-
Northern Region
Depression Center
Palliative Care
Rehabilitation Services
Pathology
Hematology
Dermatology
Radiology
Ortho
eClinic
Senior’s Clinic
Remote Monitoring/
eSitter
/
TeleICU
Pharmacy
Oncology
Cardiology
Gastro-Digestive Health
Center for Lungs and Breathing
Interpretation Services
Valley View-Didactic
Burn
Neurology-Telestroke
Neurology-Spine
Neurology-Mobile stroke
Diabetes Education
OB/GYN Reproductive
Surgery
Genetic Counseling
Radiology
Inpatient
Outpatient
Ambulatory
Specialty Slide22
Key’s to SuccessSlide23
Keys to Success
Part of UCHealth Strategic Plan
Leadership Support
Foundation is Built within Epic
Readiness Assessments
Epic Workflows
Physician ChampionsDedicated StaffVirtual Health TeamVirtual Health SteerOperational CommitteesEpic TeamTechnologyOne size does not fit all23Slide24
If we can dream it – we can do it!
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Virtual Health Team
Executive Director Debbie Voyles, MBA HOM
Medical Director Christopher Davis, MD, DTMH
Program Manager David Coffman, MBA PMP
Telehealth Architect David Severenuk
Telehealth Coordinator MacKenzie Lintz-Lessard
Telehealth Analyst John ThompsonUCHealth.org25