The latest on Telemedicine amp what physician recruiters need to know about it September 16 th 2015 Lew Benedict Agenda Defining Telemedicine History Successful Uses Why Its Growing and Where its Going ID: 904424
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Slide1
The Doctor is
IN
Online
!
The latest on Telemedicine & what physician recruiters need to know about it
September 16
th
, 2015
Lew Benedict
Slide2Agenda
Defining Telemedicine
History
Successful UsesWhy It’s Growing and Where it’s GoingTelemedicine Regulatory InformationStaffing Telemedicine
Slide3What is Telemedicine?
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Telemedicine is the remote delivery of healthcare services and
clinical information
using telecommunications technology.
This
includes a wide array of clinical services using internet, wireless, satellite and telephone media.
Slide4History of Telemedicine
Slide5Specialties in Telemedicine
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Internal MedicineNeurology Oncology/HematologyOphthalmologyOB/GYNPediatrics
Psychiatry
Pulmonology
Rheumatology
Surgery
Urology
Allergy/Immunology
Anesthesia
Cardiology
Critical
Care
Dermatology
Otolaryngology (ENT)
Emergency MedicineEndocrinologyFamily PracticeGastroenterologyInfectious Diseases
Slide6“To date, no studies have identified any patient subgroup that does not benefit from, or is harmed by mental healthcare provided through remote video conferencing.”
-American Telemedicine Association
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Slide7“78 % of ER, urgent care, and doctors visits can be handled safely and effectively
over the phone
.
-American Medical AssociationConfidential and Proprietary LocumTenens.com © 2013 7
Slide8Growth of Telemedicine Globally
278%
Growth Rate Expected Between 2010-2016--BCC Research, 2013
Slide9By the NumbersU.S. Market Size (ATA)
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+50%More than half of U.S. hospitals now use telemedicine applications230
telemedicine networks (hub & spoke)
>3,800
U.S. service sites
Over 1 Million
Americans
are currently using remote cardiac monitors
Slide10Successful Uses of Telemedicine
Goal
Scenario
ResultsImproving Mental Health Services Access
Albemarle Hospital Foundation founded a telepsychiatry program in 2011 to reduce patient length of
stay, improve access to psych care. National survey revealed that
more than 70% of EDs board psychiatric patients for hours or days, with 10% keeping them for weeks.
47% reduction in length of stay
35% reduction in 30 day recidivism rates.
Reducing ED Overcrowding/Wait Times
From 2003 - 2009, the mean wait time in U.S. emergency departments (EDs) increased 25%, from 46.5 minutes to 58.1 minutes.
(Source: CDC)
UC-San
Diego currently running a pilot program to attempt to reduce wait times for its patients by utilizing telemedicine consults.
(Source: ATA)
Slide11Successful Uses of Telemedicine
Goal
Scenario
ResultsIncreasing Access to Specialist Care
All head injuries must be evaluated by a pediatric neurosurgeon (AAP). Billings Montana: Nearest specialist
500 miles away. Transport to Denver =
$15,000+ cost.
Now: Child gets a CT. Remote
neurosurgeon reviews via
video patient assessment.
R
emote neurosurgeon works
with local surgeon to help
children at low risk for complications avoid
transport.
Staffing During Low Volume Hours
A new study analyzed Florida state hospital discharge data to investigate the potential market for a nighttime telehospitalist services.
The study found 19%
of common hospitalist admissions occurred between 7 p.m. - 7 a.m., with the range of admissions per night only between 0-10 patients. 80% of admissions occurred before midnight.
Slide12Why Healthcare Organizations are Turning to Telemedicine
Physician Shortages/High Cost of Physician Employment
Cost Reduction/Efficiency Improvement Efforts
Improved Access for PatientsBetter Technology/More Acceptance from Patients, PhysiciansBetter Reimbursement ParityRetain Patients (Example: Stroke)
Slide13barriers
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Slide14Barriers
Complex Telemedicine Equipment
System Downtime
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Slide15Reimbursement Parity Laws for Telemedicine
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Source: American Telemedicine Association
Data current as of June 2014
Slide16Staffing Basics for Telemedicine
Staffing
The healthcare provider must be licensed in the state where the patient is physically located and being “seen”.
Strict compliance to HIPAA is required. Malpractice coverage guidelines differ by state. Some policies only cover face-to-face encounters. Malpractice coverage should extend into every state where patient encounters occur.
Physician benefits
Slide17Staffing for Telemedicine
Implementation
Appoint a physician champion for telemedicine service lines. This helps reduce internal resistance to
telehealth programs. Provide regular training for physicians, support staff before patient encounters occur. This should include physician documentation of encounters in the organization’s EHR system, if required. Have contingency plans in place for emergencies (technology issue, patient distress, etc.). ALL telehealth
should be supported 24/7.
Slide18Tips for Vetting Candidates
Questions & Fact Checking:
Always conduct a video interview with candidate.
“Tell me about your experience with telemedicine & EMR usage”.“Discuss comfort level & experience with technology”.“Willing to accept
lower pay
for
telehealth
opportunity?”
“How important is onsite culture to you?”“What has been your experience in terms of building relationships with patients and your team while working remotely?”
Slide19Tips for Vetting Candidates
Carefully evaluate level of “virtual” engagement, eye contact, and bedside manner.
Will the provider commit to training others (nursing staff, etc.) in utilizing or supporting telemedicine activities and consultations?
Can this physician comply with all rules and regulations, such as HIPAA, as well as the clinical guidelines of your organization? Confidential and Proprietary LocumTenens.com © 2013
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Slide20Questions?
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