Developing the Telehealth Workforce MATRC 2013 Summit David Cattell Gordon Director, Office of...
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Transcript of Developing the Telehealth Workforce MATRC 2013 Summit David Cattell Gordon Director, Office of...
Developing the Telehealth Workforce
MATRC 2013 SummitDavid Cattell Gordon
Director, Office of TelemedicineCo-Director, Healthy Appalachia Institute
Instructor, Public Health Sciences, Nursing
March 18, 2013
Purpose of Presentation• Are we at a tipping point?• What are the indicators?• What are the consequences?• What are the resources?• What training is needed?• What are the opportunities?• Where we are headed?
The Tipping Point in Telemedicine
The tipping point is that magic moment when an idea, trend, or social behavior crosses a threshold,
tips, and spreads like wildfire.
If you want to bring a fundamental change in people's belief and behavior...you need to create a community around them, where those new beliefs
can be practiced and expressed and nurtured.
It’s not just the network stupid, it’s the network.
Engage
• Moving to warp speed: Broadband speeds continue to trend faster across all provider segments; In Virginia, average speeds have doubled since 2010.
• Expanding the universe: Continued increase in broadband penetration; Communities & providers are starting to see broadband as a public health metric.
• Resistance is futile: The Commonwealth is now national leader in the use of telehealth - 54% utilization by health systems; EMRs & HIEs continues to grow (VA is 4th).
• Going where no one has gone before: CVS, home monitoring, EMS…
Policy, Practice and Reimbursement is paving the way
Technology is Exploding
Costs continue to decline Access continues to increase–mobile, 4G… Adoption of standards-based operations Greater movement to the desktop and hand-held Processes are becoming simpler
Demand is Growing
Patient EncountersTOTAL 30,120+
FY 2011 21.3% 4,563
Monthly Avg. 335
7 8 5 8 0 6 7 . 4 2
TOTAL VA MILES SAVED
Fiscal Year Progress
Specialty Services Are Increasing Examples of Innovative Thinking
Stroke NetworkVideo-colposcopy
Remote Home MonitoringALS & Huntington’s Clinic
High Risk OB ClinicStone Clinic
Diabetic RetinopathyCystic Fibrosis Clinic
Ostomy ClinicSurgical Clinic
Emergency Tele-psychiatryPediatric Inpatient
Research 40+
Partner Networks are Rapidly Expanding
Community Hospitals Health Systems Rural Clinics (FQHCs, Free Clinics) Virginia Department of Health Virginia Department of Corrections Community Service Boards School Health Nursing Facilities PACE Programs Home Telehealth
108
Commitments to Telehealth are Increasing
Federal Grant funding (HRSA, USDA,
Commerce) Medicare Reimbursement (rural) CMMI Rural healthcare support
mechanism (USF) Indian Health Service Veteran’s Telehealth Military Telehealth NIST FDA FCC Healthcare Connect
State of Virginia Virginia Health Reform Initiative Virginia Medicaid State Rural Health Plan Virginia Cancer Plan State Stroke Systems of Care Task
Force Virginia Telehealth Network Virginia Department of Health Joint Commission of Health Care Tobacco Indemnification
Commission Medical Schools Health Systems Medical Society of Virginia Mandated Coverage
Benefits of Telehealth Are Well-Established Patients
Timely access to locally unavailable services Spared burden and cost of transportation Improvement in quality of care
Health Professionals Access to collaborative consultative services and CME Spared burden and cost of time and travel Referral network
Rural Communities Enhanced healthcare/economic empowerment
Health Systems Increased accessibility and state-wide presence
Radically Changing Health Care Environment• Demands for Preventing Readmission• Focus on Accountable Care• Increased Outreach to Veterans• Success of Home Monitoring Pilots• Federal Support such as FCC Healthcare Connect• Increasing Medicaid Patients• Medical Homes
The Problem: Limited Telehealth Workforce• Limited training for health professionals• Example: no set curriculum at UVA• Limited number of training programs • Few advanced degree programs• See one, do one, teach one model• Use of physicians to work equipment
The consequences…..
Moving From Blue Screen to Full View HD
• Formation of the STAR Center• Establishment of the Certified Telehealth Technologist
Putting the right person in the right place with the right skills• Improved Capacity in Communities
• Standardized Training/Setting the Standard
Mission: To increase access to health care, improve health outcomes
The Southside Telehealth Training and Resource Center Partnerships
Goals The Star Center• Address shortages and access to care by training
a workforce proficient in employing technologies• Develop a telehealth simulation lab at NCI• Train 250 telehealth technologists by Fall 2013• Deploy capability throughout the Commonwealth
and MATRC region• Create a standardized curriculum and delivery
model• Evaluate outcomes of the training• Foster develop of regional telehealth networks,
remote patient monitoring
Training Topics
•Overview of Telemedicine•Impact on Community Health •Best Practices in Telemedicine•Tools of the Trade•Etiquette and Protocols•Home & Healthy: Remote Patient Monitoring•Technology Lab Experiences•Application to Community
Opportunities
• ED Techs• ED Nursing • CNAs• Home Health Workers• Clinic LPNs and RNS• Paramedics• Home Monitoring Center Staff• Inpatient Staff• Advance Practice Nurses• Community Health Workers• IT Professionals• Administrators
Applications• Telemedicine• Telestroke Programs• Patient Monitoring• Access to Specialty Services• Community Health• Emergency Departments• Population Health• Hospitals, Clinics• Accountable Care Organizations• Inpatient Units• Correctional Telemedicine• Schools• Nursing Homes• etc.
Benefits of a Trained Telehealth Workforce
Continues establishment of telehealth networks Lets physicians do what they do best Ensures standardized skills & training Allows for rapid incorporation of new technology Facilitates ease of integrate with health
information systems Responds rapidly to increased competition Integrates TMED into mainstream medicine Develops novel approaches Improves outcomes Advances remote patient monitoring
Questions & ContactsLeanna Blevins
New College Institute276-403-5602
www.newcollegeinstitute.org
Edie BowlesVirginia Telehealth Network
1-804-453-6286www.ehealthvirginia.org
Kathy WibberlyMid-Atlantic Telehealth Resource Center
1-855-MATRC4Uwww.matrc.org
David C. GordonUVA Office of Telemedicine
434-924-5470www.healthsystem.virginia.edu/telemedicine