Ways to Control Costs, Improve Outcomes, Avoid ReadmissionsAnd Modify Patient Behavior

UMMC TELEHEALTH

© 2015 University of Mississippi Medical Center

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

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

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

• 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 telehealthservices will grow to 7 million in 2018, up from 350,000 in 2013 (Source: IHS)

Why Telehealth?

• 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?

• 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

• 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

Specialty Care

Home Health

Population Health

Interpreters

Employee Health

Patient Education

eICU

Transfer Evaluations

Urgent Care

Diagnostic Test Interpretations

Stroke Care

Population Health

Telehealth in Mississippi

• 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

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

UMMC Telehealth Call Center

24/7 Operation with

clinical & technical

support

eICU Program OverviewA 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

Telemedicine Equipment/Devices

Floor ScaleWeight 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

Expanding Your Medical Expertise with Kiosks…

• History taken

• Patient Exam Done by Physician or NP

• Diagnosis made

• Meds ordered as needed

•Pharmacist reviews prescription (non-narcotic)•Pharmacist selects proper medication in system•4 Step camera review- each step includes pharmacist visualization/confirmation

Licensed Pharmacists

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

• 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

The doctor will see you now

Saving

reducing costs.time and

Coordinated Care

PATIENT

Improve Outcomes

Provide a Telehealth

Access Point by request in

traditional and non-traditional

settings

Develop strategic

partnerships

Build capacity

Strengthen relationships

Maximize resources

UMMC

Where the specialist is

Rural Hospital

Where the patient is

Improve Outcomes

Improve Outcomes

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

RPM Project in Mississippi

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

How does it work?

Acute

Physiologica

l

MonitoringPhase 1

AdherencePhase 2

Behavior

ChangePhase 3

Transition to

Self-ManagementPhase 4

Phase 1 Monitoring signs and symptoms Phase 3 Disease process educationIdentify resources needed Support for changing behavior

Phase 2 Learn new medical regimen Phase 4 Learn and model self-management behaviorsMedication management; adherence to orders Demonstrate self-monitoring and response

How can we engage

patients?

Individualized Patient Care

Care Innovations™ Guide Virtual Care Suite – Population Stratified by Risk

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

Bringing the Health Care Team

to the Patient

Mississippi Diabetes Telehealth Network

• EMR – Health Information

Network/Exchange

• Pharmacy data

• Claims Data

• Remote Monitoring devices

• “Wearable” data

• Patient Reported data

The Whole Picture

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

Translate to Meaningful

and Actionable Data

Intervention

Patient Testimony

© 2015 University of Mississippi Medical Center

Home-based connected health to overtake hospital-based by

2019By: 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.

Mississippi emerges as leader in telemedicineThe 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 OutreachPR Newswire ATLANTA, Feb. 17, 2015

These five health systems are making the best use of telemedicineFebruary 27, 2015 12:30 pm by Dan Verel

Mississippi Proves Surprise Leader in Telehealth PaymentsBy Kerry Young Posted at 11:30 a.m. on Feb. 11

Telehealth early adopters lead the way as interest growsJanuary 26, 2015 | By Susan D. Hall

Doing It Differently…

Seldom heard:

Mississippi receives A in health careThe Clarion-Ledger September 9, 2014

Rx: The Quiet Revolution- Preview

Travel across America to explore our health care system. Airs April 2nd, 2015 on PBS.

?Bridging the gaps in quality healthcare

© 2015 University of Mississippi Medical Center