jana katz-bell assistant dean, interprofessional programs ... · 8/24/2015 · uc davis...
TRANSCRIPT
![Page 1: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/1.jpg)
Jana Katz-Bell Assistant Dean, Interprofessional Programs
University of California, Davis
![Page 2: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/2.jpg)
Leading Academic Health System Medical, nursing, NP/PA,
public health, informatics academic programs
Integrated clinical enterprise – 619-bed hospital, clinics – Primary care network – Regional cancer centers – Telehealth network
throughout California Comprehensive research programs
9,077 staff; 1,342 faculty and academic employees, 882 residents, fellows, 817 students
Practice Management
Group
Medical Center
Betty Irene Moore School
of Nursing
School of Medicine
![Page 3: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/3.jpg)
History of telehealth at UC Davis
1996 – Video telemedicine implemented with three sites and
three specialties – steady growth with internal & federal funds
•2005-2010: – State biodefense training contracts – Proposition 1D (2006) $200M to UC – California Telehealth Network – $26M (FCC funding) – National disaster preparedness grant $5M
• 2012-2015: – Federal Broadband Technologies Opportunities Program
(BTOP) Grant for eHealth Adoption - $13.8M – Research grants (PCORI, HRSA)
![Page 4: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/4.jpg)
UC Davis Telemedicine
Connecting to 100 sites/year 40,000 total consults to date
Applications at UC Davis Outpatient services ED services (stroke, trauma, ICU) Inpatient ward, ICU, NICU Remote Patient Monitoring (RPM)
![Page 5: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/5.jpg)
Center for Health and Technology
Clinical Outreach Education
Innovation & Research
![Page 6: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/6.jpg)
Activity Snapshot
Approx. 40,000 consultations across 44 counties to over 100 sites (does not include Radiology or Pathology)
Over 1,800 participants trained through Telehealth Education Program from 800+ organizations
Over 4,800 distance education
events • Over 1,600 grand round
sessions
Nearly 130 publications (journal articles, book chapters, letters to the editor, abstracts, limited submission pieces)
![Page 7: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/7.jpg)
Pediatric Telehealth
![Page 8: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/8.jpg)
The “Perfect Storm”
Caregiver Shortages
Aging and
Chronic Disease
Increased numbers covered thru ACA
•8 Increasing demand with no viable means of supply
![Page 9: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/9.jpg)
We need more than improvement
…..We need transformation
•9
![Page 10: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/10.jpg)
What Does Transformation Look Like?
Now Future Move patients to expertise
Move expertise to patient
Treat in institutions Treat in the home and community
Focus on “professional” caregivers only
Involve more family, friends, other informal caregivers, and patients
Reimbursed for Process Reimbursed for Outcomes
Use technology to support current process
Use technology to disrupt current process •10
![Page 11: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/11.jpg)
TECHNOLOGY-ENABLED CARE IN THE HOME AND CHRONIC
DISEASE MANAGEMENT
![Page 12: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/12.jpg)
Wearables
• The annual smart wearable healthcare market volume will grow from $2 billion in 2014 to $41 billion in 2020, a compound annual growth rate of 65%. (CDW Healthcare)
• Over 80% of consumers said an important benefit of wearable tech is its potential to make healthcare more convenient (PwC)
• 68% of consumers would wear employer-provided wearables streaming anonymous data to an information pool in exchange for lower health insurance costs. (PwC)
• The wearable band market grew by 684% on a worldwide basis in the first half of 2014 compared with the first half of 2013. (Canalys)
• 1 in 5 American’s own some type of wearable technology. (PwC)
![Page 13: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/13.jpg)
•Language Xlater
•Blood
Press.
•Pulse Oximetry
•• Fashion addresses the stigma of care •• Patients: bearing greater costs of care •• Self care is a real possibility •• Approaches that address quality, productivity, efficiency and timeliness are needed.
•Cell phone as gateway
•Remote Care: Convergence of Sensors and Jewelry
•Body Aggregator
•Courtesy: Paul Wright
![Page 14: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/14.jpg)
•The Handheld Telemedicine Kit includes the medical devices needed to conduct first-line patient exams, integrated with a tablet computer.
![Page 15: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/15.jpg)
Handheld Cellphone-Based Otoscope
•15
![Page 16: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/16.jpg)
•Health Chair incorporates a vast array of biosensors to measure basic vital signs:
Weight Blood Pressure Temperature ECG Auscultation of Heart and
Lung Sounds Blood Oxygen Saturation Motion Analysis Reflex Response Time
•Incorporates communication unit with remotely controlled camera
![Page 17: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/17.jpg)
Smart Clothing
![Page 18: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/18.jpg)
wii “Active” & Kinect “Your Shape”
• Scalable Sensor Technology for Telerehabilitation:(Kinect Research Projects)
![Page 19: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/19.jpg)
Virtual Characters based on sensors (applications in tele-rehabilitation)
•Prof. Marcelo Kallmann (UC Merced)
•Dr. Jay Han (UC Davis)
![Page 20: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/20.jpg)
Knowledge transfer & Collaborative Care Models
![Page 21: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/21.jpg)
Virtual Tumor Boards
![Page 22: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/22.jpg)
•UC Davis Academic Hub – Pain Specialists
•Community Clinic
•Community Clinic
•Community Clinic
•Community Clinic
•Community Clinic
•Community Clinic
•Community Clinic
•Community Clinic
• Weekly Video Conference Sessions
• Presentation on Core Pain Topic led by Academic Faculty
• Case Presentation by Clinic followed by group discussion
![Page 23: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/23.jpg)
Synergy with the Triple Aim
Technology-supported, vertically-integrated systems of care Reduced duplication in services
Increased revenue streams for critical access
hospitals and safety net facilities Improved efficiency in achieving an effective
diagnosis and treatment
![Page 24: Jana Katz-Bell Assistant Dean, Interprofessional Programs ... · 8/24/2015 · UC Davis Telemedicine Connecting to 100 sites/year 40,000 total consults to date Applications at UC](https://reader036.vdocuments.net/reader036/viewer/2022081222/5f79895aba148353556692e3/html5/thumbnails/24.jpg)
Advancing innovation in technology-enabled
clinical care, informatics research and health sciences education
Center for Health and Technology