March16,2017

Alterna2vestoFacetoFaceVisits,Part3of3

Telehealthande-consultEffec1vecollabora1onforintegratedcareandpa1entaccess

Welcome!Alllinesaremuted.Pleaseusechattoaskques2onsortocommentatany2me.

Housekeeping

• Thissessionwillberecorded.• SlidesandrecordingwillbepostedonCINsitewww.chcf.org/cin

• Toaskaques2on:– Logis2calques2ons:UseCHATtotheHost– Ques2onsforSpeakers:UseCHATtoALL

• Survey:Pleaselookforquickonlinesurveytoletusknowwhatyouthink.

3/17/17 2

Defini2ons

Telehealth–theprovisionofhealthcareremotelybymeansoftelecommunica2onstechnology;alsocalledtelemedicine

e-consult–bidirec2onalelectroniccommunica2onbetweenprimarycareandspecialtycareproviders

3/17/17 3

Today’sSpeakers

KelliCousineauProgramManager,Opera2onalExcellencePartnershipHealthPlanofCalifornia

WillardHunter,MDMedicalDirectorOpenDoorCommunityHealthCenters

JaveedSiddiqui,MD,MPHChiefMedicalOfficerTeleMed2U

3/17/17 5

Telehealthande-consultThehealthplanpayerperspec2veKelliCousineauProgramManager,Opera2onalExcellencePartnershipHealthPlanofCalifornia

PHC & Telehealth

6

Sometimes telehealth is the only option

•  Contracted with TeleMed2U •  Currently live in 23 locations •  Completed over 2,300 video

consultations since program launch in 2014

•  Grant incentives

Video Consultations with TeleMed2U

PHC VideoTelehealth Program:

Specialties

CurrentSpecial2esAvailable• Dermatology • Endocrinology• ENT• Hepa22sCTreatment• Neurology• Nutri2on• Orthopedics• PainManagement• Psychiatry• Pulmonary• Rheumatology

• BreastHealth• Cardiology• Hematology/Oncology• Hepatology• HIV•  Infec2ousDisease• Gastroenterology• PhysicalMedicine&Rehabilita2on

• Urology

8

6

571

161194

322347

115

120

100

200

300

400

500

600

Dermatology Endocrinology Hep-C Neurology Psychiatry Rheumatology PainMgt ENT

U2liza2onbySpecialtyFeb2016–Jan2017

TeleMed2U Specialty Utilization

9

4

8

5

7

6

8

6

8

Dermatology Endocrinology Hep-C Neurology Psychiatry Rheumatology PainMgt ENT0

1

2

3

4

5

6

7

8

9

Days

AverageTimefromRequestofAppointmenttoDateofVisitbySpecialtyFeb2016–Jan2017

TeleMed2U Average Time to Care

10

•  Contracted with Safety Net Connect to provide the eConsult platform

•  Partnered with TeleMed2U to provide specialty eConsults

•  Completed over 400 eConsults since program launch in 2/2016

eConsult System

PHC eConsult Program:

eConsult Specialties

•  Endocrinology •  Dermatology •  Rheumatology •  Infectious Disease •  Neurology

Current (TM2U)

•  Neurology (Local specialist) Limited

12

57%

26%22%

43%

23%

1%

36%

43%

14%

40%

0%

10%

20%

30%

40%

50%

60%

Dermatology Endocrine Rheumatology Infec2ousDisease Neurology

eConsult%ClosuresFeb2016–Jan2017

Pa2entNeedsAddressed ReferF2F(includestelemedicinereferral)

Specialty Access through eConsult

13

Expected eConsult Benefits

What are the expected benefits?

Faster access to specialty care

Decrease in unnecessary or inappropriate specialty referrals

Improved screening process for face to face appointments

Broader scope of practice for the PCP

14

Video & eConsult Sites

15

3/17/17 16

Telehealthande-consultTheprimarycareperspec2veWillardHunter,MDMedicalDirectorOpenDoorCommunityHealthCenters

17

•  FQHCsince1999•  HumboldtandDelNorte•  Firstsiteopened1971•  Now:13clinics,and3mobileclinics,spreadthroughoutcoun2es

•  ~50,000pa2entsayear•  500-personstaff

MissionStatementOpenDoorCommunityHealthCentersprovidesqualitymedical,dentalandmentalhealthcareandhealtheduca2ontoallregardlessoffinancial,geographicorsocialbarriers.OpenDoorcon1nuallyseekstopromotethedevelopmentofahealthcaresystemwhichmeetstheneedsandenhancesthehealthtoallmembersofourcommunity.

18

•  Pa1entandfamilyperspec1ve

•  Providerperspec1ve

Telehealthande-consultbenefitsanddailyopera1ons

19

GeMngstartedorscalingup:telehealthande-consult1ps

3/17/17 20

TelehealthThespecialtyserviceperspec2veJaveedSiddiqui,MD,MPHChiefMedicalOfficerTeleMed2U

TeleHealth Ecosystem

Health Plan

Medical Specialists

Primary Care Provider

TeleHealth Ecosystem

Health Plan

Medical Specialists

Primary Care Provider

TeleHealthTechnologies

3/17/17 23

DiscussionPleaseusechattoaskques2ons,addyourperspec2ves

CaliforniaImprovementNetworkNews•  Recordingoftoday’ssession•  Recordingsofothervirtualencounterswebinars

–  Top10waystoop2mizepa2entportals

–  Tex2ngoutreachforpa2entengagement•  CHCFinvestmentsandinsights:“telemedicineandtechnology”atwww.chcf.org

•  Medica2on-AssistedTreatmentwebinarseries•  PartnerMee2ngReports

–  Communitypartnerships

–  Paymentmodels(April)•  Jointhenetwork

www.chcf.org/cin

24