telehealth: beyond bright shiny objects

Telehealth, HIT, and mHealth:

Beyond “Bright Shiny Objects”

Rebecca E. Gwilt, EsqNixon Law Group

Healthcare Solutions Connection

© 2015 Healthcare Solutions Connection, LLC

A Roadmap for Innovators

Where are we?

Where do we want to go?

How do we get there?

Are we there?

Business Transformation and Innovation Management

Strategic Planning for…


Presentation Roadmap

What is Telehealth? mHealth? Health IT?

The Rural Challenge

The Problem/Solution Time Warp

Vendor Vetting

Cost Considerations

The Living Implementation


What is Health IT?

Health information technology: The application of

information processing involving both computer hardware

and software that deals with the storage, retrieval, sharing,

and use of health care information, data, and knowledge for

communication and decision-making (ONC)


What is Telehealth?

• Video-conferencing and streaming media

• Remote provider training and patient education

• Remote monitoring

• Store-and-forward

• Wireless communication

Methodologies for Telehealth Delivery

A collection of means or methods for enhancing health care,

public health, and health education delivery and support

using Health IT (CCHP)


What is Telemedicine?

The use of medical information exchanged from one site to

another via Health IT to improve a patient’s clinical health

status (ATA)


What is mHealth?

Mobile health: Generation, aggregation, and dissemination

of health information via mobile and wireless devices

(HIMSS)

• Information gathering

• Information generation

• Information sharing

“Apps” that help patients manage

Health and Wellness


The Rural Challenge

• Patient migration

• Patient health acuity

• Patient health literacy

• Lack of insurance

• Geography

• Poverty

• Decreased funding

• Increased costs


Telehealth in the Rural Setting

Access to Primary Care

• Transportation Challenges

• Cultural Barriers

• Shortage of providers

Access to Specialists

• Shortage of providers

Care Coordination

• Complex chronic condition management

Patient-centered Care

• Health literacy

• Medication adherence

• Access to medical information

Physician Mentorship

• Lack of specialty training


The Problem/Solution Time Warp


Cost Considerations

ROI [%] = [Gain of Investment – Cost of Investment] / Cost of Investment

Provider Goals

• Patient satisfaction

• Clinical and financial improvement

• Patient adoption

Financial ROI

• Cost avoidance (e.g. LOS reduction)

• Additional revenue (e.g., patient attraction and retention)

• Market differentiation

Clinical ROI

• Increase compliance

• Access to specialty services© 2015 Healthcare Solutions Connection, LLC

Vendor Selection and Vetting

Do they have the abilities, time and tools

to benefit?

Put ‘em through the wringer

Google… and other resources

FIRST: Define Success.


Living Implementation

Staff Training

PILOTFeedback

Loop

Process Protocols


Case Studies, abbr.

Culpeper Regional Hospital

Olde Towne Pediatrics

Chippenham Pediatrics


Questions?

Rebecca Gwilt, Esq.

(757) [email protected]

www.healthcaresolutionsconnection.com

mailto:[email protected]