telehealth solution to americas healthcare disparity problems, or an expensive solution looking for...
TRANSCRIPT
TELEHEALTHTELEHEALTHSolution to America’s healthcare Solution to America’s healthcare
disparity problems, or an expensive disparity problems, or an expensive solution looking for a problem?solution looking for a problem?
TELEHEALTHTELEHEALTHSolution to America’s healthcare Solution to America’s healthcare
disparity problems, or an expensive disparity problems, or an expensive solution looking for a problem?solution looking for a problem?
Rob Sprang, MBARob Sprang, MBAKentucky TeleCare/Kentucky TeleHealth NetworkKentucky TeleCare/Kentucky TeleHealth Network
University of KentuckyUniversity of Kentucky
What is Telemedicine?What is Telemedicine?
Move information, Move information, not peoplenot people
What is Telemedicine?What is Telemedicine?
Move information, Move information, not peoplenot people
Problem...Problem...Problem...Problem...
Many Americans are Many Americans are geographically isolated from geographically isolated from needed healthcare services, needed healthcare services,
not available in their local not available in their local communitiescommunities
The Result...The Result...The Result...The Result...
Patients and clinicians must Patients and clinicians must leave their community to leave their community to
access needed healthcare access needed healthcare resources, or those needs resources, or those needs
remain unmet.remain unmet.
Solution...Solution...Solution...Solution...
Bring healthcare resources to Bring healthcare resources to those who are in needthose who are in need
More Clearly Stated...More Clearly Stated...More Clearly Stated...More Clearly Stated...
Get the right services Get the right services
to the right peopleto the right people
in the right place in the right place
at the right timeat the right time
BENEFITS TO THE PATIENTBENEFITS TO THE PATIENTBENEFITS TO THE PATIENTBENEFITS TO THE PATIENT Reduce need to travel - Cost, Reduce need to travel - Cost,
inconvenience, travel anxiety inconvenience, travel anxiety
Personal physician manages patient Personal physician manages patient care & collaborates on treatment plan care & collaborates on treatment plan developmentdevelopment
Enhanced continuity of care Enhanced continuity of care
Remain close to home, family and Remain close to home, family and natural support systemsnatural support systems
Better access to care = Better healthBetter access to care = Better health
Benefits to the Rural ClinicianBenefits to the Rural ClinicianBenefits to the Rural ClinicianBenefits to the Rural Clinician Personal physician manages care Personal physician manages care
Greater involvement with patient Tx planGreater involvement with patient Tx plan
Better compliance seeking specialty careBetter compliance seeking specialty care
Retain more patients/Capture more Retain more patients/Capture more revenuerevenue
Access to educational resources not Access to educational resources not locally available helps reduce locally available helps reduce professional isolation and improves professional isolation and improves professional developmentprofessional development
Other Healthcare Stakeholders Other Healthcare Stakeholders Who Benefit From TelemedicineWho Benefit From TelemedicineOther Healthcare Stakeholders Other Healthcare Stakeholders
Who Benefit From TelemedicineWho Benefit From Telemedicine
Patient’s family/friendsPatient’s family/friends
SpecialistsSpecialists
Rural healthcare facilitiesRural healthcare facilities
EmployersEmployers
Medicaid/Medicare/private payorsMedicaid/Medicare/private payors
TaxpayersTaxpayers
Who benefits from Who benefits from Telemedicine Services?Telemedicine Services?
Who benefits from Who benefits from Telemedicine Services?Telemedicine Services?
Everyone!Everyone!
Telehealth is Telehealth is
expensive!expensive!
A network site can cost A network site can cost $10K-$50K, and a hub can $10K-$50K, and a hub can
cost $150K+cost $150K+
Why Sustainability Planning Why Sustainability Planning is Important for Telehealthis Important for Telehealth
Programs that fail have a negative Programs that fail have a negative impact on the telehealth industryimpact on the telehealth industry
Except for correctional telehealth Except for correctional telehealth programs, the telehealth office programs, the telehealth office normally does not have a positive normally does not have a positive cash flowcash flow
If your program fails…If your program fails…
YOU ARE YOU ARE UNEMPLOYED!UNEMPLOYED!
How can How can
telehealth succeedtelehealth succeed
??????????????????
Define Success…Define Success…
Plan for SuccessPlan for Success
This story teaches This story teaches us that it is much us that it is much
easier to plan here:easier to plan here:
This story teaches This story teaches us that it is much us that it is much
easier to plan here:easier to plan here:
Than here:Than here:Than here:Than here:
What is success?What is success?What is success?What is success? Expand clinical service area?Expand clinical service area? Improve continuity of care/outcomes?Improve continuity of care/outcomes? Deliver educational programming?Deliver educational programming? Reduce travel for administrative meetings?Reduce travel for administrative meetings? Cohesive medical informatics system?Cohesive medical informatics system? Positive cash flow?Positive cash flow? Create research/external funding Create research/external funding
opportunities?opportunities? Public health/disaster preparedness/responsePublic health/disaster preparedness/response Other???Other???
Kentucky TeleHealth Network SuccessKentucky TeleHealth Network SuccessKentucky TeleHealth Network SuccessKentucky TeleHealth Network Success
Legislative mandateLegislative mandate Supports medical student educationSupports medical student education Education promotes University cliniciansEducation promotes University clinicians Correctional/other contracts medicine generates $Correctional/other contracts medicine generates $ Awarded over $1.5M in grants in 2003Awarded over $1.5M in grants in 2003 Supports disaster preparedness/response effortsSupports disaster preparedness/response efforts Recruitment/retention of community cliniciansRecruitment/retention of community clinicians Telehealth is a great marketing/PR toolTelehealth is a great marketing/PR tool Provides a great story for University/State leadersProvides a great story for University/State leaders Focus on VALUEFocus on VALUE
Does Kentucky TeleCare Does Kentucky TeleCare generate a positive cash flow?generate a positive cash flow?
Does Kentucky TeleCare Does Kentucky TeleCare generate a positive cash flow?generate a positive cash flow?
NO!NO!
Are we considered successful?Are we considered successful?Are we considered successful?Are we considered successful?
YES!YES!
How do you position telehealth How do you position telehealth for long term success? for long term success?
How do you position telehealth How do you position telehealth for long term success? for long term success?
Telehealth is a vital Telehealth is a vital component of the component of the
infrastructure of the infrastructure of the healthcare facility, just like healthcare facility, just like
air conditioning.air conditioning.
The single greatest The single greatest challenge faced by challenge faced by
telehealth...telehealth...
The single greatest The single greatest challenge faced by challenge faced by
telehealth...telehealth...
You!You!
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Kentucky TeleHealth Network (KTHN) Sites
For more information, contact 859-257-6404
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Disaster Preparedness/Disaster Preparedness/Response ActivitiesResponse Activities
We can never imagine We can never imagine what disaster is just what disaster is just
down the road, so we down the road, so we must prepare ourselvesmust prepare ourselves
Disaster Preparedness/Disaster Preparedness/Response ActivitiesResponse Activities
We can never imagine We can never imagine what disaster is just what disaster is just
down the road, so we down the road, so we must prepare ourselvesmust prepare ourselves
PROACT (Preparedness and PROACT (Preparedness and Response on Advanced Network Response on Advanced Network
Technology) Technology)
Disaster preparedness education is a top Disaster preparedness education is a top priority for KY DPHpriority for KY DPH
Needed a core group of geographically Needed a core group of geographically disperse, dependable sitesdisperse, dependable sites
Signed LOA’s from CEO’s committing to Signed LOA’s from CEO’s committing to 24x7 response in the event of a disaster24x7 response in the event of a disaster
Can connect to CDC, DHS and other vital Can connect to CDC, DHS and other vital agenciesagencies
KentuckyKentucky
Kentucky PROACT Network Preparedness and Response On Advanced Communications Technology
For more information, contact 859-257-6404
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Central Control Site
Network Hub Sites
Network Sites
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Kentucky Department of Public Health
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Click on any site for further information
on that site
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What’s Next?What’s Next?
Generate more revenues from Generate more revenues from educational programming supporteducational programming support
Pursue more clinical contractsPursue more clinical contracts
Promote clinicians to include telehealth Promote clinicians to include telehealth in clinical grants (more $ than clinics)in clinical grants (more $ than clinics)
More interstate/international activitiesMore interstate/international activities
Coordinate UK/UL collaborative activities Coordinate UK/UL collaborative activities (Genetics, grants…)(Genetics, grants…)
Thank you for your time and Thank you for your time and attention. It was a privilege to have attention. It was a privilege to have
the opportunity to speak to you.the opportunity to speak to you.
Rob Sprang, MBA Rob Sprang, MBA [email protected]@uky.edu
859-257-6404859-257-6404