telemedicine- the cleveland clinic experience matthew faiman, md, mba director telemedicine services
TRANSCRIPT
Telemedicine- the Cleveland Clinic Experience
Matthew Faiman, MD, MBADirector Telemedicine Services
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Lecture Overview
• Virtual Medical Clinic at Cleveland Clinic.
• An historical perspective of telemedicine.
• History of telemedicine at Cleveland Clinic.
• Current and Future Telemedicine projects at Cleveland Clinic.
• Questions.
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Virtual Medical Clinicand Telemedicine
• What is Telemedicine? It is the transfer of electronic medical data (video, sound, image, EMR) from one place to another or….
• “A picture is worth a thousand words…..” (Fred Barnard 1921)
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• Uses sophisticated, real-time technology to connect Cleveland Clinicphysicians with patientsrequiring specializedconsultations, anytime,anywhere
• Facilitates physiciancollaboration and interaction for specialty consultations
Cleveland Clinic physician conducting personalized patient exam utilizing real-
time connectivity technology
Virtual Medical Clinic
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Location A: Exam RoomPatient sees and speaks to Cleveland Clinic physician in real-time through secure technology
Location B: Cleveland ClinicPhysician conducts examination, interacts with patient and nurse, and documents encounter in the MyPractice Electronic Medical Record system
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The Virtual Medical Experience
Conducts interaction from Telemedicine studio
Cleveland Clinic Physician
Interacts with patient and nurse / technician at remote exam location
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The Virtual Medical Experience
Easily navigates real-time views and online medical information (X-Rays, scans, etc.)
Cleveland Clinic Physician
Directs nurse / technician through exam, seeing and hearing diagnostic details (heart sounds, etc.)
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The Virtual Medical Experience
Sees and hears physician; asks and answers questions
Cleveland Clinic Patient
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The Virtual Medical Experience
Receives and complies with physician instructions
Cleveland Clinic Patient
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The Virtual Medical Experience
Nurse / Technician transmits diagnostic equipment data directly to physician for review in real-time
Cleveland Clinic Patient
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Virtual Medical Clinic
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Is examined utilizing all pertinent diagnostic criteria; nurse / technician follows physician direction
Cleveland Clinic Patient
The Virtual Medical Experience
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The Virtual Medical Experience
Conclude exam with discussion, final questions, physician instructions, and appropriate future
treatment strategy
Cleveland Clinic Physician and Patient
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The Virtual Medical Experience
Places orders for medications, follow-up tests or other labs into MyPractice Electronic Medical
Record System
Cleveland Clinic Physician
Fully documents encounter in MyPractice Electronic Medical Record System
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The Virtual Medical Experience
Concludes Telemedicine Visit
Cleveland Clinic Physician
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Telemedicine at Cleveland Clinic
• Telemedicine at Cleveland Clinic: began in 2005 with a relationship with University Texas Medical Branch.
• Dr. Cosgrove imagined telemedicine as an opportunity for increased access for patients living in hard to reach areas.
• Telemedicine felt to be inline with CC/CCHS approach to innovation.
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Telemedicine at Cleveland Clinic
• In 2006, Virtual Medical visits began from Wooster to main campus in Peds GI and Neuro with Drs. Hsich, Wyllie and later Psychiatry with Dr. Tesar.
• In late 2006 a telemedicine council was set up to address the needs of CC/CCHS domestically and internationally.
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Virtual Medical Clinic and Telemedicine • On January 23rd,2008 services began with the Parker
Virtual Medical Clinic, now at CCAC since early 2011.
• This employee-based clinic sees patients for urgent visits and chronic care such as blood pressure.
• To date more than 600 patients have been seen.
• Patient satisfaction scores are as high or higher than regular brick and mortar visits.
Virtual Medical Clinic and Telemedicine
Other Institutes using Telemedicine:
• Orthopedics: since 2008 from Wooster, approx 60 visits and 10 surgeries. In 2009 operations from Canfield (St E’s). Visit yield is 6:1 whereas dept average 10:1!
• Bariatrics: first visit from CCC Toronto 6/09.
• Transplant Medicine-Discussions began 1/10.
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Virtual Medical Clinic and Telemedicine
Other Institutes using Telemedicine:
• Cleveland Clinic Canada- Toronto practitioner’s utilization of main campus for 2nd opinions.
• Emerging Business: both domestic and international opportunities are being explored including home monitoring and wellness. Tele-stroke service fall 2010 along with EEG. ? Las Vegas.
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Virtual Medical Clinic and TelemedicineFinal Thoughts • Options are endless.
• In the fast-paced world that we live in, telemedicine affords a complementary approach to health care.
• Will not substitute but will augment the health care that we have today.