Telehealth-ppt-1.ppt

Telehealth

1. Navneet Kathuria, MD, MPA, MBA
Executive Director and Chief Medical Officer
Premier Healthcare
Carolyn Driscoll, LMSW
Research Associate
YAI Network
PHC is a member of the YAI network.
Connected Health –What is it?

2. Telemedicine
Telemedicineis the use of technology to
remotelydeliver health services to
patients
Consultations
Health assessments
Diagnosis
Treatment
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3. Telemedicine was Predicted in 1924!
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Current Methods:
Real-time Techniques
Store and Forward
Remote Monitoring
Current Applications:
Two-way video
Email
Smart phones
Wireless tools

4. Telehealth
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Telehealthservices allow patients toaccess
health education and support throughtheir
home computers or wireless devices to help
manage their health. It also creates a virtual
medical community for providers.
Personalized education materials and coaching
Online discussions and support groups
Provider trainings and continuing medical
education

5. VHA’s Care Coordination/Home Telehealth Program supports the care of
veterans with chronic conditions in their home
Patients are assigned a care coordinatorwho selects appropriate
telehealth technology
Care coordinators receive dailyvital signs, messaging results, and
other disease mgmt data
Alerts indicatesignificant changesand care coordinators
intervene
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Case Study:
Program Outcomes Source: VHA Taking Home Telehealth Services to Scale Nationally: Commonwealth Fund
•25% decrease in nursing home bed days of care
•20% decrease in hospital readmissions
•85% patient satisfaction
•Annual savings of $1,999 per patient
At-home Telehealth Program for Veterans

6. e-Referrals developed by San Francisco General Hospital
Structured secure emailexchange between primary care doctors
and specialists
Covers more than 40 specialtiesand services
Others adopting –LA County Dept of Health Services, the Mayo
Clinic, UCSF, and UCLA
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Case Study:
Program Outcomes Source: Connected Health: A Review –Healthy Affairs 2014
•50% decrease in wait time for most SF General specialty clinics
•20% decrease of in-person specialty visits
•Improved preparation for specialty visits
•Stronger collaboration and satisfaction between primary care and specialists
Connecting Patients to Specialists

7. Benefits of Telemedicine/Telehealth
Increased access to healthcare services
Enhanced access to specialists
Improvedqualityof care
Reduced hospitalizations/ER visits
Cost-effectivemethod of service delivery
Patient and provider satisfaction

8. e-Medicine
e-Medicine refers to health services and
information deliveredor enhanced through the
Internet.
87%of U.S. adults use the Internet
Looking for health information is the 3
rd
most
popularonline activity
•
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Most Popular Searches
Specific Diseases 66%
Medical Treatments & Procedures 56%
Doctors 56%
Hospital & other Medical Facilities36%

9. Social Media
People separated by time and space can
create, share, and exchange information
and ideas.
Tools used in social media
Blogs
Microblogs (e.g. Twitter)
Content Communities (e.g. Youtube)
Social Networking Sites (e.g. Facebook)
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10. Social Media and HealthCare Case Studies:
Dave deBronkart “e-patient Dave”
Diagnosed with advanced kidney cancer given 6 months
Found successful treatment from online patient support
community
38 Year-old womandiagnosed with Spontaneous
Coronary Artery Dissection (SCAD)
Mother of two young children diagnosed with rare condition
offered little guidance
Online support group advocated for and got a doctor from
the Mayo Clinic to conduct a research study on their behalf
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11. The possibilities of usingthe internet and other
technologiesas tools in healthcare is limitless!
What does research show?
Patients are using it and making important decisions
What’s needed?
More healthcare organizations & doctors becoming a part of it!
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Social Media and Healthcare –What’s
Next?