Transcript What is Telehealth?

Pretend
Hospital Logo
Caring For You
What value does it bring to Pretend Hospital?
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Telemedicine is the use of medical
information exchanged from one site to
another via electronic communications to
improve patients' health status.
Closely associated with telemedicine is the
term "telehealth," which is often used to
encompass a broader definition of remote
healthcare that does not always involve
clinical services.
Pretend
Hospital
Caring For You
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CMS has identified these:
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Physician (MD/DO)
Nurse practitioner
Physician assistant
Nurse midwife
Clinical nurse specialist
Clinical psychologist
Clinical social worker
Registered dietician/nutrition professional
(as of October 2010)
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Physician/Practitioner Office
Critical Access Hospital (CAH)
Federally Qualified Health Center (FQHC)
Hospital
Rural Health Clinic
Hospital-based or CAH-based Renal Dialysis
Center (including satellites)
Skilled Nursing Facility
Community Mental Health Center
(as of October 2010)
Telehealth Services under Medicare
CPT/HCPCS Codes
Consultants
99241-99255
Office or Other Outpatient Visits
99201-99215
Psychiatrist Diagnostic Interview
Examination
90801
Individual Psychotherapy
90804-90809
Pharmacologic Management
90862
Individual Medical Nutrition Therapy
G0270, 97802, 97803
End Stage Renal Disease (ESRD) Related
Services
G0308, G0309, G0311,
G0312, G0314, G0315,
G0317, G0318
Neurobehavioral Status Exam
96116
Follow-up Inpatient Telehealth
Consultations
G0406, G0407, G0408
Information from Center for Telehealth & e-Health Law
(October 2010) www.ctel.org
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Medicaid
◦ 35 states have established rules for telehealth
reimbursement
◦ Minnesota Medicaid
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Private Pay
◦ 12 states have passed legislation requiring
insurance companies to pay for services delivered
by telemedicine
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Contract-based Services
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Hospital-based services
Providers must be credentialed where
the patient is located
Privileges must also be granted
This process is currently being
debated in Congress
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Determine if there is a need for the service
◦ Do you have disparities to address?
◦ Lost your provider?
◦ What is the expected patient volume?
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But, is there a demand?
◦ Are providers asking for the service?
◦ Are patients asking for the service?
◦ Are others already providing the service?
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In/Out Patient Specialty Services:
– Dermatology
– Mental Health
– Cardiology
– Infectious
Diseases
– Pediatric Services
– Endocrinology
– Wound Care
– Pulmonology
– Oncology
– Trauma/ER
– Stroke Care
…and more
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Telepharmacy
TeleHome Heath (home monitoring)
Remote ICU Monitoring
Family Interactions
Case/Disease Management
Education
◦ staff, provider, family, community
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Organizational
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Budgetary
Pretend
Hospital
Caring For You
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Access to add’l care resources
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Staff competency
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Community perception
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Service stability
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Patient Experience
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Peer-to-peer interactions
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Stretch a tight travel budget
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Increase ancillary services
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Service continuation/expansion
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Enhance the quality of care
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Market-leader
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Impact of Telehealth
◦ Don’t look at it in a “bubble”
◦ A tool of your entire organization
◦ Now vs. Future
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It is more than hard ROI
◦ Can you afford NOT to have something
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Lost Market Share?
Professional isolation/burn-out
Loss of “hometown dollars”
Being viewed as “Behind the Times”
Patient Care Liability
Not providing a high quality “patient
experience”
Pretend
Hospital
Caring For You
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Adds value
Strengthens relationships
Builds competency
Stretches budgets
Expands services
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Patients
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Providers
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Partner facilities
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Payers
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Take a step…even a small one!
Figure out what makes sense for your
organization
If not…you’ll only get further behind