Transcript Home Telehealth

OVERVIEW OF TELEHEALTH
TVHS
2012
Dr. David A Baker, MD, MBA
Clinical Informatics Officer
TVHS
WHAT is Telehealth
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Telecommunications and videoconferencing
HT – Home Telehealth
CVT – Clinical Video Telehealth
S&F – Store and Forward images
MHV - My HealtheVet Patient Portal
Video to Home – coming
WHY - Telehealth
• Telehealth in VA helps ensure veteran patients
get the right care in the right place at the right
time.
• Easier access to CARE
– Travel time and cost, convenience
– Decrease barriers to CARE
– Increase efficiency of CARE
• Patient Demand
Home Telehealth
• Not Home Health
• Telehealth Equipment/Nursing/case
management
• Ability to monitor veterans with chronic
diseases (COPD, DM, HTN, PTSD, CHF,
Depression)
• MOVE (Weight management)
WHO - Home Telehealth
o Patients at higher risk
oNeed for more frequent biometric
monitoring
o Distance/travel problems
o Medication compliance issues
o Educational gaps
Disease Management Protocols
Diabetes
Heart Failure
COPD
CAD
Hypertension
Depression
PTSD
Substance Use Disorder
Weight Management
Future DMP's are under consideration or
development
( SCI, smoking cessation, chronic kidney disease
hepatitis C, multiple sclerosis, palliative care,
mild TBI, dementia)
Health Buddy
CVT – Clinical Video Telehealth
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Local – Go to the local VA Clinic
Connect to a Provider miles away
Use videoconferencing equipment
Great for education
– Preventive Health/MOVE – weight management
– Nutrition
– Diabetic Education
• Excellent for many Mental Health
• Groups and Individual clinics
CVT – Clinical Video Telehealth
• Medication Management
• Pharm D
– Pain meds
– Lipids/cholesterol
– Diabetic meds
CVT – Clinical Video Telehealth
• Almost same as a face to face exam but NOT
• Not always a substitute for an in person visit
• More difficult for some specialty services
needing a hands on physical exam
CVT - Telehealth
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Education
Mental Health
Medication Management
Heart Failure
Motorized Wheelchair Clinic
Neurology – movement disorders
Podiatry
Infectious Disease
Video-conferencing Equipment
• Monitor and Camera
Video-conferencing Equipment
• Electronic Stethoscope
Video-conferencing Equipment
• Electronic Stethoscope
Video-conferencing Equipment
• Electronic Stethoscope
Video-conferencing Equipment
• Electronic Otoscope
Video-conferencing Equipment
• Electronic Otoscope
Video-conferencing Equipment
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Electronic Hand Held Camera
Oral
Skin lesions
Wounds
Neck Veins
Store & Forward - Telehealth
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Diabetic Retinal Screening
Dermatology
Wound Care
Podiatry
Telehealth - Store & Forward
• Tele - Retinal Equipment
Video to Home - Telehealth
Video to Home - Telehealth
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Real time care in the home
Pilot underway
Barriers to overcome
Patient equipment and internet access
Knowledge
Technical support
My HealtheVet - Telehealth
My HealtheVet Research Health
• Healthy Living Centers
• Disease and Condition
Centers
• Mental Health Resources
• Medical Libraries
• Service Related Conditions
• MedlinePlus®
• My HealtheVet Learning
Center
• Monthly feature articles
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My HealtheVet Pharmacy
• VA Prescription Refills
• VA Prescription Refill History
• Self-entered medications,
herbals, over-the-counters
(OTCs), and supplements
• VA Medications List*
• My Complete Medications
List (VA and self-entered)*
Over 27.5 million VA prescription
refill requests since launched in
August 2005
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*requires authenticated account
VA Blue Button
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My HealtheVet Secure Messaging*
• eHealth Clinical Service for
non-urgent communication with
patient’s health care team
• Veterans can request
appointments, prescription
renewals, ask health and/or
administrative questions, etc.
*requires authenticated account
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2012 Telehealth Encounters
Tennessee Valley Healthcare
System
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Home Telehealth
CVT
Store & Forward
MyHealtheVet
9000
3000
5500
7000
Nationally VA Telehealth
• 2011 over 380,000 Veterans used its clinicbased Telehealth services.
• another 100,000 patients nationwide were
enrolled in VA’s Home Telehealth program
QUESTIONS ?