1. Wadena’s Experience with Telemedicine

2. FAIRVIEW-UNIVERSITY OF MINNESOTA TELEMEDICINE NETWORK Hibbing Cook Crosby Wadena Aitkin Littlefork Moose Lake Onamia Minneapolis Bigfork Mille Lacs/ Onamia Red Wing Mora

3. Telemedicine Since 1994 • FUMTN Telemedicine Network • Most Specialists from UMP • Most Coordination of Services from U of M

4. Tri-County HospitalCritical Access Hospital (25 bed) Non-ProfitLocated in Health Professional Shortage Area (HPSA) • 10 Family Practice M.D.’s • 1 General Surgeon • 1 Radiologist • 6 Mid-Levels (FNP/PA’s)

5. Referral Patterns • St. Cloud – EMS Transfers • Fargo • Twin Cities – Trauma/Sub Specialists

6. Specialty Outreach Table Telemedicine

7. TCH Specialty Outreach Table Onsite

8. TCH Telehealth Applications • Teleradiology (MD to Rural Health Clinics) • Telepharmacy (RPH to Rural Health Clinics) • Wound Care (RN to long term care facility) • Speech Therapist to schools • 16-Bed Psych Hospital to ER Triage • Jail Health – ER Triage Telehome care, hospice, home monitoring, med compliance

9. Equipment • Down from $100,000 to under $10,000 • Ongoing Line Charges (Universal Services – equalize rural rates to urban rates)

10. Video

11. Why Do Telemedicine? • Avoids travel – for patients/providers • Makes increased outreach possible • Stretches scarce health professionals • Keeps revenue in local community

12. Revenue Example for Outreach Telemedicine“Episodes or Care” - Orthopedics • Facility Fee • X-rays, scans • Labs • Rehab PT/OT • Home Health Care • Swing Beds • Specialist fees paid same as face-to-face

13. Why it works in Wadena • Specialist M.D. Access through UMP • Need is present • Wadena M.D.’s supportive, make referrals • All specialty visits conducted same face-to-face online • Gold standard equipment and telecommunication service provider • Excellent nurses, supportive Administration

14. Patient and MD Satisfaction: 99%

15. For more information or to visit Wadena, please contact: • Maureen Ideker, RN, Director of Patient Care Services 218-631-7481 or maureen.ideker@tricountyhospital.org • Robin Klemek, RN, Outreach Manager 218-631-7497 or robin.klemek@tricountyhospital.org