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Telehealth In Missouri

Telehealth In Missouri. E. Rachel Mutrux Director, Missouri Telehealth Network Operations Director, Missouri HIT Assistance Center State Director, Heartland Telehealth Resource Center University of Missouri. What is Telehealth?.

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Telehealth In Missouri

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  1. Telehealth In Missouri E. Rachel Mutrux Director, Missouri Telehealth Network Operations Director, Missouri HIT Assistance Center State Director, Heartland Telehealth Resource Center University of Missouri

  2. What is Telehealth? The delivery of health-related services and information via telecommunications technologies.

  3. Missouri Telehealth Network • At the University of Missouri • Mission: increase access & quality, provide education. • Provides Continuing Medical Education (CME) credits for providers in rural Missouri Telehealth Network. • Is a part of the HTRC – Resource Center for telehealth activities in the state and across the nation. • Helps with economic development in rural areas by keeping pharmacy, lab, and x-rays in local communities.

  4. Telehealth / Telemedicine • Is NOT a new service. • IS a new service delivery mechanism. • Increases Access! • Moves information- not people. • Reduces travel costs and other barriers.

  5. Why Telehealth • Clinical Shortages • Maldistribution of providers • Rural / Urban underserved • Aging population • Travel time, cost & hardship • Delayed Treatment • Language barriers • Clinical education programs • Administrative meetings

  6. Example: Marshall Habilitation Center • 90% Medicaid • 400 severely and permanently disabled • Saves over $500 per telehealth encounter • Psychiatry, dermatology, neurology and general surgery

  7. Clinical Specialties • Internal Medicine • Genetics • Gastroenterology • Rheumatology • Genetics Follow-Up • Pediatric Dermatology • Sign Language Interpretation • Orthopedic Consults • Psych/Mental Health • Dermatology • Cardiology • Radiology • Neurology • Rehabilitation • Autism • Surgical Follow-up

  8. Clinical Specialties cont. • ER Fetal Monitoring • Ethics Consultations • Geriatrics • Tele-Home Care/ Remote Monitoring • Bariatric Surgery Education • Occupational Injury • Trauma • Infectious Disease • Diabetes Education • Endocrinology • Burn/Wound Care • Pre-operative Evaluation

  9. Barriers to Success • Provider buy-in • Additional personnel resources and training are required at both hub and spoke sites • Costs- equipment & broadband • Documentation and paper work flow disruption • Reimbursement • Credentialing/ Licensure • Quickly changing environment • Education- awareness

  10. Lessons Learned • Telemedicine is simply a tool used to deliver health care at a distance. • People are more important than technology. • Telemedicine must be integrated into the everyday way physician’s practice. • It works best in augmenting established referral relationships.

  11. Reimbursement • Medicare • Medicaid- MO HealthNet • Private Insurers • SB262

  12. Who is doing telehealth in MO? • Hospitals • Community Mental Health Centers • Federally Qualified Health Centers • Rural Health Clinics • Nursing Homes • Home Health Agencies • State Facilities • Division of Youth Services, Habilitation Centers, Department of Corrections

  13. Telehealth

  14. Health

  15. www.telehealthresourcecenters.org The Telehealth Resource CenterGrant Program Technical assistance for starting or expanding telehealth services.

  16. What are Telehealth Resource Centers (TRCs)? • Federally funded through HRSA/ORHP • TRC Grant Program – est. 2006 • Extensive telehealth program implementation experience • 12 Regional TRCs, plus • 1 Telehealth Technical Assistance Center • 1 National TRC- Policy

  17. HTRC Service Area Kansas - Missouri - Oklahoma

  18. HTRC PARTNERS • University of Kansas Medical Center • Program started in 1991 with one hospital • now over 2,000 clinical consults/yr • University of Missouri Health System • MTN began in 1994 with 10 sites • now over 200 endpoints in the network • University of Oklahoma Health Sciences Center • Program since 1993 with 60 rural/regional hospitals • Particular expertise in store-and-forward consults

  19. Phone: 877.643.HTRC(4872) Video IP: 169.147.3.125 ext. 7010109 Gordon Alloway Project Director, HTRC

  20. Helpful Websites Missouri Telehealth Network http://medicine.missouri.edu/telehealth/ Heartland Telehealth Resource Center http://heartlandtrc.org/ American Telemedicine Association http://www.americantelemed.org/i4a/pages/index.cfm?pageid=1 Center for Telehealth & eHealth Law http://www.telehealthlawcenter.org/ FCC Rural Health Care Program http://www.fcc.gov/cgb/rural/rhcp.html http://www.universalservice.org/rhc/

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