The Emergence of Telemedicine in Workers’ Compensation Jill Allen, RN, MS President and CEO

Consumer Health Connections

Key Objectives

Background

Overview of Telemedicine

Impact in WC

Benefits

Getting Started

About CHC

CHC is a software technology company whose products seek to streamline the claims process and save companies significant money

by influencing the quality of care through telehealth, eliminating gaps in the current process and challenging the issues head-on.

*This information is confidential and should not be shared outside of Broadspire Company without CHC permission

Years in the WC Trenches

• Provider • Carrier • Employer

Gaps • Challenges • System Leakage Ready for Next Generation of Workers’ Compensation

Experience

Technology Applications specifically connecting a doctor to a patient to delivery a healthcare service

Telepresence and Telemedicine Defined

Telepresence

Sources: 1-2 – American Telemedicine Association

Telemedicine or Telehealth

Technology Applications connecting all aspects of the injured worker’s care delivery (i.e., triage, case management, claims adjusters, the employer, provider visits, and follow up)

Technological Advances Influencing Adoption of Telehealth

Secure HIPAA Compliant Messaging Tools • Email

• Text Messaging

• Chat – Instant messaging

• Two way video communication, recording, and retrieval

Bluetooth Enabled Medical Devices • Height/Weight Scales, Blood Pressure, Temperature,

Other

• Virtual Clinic

• Also includes wearable devices

Telemedicine is the 2nd fastest growing industry in the U.S. today. Telepresence combined with Telemedicine is delivering improved outcomes in the Workers’ Compensation market, both in Direct and Indirect Costs.

The Use of Telepresence & Telemedicine

The Reality-Disrupt or Be Disrupted

• Technology is changing just about everything in our world today.

• Uncontrollable medical costs have plagued businesses.

• Shortage of physicians has made access to care difficult.

• Silo’d communication/Fragmented reporting

• Laborious administrative tasks replaced with automation

• Reactive- 82% of the claims in the U.S. are reported late.

• As a result, a lot of time and money is spent trying to put the pieces together, especially to determine what happened at the onset of the injury.

• Industry not known for innovation.

• Years ago a claims handler would personally meet with an injured worker to complete the FNOL and gather information.

• The ”personal touch” has been replaced with the phone.

Simple Facts

WC Current Fragmented Landscape

Over $1B spent on direct work comp costs – triple was spent on indirect costs.

Traditional Workers’ Compensation Models in Jeopardy

Telepresence Improves Intake Process

Eliminate Unnecessary Travel and Wait Expense

Improve Productivity

TeleHealth

Market Facts

76% of patients prioritize access to care over need for human interaction with providers.

According to the American Medical Association, up to 70% of all patients could be treated virtually.

Average Physician Office Visit Facts

The average total time for a medical visit - 121 minutes • 37 minutes in travel time • 84 minutes in the clinic (This includes check in, wait time,

seeing physician, etc. ) The average total time for an emergency room visit: 2 hours. The average time for a televisit: 15 minutes Adults in the US spent 1.1 billion hours of unnecessary time traveling to the doctor and waiting in the clinic. Resulting in lost productivity and money spent. Source: Harvard Medical Journal

Society Expectations

• Mobile Convenient Access • Immediate Care When You Need It • Access-No Geographic Barriers • Customizable • Intuitive and Easy to Use

Top Treated Injuries through Telehealth in Workers Comp

• Burns • Lacerations • Sprains/Strains of Any Body Part • Infections • Contusions • Medication Management • Post Op Checks • Wound Check • End of Healing-MMI

Telepresence & Telehealth Impact

• Emergency Room Avoidance

• Immediate Access to Appropriate Level of Care

• Technology tracks length of visits

• Transparent & Accurate Recorded Intake

• Loss Mitigation Tool

• Reduced Litigation/Fraud Deterrence

• Reduced Cost

• Early Compensability Determinations

• Better Outcomes

Real Time Reporting Impact

(Source: NCCI, ODG)

Next Generation Medical Triage

● Next Generation of Triage and Case Management ● Immediate Engagement, Objective and Subjective Evaluation ● Accuracy and Automated Coordination ● Better Results ● Cost Effective Solution

Getting Started

• Stakeholder Buy-In

• Sell it as a benefit

• Make it easy

• Stable internet connection

• Access-mobile, internet, app

• Limited space is needed

• HR policies and orientation process

• Specialty network

This Is The Next Generation

• Old models are in jeopardy. The STATUS QUO will not survive.

• Immediate access to care when an employee needs it.

• There’s been a lot of talk about innovation, automation and telemedicine in the Workers Compensation industry.

• Little action up until now.

The next two years will be exciting!

Thank You & Questions