Hospital – 86 Beds Med/Surg ICU/Telemetry Birthplace Wellness (Psychiatry)

Emergency Services

Level III trauma center

Home Health, Hospice, HME, Health Transit

Long Term Care Facilities (6) Residential Care Facility (1)

Physician Clinics Rural Health Clinics

Outpatient Services

Ambulatory Surgery Center

Carrie J. Babb Cancer Center

Mid 90’s Distance Learning & Telemedicine Grant, USDA, Rural

Utilities Services

Lab Information System to transmit lab results via telecommunications to rural health clinics

2003 - 2005 2003 Implemented Electronic Medical Record System,

$6 million

2004 Received Agency for Healthcare Research & Quality Grant for software and staffing

2005 Distant Learning & Telemedicine Grant for hardware

2006 Missouri Telehealth Network added CMH to a grant to

receive 2 video interactive telehealth units at CMH rural health clinics and connect the CMH network to MTN

2007 Grant from the Office for

the Advancement of Telehealth (OAT) within Health Resources and Services Administration (HRSA)

$683,670

Implemention of Well@Home in-home telemonitoring integrated with EMR

2007 Participated in application for FCC pilot program with

Missouri Telehealth Network

MTN was funded, but CMH pulled out to proceed with expansion of network under USAC program due to need with upgrade

2009 Grant from Missouri Foundation for Health to expand

from 2 to 15 video interactive telehealth units

5 Long Term Care Facilities & 8 Rural Health Clinics

2009 Distance Learning and Telemedicine Grant to Tele-

Diagnostics Project

Sleep Studies (8 rural locations)

Digital EKG’s (14)

Computed radiography (8 rural plus orthopedic)

Wound care photos

Portable x-ray service for LTC

2010 Missouri Foundation for Health grant for rural clinics

2 video interactive telehealth units for rural health clinics

4 cameras & stethoscopes

Additional diagnostics

2010 Distance Learning and Telemedicine Grant for Tele-

Pharmacy project

Remote dispensing

Hospital pharmacy to off-site ambulatory surgery center

Retail pharmacy to 2 long term care facilities

2012 HRSA, Rural Outreach Grant

2 hospital based video interactive telehealth units

1 rural health clinic video interactive unit

1 long term care video interactive unit

Cameras & stethoscopes

2013 Ellett Memorial Hospital is putting in two video

interactive telehealth units

ER based unit to facilitate ER consultations

Rural Health Clinic based unit to facilitate visits with specialists at CMH

So . . . Today Video Interactive Telehealth

Other Telehealth

22 units in 6 LTC facilities, 2 hospital, 14 clinics (rural and specialty)

2 units going into Ellett Memorial Hospital

Connected to MTN via one T1, moving to internet based connection

Well@Home in-home telemonitoring

Tele-diagnostics

Tele-pharmacy

EMR system as foundation

Uses Specialty physician visits (mental health, wound care,

neurology, dermatology, others)

LTC to primary care visits (challenged)

In-home tele-monitoring for home care patients

Diagnostics

Remote pharmacy dispensing

Tele-court

Pilot Testing use of telehealth presenter in LTC facilities

CMS Clarification and inclusion of RHC’s as provider sites and all RHC’s as hosting sites

Expansion of Well@Home “Lite” to additional patients

More telehealth and diagnostics with rural hospitals

Wish List