Telehealth and Premier HealthCare: Looking toward the future6/10/14

PHC is a member of the YAI network.

PHC Platform for Connected Health

Overview: Premier HealthCare –Then and now

• Pre-PHC –1983 to mid 90’s

• Premier HealthCare opens 1997

• NCQH Recognition

• Summer 2011 –Electronic Health Record

• 2013 PCMH Level III

• Meaningful Use

• 100,000+ visits per year

• Adding components to EHR & upgrading

Premier HealthCare Services

• Primary Care Medicine for adults and children

• Assistive Technology• Audiology • Dentistry• Dermatology• Endocrinology• Gastroenterology

• Gynecology• Medical Social Work• Neurology• Ophthalmology• Rehab: OT/PT/SP/MH• Physiatry• Podiatry• Psychiatry

Premier HealthCare Locations

What we do online

• Banking• Education• Dating• Wedding planning• Participation in Support groups• Divorce• Wills, trusts• Socialize• Job seek/Network

Benefits of Telehealth

• Improved access

• Decreased costs

• Improved quality of care

• Patient satisfaction– Decrease number of visits to and time spent

in a doctor’s office

Challenges to Telehealth

• Legalities

• Billing

• Technical Challenges

• Resources (human and Monetary)

• Patient and staff resistance

Challenges Telehealth can address:

• Access– Transportation

• Can be difficult to get same day transport for patients who are non-ambulatory

• Weather– Caregiver availability/time off from work– Residence staff availability

• Quality of care and of life– Specialist availability– Challenges of Coordination of care between care

givers and providers and within provider teams– Multiple visits to multiple specialties

• Remote visits– With nursing staff in Residences– At Schools or Day Programs

• Specialty consults– real time from the PCP office– stored information sent and reviewed later

Telehealth Applications

Telehealth Applications

• Huddles and multidisciplinary rounds

• Home monitoring– Patient or caregiver uploads data to the

electronic health record– Nursing staff in residence can access EHR

• Virtual establishment of therapeutic relationship

• Portal– Scheduling and document exchange– Care plans can be created stored and

updated– Access by specialists to view and address

these plans– Refill requests

Telehealth Applications

Telehealth and Nursing Practice

• Nurse Call Centers

• Home Visits

• Chronic Disease Management

Telenurse’s Role in Ambulatory Care

• Telephone Triage

• Enhanced Follow-up Care

• Patient Education

• Partnerships with other Care Providers

Considerations

• Competencies

• Legal Implications

• Research

Questions?