Telehealth 101 - TargetHIV

~ 1 SOUTH CENTRAL YI TELEHEALTH RESOURCE CENTER University of Arkansas for Medical Sciences

UAMS. I Insti t ute fo r Digit al

Health & Innovation

Telehealth 101

The Basics of Telehealth and Telemedicine

South Central Telehealth Resource Center

Copyright 2020 © National Consortium of Telehealth Resource Centers



Health & Innovation

Joe Schaffner Assistant Director of Outreach South Central Telehealth Resource Center Institute for Digital Health & Innovation University of Arkansas for Medical Sciences (UAMS) Little Rock, Arkansas

The presenter has no disclosures.

Disclaimer The images and examples of telehealth equipment used in this presentation are for illustrative and instructional purposes only and are not intended to endorse any specific product or service.


LSC

C

C

C

C

C

C

C

C

LS

-----

NATIONAL CONSORTIUM OF

TELE HEALTH RESOURCE CENTERS

CALIFORNIA , TELEHEAlTH

RESOURCE CENTER

. ~ .; .-:~:=·;tuTHWf.ST ··::;-;TRC

TELEHEALTH llSOURCE · C( NTtR

Heartland TeleheallhRi:,ourcetenler

a r-; PACIFIC BASl!sJ \.TELEHEALT'i=r' i:t CS O U AC C CC tHCA rnr.11••a11•or .,· .. ,.11•1 ·v.~

Center for Connected Health Policy

The rt.t• IYllelohnlt• PDli<,e.,,.,r,eCenler

-------

~~ Mid A·lan l i c:

" . ;. Telehealth fJ, Resource C e n t e r

NORTHEA!h \ TELEHEALTH •···· RESOURCE CENTER

g~TRAC Gr&ac Poin\l Talahaalt~ Rooo~rc.:i&ASslstancoC.::.ntor

TelehealthTechnology.org

~ SOUTH CENTRAL y TELE HEAL TH RESOURCE CENTER University o f Arkansas for Medical Sciences

UAMS. I Institute for Digital

Health & Innovation

REGIONA NRTR

CCHP TTAC

Funded by the U.S. Health Resources and Services Administration (HRSA), The National Consortium of Telehealth Resource Centers (NCTRC) consists of 14 Telehealth Resource Centers (TRCs). As a consortium, the TRCs have an unparalleled amount of resources available to help virtual programs across the nation, especially within rural communities. Each TRC is staffed with telehealth experts to who are available to provide guidance and answer questions. As telehealth continues to gain more visibility and recognition in healthcare, the TRCs will remain positioned to provide assistance for all.

CTRC

SWTR

PBTR

TexLa

HTRC

MATR

NETR

UMTR

gpTRA

SCTR

SETR

NATIONA

Copyright 2020 © National Consortium of Telehealth Resource Centers Copyright 2020 © National Consortium of Telehealth Resource Centers

"'" SOUTH CENTRAL ~ TELE HEAL TH RESOURCE CENTER University o f Arkansas for Medical Sciences


Health & Innovation

What services do TRCs provide?

The National Consortium of Telehealth Resource Centers is a co llaboration of 12 regional and 2 national Telehealth Resource Centers (TRCs). As a feder ally funded program, TRCs assist health care organizations, networks, and physicians/health providers in implementing cost-effective telehealth programs.

We also a ssist with: • Equipment • Policy • Practice Guidelines • Program D evelopment • Business M odels • Much more!




Health & Innovation

What is Telehealth? - Terminology

You’ll often hear Telehealth and Telemedicine. These terms are sometimes used interchangeably. What’s the difference?

• Telehealth: Telehealth is an umbrella term , which includes telemedicine and other modalities of communication. It encompasses a broader spectrum o f healthcare delivery.

• Telemedicine: Telemedicine is direct clinical care provided from a dista nce using electronic communication to pro vide/support clinical care.




Health & Innovation

Telemedicine is part of the solution!

Telehealth

Research

Disaster Response

Education Administration

Telemedicine




Health & Innovation

Immerging Vernacular: Digital Health


Medically Underserved Areas/Populations Health Resources & Services Administration

-

,:/ .....

Federated States of Northern Mariana Islands Micronesia

Republic of Palau

""• SOUTH CENTRAL ~ TELE HEAL TH RESOURCE CENTER :=;ii' University of Arkansas for Medical Sciences

U.S. Minor Islands

U.S. Virgin Islands

Hawaii

UAMS. I Institute fo r Digita l

Health & Innovation

Legend

Medically Underserved Population (MUP) Designation Type

- MUP - Governor's Exception

MUP

Medically Underserved Area (MUA) Desig nation Type

- MUA- Governor's Exception

l MUA

~ Noo-MUA aod ooo-MUP

Data as of0S/1412019

Puerto Rico

0 150 300 Miles

Scale bar only applies to contiguous U.S

Prepared by: Division of Data and Information Services Office of Information Technology Health Resources and Se iv ices Administration

Data Source: Please refer to data source page on Map Gallery

https:/ldata.hrsa.govlmaps/map-gallery




Health & Innovation

What is Telehealth? - Modalities

There are 4 primary modalities of telehealth recognized by the NCTRC:

1. Synchronous: A term use d to describe a live, interactive communication because the transmission of information among parties is happening at exactly the same time period. This is also known as “live” or “interactive” telemedicine.

2. Asychronous: A term use d to describe “store-and-forward” transmission of medical information. The information is often stored from one platform to another for later review by provides. This is also known as “store-and-forward”. a. eConsult: eConsult is a sub-category of “store-and-forward”. eConsult is used to classify consultations between providers, often

between a primary care physician and a specialty provider, to assess and determine a care plan for patients.

3. Remote Patient Monitoring (RPM): RPM utilizes technology to collect medical and other forms of health data from patients in one location and securely transmit the information to health care providers in another location.

4. mHealth: Use of smart devices (phones, tablets) to access care and to provide care.


~1 SOUTH CENTRAL urJ\ l\11C YI TELEHEALTH RESOURCE CENTER IJ•\l V L.:>. University of Arkansas for Medical Sciences I Institute for Digital

Health & Innovation

Originating Site Distant Site Location of Patient Video + Audio Imaging Location of Clinician

Live (synchronous)


~ SOUTH CENTR y TE.LEH EAL TH RESOURCE CE~E~ Un1vers1ty o f Arkansas for Medical Sciences

UAMS. I Institute for Digit al

Health & Innovation

Store and Forward (asynchronous)

Originating Site Digital or Video Imaging Distant Site Location of Patient Location of Clinician




Health & Innovation

eConsult

eConsult is a sub-category of “store-and-forward”. eConsult is used to classify consultations between providers, often between a primary care physician and a specialty provider, to assess and determine a care plan for patients.


"'" SOUTH CENTRAL ~ TELE HEAL TH RESOURCE CENTER University of Arkansas for Medical Sciences

UAMS. I Institute for Dig ital

Health & Innovation

Long Reach Wireless devices for remote patient monitoring

Telestatlon » Patients use the buttons to answer questions on their condition.

Source: Phi lips

Pulse oximeter » A noninvasive check of blood oxygen level.

Dlgltal scale »

--THE WALL STREET ,JOURNAL

Remote Patient Monitoring (RPM)


~ SOUTH CENTRAL y TE.LEH EAL TH RESOURCE CENTER Un1vers1ty o f Arkansas for Medical Sciences


Health & Innovation

DAILY MEDS Advair 230/21 Take 2 Puffs Twice Daily

Volair Take 375mg

YELLOW ZONE MEDS Albuterol Take 6 Puffs

Albuterol Take 4 Puffs Every 20 Minutes

RED ZONE MEDS Albuterol Take 6 Puffs Every 20 Minutes As Needed

• •

mHealth Devices

• Mobile Phones

• Tablets

• Wearables




Health & Innovation


Benefits of Telehealth

• Reduced unnecessary patient/provider travel. • Addresses health care provider shortage. • Patients can receive healthcare locally,

especially in rural/heavily populated areas. • Improved access to health care. • Increased access to specialists.



Health & Innovation

Improved Access to Health Care

..

Distant Site Location of Provider or Clinician

Originating Sites Location of Patient

Digital, Audio or Video Imaging

Important Information can be viewed more timely!




Health & Innovation

Broader Access to Specialists and Sub-Specialists

OB | eICU | Psychiatry | Cardiology

• Connects patients t o appropriate specialists

• Promotes coordination of c are

• Can reduce errors

• Can improve quality of care




Health & Innovation


Applications of Telehealth

• Clinical • Educational • Administrative



Health & Innovation

Clinical Applications • Trauma • High-Risk OB/GYN • Dermatology • Diabetic Retinopathy • Mental Health • Tele-ICU • Pediatrics • Burn • Telestroke

Areas of Growth

• Schools • Work Places • Language Interpretation • Home Health • Prisons • Dentistry




Health & Innovation

Education

• Distance Learning

• Hands-On Virtual Training

• Research

• Community Education




Health & Innovation

Administrative Applications

• Virtual M eetings

• Multi-Location Interviews




Health & Innovation


Telehealth Technology

• Off-the-shelf products • Components • HIPAA • Encryption • Broadband • Video platforms

Off-the-Shelf Devices

,__,.

~.,n .. d r-1 1t)H$1;j,(WM

Ornrnl/intl!niiartpllna,y

" twui.l lhdlallNROCKS

-..................... -.... -........ _ ............. .......,. ._ La..-.:1~ ...

.............. 9 ---

SOUTH CENTRAL ~ TELE HEAL TH RESOURCE CENTER University o f Arkansas for Medical Sciences


Health & Innovation




Health & Innovation

Telehealth and Telemedicine Technology Components

Clinical/ Non-Clinical Carts

Desktop Unit mHealth (Mobile Health) Room System




Health & Innovation

Clinical Cart • HD Video Camera • Monitor • Microphone • Encryption Software • Peripheral Connection

Non-Clinical Cart

• HD Video Camera • Monitor • Microphone • Encryption Software




Health & Innovation

Peripherals




Health & Innovation

Desktop Unit Room System


~ SOUTH CENTRAL y TE.LEH EAL TH RESOURCE CENTER Un1vers1ty o f Arkansas for Medical Sciences


Health & Innovation

mHealth Devices

• Mobile Phones

• Tablets

• Wearables


DAILY MEDS Advair 230/21 Take 2 Puffs Twice Daily

Volair Take 375mg

YELLOW ZONE MEDS Albuterol Take 6 Puffs

Albuterol Take 4 Puffs Every 20 Minutes

RED ZONE MEDS Albuterol Take 6 Puffs Every 20 Minutes As Needed

• •



Health & Innovation

HIPAA Compliant

• HIPAA regulations are followed as if consultation is taking p lace face-to-face

• Encryption software helps to protect a patient’s health data




Health & Innovation

Encryption




Health & Innovation

Broadband




Health & Innovation

Broadband




Health & Innovation

Video Platforms


Site

.. ..

'

□ orTablet •••• •········ .. .. .. .. .. •

..

or Stethas~~~.~~ ••••• • • • • • •

······· ....

.... ----

or Remote •••••• • • • • • • • • • • • Patient • • • • • • • • • • • • • Monitoring

"-• SOUTH CENTRAL y TELEHEALTH RESOURCE CENTER University of Arkansas for Medical Sciences


Health & Innovation

Internet

Stream

Data

············· ···········

. . - X + x ••••••••

.

. . . . . . .

.. .. .. .. .. ..

Distant Site

Provider

. . .

... . .

• • •··Analytics/ Al/ Alerts

.. • • •• • • • • Electronic Medical

·· ...... • · · · _# _.-··· Record .. r _ . . · ········· ~~. . . . .,,.. ..

Analytics/Al/Alerts

Telehealth in Action




Health & Innovation


Things to Consider

• COVID19 - Coronavirus • Where to begin? • Payers • Telehealth etiquette • Champions needed



Health & Innovation

COVID19 (coronavirus)




Health & Innovation

Where to begin?

• What are you trying to accomplish? • Start small




Health & Innovation

------

Know your payers




Health & Innovation

Telehealth Etiquette




Health & Innovation

Champions Needed




Health & Innovation

[email protected] 1.855.664.3450

Joe Schaffner – 501-526-6215 [email protected]

Learntelehealth.org


mailto:[email protected]



Health & Innovation

Thank you!


Documents

Telehealth 101 - TargetHIV