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Telemedicine Today
Jonathan D. Linkous, CEOAmerican Telemedicine Association
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NAME GAMES
TelemedicineTelehealth
E-Health Telecare
Remote Medicine
m-Health
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A COUPLE OF HELPFUL DISTINCTIONS
HIT and Informatics
Telemedicine
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Focused on support systems
•Electronic Records
•E-Prescribing
•Management Information
Systems
•Electronic Payments
HIT AND INFORMATICS
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Focused on patient care
• Telehealth
• Mobile Health (mHealth)
• Remote Monitoring
• Outsourced Specialty Services
TELEMEDICINE
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WORLDWIDE DRIVERS FOR TELEMEDICINE
•Accelerating demands and costs
•Shortages of health professionals
•Global public health concerns
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TSUNAMI OF CHRONIC ILLNESS
“Frequent Flyers”
•5-10 percent of admissions, 1 percent of users
•22 percent of costs
•Primary chronic conditions: cardiac/COPD/mental health/diabetes
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Country 2000 2050
World 10.0% 21.4%
China 6.9% 22.7%
Germany 23.2% 34.5%
United States 16.1% 25.5%
POPULATION > 60 YEARS
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HISTORY OF TELEMEDICINEBoston Logan Airport to Massachusetts
General Hospital 1967
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HISTORY OF TELEMEDICINESTARPAHC – On the Papago Indian
Reservation1975
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ARIZONA TELEMEDICINE PROGRAM
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TELEMEDICINE SERVICES
Outsourced services – teleradiology,
neurology, mental health
Service contracts - prisons, oil rigs,
ships, international
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TEXASPRISON HEALTH MEDICAL
NETWORK
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VETERANS ADMINISTRATION
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ADVANCED TECHNOLOGIES
Robotics
Remote Surgery
Live Monitoring via Cell Phones
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PATIENTS SERVED BY TELEMEDICINE 2012
North America data
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PATIENTS SERVED (2012)
Civilian Network ConsultsFederal Network ConsultsRemote MonitoringImplanted Devices
Cardiac Monitoring
Internet-Pharmacy ServicesInternet Clinical Consults
Teleradiology
Outsourced Specialists
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1. Historic resistance to change
2. Lack of consistent adoption and integration pathways
3. Changing service delivery models and payment coverage
ADOPTION ISSUES
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RESISTANCE TO CHANGEDiscovery to implementation in medicine =
15 years
TIME
Rate
of
Ch
an
ge
Society
Business
Technology
Healthcare
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ROAD MAPS FOR ADOPTION AND INTEGRATION
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ATA PRACTICE GUIDELINES
GoalQuality
Assurance for Payers,
Public, Policy Leaders
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TechnicalTechnical
ClinicalClinical BusinesBusinesss
ATA PRACTICE GUIDELINES
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OTHER ATA ACTIVITIES
Member Networks
Meetings and Education
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Identifying and
Translating Market
Changes
Consulting with Policy Leaders
OTHER ATA ACTIVITIES
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• 600 Scientific Presentations
• 200,000 Square Feet of Exhibits
• 6,000 Attendees
The World's Largest Telemedicine, Telehealth & mHealth Trade Show
ATA 2013 - 18th Annual International Meeting & Trade Show
May 5-7, 2013 in Austin, TXwww.ATA2013.org