Telehealth Show Me the Money

1
TelehealthShow Me the Money
Connecting Communities for Better Health Learning
Forum and Resource Exhibition

• Heather Gerhart
• Health Resources and Services Administration
• HIV/AIDS Bureau

2
VISION
NO MATTER WHO YOU ARE OR WHERE YOU AREYOU GET
THE HEALTH CARE YOU NEED WHEN YOU NEED IT
3
OAT Grant Awards

• Awarded over 225 million in grants since
  1989
• FY2004 Approximately 31 million
• Competitive and congressionally-
• mandated projects
• FY2003 110 programs, in 43 states and
  District of Columbia

4
TELEVILLAGE

TELEHEALTH
Health Professional Education
K-12 Education
TELEMEDICINE
Consumer Health Services
Business
Administration
Libraries
Public Health
Justice
5
Educational and Administrative Uses

• Continuing education
• Patient education
• Administrative meetings

Rural providers can receive continuing education
without the need to travel.
6
Real-Time Telemedicine
Patient in rural ER gets benefit of local care
plus remote consultation with specialists.
Remote doctor examines a patients inner ear from
a remote location.
7
Store-and-Forward

• Primary care provider takes a still image and
  sends it to a consulting physician who later
  reviews it
• No real time interaction between patient
  consultant
• Commonly used for dermatology, radiology

Clinician reviews scan which was forwarded for
consultation.
8
Home Health

• Low-cost equipment that needs only a regular
  phone line
• Used to check vital signs, monitor medications,
  visualize patient, provide enhanced support

Patient and nurse interacting during a video
home visit.
9

Emerging Technology Applications

• Emphasis on low cost applications
• Applications that improve quality of
• care
• Integration of information systems within
  institutions and across health care institutions

10
Inland Northwest Telepharmacy System
11
RESOURCES
SHOW ME THE MONEY
12
(No Transcript)
13
MANY FEDERAL AGENCIES FUND TELEHEALTH PROGRAMS

• DOD
• VA
• NASA
• HRSA
• CMS
• CDC

• NLM
• NIH
• AHRQ
• RUS
• Commerce
• TOP
• ATP

14
Dont Be Limited To Grants Labeled Telemedicine
or Telehealth

• AHEC Grants
• Community Health Centers
• Nursing Informatics Grants
• Homeland Security/Disaster Preparedness
• Rural Development/Hospital Flex Grants
• Community Access Program
• Rural Outreach Grants
• NIH Categorical Grants

15
HRSA Telehealth Inventory Hidden Telehealth
System Telehealth activities which are not
labeled as telehealth programs or activities
16

• Preliminary Findings from HRSA Telehealth
  Inventory

17
Non-Grant Sources of Support

• Third Party Payers
• Medicare
• Medicaid
• Private Insurers
• Workmans Comp
• Universal Service Program
• Contracts
• Prisons
• Schools

18
Lessons Learned from Our Grantees

• Planning Phase
• Conduct a targeted needs/
• resource assessment
• Form a clear vision of what you want
• Ensure that vision jives with needs
• Involve the community in planning
• Match technology to needs
• Strategic Plan/business Model
• gt Develop institutional support

19
Lessons Learned (continued)

• Implementation
• Champion(s)
• Clinician acceptance
• Staffing Site Coordinators, Technical Personnel
• Visits/encounters should resemble services as
  usual
• Close contact with all sites - nurture the
  partnerships especially physicians
• Market, train, market, train!
• Focus on Value Added

20
Lessons Learned (continued)

• SUSTAINABILITY
• Reimbursement
• Licensure
• Establish quality, results/outcome measures
• Develop protocols
• Training and Technical Assistance

21
10 Steps to Writing a Successful Grant Application

• Know What Agency is asking for
• Show how your project fits Agency goals
• Know What you want to do and why and how you
  want to do it
• Review instructions very carefully

22
10 Steps to Writing a Successful Grant Application

• Budget realistically
• Write a clear budget narrative that justifies
  your budget, but is not endless
• Do not oversell Keep expectations reasonable

23
10 Steps to Writing a Successful Grant Application

• Understand and convey that you understand
  limitations in your project
• Use simple and clear language and do not rely
  on appendices
• If partnerships involved, demonstrate real
  commitment of partners (define contributions in
  terms of money, roles and responsibilities)

24
(No Transcript)
25
CONTACT US
Heather Gerhart 5600 Fishers Lane Room
7C-22 Rockville, MD 20857 Phone (301)
443-1293 Fax [phone] Fax E-Mail
hgerhart_at_hrsa.gov