CAMC Health Education and Research Institute Our Telehealth Experience

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CAMC Health Education and Research
InstituteOur Telehealth Experience

• Sharon Hall, MS, President
• Barbara McGee, RN, MSN, Education Specialist II
• CAMC Health Education and Research Institute

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Since the introduction of Telehealth at the CAMC
  Institute in the early 90s, our objectives have
  remained the same

• Provide expert clinical consultation via
  telehealth technology to patients/clients in
  underserved and geographically isolated areas
  of West Virginia (avg. 400 consults per year for
  past 5 years)

• Broadcast continuing educational opportunities
  for healthcare providers (avg. 35 live CME
  programs/month and 48 archived CME programs/month)

• Provide community health education and
  web-based health information (WV Mini Medical
  School for the Public)

• Provide a means for healthcare professionals to
  participate in professional organizations,
  community health forums and administrative
  video conferencing (WV Hospital Assoc, WVDHHR)

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical consultations have been provided in a
  wide variety of medical disciplines/specialties
  including

• Internal Medicine

• Behavioral Medicine and Psychiatry

• Cardiovascular Medicine

• Maternal-Fetal Medicine

• Pediatrics

• Otolaryngology

• Post operative surgical assessment

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Top five consultation priorities in US
• Cardiology
• Rheumatology
• Dermatology
• Neurology
• Psychiatry

• Top five consultation priorities at CAMC
• Dermatology
• Behavioral Medicine
• - Adolescent and Geriatric
• Pediatric Pulmonology
• - Pediatric Asthma Clinic
• Neurology
• Endocrinology

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• CAMC Center for Telehealth has provided more than
  5,000 clinical consultations with 12 WV rural
  health care facilities

• Rural Health Clinics

• Critical Access Hospital

• FQHC Clinics

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical Milestones

• 1994 1st teledermatology consultation with
  Boone Memorial Hospital

• 1996 1st dual clinical consultation with a
  cardiologist and pulmonologist at CAMC with
  their patient at Braxton County Memorial
  Hospital

• 1998 1st live pediatric echocardiogram on a
  3 month old infant from Roane General Hospital

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical Milestones (continued)

• 2000 1st Diabetes Education Program presented
  from CAMC to 3 rural health care facilities,
  simultaneously

• 2002 Pilot Project Home Monitoring of
  Congestive Heart Failure Patients Its Impact
  on Re-hospitalization, Quality of Life and
  Cost

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical Milestones (continued)

• 2007 Perinatal Ultrasound/Telehealth Project
  developed

- WVU School of Medicine
- CAMC Health Education and Research
Institute Center for Telehealth
- West Virginia Perinatal Partnership
- Greenbrier Valley Physicians, Inc
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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical Milestones (continued)

• Goal of the Perinatal Ultrasound/Telehealth
  Project

- To improve management of patients with high
risk pregnancies by face to face, live
interactive clinical consultations as well as
real-time maternal-fetal ultrasound
capabilities
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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical Milestones (continued)

• 2008 Perinatal Ultrasound/Telehealth Project

- Network development
- Equipment acquisition and installation
- Initial Perinatal Telehealth Demonstration
between CAMC and Greenbrier Physicians, Inc.
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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Clinical Milestones (continued)

• A by-product of this network development has
  been the development of a Pediatric Asthma
  Clinic between Women and Childrens Hospital
  and the Robert C. Byrd Family Medicine Clinic
  in Lewisburg, WV

• Dr. Robert Kaslovsky, WVU Department of
  Pediatrics is the consultant for this clinic

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Our anticipated outcome is to provide real time
  maternal-fetal consultations with using
  ultrasound and telehealth technology to improve
  care for high risk obstetrical patients in rural
  communities of West Virginia.
• Other anticipated benefits would include

- Keeping the patient in her home community
for specialty care
- Moving information not the patient
- Supporting the care of the primary care
providers
- Keeping health care dollars at the local
level for ancillary care
- (Laboratory testing, radiology and pharmacy
needs)
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WHATS IN THE FUTURE??

• Telehealth Assessment February 2008 - Areas of
  Interest
• Emergency/Trauma
• Stroke
• Cardiology
• Critical Care
• Sepsis
• Endocrine/Diabetes
• Geriatric Services
• Consultative Specialty Care

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WHATS IN THE FUTURE??

• Telehealth Assessment February 2008 Perceived
  Barriers
• Reimbursement Methodology
• Lack of Highest Quality Technology/Infrastructure
• Lack of Capital for Equipment
• Costs of Line Charges
• Concern to Maintain Referral Systems
• Lack of Understanding of Potential
  Capacity/Benefit

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WHATS IN THE FUTURE??

• Focus Now On Connectivity
• Telehealth Alliance Partnerships to Advance
  Telehealth
• Focus on Service Development
• Appropriate Service Delivery
• Standard of Care
• Efficient and Cost Effective
• Focus on Barriers
• Education and Development
• Funding Sustainability
• Reimbursement

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WHATS IN THE FUTURE??

• Goals Improve Access
• Confidence of Providers and Patients
• Highest Quality of Care (Equal to On-site Care)
• Gains Confidence of Providers and Patients

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CAMC Health Education and Research InstituteOur
Telehealth Experience (1994 to present)

• Questions?