Eastern Montana Telemedicine Network

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Eastern Montana Telemedicine Network

• Thelma McClosky Armstrong, Director
• Billings Clinic
• [phone]

tmcclosky_at_emtn.org
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Brief History

• Operational since 1993
• Consortium of medical and mental health
  facilities
• Initially funded by federal grants and private
  donation
• 35 sites in central and eastern Montana northern
  Wyoming, and western North Dakota

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Mental Health Early Adopters

• Lack of providers in the region
• More timely access to follow-up
• Removed barriers to care
• Collaboration
• Reimbursement

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By The Number

• 1644 mental health encounter with 7,975
  participants
• Clients save an estimated 617,000 in out of
  pocket expenses
• 96 of the clients served by the network said
  they would have to travel for care if
  telemedicine was not available

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Driver of Continued Success

• Partnerships
• Human Resources
• Integration of Technology Into the Clinical
  Practice Flow
• Scheduling
• Medical Records
• Process Improvement

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Early Decisions that Supported Success

• Mental Health Center one of the original partners
• To join the consortium a facility would have to
  agree to allow mental health patients to be seen
  in their facility
• Provide two people to serve as site facilitators
• Recreate the in-person environment

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Types of Services

• Follow up
• Medication Management
• Consultation
• Individual Therapy
• Family Therapy
• D/C planning
• EAP

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CD Treatment

• Early Recover, Relapse Prevention, Anger
  Management, Family Education, ACT
• AA and NA
• Aid in room at client site
• 4 nights a week
• Multiple sites

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Montana Telehealth Alliance
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ITS ABOUT THE CLIENT