Telehealth in Michigan: A Status Report

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Telehealth in Michigan A Status Report

• Sally Davis

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Imagine a world where anyone can get health care
when they need it.
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(No Transcript)
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Defining the field

• Telehealth
• Events
• Connections
• Telemedicine
• Clinical consults
• Patient encounters
• Store and forward
• Telehome Care
• Informatics

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Finding reality in definitions

• NICU infant to mother
• Neonatologist to pediatric surgeon
• Pediatric echo transmission
• Pediatric surgery follow-up
• Dietician to parent

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Technology in a nutshell

• Equipment
• Room systems, set tops, clinical, desk tops, home
  health, home monitoring
• Transmission
• ISDN
• T-1
• Internet Protocol
• Bandwidth
• POTS
• 128kbps and beyond

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Status of Telehealth in Michigan

• Established Networks
• UPTN, REMEC, DOC, VA
• Applications
• Why these network?
• Rural
• Funding
• Activity level
• Others UMHS, Hospice of Michigan, Lifeways
  Mental Health

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Why it makes sense for us..

• Weather
• Isolation
• Sparse population
• Travel time, risks and distance
• Quaternary health care 18 hour drive

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Success Measures

• Steady growth and expansion
• Continuation post initiation
• Integration into system
• Multiple uses
• Evidence of acceptance
• Administrative support
• Value to the organization
• Continuous objective evaluation

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Developing Networks

• Northeast, HNHS, Alpena, Southwest
• Michigan RHI funding
• Applications
• Challenges in developing
• Practitioner buy in
• Start up funding
• Process
• Practicality
• Sustainability post grant funding

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Michigan Challenges

• Licensure, credentials
• Payment, reimbursement
• Safety, Liability
• Infrastructure
• Privacy, Security

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UPTN Web Site
www.mgh.org/telehealth/index.html
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Michigan Telehealth Policy Group Web Site
http//www.msu.edu/pwhitten/policy/