Telemedicine: Transforming Health Care in Illinois

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Telemedicine Transforming Health Care in
Illinois
Lori Williams Illinois Hospital Association March
20, 2014
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Presentation Outline

• Status of rural health care in Illinois
• Transformation of Health Care in Rural Illinois
• Legislative Initiative in Illinois
• Questions

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Illinois Hospital Association

• Offices in Naperville, Springfield and
  Washington, D.C., an advocate for 200 hospitals
  and health systems
• 88 are considered
• Small Rural
• 51 are Critical Access Hospitals

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Rural Health Care in Illinois
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Many Population Health Needs Exist
Obesity, Cancer, Asthma, Violent Crime, More
Illinois U.S.
Overweight/ Obese Children 34.9 31.6
Overweight/Obese Adults 63.2 63.8
Cancer Incidence Rate Per 100,000 484.2 462.1
Asthma Among Adults 9.2 8.6
Violent Crime Rate Per 100,000 435.2 403.6
Illinois Outpaces the Nation

Obese Children, Cancer, Asthma, and
Violent Crime.
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Many Population Health Needs Inadequate Mental
Health Services
The rapid decline of adequate mental health
services is resulting in steep increases in ED
visitsthe most expensive type of careby the
mentally ill.
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ACA Illinois Impact

• Expanded Coverage
• 2013
• 1.7 million uninsured Illinoisans
• By 2015
• More than 400,000 will gain coverage in the
  Health Insurance Marketplace
• Nearly 350,000 to be covered under Medicaid

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Primary Health Care HPSAs in Illinois
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Mental Health HPSAs in Illinois
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Nationwide Provider Shortage

• It is estimated that rural counties in Illinois
  will reach a shortage of 600 primary care
  physicians over the next two years.
• Illinois is currently short 1,200 nurses
  statewide right now.
• Nationally, nurse practitioner graduations have
  almost doubled between 2001-2011.

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Provider Trends are Clear

• Fewer primary care physicians
• New staffing patterns for providers
• Strategic use of NPs and APs

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Transformation in Rural Health Care
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Obama Signs the Affordable Care Act into Law
March 23, 2010
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(No Transcript)
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ACA Goals Trends are Clear

• 1. Bend the cost curve
• 2. Improve quality patient safety
• 3. Improve population health

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Telemedicine

• Improving access to care
• Improving Patient Outcomes
• Improving Population Health Wellness

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Televisits OSCAR Inc.

• Pictured above Oscar's co-founders, from left,
• Mario Schlosser, Kevin Nazemi and
  Josh Kushner
• Modern Healthcare, January 6, 2014

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Telemedicine Emerging as Rural ICU Solution
HealthLeadersMedia 1.23.14

• 54 Tele-ICU monitoring centers 21 rural
• Beds equipped with Smart Alert software
• UMASS (year 1)
• Reduced ICU Patient Mortality by 30
• Reduced Hospital Acquired Infections

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Tele-ICU

• Mercy Health System (Missouri)
• 480 beds expanding to 24 rural hospitals
• 30 reduction in ICU mortality
• 20 drop in LOS
• Saves 25 million per year
• John Muir Health (Northern California)
• 45 reduction in ICU mortality
• 54 reduction in LOS

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Legislative Initiative
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HB5313 SB3319

• Requires commercial payers to reimburse for
  services provided via telemedicine in HPSAs.
• IPS, ISMS, IRHA, IHA, Commercial Payers
• Sponsor working on final language
• 16 states have passed similar legislation 9
  others are considering it.

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Thank You