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Telemedicine Today

Jonathan D. Linkous, CEOAmerican Telemedicine Association

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NAME GAMES

TelemedicineTelehealth

E-Health Telecare

Remote Medicine

m-Health

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A COUPLE OF HELPFUL DISTINCTIONS

HIT and Informatics

Telemedicine

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Focused on support systems

•Electronic Records

•E-Prescribing

•Management Information

Systems

•Electronic Payments

HIT AND INFORMATICS

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Focused on patient care

• Telehealth

• Mobile Health (mHealth)

• Remote Monitoring

• Outsourced Specialty Services

TELEMEDICINE

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WORLDWIDE DRIVERS FOR TELEMEDICINE

•Accelerating demands and costs

•Shortages of health professionals

•Global public health concerns

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Kathleen Casey-KirschlingJanuary 1, 1946, 12:00:01

am

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694,0001,078,000

384,000

32,000,000

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TSUNAMI OF CHRONIC ILLNESS

“Frequent Flyers”

•5-10 percent of admissions, 1 percent of users

•22 percent of costs

•Primary chronic conditions: cardiac/COPD/mental health/diabetes

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COST OF CHRONIC CONDITIONS

10

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Country 2000 2050

World 10.0% 21.4%

China 6.9% 22.7%

Germany 23.2% 34.5%

United States 16.1% 25.5%

POPULATION > 60 YEARS

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HISTORY OF TELEMEDICINE

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HISTORY OF TELEMEDICINEBoston Logan Airport to Massachusetts

General Hospital 1967

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HISTORY OF TELEMEDICINESTARPAHC – On the Papago Indian

Reservation1975

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TELEMEDICINECIRCA 2005

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HOSPITAL HUB-AND SPOKE NETWORKS

200 networks3,000+ sites

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ARIZONA TELEMEDICINE PROGRAM

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TELEMEDICINE SERVICES

Outsourced services – teleradiology,

neurology, mental health

Service contracts - prisons, oil rigs,

ships, international

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TEXASPRISON HEALTH MEDICAL

NETWORK

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VETERANS ADMINISTRATION

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EMERGENCY SERVICESAND DISASTER RESPONSE

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CONTINUING MEDICAL EDUCATION

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TELEMEDICINECIRCA 2013

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BIG MED

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OUTSOURCED AND SHARED SPECIALTY SERVICES

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ONLINE SERVICES ANDCONSUMER HEALTH APPS

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ADVANCED TECHNOLOGIES

Robotics

Remote Surgery

Live Monitoring via Cell Phones

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PATIENTS SERVED BY TELEMEDICINE 2012

North America data

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PATIENTS SERVED (2012)

Civilian Network ConsultsFederal Network ConsultsRemote MonitoringImplanted Devices

Cardiac Monitoring

Internet-Pharmacy ServicesInternet Clinical Consults

Teleradiology

Outsourced Specialists

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1. Historic resistance to change

2. Lack of consistent adoption and integration pathways

3. Changing service delivery models and payment coverage

ADOPTION ISSUES

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RESISTANCE TO CHANGEDiscovery to implementation in medicine =

15 years

TIME

Rate

of

Ch

an

ge

Society

Business

Technology

Healthcare

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WHAT ATA DOES

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ROAD MAPS FOR ADOPTION AND INTEGRATION

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ATA PRACTICE GUIDELINES

GoalQuality

Assurance for Payers,

Public, Policy Leaders

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TechnicalTechnical

ClinicalClinical BusinesBusinesss

ATA PRACTICE GUIDELINES

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COLLABORATIONS

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OTHER ATA ACTIVITIES

Member Networks

Meetings and Education

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Identifying and

Translating Market

Changes

Consulting with Policy Leaders

OTHER ATA ACTIVITIES

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• 600 Scientific Presentations

• 200,000 Square Feet of Exhibits

• 6,000 Attendees

The World's Largest Telemedicine, Telehealth & mHealth Trade Show

ATA 2013 - 18th Annual International Meeting & Trade Show

May 5-7, 2013 in Austin, TXwww.ATA2013.org

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www.americantelemed.org

1100 Connecticut Avenue, Suite 540

Washington, DC 20036