Telehealth RecommendationsTelehealth RecommendationsChad Daniels, Phil Laube, Tom VaughnChad Daniels, Phil Laube, Tom Vaughn

OverviewOverview

nn State of healthcare in Morgan CountyState of healthcare in Morgan Countynn How can How can telehealthtelehealth improve itimprove itnn How to make it workHow to make it worknn EquipmentEquipmentnn LocationLocationnn NetworkNetwork

nn RecommendationsRecommendationsnn NowNownn Future optionsFuture options

Morgan CountyMorgan County

nn GeneralGeneralnn One of the 10 poorest in Ohio (7One of the 10 poorest in Ohio (7thth))nn 16% unemployment16% unemploymentnn 43% below 200% of poverty43% below 200% of povertynn 18% of families below poverty18% of families below poverty

nn Median age is 39Median age is 39nn 40% are 45 and older 40% are 45 and older –– ““BoomersBoomers””

HealthcareHealthcare

nn 17% uninsured (11% in Ohio)17% uninsured (11% in Ohio)nn HPSAHPSAnn WhatWhat’’s availables availablenn 2 doctors, 2 dentists2 doctors, 2 dentistsnn No OB/GYNNo OB/GYNnn No PediatriciansNo Pediatricians

nn One FQHC One FQHC -- butbut……n Closest hospital – 30 miles northn Life flight

How can telehealth improve things?

n Cardiologyn Heart attackn Initial response – Life FlightnWhat about rehab?

n Mental Healthn Access

Telecardiology

Telecardiology

Telemental Health

Telemental Health

Telenursing

What can telehealth do

n Telecardiologyn Telemental Healthn Telenursingn Telemonitoringn Teleradiologyn Telerehabn And more!

Remote Healthcare

Provider (Morgan Cty)

Remote Healthcare

Provider (Morgan Cty)

PayerPayer

SpecialistSpecialist

PatientPatient

TelehealthTelehealth

Telehealth Telehealth –– How it worksHow it works

Telehealth Telehealth –– BenefitsBenefits

nn PatientPatientnn Improved access to specialistsImproved access to specialistsnn Quicker, more accurate diagnosisQuicker, more accurate diagnosisnn Reduced Reduced nn TravelTravelnn StressStressnn Cost (travel & time away from work)Cost (travel & time away from work)

Telehealth Telehealth –– BenefitsBenefits

nn Remote Healthcare ProviderRemote Healthcare Providernn Improved access to specialistsImproved access to specialistsnn Education opportunitiesEducation opportunitiesnn Less professional Less professional ““isolationisolation””nn Research participationResearch participationnn ““Electronic Electronic HousecallsHousecalls””

Telehealth Telehealth –– BenefitsBenefits

nn Central Healthcare ProviderCentral Healthcare Providernn Decrease in travel, increase in patientsDecrease in travel, increase in patientsnn ImprovedImprovednn Patient screeningPatient screeningnn Patient followPatient follow--upup

nn OpportunitiesOpportunitiesnn EducationalEducationalnn ResearchResearch

Telehealth Telehealth –– BenefitsBenefits

nn Healthcare PayerHealthcare Payernn Decreased cost per patientDecreased cost per patientnn Physician travelPhysician travelnn Backup/supplement with Nurse Backup/supplement with Nurse PractionersPractioners

nn Improved outcomesImproved outcomesnn Fewer hospital admissionsFewer hospital admissions

ReimbursementReimbursement

nn Originating sitesOriginating sites

nn MedicareMedicarenn What is currently coveredWhat is currently covered

nn MedicaidMedicaidnn What is currently covered in OhioWhat is currently covered in Ohio

How to make it workHow to make it work

nn Equipment / peripheralsEquipment / peripherals

nn LocationLocation

nn Network connectionNetwork connection

Equipment / peripherals

n Videoconferencing – part of almost every appn HD provides the best service to all

n Patient Monitoringn Examination camerasn EKGn Blood pressuren Others

Location

n Nown Clinics – McConnelsvillen New location – Stockport

n Futuren Depends on connectionn Chesterhill or Pennsville à Wiredn Mobile à Severaln Home à Wireless

Network ConnectionNetwork Connection

nn OptionsOptionsnn POTSPOTSnnBroadbandBroadbandnnDSL DSL nnCableCablennT1T1nnWirelessWireless

Network connection Network connection availabilityavailability

McConnelsville Malta Stockport

POTS Embarq Embarq Embarq

Broadband

-T1 or DSL Embarq[1] Embarq Embarq

-Cable Time Warner[2] Time Warner Time Warner

-Wireless AT&T[3] AT&T

Alltel[4] Alltel Alltel

*Verizon[5] *Verizon *Verizon

Phone Wire CentersPhone Wire Centers

Now Now –– Network ConnectionNetwork Connection

nn Utilize existing POTS and BroadbandUtilize existing POTS and Broadband

nn Start with Malta/Start with Malta/McConnellsvilleMcConnellsville then then branch to Stockportbranch to Stockport

Future Future –– WirelessWireless

nn WiMaxWiMax vs. LTEvs. LTEnn WiMaxWiMaxnn Main carrier Main carrier –– Sprint / Sprint / ClearwireClearwire

nn Network covering 80% of country by 2010Network covering 80% of country by 2010

nn Operates at 2.5 Operates at 2.5 GhzGhz

nn LTELTEnn Supported by AT&T and VerizonSupported by AT&T and Verizon

nn Expected Nationwide availability in 2012 or 2013Expected Nationwide availability in 2012 or 2013nn Expected to operate at 700 Expected to operate at 700 mhzmhz

Future Future –– WirelessWireless

nn Which is better?Which is better?nn SpectrumSpectrumnn Who will win?Who will win?nn Which is better for Morgan CountyWhich is better for Morgan County

RecommendationsRecommendations

nn Equipment Equipment –– based on your based on your assessmentassessment

nn Network connectionsNetwork connectionsnn CostsCostsnn Depends on equipment selectedDepends on equipment selectednn Basic computer & network equipBasic computer & network equipnn Data/bandwidth costsData/bandwidth costsnn Medical equip/peripheralsMedical equip/peripherals

Further suggestionsFurther suggestions

nn Future: Join the Future: Join the Southern Ohio Southern Ohio Healthcare NetworkHealthcare Network

nn Now: Partner with Now: Partner with Genesis Healthcare Genesis Healthcare

nn Create a network with Create a network with Genesis HealthcareGenesis Healthcarenn Housed in Morgan Valley Housed in Morgan Valley

Health CenterHealth Centernn Link with Genesis Health Link with Genesis Health

& Rehab& Rehab