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Presented as part of the NOSORH HIT Workshop - Oklahoma City, OK (Nov2010)
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Who are the TRCs?…and…
How Can We Help?
TRCs
Telehealth Resource Centers
www.telehealthresourcecenter.org
• Comments
4 New TRCs
Southeastern TRC
South Central TRC
Heartland TRC
Pacific Basin TRC
Who is the GPTRAC?
Established in 2006 Located at University of Minnesota/IHI Extensive telehealth program
implementation experience– 75+ years, combined
Why me?
One of the TRCs Built and run telehealth programs Involved in telehealth since 1993
Dirt! (old as…)
What do we do?
Build Awareness Provide guidance Answer questions Share tools and resources Provide education Encourage collaboration Gather regional information
Who do we serve?
Hospitals Clinics Providers Safety-net Organizations Schools Nursing Homes Etc.
Overview:
General Planning Operations Training Technology Reimbursement Evaluation
What you need…
How to find it…
JUST STARTINGDefinitionsInformationArticles
ATA
American Telemedicine Association
http://www.americantelemed.org
HRSA
Office for the Advancement of Telehealth
www.hrsa.gov/telehealth/default.htm
Publications
Journal of Telemedicine and Telecare
Telemedicine and e-Health
PLANNINGProject ManagementBusiness Planning/ROINeeds/Readiness Assessments
Need a map
CTEC
Telehealth Program Developer
7-step process
www.cteconline.org
GPTRAC
Implementation Cycle
Readiness Macro Plannin
g
Business Case
Micro Plannin
g
Pilot
ExpandEvaluate
Enhance
Planning Process
www.gptrac.org
OAT/HRSA
http://telehealth.muhealth.org/general%20information/TAD.html
OPERATIONSOrganizational StructurePolicies/ProceduresFormsStaffingRemote Partner Locations
www.telehealthresourcecenter.org
Operations
www.telehealthresourcecenters.org
Policies/Procedures
Policies/Procedures
EXAMPLE
Forms
Staffing
Remote Sites
www.gptrac.org
TRAININGClinical: Initial and On-goingDistance EducationWebinars
University of Minnesota
School of Nursing
Internal Training
Not everyone can “go” for training Need to:– Develop comfort and understanding– Establish competency– Assure service continuation
Nursing Trainingwww.gptrac.org
Distance Education
Receiving: Look around for opportunities Technology allows you to stretch! Options:– The TRCs– The Health Systems in your region– Others
Expect quality, and encourage it.
Resources:
Distance Education
Providing: Teach your presenters Engage the remote locations Make accommodations to facilitate learning
at the remote locations– Teaching aides/hand-outs– On-site resources
Distance Educationwww.gptrac.org
TECHNOLOGYEquipmentPeripheralsNetwork
Equipment
Videoconferencing Remote Monitoring Peripherals
Videoconferencing
Room Units Telepresence Desktop Web-based Etc…
Remote Monitoring
Home Health ICU Connectivity– What is available?– What is needed?
Integrated vs. Stand-alone
Peripherals
Stethoscope Otoscope Examination
Camera Dermascope Ultrasound Scale Etc…
Equipment
• Telehealth Technology Assessment Center
RULES & REGSLicensingCredentialing/PrivilegingHIPAAReimbursementLiability/Risk
CTeL
www.telehealthlawcenter.org
• Center for Telehealth & eHealth Law
Licensure
Physicians Nurses Pharmacy Others…
Credentialing
CMS JCAHO Your facility’s risk manager or attorney Center for Telehealth & eHealth Law
Privilegingwww.jointcommission.org
HIPAA
Center for Telehealth & eHealth Law
http://telehealthlawcenter.org/?c=181
Reimbursement
CMS Center for Telehealth & eHealth Law State Medicaid Third party payors
CMS
http://www.cms.gov/MLNProducts/downloads/TelehealthSrvcsfctsht.pdf
CTeL
http://telehealthlawcenter.org/
State Medicaid
Other Payers
Just bill ‘em… Call and ask Check at CTeL Check at ATA
Other Payers
Some states have mandates for coverage
Otherwise…– Aetna– Blue Cross– Etc.
EVALUATIONDetermining the ValueTracking & CollectionForms
www.southwesttrc.org
One at a time…
