: Why?Why Healthcare needs broadband everywhere

What it can doWhy it is important to all of us

Wayne Easterwood, Chief Information Officer

Broadband - KY

Patient Engagement is the blockbuster drug of the century

Leonard Kish, Healthcare strategist quoted in Forbes magazine 9.2.2012

Broadband - KY

Ownership - Responsibility

Connection – care between visits

Coordination & Collaboration -

What in the World is Patient Engagement?

Better Health

Better Quality

Lower Costs

Triple Aim of HealthCare Reform

Because healthcare transforming impact will happen out in the community & in homes not in the hospitals and clinics.

Why does this matter to you

Healthcare - hospital focused Readiness, Responsive, Crisis, Always On

Today’s Healthcare = Sick Care

Medicaid Readmission

Health Complexity

90%+ psychotropic medications prescribed by PCP

Future = Wellness

One of nation's largest providers of behavioral healthcare.

Not-for-profit organization

Whole-person health

Full range Behavorial health addiction disorders intellectual & developmental disabilities

Integrated primary care

Centerstone At a Glance

85,000 children, teens, adults and families each year

Illinois, Indiana, Florida, Kentucky and Tennessee

150+ facilities & 220 partnership locations

2600 Clinic and Community Staff

Additional 400 in nationwide provider network.

Primary Care Clinics embedded

Majority of footprint in rural communities

Centerstone At a Glance

TeleHealth

CrisisChat,

CaseMgt CareMgt Health Navagation

Foster Care

CoAction

3 Quick Examples

Actively - 15 years

Telemedicine – Telepsychiatry - Telehealth

Clinical Telehealth Carts – Universal (29)Mobile Crisis Teams (10) LaptopsHospitalizations CON (5) iPads

Telehealth Current Picture

What is Next Where are We GoingExtracting Capacity, Accessible Specialties

What is Next Where are We GoingExtracting Capacity, Accessible SpecialtiesIntegrated Physical Health

High Utilizers, Super UtilizersIncarceration & Law Enforcement

Multi-specialty Network (43 carts, 16 iPads)

Super Utilizer PilotsSmartphone based – (130 devices)

Telehealth Developing Innovation Projects

Two Canoes – One foot in each canoe

Future IncentivesCurrent Clinical Models

Optimize vs. OpportunityToday Telehealth can be:

A solution to improved accessA key lever to reduce costTool to Extract lost capacityPath to Increase productivity

Care taken to not reduce revenue

Optimize vs. OpportunityTomorrow

Telehealth likely be anEssential element to Value Based Care Models

Health Homes, Medical HomesTool to Building competencies in

Integration & CollaborationIntervention & Prevention

Optimize vs. OpportunityPayors happy to allow you to

Improve service, squeeze waste, do more for same rates.

Become Well tune, highly optimized commodityOn your Dime That is A Race to the bottom

Strive to be Value for new marketsBuild competenciesBuild differentiation