5.march 19 2013 gpt conference dd fritch levens

July 14, 2011

TelemedicineWorking Together for Better

Care

Best Care…Healthier Kids

1.23.13

When spider webs unite, they can tie up a lion.

- Proverb

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Who We Are

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• Children's serves our community with three hospitals and 17 neighborhood locations, including four Immediate Care Centers and a Primary Care Center.

… at Hughes Spalding… at Scottish Rite… at Egleston

Children’s Healthcare of Atlanta

System Mission: To make kids better today and healthier tomorrow

Program Mission: To partner with Georgia’s communities to increase access to pediatric specialty care and offer pediatric specific education to clinicians and providers.

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Program Development

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Telemedicine Program

Subspecialist at Egleston

Marcus Autism

Subspecialist at Scottish Rite

Stephanie Blank Center for Safe and

Healthy Children

Presenting Sites

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• Healthcare Organizations

• Private Practices/clinics

• Community Health Sites– Schools– Public Health

Departments– Child Advocacy Centers

Current Sites

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• Participating with 43 presenting sites throughout Georgia

• 14 specialties with 25 physicians- Future: 15 specialties

27 physicians

• + 23 Child Advocacy Sites

(Map does not include Child Advocacy Centers)

Clinical Services Offered

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Coming soon:• Autism (1)• Apnea (1)

Current Specialties and Number of Physicians:

• Allergy and Immunology (1)• Autism (1) • Cardiology (1)• Child Protection (3)• Concussion/Neurosurgery (1)• Endocrinology (1)• Fetal ECHO (9)• Gastroenterology (1) • Nephrology (2)• Orthopedics (1)• Pulmonology (2) • Sports Medicine/Concussion (1)• Urology (1)

2009 Current Future05

1015202530

2

2527

Specialist Participating

Technology and Scopes

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Our Patients…

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• 2009: 88• 2010: 461• 2011: 823• 2012: 971

• We have served 2,343 patients since inception

CPC

Specialist

Marcus

Total

0 200 400 600 800 1000 1200

92

355

524

971

2012 Number of Patients Seen

2009 2010 2011 20120

200400600800

10001200

88

461

823971

Total/OverallNumber of Patients Seen

Program Growth and Opportunities

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• Community Health• School-based Telemedicine (41)

• Child Advocacy Centers (24)

• Public Health (14)

• Division of Family and Children Services (159)

• Internet-based solutions

• Remote Patient Monitoring / Care Coordination

• Distance Learning – building relationships, referrals

Outcomes

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Convenience and Savings for Patients

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• Patients served live in 74 of the Georgia’s 159 counties • 47% of all counties • All outside of the MSA

• 78% of our patients are covered by Medicaid /CMO’s• Overall cost of miles saved: $139,655 (0.55/mile)

Year to Date…Per visit: Median Range

Miles Saved 362 72-524

Cost of miles saved $199 $39-$288

Hours Saved Traveling 6.6 1.3-9.5

School days*Children greater than 5 y/o

84% of our patients would have missed school to travel to Atlanta

Work Days Missed*One adult present

>80% of our parents would have missed a full day of work to travel to Atlanta

Collaborative Consults

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Better Patient Outcomes

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• The patient:• 17 y/o female diagnosed with Nephrotic syndrome (a kidney disorder)• Lives in Columbus with her 70 year old grandmother

• Before Telemedicine:• Her grandmother would drive her to Atlanta to see Dr. Larry Greenbaum

when she was able, but it was difficult.• Her condition was worsening and she was not making appointments to his

clinic here in Atlanta. At that time Mary was at very high risk for Kidney failure. • After Telemedicine:• He has seen her several times via Telemedicine with The Medical Center in

Columbus Georgia since her first Telemedicine appointment in March of 2011.

• She is consistently making appointments, her condition is improving and her risk for kidney failure has drastically decreased!

Happy Parents

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… It was extremely convenient rather than driving 4 hours to Atlanta. The staffing was exceptional. Very friendly and accommodating.

…I think this was an awesome opportunity especially for those who are unable to travel to Atlanta.

…The visits are always great. Staff and doctor are very caring and concerned about my child's condition. I enjoy these visits every time.

…The visit was great! The staff was very courteous and helpful. This was a first time visit with telemedicine and a wonderful experience. Thank you and your staff.

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Coming together is a beginning, staying together is progress and working together is success.

- Henry Ford

Contacts

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DD Fritch-Levens, MSN, MHA, RNContact Center Director

d.d.fritch-levens@choa.org

Jill Davis, MPHTelemedicine Program Manager

Jill.davis@choa.org404-785-9333