Transforming the Delivery of HealthcareAlabama Partnership For Telehealth

Third Annual Telehealth Summit

Jean R. Sumner M.D.

October 16, 2014

Finding the Balance: Access, Safety and

Quality in Telemedicine

Access

Change

Safety and Quality

Leadership

ACCESS TO CARE:

PHYSICIANS

BUREAUCRACY

COSTS

SOCIAL FACTORS

LIABILITY

ACCESS:

Physicians

Bureaucracy

Access:

Costs

Social Factors

Access:

Liability

Access:

Alabama is 47th in overall health status

Change: Telemedicine

“There’s a slow train coming round the bend.” Bob Dylan

Change: TelemedicineDefinition of Telemedicine:

“the practice of medicine.”

Change: Telemedicine

Change: Telemedicine Survival:

Change Quality

Leadership

Quality and Safety: Office

Psychiatry

Emergency Consultation

Cardiology

Must build quality through physician led teams.Appropriate use of physician extenders.

Telemedicine: Quality and Safety in the Office

Telemedicine: Quality and Safety in the Nursing Home

Frail elderly

Multiple illnesses

Consistent enviroment

Hospital/ER hostile

Telemedicine: Ouality and Safety in the Nursing Home

Convenient

Consistent

Complimentary

Communication

Telemedicine: Quality and Safety in the Hospital

Stoke Intervention

ICU Supervision

Outpatient visits

Supplement in patient care

Telemedicine: Quality and Safety in the Home

Patient follow-up

Case Management

Eventually home based acute and chronic disease care

Telemedicine: Quality and Safety by Preventing Transfer

Telemedicine Challenges: Standards for Quality and Safety

National Licensure

Access

Minimal Physical Exam Standards

Continuity of Care

Telemedicine Challenges:Standards for Safety and Quality

Patient Rights

Safety net

Emergency plan

Telemedicine: Ouality and Safety Issues

Telephone evaluation and treatment

Video Chats

Leadership: Lead the Change

Leadership: Demand Excellence

QUALITY:ExcellenceTeamwork

Leadership: Listen to Our Patients