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Extending The Enterprise Through TeleHealth Programs Transforming How We Think About The Opportunity

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iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

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Page 1: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending The Enterprise Through TeleHealth Programs

Transforming How We Think About The Opportunity

Page 2: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Traditional thinking: TeleHealth technology is good for patients far away.

Page 3: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

This is how our patients are using communication technology ...

Not so far away

Page 4: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

How do you think about TeleHealth technology?

A different way to provide clinical services?

• Needs clinical studies, policies, outcomes measures, to prove value before investing

• Is it a better version of a phone call or a worse version of an in person encounter?

• Benefit limited to clinical

An infrastructure for more communication options?

• Phone system upgrade and is infrastructure investment in communication technology

• Providers and patients will use it as they deem beneficial

• Benefit is system wide

1 2

Page 5: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

How do you think about TeleHealth technology?

Line Level Thinking

• Finances assessed against projected clinical benefit

• Benefits accrue to an individual, clinic, or department

• Decreased upfront costs

• Increased long term costs and complexity

Systems Thinking

• Finances assessed against cost alternatives

• Benefits accrue to the system and solution is available for the system

• Increased upfront costs

• Decreased long term costs and complexity

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Page 6: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

How do you think about TeleHealth technology?

Line Level Thinking

• Compare investment against a single clinical process

• NPV

• IRR

• ROI

• Payback

Systems Thinking

• Compared investment against other system proposed expenses

• $34M upfront for teleICU, entertainment, education, simulation, patient services

• $15M upfront cost for combined solution

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Page 7: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending The Enterprise Through TeleHealth Programs

Transforming How We Think About Markets

Page 8: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending The Enterprise Through TeleHealth Programs

Social Networks

Enhanced communication

Remote data collection

Self-Care Support

Patient Education

Page 9: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending TeleHealth Programs for Internal Efficiency and Cost Savings

• Facilitates delivery of a number of internal virtual services

• Live chat with families from hospital room

• Video call routing, security, and management

• Infrastructure leveraged for patient services

Page 10: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending TeleHealth Programs for External Efficiency and Cost Savings

• Video communication outside firewall to patient home

• Load balance virtual patients and virtual services

• Utilize consumer equipment lowers cost and increases adoption by patients

• Aligns with clinical workflow

• Online forms and e-Sign solution

Page 11: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending TeleHealth Programs for New Business

• New market strategies

• Market penetration to new geographical areas

• Ancillary programs as revenue generating services

• Convert to video-capable call centers

Page 12: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Extending The Enterprise Through TeleHealth Programs

Transforming How We Think About Ourselves

Page 13: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

“To transform healthcare delivery, we

must first transform ourselves.”

Page 14: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

Organization Know Thyself

Page 15: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

1

Organization Know Thyself

Pursue with

existing

operations

infrastructure

Page 16: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

Organization Know Thyself

2

1

Page 17: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

Organization Know Thyself

Additional

committed

resources

1

2

Page 18: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

Organization Know Thyself

2

2

1

Page 19: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

3

Organization Know Thyself

1

2

2

Page 20: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

3

Organization Know Thyself

New

organizational

model

3

1

2

New

LOT

2

Page 21: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Resistance

Change

Line of

Tolerance

Organization Know Thyself

Page 22: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Personalized Patient Room

Page 23: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare
Page 24: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare
Page 25: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare

Thank you

Questions?

Page 26: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare
Page 27: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare
Page 28: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare
Page 29: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare
Page 30: iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain Healthcare