resource savings, family and societal benefits of a statewide pediatric telemedicine program
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Resource Savings, Family and Societal Benefits of A Statewide Pediatric
Telemedicine Program
D.D.Fritch-Levens, MSN, MHA, RN
Children’s Healthcare of Atlanta
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Locations
Children’s Healthcare of Atlanta
… at Hughes Spalding… at Scottish Rite… at Egleston
• Children's serves our community with three hospitals and 17 neighborhood locations, including four Immediate Care Centers and a Primary Care Center.
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Current Program Offerings
TELEMEDICINE PROGRAM
Subspecialist at Scottish Rite
Child Protection
TeleEmergency at EG and SRTeleEmergency
EG and SR
Child Protection
Marcus Autism
Subspecialist at Egleston
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Our Patients…Our Community
• We have served 1,372 patients since inception
• 2009: 88• 2010: 461• 2011: 823
• Patients served live in 74 of the Georgia’s 159 counties• All outside of the MSA• Representing 47% of Georgia’s counties.
• 78% of our patients are covered by Medicaid /CMO’s
* 2011 Volume = January-December
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Program Offerings
• Allergy and Immunology (1)
• Cardiology (1)• Child Abuse (3)• Cystic Fibrosis (1)• Emergency (64)• Fetal ECHO (9)• Gastroenterology (1)• Nephrology (2)• Neurology (3)• Orthopedics (1)• Pulmonologist (1)• Rheumatology (1)• Neurosurgery (1)• Endocrinology (1)• Urology (1)
Coming soon…
• General Surgery (2)
CHOA Physician Credentialing
2009 Current Future0
20
40
60
80
100
27 29
64 64ED
Specialist
9188
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Growth Since Inception
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Benefits
• Builds stronger statewide relationships
• Convenience• Miles• Hours• Work• School
• Research – Abstract submitted and approved by Pediatric Academic Society
“Resource Savings, Family and Societal Benefits of a Statewide Pediatric Telemedicine Program”.
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Objective
To evaluate the overall resource savings that a Statewide Telemedicine (TM) Program for Children can bring to patients, families and society
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Barriers to Pediatric Sub-Specialty Care
• Limited number of pediatric subspecialists• Regionalization of subspecialists/Distance to care• Access to and limited public transportation• Direct and Indirect costs for seeking care
• Direct costs:• Travel time• Gas and car wear and tear• Medical transports for chronically ill (Medicaid vans
and others)• Indirect Costs/Opportunity Costs
• Time from work• Time from school• Impact on remaining family (caring for other children,
facilitating transport etc)
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Gas Prices
http://www.GasBuddy.com/gb_retail_price_chart.aspx?city1=USA Average&city2=&city3=&crude=nutmeg=36&units=us
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2011 Data
Year to Date…Per visit: Mean Median
Range
Miles Saved 310 344 72-524
Cost of miles saved $170 $189 $40-$288
Hours Saved Traveling 5.6 6.0 2-9
School days*Children greater than 5 y/o
86% 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
Overall cost of miles saved: $118,134 (0.55/mile)476 less days of work missed - Impact on Workforce476 less cars in Atlanta - Clean Air
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Summary of Findings
• Telemedicine represents significant direct cost savings in decreased travel time and expenses for patients & families.
• Indirect cost savings include time saved in travel that can be reallocated to school, work or other societal benefits.
• The high use by patients with Medicaid reinforces that telemedicine can improve access to care for this often underserved population.
• Additional benefits can also be seen as Medicaid patients and those needing assistance in travel (from family or others) can have these resources also reallocated.
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Data Collection
Use of data:• Measure by region• Marketing• Benefits to families by Counties
How is the data collected on an ongoing basis?
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Mileage Table
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Daily Reconciliation/Utilization
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Excel Formulas
Miles Saved
Cost of Miles Saved
Time Saved
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Questions?
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Recognition
Resource Savings, Family and Societal Benefits of a Statewide Pediatric Telemedicine Program:
Harold K. Simon, MD, MBA 1,2,3
Daniel A. Hirsh, MD 1,2,3
D.D. Fritch-Levens, RN, MSN, MHA 2
Cyndie Roberson RN 2
Mary Joyce Bacon 2
Linda Cole, RN, MBA 2
Stephanie Fessler, MD 1
Larry A. Greenbaum, MD, PhD 1,2
Michael McConnell, MD 1,2,4
1Department of Pediatrics, Emory University School of Medicine 2Children’s Healthcare of Atlanta
3Department of Emergency Medicine, Emory University 4Sibley Heart Center