what value does it bring to pretend hospital? pretend hospital logo caring for you
TRANSCRIPT
What is Telehealth?What value does it bring to Pretend
Hospital?
Pretend
Hospital Logo
Caring For You
Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients' health status.
Closely associated with telemedicine is the term "telehealth," which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services.
What is Telehealth?
Pretend
HospitalCaring For You
Eligible Providers CMS has identified these:
◦ Physician (MD/DO)◦ Nurse practitioner◦ Physician assistant◦ Nurse midwife◦ Clinical nurse specialist◦ Clinical psychologist◦ Clinical social worker◦ Registered dietician/nutrition professional
(as of October 2010)
Eligible Sites - CMS Physician/Practitioner Office Critical Access Hospital (CAH) Federally Qualified Health Center (FQHC) Hospital Rural Health Clinic Hospital-based or CAH-based Renal Dialysis
Center (including satellites) Skilled Nursing Facility Community Mental Health Center
(as of October 2010)
ReimbursementTelehealth Services under Medicare CPT/HCPCS Codes
Consultants 99241-99255
Office or Other Outpatient Visits 99201-99215
Psychiatrist Diagnostic Interview Examination
90801
Individual Psychotherapy 90804-90809
Pharmacologic Management 90862
Individual Medical Nutrition Therapy G0270, 97802, 97803
End Stage Renal Disease (ESRD) Related Services
G0308, G0309, G0311, G0312, G0314, G0315, G0317, G0318
Neurobehavioral Status Exam 96116
Follow-up Inpatient Telehealth Consultations
G0406, G0407, G0408
Information from Center for Telehealth & e-Health Law (October 2010) www.ctel.org
Reimbursement Medicaid
◦ 35 states have established rules for telehealth reimbursement
◦ Minnesota Medicaid Private Pay
◦ 12 states have passed legislation requiring insurance companies to pay for services delivered by telemedicine
Contract-based Services
Credentialing
Hospital-based services Providers must be credentialed
where the patient is located Privileges must also be granted This process is currently being
debated in Congress
Need vs. Demand
Determine if there is a need for the service◦ Do you have disparities to address?◦ Lost your provider?◦ What is the expected patient volume?
But, is there a demand?◦ Are providers asking for the service?◦ Are patients asking for the service?◦ Are others already providing the service?
Common Applications
In/Out Patient Specialty Services:
– Dermatology–Mental Health– Cardiology– Infectious
Diseases– Pediatric Services– Endocrinology
–Wound Care– Pulmonology– Oncology– Trauma/ER– Stroke Care
…and more
Common Apps (cont)
Telepharmacy TeleHome Heath (home monitoring) Remote ICU Monitoring Family Interactions Case/Disease Management Education
◦ staff, provider, family, community
Organizational
Budgetary
Value to Pretend Hospital?
Pretend
HospitalCaring For You
Organizational
Access to add’l care resources Staff competency Community perception Service stability Patient Experience Peer-to-peer interactions
Budget-Related
Stretch a tight travel budget
Increase ancillary services
Service continuation/expansion
Enhance the quality of care
Market-leader
Take a “new” look
Impact of Telehealth◦ Don’t look at it in a “bubble”◦ A tool of your entire organization◦ Now vs. Future
It is more than hard ROI◦ Can you afford NOT to have something
Cost of NOT having…
Lost Market Share? Professional isolation/burn-out Loss of “hometown dollars” Being viewed as “Behind the Times” Patient Care Liability Not providing a high quality “patient
experience”
Why Telehealth?
Pretend
HospitalCaring For You
Why Telehealth?
Adds value Strengthens relationships Builds competency Stretches budgets Expands services
…An Expectation!
Patients
Providers
Partner facilities
Payers
Don’t Wait
Take a step…even a small one!
Figure out what makes sense for your organization
If not…you’ll only get further behind