Trends in Telemedicine

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2 Trends in Telemedicine

3 Value of Care Telemedicine Care Urgent Care Primary Care Specialty Care Emergency Care $ $$$$$ Health Care Value = Quality x Satisfaction Cost

4 Mission To advance the health of individuals in our region by collaborating with communities and local healthcare providers to offer innovative telemedicine solutions that increase access to health services.

5 Vision Create and manage an efficient, comprehensive and sustainable solution for the delivery of health care to underserved rural hospitals and communities.

6 Current Health Care Environment Rural hospitals in Nebraska are searching for solutions to effectively access health care, improve financial operating margins and partner with health systems

7 The Solution Increase physician presence through telemedicine applications. As a result, there is a reduction in patient outmigration as more patients can safely remain closer to home. This solution ultimately leads to improved local provider satisfaction, increasing revenue for the local hospital, and strengthening of community relationships.

8 The Program Video Conferencing Mental Health Triage Outpatient Clinics Technical Infrastructure Equipment Rural Hospitals e-intensivist e-trauma e-hospitalist e-emergency

9 Program Readiness /Training Technology Clinically Relevant Providers Success

10 Support Program Development Support and Collaboration On Site Analysis Connectivity Operations Provider Engagement Nurse Training Quality monitoring 24/7 End User Support

11 Services Acute Care Services Outpatient Specialty Services Inpatient Services

12 Telemedicine Complexity High Complexity Currently most telemedicine services reside within these categories Scheduled O/P Video Conferencing O/P Diagnostic Telemedicine Acute Care Diagnostic Consultation Acute Care Diagnostic Patient Management DICOM VPN OR Gateway Video to Device TWIV Education Low Complexity

13 Acute Care Telemedicine Emergency Care (7 am -7pm) Inpatient Care (7am 7 pm) Mental Health Triage (11 am 11pm) Trauma Care (24/7)

14 Testimonial Neligh I felt my experience with Antelope Memorial Hospital s new telemedicine program was very positive. We could still communicate with my primary health provider, Dr. Dawson, and it was very effective in meeting my needs. The telemedicine physician was very reassuring and prevented a potential ambulance trip out-of-town. Plus, it was all taken care of in a matter of minutes that evening. I am happy for this service to be offered at AMH and appreciative of what it has to offer my family and me. Laura Dewey, Patient

15 Case Examples Neligh Pediatric Seizure Disorder Cellulitis Early Sepsis Acute Myocardial Infarction Congestive Heart Failure Carbon Monoxide Poisoning Diabetic Ketoacidosis Pediatric Orthopedic Surgery Complication

16 Telemedicine Physicians Dr. Bohart Dr. Dodge Dr. Dresbach Dr. Ericksen Dr. Essink Dr. Heasty Dr. Howerter Dr. Mazour Dr. Reed Dr. Sayers Dr. Schweitzer Dr. Studley Dr. Sullivan

17 Tele-Trauma Nebraska Trauma and Acute Care Surgery, PC Dr. Burton Dr. Okosun Dr. Walcutt

18 Mental Health Emergency LICSW staff from Bryan Mental Health Emergency Department

19 Outpatient Services Urology Psychiatry Cardiology Counseling Dermatology Nephrology Pulmonology

20 TeleUrology Urology P.C. Andrew Lepinski, MD Melissa Fulton, APRN

21 TelePsychiatry Genesis Psychiatric Group Melissa Quick, APRN, MSN, MA

22 TeleCardilogy Bryan Heart Dr. Tessendorf, MD

23 Testimonial Neligh Telemedicine supports our mission to serve our patients by offering the best care possible in our community. It provides the opportunity for us to expand our services while allowing our patients to stay in our community to receive the care they require. It s a new era of caring and we are truly excited to offer this new service to our patients and our community. Jack Green, CEO

24 TeleIntesivist Nebraska Pulmonary Specialties Dr. Fiedler Dr. Jarrett Dr. Martin Dr. Reichmuth

25 Bryan Telemedicine Projected Service Expansion epharmacy Health and Wellness Corporate Telemedicine Home health and chronic disease management Home Telemonitoring eicu Telemonitoring E360 Virtual Innovation and Resource Center Teleneurology and Telestroke Specialty service expansion

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