Project: Telemedicine Welcome & Introductions

Transcription

1 Iowa Transformation Consortium Workshop Presented by Global Partnership for Telehealth & HomeTown Health September 19, 2017 A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO THE Iowa Small Hospital Improvement Program (SHIP) Grant FY 17 IA Contract #5888SH01. Welcome & Introductions Presented by: Evelyn Leadbetter Network Services Manager & Technology and Telemedicine Program Lead HomeTown Health, LLC HomeTown Health Biography Evelyn Leadbetter joined the HomeTown Health Florida Division in December, A native of Dahlonega, Georgia, Evelyn completed her Bachelors in Business Administration at the University of North Georgia, as well as her Masters in Public Administration and Disaster Management at Georgia State University in Atlanta, Georgia. She also continued her graduate studies in Disaster Management at the Federal Emergency Management Agency s Emergency Management Institute. Her experience in healthcare, emergency preparedness and community support has enabled her to better serve as the Network Services Manager and rural healthcare advocate for HomeTown Health and Hometown Health University. 1

2 Who is HomeTown Health? HomeTown Health, LLC (HTH) is an organization that was started 18 years ago in GA to pursue ways to help rural and small hospitals survive in this environment of tremendous budget cuts from the state and federal level HTH works hospitals through grant work and education programs nationwide In 2016, the Iowa Department of Public Health issued a Request for Proposal to contract out the management oversight and coordination of the SHIP program activities and services HTH was selected for years As Project Manager, HomeTown Health's responsibility is to provide comprehensive management and oversight of the State of Iowa s SHIP Program, such as reporting, budgeting and managing other grant requirements with HRSA HTH also charged with the coordination of group purchases of goods and services that align with the participating hospitals designated activities, as submitted/requested on the SHIP applications Welcome & Introductions Learning Outcomes: By the end of this session, attendees should be able to: Identify the purpose of this workshop Describe resources available for the Project participants A Workshop is A room or building where things are created or repaired A discussion group that emphasizes exchange of ideas and the demonstration and application of techniques and skills Using intensive group discussion & improvisation in order to explore before implementation Intensive educational program that focuses especially on techniques and skills in a particular field A period of discussion or practical work which a group of people share their knowledge or experience Training in which the participants work individually or in groups to solve actual work related tasks to gain hands-on experience 2

3 Introduce Yourself! Name Title or Role Hospital What areas of Telemedicine your hospital currently offers (if any) One area of Telemedicine your hospital is interested in developing AGENDA Welcome & Introductions Project Overview & Opening Discussion An Interactive Guide for Developing Sound Telehealth Programs Telehealth Application and Workflow Lunch n Listen: Case Study Engaging Your Providersin Your Telehealth Development and Program Navigating the Telehealth Regulation and ReimbursementLandscape in Iowa Telemedicine Technology Demo and Discussion What Now? Closing & Evaluations HomeTown Health, LLC. Global Partnership for Telehealth Global Partnership for Telehealth Global Partnership for Telehealth Appling Healthcare System The DunnickGroup, LLC. gptrac National School of Applied Telehealth Global Partnership for Telehealth HomeTown Health, LLC. Telemedicine Workshop Team Sherrie Williams GPT COO Sherrie.Williams@gpth.org Lloyd Sirmons NSAT Director Lloyd.sirmons@setrc.us Jonathan Neufeld Program Director gptrac Dr. Jim Dunnick The Dunnick Group, LLC 3

4 Hospital Transformation Consortium CONTINUING EDUCATION As an IACET Authorized Provider, HomeTown Health, LLC offers CEUs for its programs that qualify under the ANSI/IACET Standard. HomeTown Health, LLC is authorized by IACET to offer 0.5 CEUs/5 credit hour for this program. In order to obtain these units, you must: Attend meeting in its entirety and sign in on sign-in sheet Pass online quiz with 80% or better. Complete webinar evaluation. Following the meeting, all attendees who have met the attendance requirement will be ed a link to the online quiz and evaluation. Hospital Transformation Consortium CONTINUING EDUCATION HTHU provides over 300 courses online, over 100 Webinars a year, and various live training conference and workshops. Accredited Education from the International Association for Continuing Education & Training (IACET). (Who accepts the IACET CEU? Full list at American Association of Respiratory Therapy American Board of Medical Microbiology American Society for Clinical Laboratory Science American Society for Quality American Speech-Language-Hearing Association Board of Certified Safety Professionals The Child Care Development Associate National Credentialing Program Clinician s View (Occupational, Speech, and Physical Therapy) Federal Emergency Management Agency Georgia, Massachusetts and Ohio Board of Nursing Georgia Professional Standards Commission Human Resources Certification Institute (for their Professional in Human Resource Designation) National Association of Rehabilitation Professionals in the Private Sector National Association of Social Workers National Board for Certification in Occupational Therapy, Inc. (NBCOT) National Council for Therapeutic Recreation Certification National Registry of Emergency Medical Technology (EMT) National Registry of Microbiologists National Society of Professional Engineers Society for Human Resources Management State of Georgia, FL and Iowa Board of Professional Engineers The American Association of Integrative Medicine The American College of Forensic Examiners Institute The American Council on Pharmaceutical Education The American Psychotherapy Association The International College of The Behavioral Sciences The National Board for the Accreditation of Occupational Therapy (NBCOT) PROJECT DASHBOARD Links to all Project Details available on the Dashboard 1. Go to the Consortium Dashboard: password: transform 2. Click on the icon; Enter Project password: connect 4

5 PROJECT DASHBOARD After the Workshop, we ll add full-size slide handouts and other materials distributed today for you to access and share with others Project Overview & Opening Discussion Presented by: Sherrie Williams, COO Global Partnership for Telehealth Biography Sherrie Williams, LCSW COO Global Partnership For Telehealth 5

6 Project Overview Learning Outcomes By the end of this session, attendees should be able to: Explain the who, what, when, and where of GPT and what this experience brings to their hospital's program Describe and review the overall Project: Telemedicine of the SHIP program. Identify common needs shared among Iowa hospitals in developing CONSORTIUM PROJECT Successful Telehealth Programs don t just happen; strategic planning is the key! Project Participants will receive the following: Project Kickoff Webinar on July 21 at 1:00pm Central The team of experts at Global Partnership for Telehealth will provide a series of 3 round-table discussions with each hospital s Telemedicine and Leadership team. Access to Staff Training Certifications on the National School of Applied Telehealth Live One-Day Project Training Workshop on September 19, 2017 Individual funds for equipment purchase/ additional training for use by hospital (Amount TBD, roughly $2,500- $3000) What You Told Us Please describe which stage(s) of Telemedicine Program Development your hospital has reached or started. Project Pre-Assessment Survey Results 6

7 What You Told Us How many telemedicine clinical encounters does your hospital average in a month? Average 2 Range of Use: 0-6 Project Pre-Assessment Survey Results What You Told Us What are your hospital's primary reasons for choosing to implement a telemedicine program? Project Pre-Assessment Survey Results You Said: Psychiatric Care Access What You Told Us If currently offering, which telehealth Specialties does your hospital currently provide? Project Pre-Assessment Survey Results You Said: Nutrition Tele-pharmacy Tele-radiology 7

8 What You Told Us If currently offering, which telehealth Services does your hospital currently provide? Project Pre-Assessment Survey Results You Said: E-Hospitalist Teleradiology What You Told Us Select your hospital's top five (5) barriers as it relates to successful telemedicine implementation. Top Responses: 1. High cost of infrastructure and hardware and Lack of Provider availability (tie) 2. Federal and State Coverage/Reimbursement Limitations 3. No or low Private Payer Reimbursement and Technology interoperability (tie) What You Told Us Our hospital has "champions" in place who will fight/defend the program. (For example, a Telehealth Coordinator, administrative/executive, or medical director) Project Pre-Assessment Survey Results 8

9 What You Told Us Our hospital has purchased/leased Telemedicine equipment in place. Project Pre-Assessment Survey Results What You Told Us Our hospital currently tracks patient satisfaction related to telemedicine encounters. Project Pre-Assessment Survey Results What You Told Us Our hospital currently tracks satisfaction of consulting providers/specialists. Project Pre-Assessment Survey Results 9

10 What You Told Us Which of the following telehealth Specialties has your hospital discussed adding or has interest in developing? What You Told Us Which of the following telehealth Services has your hospital discussed adding or has interest in developing? What You Told Us Identify which training activities your hospital has previously participated in for telemedicine staff development: 10

11 What You Told Us Has your hospital provided specific training or additional education for one or more individuals to serve as a leader, promoter, and marketer for your hospital in the TeleHealth industry? and Has your hospital provided specific training or additional education for one or more individuals so that they have the skills to correctly and confidently coordinate virtual encounters with physicians and a variety of specialists? Project Pre-Assessment Survey Results What You Told Us Has your hospital provided specific training or additional education for one or more individuals so that they have the skills to correctly and confidently present patients during virtual encounters with physicians and a variety of specialists? Project Pre-Assessment Survey Results Project Overview Learning Outcomes Now that this session is complete, attendees should be able to: Explain the who, what, when, and where of GPT and what this experience brings to their hospital's program Describe and review the overall Project: Telemedicine of the SHIP program. Identify common needs shared among Iowa hospitals in developing 11

12 Developing a Sound Telehealth Program Presented by: Sherrie Williams A Sound Telehealth Program Learning Outcomes By the end of this session, attendees should be able to: Describe the importance of thoughtful planning for successful telehealth programs Identify stakeholders who should be involved with telehealth program development Develop a plan for advancement of the current telehealth program PLANNING How are you going to do it? What do you want to do? What are your priorities and measures of success? Planning is the process of thinking about and organizing the activities required to achieve a desired goal. It involves the creation and maintenance of a plan. Maintenance? Planning should never stop! 12

13 5 P s of PLANNING Proper Planning Prevents Poor Performance 1. Is your project organized or chaotic? 2. Have you conducted a dry run to work out bugs? 3. Have you educated your staff? 4. Have you educated your patients/clients? Calling All Stakeholders! C-Suite Ability to authorize Can drive system change Controls the money Providers Understands clinical disparities Can be a patient referral mechanism Can drive participation from peers Clinical Staff (nurses, medical records, billing/coding) Know the pain points Will probably front line in the program Can advise on processes Telehealth is not a single-person show! Patients Can relay programmatic info to the community Could be a participant 13

14 Advancing the Program Market to EVERYONE Keep Planning Develop strong partnerships Tell the stories keep talking! A Cautionary Tale Planning is good. Stagnation is not. 1. If you are here with your facility, gather your troops together. If not, join someone else s army for now. 2. Begin the Programmatic Planning Guide. 3. Report Summary to Group. 14

15 A Sound Telehealth Program Learning Outcomes Now that this session is complete, attendees should be able to: Describe the importance of thoughtful planning for successful telehealth programs Identify stakeholders who should be involved with telehealth program development Develop a plan for advancement of the current telehealth program Telehealth Application and Workflow Presented by: Sherrie Williams Telehealth Applications and Workflow Learning Outcomes By the end of this session, attendees should be able to: Describe at least 3 use cases where telehealth can be used. Describe how telehealth can be used in different clinical environments. Describe clinical workflows within a telehealth program 15

16 Variety of Use Cases For Telehealth Application Large and small hospitals Use Case Examples: ED Services: stroke, mental health Inpatient Services: Infectious Disease, mental health, provider rounds The Case for Tele-Stroke: According to the Centers for Disease Control and Prevention (CDC) in 2015 stroke was the fifth leading cause of death in the United States. Those who survive are classified among the highest and most serious long term disability patients. According to the 2013 Population statistic Census, approximately 19.3% of the U.S. population lives in rural areas, many of which lack permanent presence of an expert neurologist. Tele-Stroke improves the efficacy and efficiency of treatment of acute stroke in patients presenting to the emergency departments of rural hospitals by connecting with distant neurologist who are experts in the diagnosis and treatment of strokes. Tele stroke provides enhancement of utilization of tpa and when tpa is managed, stroke patients experience a better quality of life, decreased rates of disability and improved rehabilitation. Variety of Use Cases For Telehealth Application Community Medical Offices Use Case Examples: Mental Health, Specialty Care, MFM services The Case for Maternal Fetal Medicine Services: Women in rural communities with obstetrical complications, or medical conditions that put them at risk of obstetrical complications, do not typically have access to see a maternal-fetal medicine (MFM) specialist. Telemedicine gives women in underserved communities access to MFM specialists eliminating the need to travel long distances. Early interventions can help: Prevent progression of obstetrical complications during pregnancy Provide early life-saving measures for the mother and baby Increase the likelihood of delivering a healthier baby Variety of Use Cases For Telehealth Application Skilled Nursing Facilities (SNFs) Use Case Examples: Primary Care, Mental Health, Wound Care The Case SNFs: The aging of the baby boom generation could fuel a 75 percent increase in the number of Americans ages 65 and older requiring skilled nursing facility (SNF) care, to about 2.3 million in 2030 from 1.3 million in Demand for elder care will also be fueled by a steep rise in the number of Americans living with Alzheimer s disease, which could nearly triple by 2050 to 14 million, from 5 million in 2013 A SNF resident suffering from depression and refusing to engage in life had a virtual visit with a geriatric psychiatrist and received proper treatment. As a result of the advanced care, she was able to overcome the grip of depression and engage in activities of daily living again. Middle of the night transports to rural EDs are avoided because SNF medical directors are willing to provide telehealth consultations to evaluate and treat non urgent issues. 16

17 Variety of Use Cases For Telehealth Application School Based Telehealth Centers (SBTC) Use Case Examples: Primary Care, Mental Health, Specialty Care The Case for SBTCs: The regionalization of pediatric services has resulted in unequal access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities to access contribute to inferior healthcare outcomes among infants and children. Population health is a critical factor in the future of healthcare. By integrating consistent and high quality healthcare into a young child s life, good self-care habits can form. 30 SBHCs National School Based Health Alliance Variety of Use Cases For Telehealth Application Community Mental Health Use Case Examples: Psychiatric Coverage The Case for Mental Health: 18.3% for rural Americans have had a mental health crisis in That equates to approximately 6M Americans. (SAMSA 2015) Variety of Use Cases For Telehealth Application Colleges/Universities Use Case Examples: Education, Primary Care, Mental Health, Specialty Care The Case for Colleges/Universities: Workforce readiness Student Health Centers: allow students access to a variety of health services Student Counseling Services: connect students for psychiatric care and medication management 17

18 Variety of Use Cases For Telehealth Application EMS Use Case Examples: Trauma transport, Frequent User Program The Case for EMS: Pre-hospital care for trauma, stroke, heart attack Para-medicine Services: Urgent medical assessment and care. Preventive medical assessment and care. Chronic disease assessment and management support. Post discharge follow upassessment and managementsupport and/or Based on the assessments described above, patient transport, arranged transportation, or referral to other community health and social service resources. Workflow in the headlines: Telemedicine Success Linked to Workflow, Rather Than Technology Eric Wicklund ( April

19 SAMPLE Telehealth Applications and Workflow Learning Outcomes Now that this session is complete, attendees should be able to: Describe at least 3 use cases where telehealth can be used. Describe how telehealth can be used in different clinical environments. Describe clinical workflows within a telehealth program 19

20 Lunch N Listen: Case Study: How We Made Telehealth Work in Our Hospital Presented by: Jennifer Murphy Telemedicine & Patient Care Management Coordinator - Appling Healthcare System Telemedicine Technology Demo & Discussion Presented by: Lloyd Sirmons, Director, National School of Applied Telehealth Telemedicine Technology Demo and Discussion Learning Outcomes By the end of this session, attendees should be able to: Identify some of the more common peripherals available on the market today Describe some low cost technology options for effective telemedicine programs 20

21 Types of Telehealth Technology Telemedicine Carts Videoconferen cing Software Peripheral Devices Portable Kits Monitoring and Evaluation Devices Telehealth Vendors Hardware: AMD Global Avizia Cisco Ergatron Global Med Intouch Polycom Vsee Yorktel Video Software: Avizia American Well Blue Jeans Cisco Doxy.me GPT Philips Polycom Videxio Vidyo Vsee Zoom Peripheral Devices: Eko Firefly Jedmed Littman MedWand Rebonson RNK Thinklabs Tytocare Honeywell Equipment 21

22 Equipment (Carts) Equipment Equipment (Peripheral) Horus w/attachments Firefly Rebonson AIO 22

23 Equipment (Peripheral) Littman ThinkLabs Cardionics Clearsteth Equipment (Peripheral) USB Ultrasound Probe Dental Exam Equipment Remote Patient Monitoring (RPM) USB 12 Lead EKG Vitaliti Platform All-in-one Health Monitor 23

24 Direct-to-Consumer Tyto Pro Cellscope Dr. Eye Portable Ophthalmoscope Telemedicine Technology Demo and Discussion Learning Outcomes Now that this session is complete, attendees should be able to: Identify some of the more common peripherals available on the market today Describe some low cost technology options for effective telemedicine programs Presented by: Sherrie Williams What Now? 24

25 What Now? Learning Outcomes By the end of this session, attendees should be able to: Describe how to sign up for a consultation round-table session Determine the team members needed for round-table sessions Describe how GPT can guide you through the telehealth development and implementation phases. Describe the training certifications available through the NSAT How can GPT help? 501(c)3 nonprofit Consultation for development and implementation of program Equipment guidance, installation, and support Comprehensive support services: scheduling, credentialing, program coordination On going education and training 24/7 technical support Centralized PACS System Dedicated telehealth liaison Diverse Applications Why GPT? By The Numbers: 650+ end points within the Global network 150+ specialists/providers, representing 32 unique clinical services 5000,000+ to date (July 2017) 109 out of 159 counties in Georgia 10 States: GA, AL, FL, SC, TN, LA, VT, IL, CA, VA 4 Countries: Honduras, Guatemala, Macedonia, Afghanistan National and International Students, National School of Applied Telehealth 1 of 14 Federal Telehealth Resource Centers 75 25

26 ROUND TABLE MEETINGS Successful Telehealth Programs don t just happen; strategic planning is the key! The team of experts at Global Partnership for Telehealth will provide a series of 3 round-table discussions with each hospital s Telemedicine and Leadership team. 1. Vision Development: Aligning with your Vision for your program 2. Mainstreaming your hospital's Telemedicine Program into the Standard Care Process 3. Planning for Long Term Success ROUND TABLE MEETINGS Next Steps for Round Tables: To occur either: August/October/December OR September/November/January Contact Tommy Miller to schedule Or Sherrie Williams Sherrie.Williams@gatelehealth.org Resources/Recommended Prep materials for each set of meetings to be provided on the Project Dashboard ROUND TABLE Date Times (CT) Session 1 AUG am or 1-3pm AUG 29 AUG 31 SEP 26 SEP 27 SEP 28 Session 2 OCT am or 1-3pm OCT 30 OCT 31 NOV 27 NOV 28 NOV 29 Session 3 DEC am or 1-3pm DEC 19 DEC 20 JAN 23 JAN24 JAN 25 26

27 NSAT STAFF CERTIFICATIONS To support further staff development and education, 3 registrations for each of the three primary certifications in the series of accredited support certifications from the National School of Applied Telehealth will be provided, including: Certified Telehealth Liaison (CTL) Certified Telehealth Coordinator (CTC) Certified Telehealth Clinical Presenter (CTCP) Specialty CTCP with Telestroke Certification) Unlimited use of the Telehealth: An Introduction for Physicians Iowa Course to distribute to physicians in your telemedicine network Certified Telehealth Liaison (CTL) Certification The Certified TeleHealth Liaison (CTL) Certification is designed so that its graduates will have the TeleHealth skills and knowledge required to successfully serve as a leader, promoter, and marketer in the TeleHealth industry. CTL Certification includes the following modules: 1) The Telehealth Industry and Drivers of Telehealth Growth 2) Telehealth Overview and Applications 3) Technology Used & Live Interactive Visit 4) Telehealth, Nonclinical Applications and Building Awareness and Support for the Telehealth Program 5) Recognizing Barriers to Telehealth, Overcoming Challenges and Attributes of Successful Telehealth Programs 6) Remote Patient Monitoring Certified Telehealth Coordinator (CTC) Certification The Certified Telehealth Coordinator (CTC) Certification Program is designed so that its graduates will have the skills to correctly and confidently coordinate virtual encounters with physicians and a variety of specialists. CTC Certification includes the following modules: 1) Telehealth Overview and Applications 2) Technology Used & Live Interactive Visit 3) The Telehealth Coordinator and the Telehealth Team 4) Certified Telehealth Coordinator: Clinic Basics and Working with the Telehealth Presenter 5) Certified Telehealth Coordinator: Attributes of Successful TeleHealth Programs & Building Awareness and Support for the Telehealth Program 6) Remote Patient Monitoring 27

28 Certified Telehealth Clinical Presenter (CTCP) Certification The Certified TeleMedicine Clinical Presenter Certification (CTCP) is designed so that its graduates will have the skills to correctly and confidently present patients during virtual encounters with physicians and a variety of specialists. PREREQUISITE: The CTCP must be clinically trained to complete a basic exam. CTCP Certification includes the following modules: 1) Telemedicine/TeleHealth Essentials 2) Telemedicine Clinical Applications: Live Video and Store & Forward 3) Telemedicine Consultation: Before, During and After 4) Video Conferencing Etiquette, Record Keeping, and Maintaining Presenter Skills 5) The Attributes of a Successful Telemedicine Program and the Promotion & Advancement of Telehealth 6) Remote Patient Monitoring (CTCP) with Telestroke Specialty Certification The Certified TeleMedicine Clinical Presenter with Telestroke Specialty Certification (CTCP-S) is designed so that its graduates will have the skills to correctly and confidently present stroke patients during virtual encounters with physicians and a variety of specialists. CTCP Foundation, plus: Lesson One: What is a stroke? Lesson Two: Stroke Pathology Lesson Three: Initial stroke management Lesson Four: Ischemic & Hemorrhagic Stroke Treatment Lesson Five: Introduction to Stroke Telemedicine Includes Stroke Telemedicine And Tele-education STAT Pak; resources to help in the management/documentation of telestroke program and care in a hospital Telehealth: An Introduction for Physicians Iowa For rural providers, Telehealth opens the door to many more resources and reduces professional isolation. It makes it much easier to consult other providers and also allows them to increase their scope of knowledge. It isn t just the knowledge gained from working with a broader group of professionals, but also the continuing educational opportunities that the technology creates for rural medical professionals. Learning Outcomes: By the end of this course, attendees should be able to: Describe telehealth and identify various clinical applications. Describe the role of HIPAA as related to telehealth. Describe some of the legal and regulatory considerations when delivering virtual care. Identify telehealth reimbursement options. Identify basic Video Conferencing Etiquette for virtual consultations. Identify the basic IT Requirements for successful delivery of telehealth services. Identify various types of technologies, equipment, and peripherals available for the delivery of telehealth services. Learning Outcome Standard: Based on standards of Telemedicine services developed by the Global Partnership for Telehealth and the American Telemedicine Association 28

29 What Now? Learning Outcomes By the end of this session, attendees should be able to: Describe how to sign up for a consultation round-table session Determine the team members needed for round-table sessions Describe how GPT can guide you through the telehealth development and implementation phases. Describe the training certifications available through the NSAT Closing & Evaluations Presented by: Evelyn Leadbetter Network Services Manager & Technology and Telemedicine Program Lead HomeTown Health, LLC Learning Outcomes: Closing & Evaluations By the end of this session, attendees should be able to: Identify how to access resources available for the Project participants 29

30 PROJECT DASHBOARD Links to all Project Details available on the Dashboard 1. Go to the Consortium Dashboard: password: transform 2. Click on the icon; Enter Project password: connect CONSORTIUM RESOURCES There are on-demand training and certification programs available in HTHU s: School of Revenue Cycle Management PFS/BO Certifications School of Coding & Documentation School of Clinical & Staff Compliance School of Physician Office Education School of HIT & Transformation Questions? Contact Meghan Williams at hometownhealthonline.com NSAT STAFF CERTIFICATIONS To support further staff development and education, 3 registrations for each of the three primary certifications in the series of accredited support certifications from the National School of Applied Telehealth will be provided, including: Certified Telehealth Liaison (CTL) Certified Telehealth Coordinator (CTC) Certified Telehealth Clinical Presenter (CTCP) Specialty CTCP with Telestroke Certification) Unlimited use of the Telehealth: An Introduction for Physicians Iowa Course to distribute to physicians in your telemedicine network 30

31 NSAT STAFF CERTIFICATIONS NEXT STEPS FOR NSAT CERTIFICATIONS: Each hospital should have received an from Meghan Williams containing your hospital s Coupon Code and staff login instructions to access Certifications. Telemedicine Transformation Support Courses Telehealth Drivers of Growth Leading, Promoting, Marketing your Program/ Demand Analysis Technology/ Purchasing and Equipment Selection Coordination of Care / Quality Assurance and Transitions Telehealth Presentation & Clinical Considerations Telehealth Specialties & Ongoing Program Development Ongoing Evaluation and Monitoring/Setting Goals for Improvement Links will be made available on the Dashboard password: transform Click on the icon; password: connect EQUIPMENT FUNDING Individual funds for equipment purchase/ additional training for use by hospital (Amount TBD, roughly $2,500- $3000) Next Steps for Equipment Funding: (Starting in February, 2018) Jennie Price will reach out to request the documentation required: Summary of Expense/Equipment and how it will help your hospital to support the development or the basic tenets of ACOs or shared savings programs related to telemedicine or mobile health equipment installation/use. Description of fulfillment/outcomes achieved related to this purchase for your hospital Copy of Invoice/Receipt (if applicable) 31

32 CONSORTIUM TRAINING Community Care: Paramedicine & Telemedicine Series Join the team at Global Partnership for Telehealth and other regional leaders in telemedicine to learn more about how various models of telemedicine and paramedicine are being used to improve the health of patients in small and rural communities. The series, to be held at 10am CST, will include topics such as: Nov. 3, 2017: Series Introduction & Models of Paramedicine Dec. 1, 2017: Models of Community Care Telemedicine Jan. 5, 2018: Implementing a Community Care Program Feb. 2, 2018: Community Care Case Studies April 6, 2018: Community Care Case Studies in Behavioral Health Webinar Training Webinar Training Webinar Training Webinar Training Webinar Training 0.1 CEUs 0.1 CEUs 0.1 CEUs 0.1 CEUs 0.1 CEUs Release in January 2018: Remote Community Care Certification Support Course 0.1 CEUs CONSORTIUM TRAINING Save the Date! 2 nd Annual Iowa Hospital Transformation Conference March 22-23, 2018 Courtyard -- Ankeny, IA CLOSING ACTION ITEMS What action will you be taking when you return to your hospital? 32

33 COLLABORATION Who else will you share this information with? Evaluations Please submit a workshop Evaluation & CEU Form Learning Outcomes: Closing & Evaluations By the end of this session, attendees should be able to: Identify how to access resources available for the Project participants 33

34 Questions? Questions about these resources or Upcoming Events? Contact: Evelyn Leadbetter, MPA HomeTown Health, LLC. Network Services Manager & Technology and Telemedicine Program Lead 34