GPTRAC 2018 TELEHEALTH 101

Transcription

1 GPTRAC 2018 TELEHEALTH 101

2 TOPICS: - CONSIDERATIONS TO IMPLEMENTING TELEHEALTH - REIMBURSEMENT & REGULATORY ISSUES (BREAK) - GUIDANCE FOR IMPLEMENTATION - THE EVER-CHANGING LANDSCAPE OF TELEHEALTH - HRSA OVERVIEW

3 TELEHEALTH 101 CONSIDERATIONS TO IMPLEMENTING TELEHEALTH MARSHA WAIND

4 What is Telemedicine? Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient s clinical health status* *American Telemedicine Association MLN/MLNProducts/downloads/telehealthsrvcsfctsht.pdf Telephone Nurse Call Line PACs radiology with medical advice Sending an echo/ekg for interpretation Patient-Provider encounter video Remote patient monitoring evisit

5 Four Modalities of Telehealth Real-Time = Synchronous Live Video encounters Telestroke eemergency e-icu Telemental Health Telepharmacy Store & Forward = Asynchronous Dermatology Pathology Radiology Telepharmacy Remote Monitoring Medical grade devices recording with oversight by professionals CHF Asthma Diabetes Mobile Health Apps Personal Devices

6 Telehealth is healthcare Health outcomes are as good, or better, in almost all cases 91% 91% of health outcomes were as good or better via telehealth 1 Diagnostic quality does not suffer; agreement is just as good via telehealth 80% 70% 60% 50% 40% 30% 20% 10% 0% Face to Face Virtual Diagnostic agreement with a face-toface consultation 1. A systematic review of economic analyses of telehealth services using real time video communication, Wade Randomized trial of virtual visits in a general medicine practice, Dixon 2009

7 Be clear on what you are trying to accomplish Reducing cost - ER use, readmissions, fewer visits Growth - new patients Establish new consumer access points connect to drug store, school, employer site Provider Efficiencies or satisfaction off site work Support staff ER or lone provider Increase patient services or improve services ratchet up Increase Partnerships Do you fit into the current strategy statement?

8 Who is connecting and Where determines first step Models Internal within External outside your org Hybrid - both Impacts Legal agreements Technology Cost structure Scheduling Marketing

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10 Service Lines or Programs? Renal Care to rural dialysis centers Teleradiology - Echos, EKGs, EEGs Outpatient visits: specialty care Wound, Oncology, Infectious disease, Derm, Nephrology, Allergy, Diabetes care, GI, Orthopedics, Podiatry, Diabetes LTC programming behavioral health Remote monitoring program 3 % return to hosp rate 35 units Tele speech therapy Genetic Consults NICU Transport program Post-burn care Weight Loss consults Telepsych ER/hospital consults Telestroke Ebola Room CardioMems - wireless monitor sensor implanted in pulmonary artery/pacemaker clinic Pre-Natal Education visits Teleprimary care - clinic cover clinic Direct to patient My Health evisits/video Visits Family consult - 3 way connection Corrections/Jail telemed Comprehensive joint care to patient at home Population health: Health Coach Visits Palliative Care Post Sleep study

11 Implementation Science Standardized Medicine Workflow Technology

12 Pick an apple, don t plan on orchard harvest Start small or specific Find a champion/identify your naysayer Consider the resources it will take Do you know who will use it and how often? How will you measure success? Look to sustainability

13 Coordination of Resources What will your provider/service require for assessment or during the connection? What will they need before and after? Ortho needs x ray Infectious Disease needs labs Oncology needs infusion Derm needs photos, derm scraping, injections Cardiology needs stethoscope Wound needs someone trained in wound care/lymphedema

14 How will you tell your story? Hold up every champion you have: provider nurse grant writer administrator IT person Rural telemed nurse/leader Marketing

15 Potential barriers Where are you going to do this? Who is going to pay for this nurse? Who is paying for those supplies? His schedule is already full Rural site: Provider is getting the revenue We don t have time for your patients

16 Finally, integrated into the Care Delivery

17 Devils Lake Clinic Telemed Encounters 1 st nurse hours for telemed: Telemed Room: Sept nd Telemed Nurse and Room: Aug actual encounters Encounters per year P r o j e c t e d 1801

18 The ROI of Telemed for 1 Clinic Revenue 1223 encounters Revenue related to Telemedicine encounters Facility fee $28.00 x 1223 encounters $34,244.00/ yr Lab fees kept local as ordered by Telemed* $5,808/month $69,696.00/yr Imaging 48 Ortho patients /yr? Total $103,940.00/ yr *only accounts for labs same day as telemedicine encounter

19 ROI for SNF or CAH??? Cost Savings $$$$$$ 1 less van ride Van driver; aide; gas/wear 86 yr old transported 2.5 hrs dx: Dementia and anxiety for 15 min visit med check 1 less ambulance ride Driver, aide or 2 What does it cost hospital when they lose out on admit because ambulance is out of town? Professional Networking and care planning Invaluable Rural care team and FAMILY is involved in reviewing the behavioral logs, med logs, developing a care plan Revenue by keeping 1 patient at home in LTC? $$$$$ Omitting the inpt admit and the med changes and reacclimated to LTC routine

20 Pearls. Keep it Patient Centered: The purpose of a telehealth encounter is to get the right care to the right person at the right place and at the right time Start - it will never be perfect Include EVERYONE Make sure the provider isn t losing money Tell the story /Readiness%20Assessment%20Template.pdf

21 TELEHEALTH 101 REIMBURSEMENT & REGULATORY ISSUES MARY DEVANY

22 Contracts/Agreements Formalized documents: Telehealth Services Agreement Credentialing by Proxy Contract for service

23 FSMB Compact States Licensure Physicians Nurses Pharmacy Others Rule of Thumb: Be licensed where the patient is Must follow that state s requirements and scope of practice expectations Others: Nurse License Compacts Psychologists Compact PT Compact More?

24 Credentialing CMS Rule Allows hospitals to accept the credentialing of telehealth specialists from their home facility. Formalize a Credentialing by Proxy Agreement HOWEVER: Local organizational by-laws may need to be addressed

25 HIPAA & Security Adhere to the standard rules for your practice. May have internal network (IT) expectations It is not all about the technology it is about the PROCESS!

26 Some Others: Fraud/Abuse Stark issues Malpractice Documentation? Following practice standards? Liability (for NOT using?)

27 Reimbursement CMS State Medicaid Third party payers Private Pay

28 Medicare Current Status Must be seen: in a rural location in an eligible facility by an eligible provider for an eligible, billable service (code) Some changes coming: - Newly unbundled RPM code (from CCM) - Codes for Longer CCM - Telestroke (rural requirement removed) - GT modifier not required - Others Resources: Medicare Learning Network Telehealth Services Fact Sheet Am I Rural Go here to determine if you are a qualified location.

29 Medicaid State specific Each is slightly different Usually following most of Medicare s lead Nebraska is different leading Medicare!

30 Parity Map: Map Credit: American Telemedicine Association

31 No matter your state, much of this hinges on definitions!

32 Definitions of interest: Telehealth Is it defined in code somewhere? Multiple definitions?? Included policies/plans Excluded policies/plans Providers Locations of service

33 Example: Nebraska

34 Passed a parity law Nebraska Insurer can not exclude a service for payment simply because it was by TM Special attention for children Largely untested Likely an issue of differing definitions Medicaid MUCH more open and inclusive

35 North Dakota There is no overarching law addressing telemedicine. No prior authorization required (for telemedicine) Parity: Services parity, not Payment parity Commercial payor policies generally inclusive of all providers; MA policy is in revision status ND Board of Medicine policy addresses MAT treatment for opioid treatment; silent on other issues PT and OT law addresses telemed

36 South Dakota Commercial payors: depends on not only the company but also down to the plan on what is covered No Parity Law in SD yet SD Medicaid: The distant site of telemedicine services may not be located in the same community as the originating site Services provided via telemedicine are reimbursed at the same rate as in-person services and are subject to the same service requirements and limitations as in-person services All telemedicine services outside South Dakota must comply with South Dakota Medicaid s Out-of-State Prior Authorization requirements.

37 Iowa Uniqueness with Blue Cross Blue Shield (BCBS) DEFINITIONS! Telehealth = Urgent Care (only pays for their own program/providers) Telemedicine = what the hospitals provide Only cover providers within the borders of Iowa (and adjacent counties) Follows Medicare guidelines, except allows for both rural and urban Medicaid mandates coverage, including Mental Health services Quietly receiving reimbursement for years New parity law JUST passed/signed (March, 2018)

38 Telemedicine Law 2015 Minnesota Requires equal coverage and payment for in-person or telehealth All billable MN licensed healthcare providers included (except pharmacists) No site of services restrictions (Can access services at home, work, school, group homes, clinics, hospitals) No service area restrictions (Metro and rural all eligible) MN Medical Assistance Will not pay the originating site facility fee Same eligible provider list as the new MN Law, will cover pharmacists will not cover doulas and athletic trainers Will not cover questionnaire type surveys Requires an Assurance Statement from provider to be on file at DHS Documentation of each visit has 5 required elements from DHS

39 Wisconsin Medicaid coverage: No parity legislation introduced Have been getting paid by private payers. May be why parity legislation has not been very active. Exploring a TeleStroke location that is in an MSA. With the CMS Chronic Care Act passage, and TeleStroke will be allowed in 2019.

40 Share internal resources across the enterprise Support remote needs Specialty Services Pharmacy Services Timely Access to Providers Patient Support eicu Monitoring Ambulatory Services Remote Support Direct to Consumer Patient-selected care. Patient-driven / patient initiated Remote Patient Monitoring-support service line / PCP goals Services via patient portal Chronic Care Management Telehealth TeleStroke TeleTrauma Virtual Locum Tenens Remote Support to/from the Emergency Departments for stroke and other needs Intra-hospital Services Patient Discharge Timely Access to Providers

41 Remote Patient Monitoring Home-based service, Nurse-led First focus was Type 2 Diabetes post-hospital event Daily (?) monitoring of weight, BP, glucose Now, patients are referred by their PCP Also, hypertension Of patients with A1c over 9, 2.56 point reduction

42 Tools: Roles & Responsibilities (handout) Job Descriptions - gptrac Resource Library over 2500 articles on telehealth-related topics Northeast Telehealth Resource Center 50 State Telehealth Policy summary Center for Connected Health Policy American Telemedicine Association State Policy Information Technology Toolkits Telehealth Technology Assessment Resource Center (TTAC)

43 Resources of interest State Offices of Rural Health NOSORH Office for the Advancement of Telehealth Federal ORHP/HRSA

44 TELEHEALTH 101 QUESTIONS?

45 TELEHEALTH 101 BREAK

46 TELEHEALTH 101 IMPLEMENTATION MAUREEN IDEKER, RN, BSN, MBS, LNHA

47 Essentia Health 5 State - Footprint

48 Administrative Pre-Work: Reimbursement Analysis CMS Telehealth Reimbursement Eligibility Analyzer URL 48

49 Administrative Pre-Work: Reimbursement Analysis cont. Involved Admin parties Leadership approvals Internal/External providers Eligible providers, sites & services? CPT codes planned Billing method for professional fees providers bill/assigned billing rights 49

50 Administrative Pre-Work: Reimbursement Analysis cont. Originating/distant sites Documentation plans ABN/Waivers expected Verify reimbursement from expected payers, CMS, MA 50

51 Administrative Pre-Work: Business Considerations Finance Partners involved Leadership Approval New service line, locations, accounting unit Rev./Expense estimate ROI CPT codes, billing method RHC, PBB clinic status concerns Supplies Compensation (Ok to go forward to Contracting) 51

52 Implementation Templates (Handouts) Implementation Checklist Agenda Implementation Retreat Proficiency Checklist - Nursing Scope of Service Work Flow Process Map 52

53 Checklist for Implementation (Hand-out) 50 Items Administrative pre-work Equipment/Broadband Education on Equipment Scope of Service Workflow - Analysis Documentation Scheduling open, build template QI 53

54 Implementation Retreat Agenda (Hand-out) Pre-Work status QI File Mtc./Joint Commission Survey Patient Safety Statistics Scope of Services Workflow Business scheduling Equipment Training 54

55 Telehealth Nurse Presenter Proficiency Checklist Telehealth Services Employee s Name: Employee s Position/ Class (RN, etc) Due Date: Check-Off Date: Unit/Department: Ambulatory Care: Acute Care: SNF Evaluator s Signature: Telehealth Services Performed: Competency Statement: Staff member will be able to verbalize knowledge of telehealth services performed Staff member will be able to demonstrate use of telemedicine equipment and verbalize indications for use Staff member will be able to demonstrate ability to troubleshoot equipment failures For Clinical Staff only: Age-Specific modifications as applicable (check all that apply) Birth-1 Year 1 year-12 years years years 65+ years Performance Criteria (use letter code) Method of Verification A B C, D or E (see below) 1. Properly identifies criteria for telemedicine use. A 2. Initiates call to consulting Dept. for initiation of telemed service B * E 3. Prepares interactive video equipment for use: (Cart or PC Based) -Able to turn on monitor B * E -Able to call the specialist -Able to answer call coming in from specialist 4. System/Utility Failure - Troubleshooting: Performs basic steps to determine cause using troubleshooting guide -If unable to determine problem after troubleshooting, contacts the HelpDesk for B * E further assistance Competent Yes/No Evaluation Plan for Review. B * E 5. Infection Control: Complies with facility s policies and procedures A Cleans patient care equipment according to procedure after every patient 6. Patient Privacy & respect is provided for. B * E Only necessary personnel in room Introduces all personnel at each site and identifies their role in the encounter 7. Complies with facility policies on confidentiality B * E 55

56 Scope of Service (Hand-out) Opportunity Statement Describe services offered List provider full names, credentials Finance coding/billing Predict volumes Scheduling open/block Quality metrics patient outcomes Go-Live date 56

57 Work Flow Process Map (Hand-out) Referral Swimlane Safe for telemed? Initials & follow-ups? Chart review required before accepting Scheduling Swimlane 2 appointments (originating/distant) Who contacts patient? Prior authorization steps needed? Registration Swimlane Notification of arrival, ready 57

58 Work Flow Process Map cont. Rooming/Nurse Presenter Swimlane Vital signs, PHQ9, AIMS, Screenings Forms (scan or fax) Documentation Charges Guided assessment Patient Safety!!! 58

59 Work Flow Process Map cont. Specialist/Provider Swimlane Initiating video connection Documentation (Required elements) Coding Communication-loop process (In-basket, letter, EMR) Check-Out Swimlane AVS Tests, Labs Patient Safety No Tele-Vox 59

60 TELEHEALTH 101 THE EVER-CHANGING LANDSCAPE IN TELEMEDICINE SUSAN BERRY

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63 The only constant is change Telemedicine world Patient Provider Telemedicine Equipment/ Technology Health Systems/ Payers

64 Patient/Provider PAST PRESENT FUTURE Brick & mortar Skeptical about telemedicine and virtual care Patients want choices Providers determine how to provide choice Patients care on their terms; more accepting of new way to receive care Providers- need to respond and meet needs & preferences of patients

65 Equipment/Technology PAST PRESENT FUTURE

66 Health Systems/Payors PAST PRESENT FUTURE Fee for service model -Medicare -Medicaid -Commercial Some models shifting -Capitation -Payors covering virtual services Parity for all Increased reimbursement -Medicare/Medicaid Self pay with increased premiums

67 Payors consumers Health Systems Drivers RETAIL DTC Companies Tech giants

68 Traditional Medicine to Virtual Care Reimbursement Regulatory and compliance Staffing & payment models Training & education for staff and patients Marketing

69 Current trends Consumers want Lower cost option than in person visit (quality is an expectation) Access and convenience Personalized experience Recent Surveys Advisory Board Accenture Driven by experiences outside of healthcare, consumers increasingly expect to use digital technologies to control when, where and how they receive care services Kaveh Safavi, M.D.

70 Current and Future Trends Monitoring devices Simulation Video games Wearables Experimental Phase Artificial Inteligence (AI) Augmented/Virtual Reality Things we have not imagined

71 Reimbursement Medicare - slowly covering more services via telehealth each year - Need to remove the restrictions, may be awhile Medicaid - Varies by state, some states reimbursing more Commercial - Many more payors than just last year - Will continue to see this trend grow All are finally seeing the value virtual care offers; But the changes in reimbursement lag the change in care delivery

72 Summary The only thing constant is change and the change in care delivery is happening quickly There are several drivers contributing to the shift in landscape all moving different pieces of the puzzle Patients will continue to demand new ways of receiving care. Providers and health systems will need to continue to evolve models to meet demand New developments in technology will continue to outpace utilization, keep aware and think outside the box for early adoption Considerations when adopting new care delivery models, be purposeful

73 References Advisory Board Company Advisory Board 2017 Telehealth Market Trends Advisory Board 2018 Telehealth Industry Trends Virtual Visits Consumer Choice Survey Healthcare Informatics accenture-survey-reveals-consumers-growing-demand-digital-health Managed Healthcare Executive news/top-10-healthcare-wearables-watch

74 TELEHEALTH 101 QUESTIONS?

75 CONTACT INFORMATION: Marsha Waind Altru Health Maureen Ideker Essentia Health Mary DeVany Nebraska Medicine Susan Berry Sanford Health

76 Great Plains Telehealth Resource & Assistance Center Telehealth 101 Workshop Anne Huang Nurse Consultant, Office of Regional Operations Region 5 Chicago Health Resources and Services Administration April 9, /6/

77 Health Resources and Services Administration (HRSA) Overview Supports more than 90 programs that provide health care to people who are geographically isolated, economically or medically challenged HRSA does this through grants and cooperative agreements to more than 3,000 awardees, including community and faith-based organizations, colleges and universities, hospitals, state, local, and tribal governments, and private entities Every year, HRSA programs serve tens of millions of people, including people living with HIV/AIDS, pregnant women, mothers and their families, and those otherwise unable to access quality health care 4/6/

78 HRSA Funding (dollars in millions) HRSA Program FY 2018 Enacted FY 2019 Request Primary Health Care $5,511 $5,092 HIV/AIDS $2,319 $2,260 Health Workforce $1,516 $477 Maternal and Child Health $1,293 $1,136 Rural Health $291 $75 Family Planning* $286 $286 Program Management $155 $152 Healthcare Systems $112 $117 Vaccine Injury Compensation $9 $9 TOTAL $11,492 $9,604 *Administered by the HHS Office of the Assistant Secretary of Health, Office of Population Affairs. 4/6/

79 Health Center Program Roughly 1,400 HRSA-supported health centers operate more than 10,400 service delivery sites across all U.S. states and territories Nearly 26 million people, or 1 in 12 nationwide, rely on a HRSA-funded health center for affordable, accessible primary health care, including: 1 in 3 people living in poverty 1 in 6 rural residents 1 in 10 children 330,000+ veterans 4/6/

80 Health Center Program 68% of diabetic health center patients have their disease controlled (HbA1c <9%), exceeding the national average of 55% 1 62% of hypertensive health center patients have their blood pressure controlled, exceeding the national average of 55% 2 63% of pediatric patients received weight assessment and counseling for nutrition and physical activity, compared to PPO provider scores of 46% for weight assessment, 47% or nutrition counseling, and 42% for physical activity counseling 3 60% of patients are screened for depression, exceeding the national screening rates of 4.2% in office-based primary care settings 4 67% of health centers are recognized as Patient-Centered Medical Homes 1 Comprehensive Diabetes Care, National Committee for Quality Assurance, The State of Health Care Quality (2016) 2 Hypertension Prevalence and Control Among Adults: United States, , CDC National Center for Health Statistics Data Brief (2015) 3 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents, National Committee for Quality Assurance, The State of Health Care Quality (2016) 4 National Rates and Patterns of Depression Screening in Primary Care: Results from , Psychiatric Services 4/6/

81 Ryan White HIV/AIDS Program Grants to cities, states, and local community-based organizations to provide HIV care and treatment services to low income people living with HIV More than half of the people living with diagnosed HIV in the United States more than 500,00 people receive services through the Ryan White HIV/AIDS program 85% of Ryan White HIV/AIDS Program clients are virally suppressed, up from 70% in 2010, and exceeding the national average* of 58% *Viral suppression among people >=13 years old diagnosed with HIV in 34 states and DC 4/6/

82 Maternal and Child Health Block Grant Grants to 59 states and jurisdictions to provide health care and services to nearly 54 million mothers and children in the United States, including: 2/3 of all pregnant women 1/2 of all infants and children including those with special health care needs Between 2000 and 2015, the national: Infant mortality rate declined 15% Child mortality rate declined 24% 4/6/

83 Maternal, Infant, and Early Childhood Home Visiting Grants to states, territories, and tribal entities to support voluntary, evidence-based home visiting services for at-risk pregnant women and parents with young children up to kindergarten entry In FY 2016, over 160,000 parents and children nationwide received HRSA-supported home visiting services Research shows that home visits improve the lives of children and families by preventing child abuse and neglect, improving maternal and child health, and promoting child development and school readiness 4/6/

84 National Health Service Corps and NURSE Corps Supports 12,000+ scholarships and loan repayments in exchange for service in high-need areas National Health Service Corps (NHSC) currently supports primary care physicians, dentists, physician assistants, nurse practitioners, behavioral health providers, and other primary care providers and health professions students NURSE Corps currently supports licensed registered nurses and nurse faculty members NHSC and NURSE Corps clinicians provide care to more than 12 million people nationwide, including over 3.5 million rural residents 4/6/

85 Graduate Medical Education Programs The Children s Hospital Graduate Medical Education Program funds freestanding children s hospitals to support the training of 48% of all pediatric residents and 53% of all pediatric subspecialty residents annually. In Academic Year , grantees trained 11,500 residents (44% pediatric residents, 26% pediatric sub-specialty residents, 27% other medical and surgical specialty residents) The Teaching Health Center Graduate Medical Education Program supports primary care and dental residency programs and improves workforce distribution into rural and underserved areas by focusing training in community-based ambulatory settings. In Academic Year , grantees trained 771 residents and graduated 248 new primary care physicians and dentists; and 83% of sponsored residents trained in medically underserved or rural communities, providing over 795,000 hours of patient care 4/6/

86 Rural Health Policy The Federal Office of Rural Health Policy provides policy support to the Office of the Secretary and supports a number of rural health programs, including rural health networks, black lung clinics, telehealth, and veterans rural health access programs Telehealth Network Grant Program: Since 2005, supported 3,100 new or expanded telehealth sites; nearly a 10% increase from 2015 to 2016 Medicare Rural Hospital Flexibility Program: 96% of Critical Access Hospitals (CAH) reported at least one Medicare Beneficiary Quality Improvement measure and 65% of CAHs showed improvement in at least one quality measure 4/6/

87 Health Care Systems Organ Transplantation Currently, over 130 million people are registered to be organ donors an all time high Over 16 million people are registered to be bone marrow donors In 2016, HRSA-supported transplantation programs facilitated: 33,600 organ transplants (the highest ever) 6,000 bone marrow and cord blood transplants 340B Drug Pricing Program Drug manufacturers provide discounts to eligible entities that meet criteria for serving safety net patients Qualified safety net organizations obtain a 25-50% discount on outpatient drugs with sales totaling $16 billion in /6/

88 Office for the Advancement of Telehealth (OAT) Promotes the use of telehealth technologies for health care delivery, education, and health information services. OAT provides funds to promote and improve telehealth services in rural areas and medically underserved areas and populations. Funding include the following telehealth programs: Telehealth Network Grant Program Evidence-Based Tele-Emergency Network Grant Programs Rural Veterans Health Access Program Licensure Portability Program Rural Child Poverty Telehealth Network Grant Program Telehealth Resource Center Grant Program HRSA Telehealth Programs website - l 4/6/

89 Telehealth Resource Centers 4/6/

90 Office of Regional Operations Ten Regions One HRSA 4/6/

91 Office of Regional Operations Core Functions External Affairs & Outreach Strategic Stakeholder Partnerships Represent HRSA Serve as regional leaders Conduct outreach to increase knowledge about HRSA s program, and priorities External Affairs & Outreach Strategic Stakeholder Partnerships Engage federal, state, and local partners Build relationships to advance HRSA priorities Provide targeted strategic action Regional Surveillance Identify & report ground-level communications and information Used to inform HRSA s operations, decision-making, and allocation of resources Regional Surveillance Regional Management Regional Management Ensure the efficacy of regional resources Human capital, COOP, technology, and facilities management 4/6/

92 Office of Regional Operations Network ORO STAKEHOLDERS HRSA Grantees State Leadership Tribal Organizations Community & Faith-Based Organizations Colleges/Universities Private Sector Organizations & Foundations HHS Regional Directors/Regional Health Administrators HHS Operating Divisions Federal Departments or Agencies 4/6/

93 Office of Regional Operations Connect When should you contact ORO? When you would like to connect with HRSA or HHS programs When you have questions about HRSA or HHS programs, data, policies, or resources When you are looking for a new type of partner or resource (including funding opportunities) When you would like to share information with HRSA to inform decision making or programming When you would like HRSA representation at a meeting or event Simply to connect! 4/6/

94 Office of Regional Operations Connect When might ORO reach out to you? When HRSA has information about new funding opportunities, policies, resources, or priorities When HRSA is convening stakeholders or brokering relationships When HRSA is collecting information to inform an issue When HHS or HRSA is interested in being present at a meeting or event When HRSA is developing partnerships Simply to connect! 4/6/

95 Contact Information Anne Huang Nurse Consultant, Office of Regional Operation, Region 5, Chicago Health Resources and Services Administration (HRSA) Phone: Web: 4/6/

96 Connect with HRSA To learn more about our agency visit Sign up for the HRSA enews FOLLOW US: 4/6/

97 THANK YOU!