The National Telehealth Webinar Series

Transcription

1 The National Telehealth Webinar Series April 27, 2017 Presented by the National Consortium of Telehealth Resource Centers

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3 Upcoming Events Northeast Regional Telehealth Conference May 23-24, Amherst, MA California Telehealth Summit June 5-7, Newport Beach, CA Indiana Rural Health Conference with UMTRC Telehealth Track June 13-14, French Lick, IN Telemedicine & Telehealth Service Provider Showcase October 2-3, Phoenix, AZ

4 Webinar Tips & Notes Your microphone has been muted Time is reserved at the end for Q&A Please ask questions via the Q&A Box Please fill out the post-webinar survey The webinar is being recorded Recordings will be posted to our YouTube Channel

5 Engaging Providers with Telehealth Technology: Training Modules and Communications Strategies

6 Student Consultation Team Deana Barakat Maria Cerda Alaa Qari Kalpita Patel Meaghan Wostbrock MPH Candidate Journalist, MA, MPH Candidate Dentist, DScD Dental Public Health Candidate MPH Candidate MPH Candidate

7 Agenda Background Literature Results Intervention Tele-T Implementation Questions 15 mins 7

8 NETRC OFFICE Our Client The Northeast Telehealth Resource Center (NETRC), on behalf of the National Consortium of Telehealth Resource Centers Project Goals Increase physician awareness, interest, and willingness to participate in telehealth programs (primarily live videoconferencing) Focusing on increasing access to health care in rural and other underserved communities 8

9 Needs Assessment Who is the target group? Health Care Access in Rural Areas Chronic health conditions are more prevalent among rural individuals Socio-economic challenges disproportionately affect them Transportation difficulties, limited healthcare supply (density of health providers), lack of quality health care, geographic isolation, and financial constraints Discrepancy in health insurance coverage (10.4% less) Bennett et al., 2008; National Center for Health Workforce Analysis, 2010; Larson and Hill

10 Plan to Address The Project Goals Literature Review Intervention Plan Implementation 10

11 Literature Results Tip: Before designing an intervention review the literature on the topic. This will allow you to identify potential strengths and weakness of other programs you may want to consider 11

12 Literature Results Social Ecological Model Tip: When planning an intervention, use the Social Ecological Model to ensure that all factors are being considered. This will help determine the target for the intervention. Adapted from the Centers for Disease Control and Prevention (CDC), The Social Ecological Model: A Framework for Prevention, (retrieved April 21, 2014). 12

13 Literature Results Providers are the main gatekeepers of telehealth patient use. Key factors to engage providers in using telehealth: Interpersonal level components are any formal and informal social networks and social supports systems, including family, work groups, and friendship networks, among others. (McLeroy, Steckler, and Bibeau, 1988) Positive acceptance Trainings that facilitate proper use of this technology Patient-centered communication Brooks, Turvey, & Augusterfer, 2013; Kingue, Angandji, et al., 2013; Agha, Schapira, et al., 2009; Whitten & Mackert,

14 Intervention 14

15 Aim of Tele-T Intervention Health and Quality of Life Outcomes Target Population: Adult Underserved Residents of Rural Massachusetts with Chronic Health Conditions Tip: Intervention planning: research conducted informs about existing gaps that need to be addressed in the intervention. Tip: Consider some practical tools that facilitate the intervention planning, and evaluation processes such as the logic model. Increase telehealth usage by both providers and patients Improve access to healthcare for chronic disease Improved chronic disease outcomes in patients due to access of care 15

16 Tele-T Intervention Goals of The Training: Providers will... Understand how and when to advise patients to use videoconferencing services Know that telehealth services can increase access to appropriate care Tip: In intervention planning, it is essential to personalize your intervention to the target group by conducting a needs assessment review, observations, and/or interviews. Be able to explain how, when, and where to access telehealth services Believe that telehealth services are an appropriate alternative to in-person care Be able to explain the personal benefits and advantages of using telehealth services 16

17 Tele-T Intervention Tip: Have a paper/ electronic prototype, or mock-up to test the intervention idea with your target group and stakeholders to get feedback (wireframes). Online Training Modules Modules will consist of brief 5- minute training videos that present information relevant to providers in an engaging and interesting way. In-Person Extended Trainings In-Person Trainings will be 30- minutes in length and will be tailored to specific organizations and hospitals. These trainings will present telehealth information in a way that is relevant to the providers and administrators in their unique environment. 17

18 Tele-T Intervention: Online Training Tips: 1. Create modules using physician s core values and framing theory. 2. Include only direct and essential information that is easy to learn. 3. For all content, give a practical example that is personal to a physician's practice. Module 1 Module 2 Introductory Video Module 3 Module 4 18

19 Modules with Online Training Capsules for Physicians Tele-T Intervention: Online Training Modules Module 1: What is Telehealth and Why You Should Use it Introduction Video Capsule 1: How to Navigate Online Training Modules Module 2: How, When, and Where to Access Telehealth Services Module 3: When and How to Get Your Patients Onboard Module 4: Money Matters - Getting Reimbursed Capsule 1: Understanding Telehealth Capsule 2: What are the benefits of using Telehealth services Capsule 1: How to Access Telehealth Services Capsule 2: When to Access Telehealth Services Capsule 1: Determining Which Patients can use Telehealth Capsule 2: Identifying Patient Resources for Telehealth Capsule 1: Saving Time and Money Capsule 2: Getting Reimbursed Capsule 3: Advocacy Capsule 3: Listen to a Peer Capsule 4: Review & Assessment Capsule 3: Where to Access Telehealth Services Capsule 4: Review & Assessment Capsule 3: Patient FAQ Capsule 4: Review & Assessment Capsule 4: Review & Assessment 19

20 Tele-T Intervention Online Training Introductory Video (audio only) Capsule 1: How to Navigate Online Training Modules 20

21 Tele-T Intervention Module 1 Module 1: What is Telehealth and Why You Should Use It Capsule 1: Understanding Telehealth Capsule 2: What are the benefits of using Telehealth services Capsule 3: Listen to a Peer Capsule 4: Review & Assessment 21

22 Tele-T Intervention Module 2 Module 2: How, When, and Where to Access Telehealth Services Capsule 1: How to Access Telehealth Services Capsule 2: When to Access Telehealth Services Capsule 3: Where to Access Telehealth Services Capsule 4: Review & Assessment 23

23 Tele-T Intervention Module 2 Patient s faith in doctor Bedside manners (Campbel, Shin, 2011) 24

24 Tele-T Intervention Module 3 Tip: Promote patientcentered communication, as it helps maintain a good interpersonal relationship and facilitates an exchange of information and empowers patients in decision making. Module 3: When and How to Get Your Patients Onboard Capsule 1: Determining Which Patients can use Telehealth Capsule 2: Identifying Patient Resources for Telehealth Capsule 3: Patient FAQ Capsule 4: Review & Assessment 24

25 Tele-T Intervention Module 4 Module 4: Money Matters - Getting Reimbursed Capsule 1: Saving Time and Money Capsule 2: Getting Reimbursed Capsule 3: Advocacy Capsule 4: Review & Assessment 25

26 Tele-T Intervention Module 4 Time Saving Benefits of Telehealth Travel to distant specialists is not necessary for patients. Providers can save time commuting to work. Continuing education credits from telehealth can avoid time spent out of the office. (Well, 2015) 26

27 Tele-T Intervention Website Wireframe Place your screenshot here 27

28 Tele-T Intervention: Monitoring and Evaluation Tip: A proper monitoring and evaluation plan needs to be considered to help understand the effects of the intervention on the target population. After Completing the Training Evaluation of the traction the website is receiving. Evaluation of the knowledge gained through watching the online modules. 28

29 Tele-T Intervention: In-person Training Personalized trainings provided on demand and tailored based on the organization needs and culture. 29

30 Tele-T Intervention: In-person Training Contents Provider Training What is Telehealth and Why You Should be Using It Topics to Cover: Increase telehealth knowledge Trainings with different patient scenarios Bedside E-Manners Technology training Discussion with a peer Scheduling 30 min In-Person Trainings (4-6 sessions) Administrator Training Developing Resources and Utilizing Support Topics to Cover: Reimbursement Scheduling Facilitating physician training How to get technology to providers and patients Technology proficiency HIPAA 30

31 Tele-T Intervention: In-person Training Considerations Tip: Before the training, several meetings should take place between the hospital administrator and the program manager to better understand the organization s needs and culture. For Physicians: Finding a Champion Nurses Onboard Best Practice Manual Flexible Schedule Peer to Peer Conversation For Administrators: Building a Timeline Building a Budget Disseminating Technology Onboarding Physicians 31

32 Implementation Tele-T User 32

33 Implementation Strategy Wireframe Mobile App Infographic 33

34 Implementation: Tele-T Mobile Application Place your screenshot here 34

35 Implementation: Tele-T Infographic 35

36 Implementation: Tele-T Infographic Tip: When designing your infographic, be sure that you are telling a story by referring to a problem and then providing a solution. 36

37 Communication Strategies for Considerations Tip: There are many ways that communication can support an intervention choose the one or few that are most strategic for your target population. Raise provider awareness Gain buy-in from patients Engage stakeholders Peek the interest of potential funders Raise general awareness about telehealth 37

38 Acknowledgment Special Thanks Professor Jacey Greece, DSc, MPH Andrew Solomon MPH, NETRC 38

39 QUESTIONS & FEEDBACK? 39

40 Contact Information Deana Barakat MPH Candidate Maria Cerda Journalist, MA, MPH Candidate Alaa Qari Dentist, DScD Dental Public Health Candidate Kalpita Patel MPH Candidate Meaghan Wostbrock MPH Candidate

41 The National Telehealth Webinar Series 3 rd Thursday of every month Telehealth Topic: Chronic Care Management and Remote Patient Monitoring: Improve Care Coordination while increasing revenue. Presenter: Bonnie Britton, MSN, RN, ATA Fellow, Executive Director, Reconnect4Health Date: Thursday, May 18, 2017 Times: 8:000AM HST, 10:00AM AKDT, 11:00AM PDT, 12:00PM MDT, 1:00PM CDT, 2:00PM EDT

42 Your opinion of this webinar is valuable to us. Please participate in this brief perception survey: TRC activity is supported by grants from the Office for the Advancement of Telehealth, Federal Office of Rural Health Policy, Health Resources and Services Administration, DHHS