July 19, 2018 Workforce for Health Taskforce Meeting Summary Kester Freeman, Co-Chair, welcomed everyone to the July Workforce for Health Taskforce meeting. Mr. Freeman opened the meeting with a statement on the potential for technology and telehealth to provide equitable care to all. He stressed the importance of embracing new and innovative methods of health care delivery to address our myriad population health needs. After Mr. Freeman s welcome, Katie Zenger, Project Manager for the IMPH Workforce for Health Taskforce, provided participants with a brief overview of the schedule for the day. She outlined the materials and resources that were provided in the folders. Mrs. Zenger then introduced the two morning panelists for the Telehealth Overview Presentation - Jennifer Bailey, from South Carolina Area Health Education Consortium (AHEC), and Kathryn Cristaldi, from the Medical University of South Carolina (MUSC). Dr. Cristaldi s presentation reviewed the telehealth efforts at MUSC s Center of Excellence and their partners across the state. She described the clinical services that are and can be provided through telehealth, but also gave a clear description of the services that technology cannot replace. Regarding data privacy and telehealth, Dr. Cristaldi used online banking by phone as an analogy, stating that trust for telehealth is strengthened if a human navigator is there to aid patients and clinicians. A comment was also made about youth and their comfort with technology; young people may be able to teach and influence older adults to be more comfortable with telehealth. Ms. Bailey s presentation covered the landscape and strategic direction of telehealth in South Carolina; particularly, training needs for the current health care workforce pertaining to technology. She described the potential impact on the existing and emerging health care workforce. An example of robotic surgery was made to show that technology is great but there are potential drawbacks to it when considering workforce challenges, such as: loss of communication and coordination team members miss out on specific verbal and nonverbal cues workloads are transferred to people with different training and/or experience Ms. Bailey stressed that it is important to consider the benefits and challenges of telehealth, specifically, the impact of increasing access. Telehealth is absolutely an important part of improving access to health care for patients in rural areas; however, physicians and specialists will still have to learn communication skills that are necessary for quality team-based care. Ms. Bailey suggested that there may be a need to train the future and current workforce on quality management techniques and communication skills for telehealth optimization. Some of the most significant changes to delivery of care with telehealth will be: fewer in-person visits increased need for data management 1
need for training for staff and educating patients workflow changes need for increased patient engagement need for internet access and IT support Important training and education considerations for telehealth are: moving from bedside manner to webside manner a need for increased emphasis on roles and responsibilities of care coordination need for increased emphasis on teamwork and communication cultural competency knowledge of social determinants of health and community resources quality improvement and change management building the capacity or and/or the knowledge base of the health care workforce After Dr. Cristaldi and Ms. Bailey s presentations, there is an open forum for questions from the attendees regarding telehealth in the state. Questions ranged from telehealth s relationship with insurance companies to questions regarding telehealth success and patient satisfaction. Ms. Zenger described the process of breaking up the taskforce into groups to discuss the development of draft recommendations. Taskforce members were asked to look at the back of their name tags where there was either a green, orange, or yellow dot. Each dot corresponded to a workgroup, where green represents the Health Systems group, orange represents the Community Health group and yellow represents the Health Care Education and Training group. Within the workgroups, members considered focus questions to frame their discussion. While taskforce members were enjoying lunch, Bob Brookshire, from USC s Health IT Graduate Program began his presentation. Dr. Brookshire gave an overview on the University of south Carolina s Health IT Masters Program, specifically what needs it meets and the unique students being attracted. Dr. Brookshire also discussed the increased importance of health care analytics and its impact on the future health care workforce. After Dr. Brookshire s presentation, taskforce members were guided into either the Saluda, Edisto, or Waccamaw Rooms for the Workgroup Breakout Discussions. There were three focus questions for discussion: 1. How can advances in technology, including telehealth, be best used as tools to improve population health via their use by individuals, patients, and the health care workforce and what training needs exist specifically related to technology? 2. How do we develop the IT health care workforce needed to translate HER data into meaningful information for providers and health systems? Are we collecting the most useful data elements? 2
3. How can we better translate data into information and wisdom in the health care delivery system to better meet patients needs (focus on social determinants)? Discussions were led by discussion leaders. They provided a brief summary once the entire taskforce reconvened back to the Congaree Room. Group 1 reported that their group discussed integrating telehealth into health systems has potential to drive care, increase accessibility, and educate patients. However, to implement these mechanisms, incentives and ease of application must be considered. Group 2 stated that telehealth is an important aspect of Health Care Education & Training, but it is not the most important way to address the integration of skills that are needed to provide care to a patient holistically public health and other models should be considered. Group 3 reported on the importance of having a consistent way of integrating telehealth into workplaces, and that we should make sure to use trusted community resources for outreach and the provision of information. After each group reported back to the taskforce, Dick Wilkerson, Co-chair, gave the closing remarks. He also introduced the topic for the August meeting, Innovations in the Health Care Workforce Education Pipeline, which will be held August 16, 2018. The meeting ended at 2:03 p.m. 3
July 19, 2018 Workforce for Health Taskforce Meeting Attendees 1. Rep. Terry Alexander 2. Teresa Arnold 3. Bree Bess 4. Betsy Blake 5. Morgan Bowne 6. Teri Browne 7. Charles Chuck Carter 8. Angel Clark 9. Darra Coleman 10. Shuana Davis 11. Janet Evatt 12. Lily Fasbender 13. Rick Foster 14. David R. Garr 15. Jane H. Garrett 16. James F. (Jan) Harper 17. Ronda Hughes 18. Lisa James 19. Stephanie McGuire 20. Deborah Munchmeyer 21. Michelle Paczynski 22. Lilian Peake 23. Janet Place 24. Bob Rice 25. Monty Robertson 26. Salandra Bowman 27. Carey J. Rothschild 28. Matt Hiatt 29. Kayce Shealy 30. Windsor Westbrook Sherrill 31. Julie Smithwick 32. Walt Tobin 33. Rep. Ashley Trantham 34. S. Malik Whitaker 35. Virginia Berry White 4
Presenters: 1. Jennifer Bailey (SC AHEC) 2. Bob Brookshire (USC) 3. Kathryn Cristaldi (MUSC) Advisory Committee: 1. Graham Adams 2. Chris Collins 3. Kester Freeman 4. Sara Goldsby 5. Anton Gunn 6. Lara Hewitt 7. Mark Jordan 8. Linda Lacey 9. Pete Liggett 10. Angelo Sinopoli 11. Dick Wilkerson IMPH Staff: 1. Jamelia Graham 2. Vince Matthews 3. Maya Pack 4. Corey Remle 5. Shaena Rouse 6. Megan Weis 7. Katie Zenger 5