a clinical event
TRANSCRIPT
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A Clinical Event
Marilyn Dahler, RN Avera Telehealth & Great Plains TRACKarla Knobloch, RN
Avera Telehealth
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Avera Telehealth
• Not for profit system
• Active in Telehealth since 1993
• 100 endpoints at >50 locations
• >900 education/meeting events
• >2300 consults this fiscal year
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Specialties
• Mental Health
• ID
• Pulmonary (adult and peds)
• OB Ultrasounds
• Pediatric Cardiology (echoes)
• GI
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Specialties Con’t• Dermatology
• Oncology
• Wound Care
• Endocrinology
• Nephrology
• Internal Medicine
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Telehealth
Electronic transfer of medical information, either
synchronous or asynchronous for the
purpose of providing patient care
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Telehealth Application• Education/meetings
• Telemedicine
• Store and forward
• e-ICU
• e-health
• Telehome care
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Benefits
• Increased access
• Enhances quality of care
• Saves travel dollars
• Supports main street
• Promotes continuum of care
• Promotes family connectivity
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Telemedicine
Use of interactive video conferencing for
patient care
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Getting Started
• Site w/need and willing– Administrative support/telepresenter– Find a champion
• Equipment &required peripherals
• Network and connectivity
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Getting Started Con’t
• Provider• Reimbursement –Medicare–Medicaid– Third Party– Contracts
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….Remember
This is patient care, so applying the same standards will give you a starting point
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Licensure & Credentialing
• Licensed in state where the patient is located
• Credentialed according to facility’s policy
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Informed Consent
• Patient Rights
• Provider Rights
• Security measures
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Privacy
• Visual and auditory
• Introduce those present at both locations and their role
• Disable multi point calling
• Mute upon answering
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Security
• HIPPA Complicant–Network
–Patient information/Medical Record
–Clinic’s HIPAA form
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Safety
• Safety –Staff competencies
–Biomedical
– Infection Control
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Policies & Procedures
• Scheduling of room/equipment
• Specific provider needs
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Medical Record
• Use existing records
• Documentation–Who is present in room
–Participation in exam–Written/verbal orders
–Discharge instructions
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Continuum of Care
• Patient information transferred before and after appointment
• Discharge Planning
• Failure of the patient to show–Who is notified
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Implementation
• Train staff
• Provide ongoing support
• Evaluate/problem solve
• Train again and again and again……
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It’s not about the ball!
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It’s about the delivery of healthcare
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Summary
• Apply healthcare standards
• Build upon established practices
• Fill in the gaps
• Provide training and ongoing support and evaluation
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Marilyn Dahler – 605-322-6028
Karla Knobloch – 605-322-6263