the national telehealth webinar · step by step: starting a telehealth program produced by the...

The National Telehealth WebinarThe National Telehealth Webinar Series

Presented byyThe National Network of Telehealth 

Resource CentersResource Centers

Telehealth Resource Centershttp://www telehealthresourcecenters orghttp://www.telehealthresourcecenters.org

• California Telemedicine & eHealth Center (CTEC)

• Great Plains Telehealth Resource & Assistance Center (GPTRAC)

• Heartland Telehealth Resource Center (HTRC) 

• Mid Atlantic Telehealth Resource Center (MATRC)

• Northeast Telehealth Resource Center (NETRC)

• Northwest Regional Telehealth Resource Center  (NRTRC)

• Pacific Basin Telehealth Center  (PBTRC)( )

• South Central Telehealth Resource Center (SCTRC)

• Southeastern Telehealth Resource Center (SETRC)

• Southwest Telehealth Resource Center (SWTRC)Southwest Telehealth Resource Center  (SWTRC)

• Upper Midwest Telehealth Resource Center (UMTRC)

I t hi ith Th T l h lth T h l A t C t (TTAC)In partnership with: The Telehealth Technology Assessment Center (TTAC)

Step by Step: Starting a Telehealth ProgramTelehealth Program

Produced by theCalifornia Telemedicine and eHealth Center

March 15, 2012(9:00AM HST,  11:00AM PST,  12:00AM MST,  1:00PM CST, 2:00PM EST)

Building SuccessfulBuilding Successful Telemedicine Programs Step By Step

National Telehealth Resource Centers Webinar

March 15 2012March 15, 2012

Presented by:yChristine Martin, MBA, MT, PMPExecutive DirectorMegan ShullProgram Coordinator

© 2012 CTEC

California Telemedicine and eHealth CenterWestern Regional Telehealth Resource Center

Telemedicine Everyone Is Talking About It

© 2012 CTECwww.cteconline.org

Telemedicine

A Necessary Solution In Health Care Transformation

© 2012 CTEC

Why Use Telehealth

• Reduces barriers to accessI ffi i f id• Increases efficiency for providers

• Reduces overall health care costsR d d l i• Reduces delays in care

• Retains resources locally• Reduces travel• Reduces travel• Increases patient satisfaction• Supports Improved quality• Supports Improved quality• Improves health outcomes

© 2012 CTEC

Federal Vision for Telehealth

No matter who you areor

where you areyou can get

the health care you needthe health care you needwhen you need it

© 2012 CTEC

And That Means….

The right care right care ggat the right time right time

in the right locationright locationin the right location right location by the right provider right provider

© 2012 CTEC

TelehealthTelehealth Applications Are GrowingAre Growing

Across Levels & Types of Service

© 2012 CTEC

Ho Will Yo Get There?How Will You Get There?

© 2012 CTEC

Two Roads

© 2012 CTEC

Successfully Developing A Telemedicine Program

• Commitment

• Support

• Knowledge• Knowledge

• Persistence

• Process

© 2012 CTEC

Some First ConsiderationsI Y O i ti R d ?Is Your Organization Ready?

O i ti l R di k i di t• Organizational Readiness – key indicators– Alignment with Mission

Ali t ith t t i l– Alignment with strategic plan– Other areas to look

• Assessing Organizational Readiness Can Start A ConversationCan Start A Conversation

© 2012 CTEC

Obtain Organizational Buy-InObtain Organizational Buy-In

• Administrative Approval• Budgetary Supportg y• Clinical Leadership• Departmental Participation• Departmental Participation• IT Support and Involvement

© 2012 CTEC

Create A Team• Why Is This A Best Practice• Team Members

Presenting & Providing Site– Project Manager– Clinical– Executive– Administrative - fiscal– Operations

Technical– Technical– Public Relations– HR

© 2012 CTEC

Use A Process

• Replicable process & steps

• Applies Best Practices

• Incorporates Lessons Learned

© 2012 CTEC

What Is Applied TelehealthWhat Is Applied Telehealth

Best Practices Structured Approach

+Project Management Tools

Lessons Learned

S f l T l h lth PSuccessful Telehealth Programs

© 2012 CTEC

CTEC Program DeveloperA Three Part Roadmap

Assess1. Determine Need and Demand2 . Define & Specify Program Model3 Develop Business Case

4. Plan Program & Technology

Develop & Plan3 . Develop Business Case

g gy5. Develop Performance Monitoring Plan

Implement & Monitorp6. Implement Telemedicine Program7. Evaluate & Improve Program (Ongoing)

© 2012 CTECDefine – Develop - Do

Experience Showsp

© 2012 CTEC

Assess

1. Determine Need and Demand

2 Define & Specify Program Model2 . Define & Specify Program Model

3 . Develop Business Case

© 2012 CTEC

First Define Why This Project?First Define – Why This Project?

1. Look at Needs• What problems are you solving• What services are needed

What sol tions can be pro ided b• What solutions can be provided by telemedicine

• Quantify

© 2012 CTEC

Next – What Program Model

2 . Define & Specify Program Model

Next What Program Model

p y g

• Determine telemedicine model that is best fitfit

• Is it feasible?

• What result do we want?

• What are the boundaries?• What are the boundaries?

© 2012 CTEC

And A Business Case3 . Develop A Business Case

N t ti l b t• Not entirely about revenue• Use reasons for service as foundation • Consider sustainability• Consider sustainability

© 2012 CTEC

Uncover The Reasons• Return on Investment

• Access To Needed Services• Access To Needed Services

• Relationships with World Class Providers• Support for Clinical Staff• Support for Clinical Staff

• Improve Skills

• Up To Date• Up To Date

• Value to Community

I P ti t E i• Improve Patient Experience

© 2012 CTEC

Before You Move On

Write A CharterWrite A Charter• Save Time• Keep On Target

Documents Your• Documents Your Baseline

© 2012 CTEC

Write It Down

© 2012 CTEC

Early Predictors of Success• High level organizational support

• Champions

• Needs defined

• Program model that meets applicationpp

• Business Model

S t i bilit I C id d• Sustainability Is Considered

© 2012 CTEC

Minnesota Telehealth Network Wadena

Develop & PlanDevelop & Plan

4. Plan Program & Technology5. Develop Performance Monitoring Plan

© 2012 CTEC

Develop The Program

• Identify best program model &Identify best program model & technology

• Create a Plan• Create a Plan • Arrange for what will be needed• Lots to learn

© 2012 CTEC

Many Moving Parts To Consider

• Equipment & TechnologyT l i ti• Telecommunications

• ClinicalL l• Legal

• OperationsP li i & P d• Policies & Procedures

• Human FactorsD t• Data

• Training & Skill Building

© 2012 CTEC

Let’s Move AheadLet s Move Ahead

• Balancing urgency to proceed vs. time to research and plan p

• Is It All Much To Do?• Is It All Much To Do?

© 2012 CTEC

Is Close Enough Good Enough?

© 2012 CTEC

Implement & Monitorp

6. Implement Telemedicine Program7. Evaluate & Improve Programp g

(Ongoing)

© 2012 CTEC

Let’s Do It - ImplementLet s Do It Implement

• Implement Telemedicine Program -Work Your PlanWork Your Plan- Your Team Is Your Best Asset!- Your Telehealth Coordinator IsYour Telehealth Coordinator Is

critical for success

• Monitor and Improve

© 2012 CTEC© CTEC 2011

Implement & Improve

• Execute the plan• Control and adjust

Measure:

Control and adjust

Where are we?

Monitor: Is it where we planned to be?

Modify/Improve: How can we get

on track? p a ed o beo ac

© 2012 CTEC

© 2012 CTEC

© 2012 CTEC

Predictors of Success

• High Level Support – Consistent With Organizational g e e Suppo C O gMission

• Administrative Champion• Development funding• Staffing

• Understand Needs and Demand• What need is being filled• Is there a demand for service

© 2012 CTEC

Predictors of Success

• Clinical Champion – Clinical SupportC ca C a p o C ca Suppo

• Team ApproachTeam Approach

• Telemedicine Coordinator• Telemedicine Coordinator

© 2012 CTEC

Predictors of Success

• Mentors / Program Assistance

• Technical Supportpp

• Realistic planRealistic plan

© 2012 CTEC

Predictors of Success

• Training

• Maintaining Skillsg

• Performance MeasuresPerformance Measures

• Data CollectionData Collection

© 2012 CTEC

Development Can Be Challenging

• Reimbursement / payment strategies

• Organizational strategic integration

• Program development

• Funding for development

• Obtaining supportg pp

• Operational models

• Sustainable business models• Sustainable business models

• Program costs

C d ti li i il i & dit ti

© 2012 CTEC

• Credentialing, privileging & accreditation

It Can Be Difficult to Find Answers!Ca e cu o d s e s

Many Ideas and strategies

Find the one that is best for you

Consult with the Telehealth Resource Centers

© 2012 CTEC

Consult with the Telehealth Resource Centers

QuestionsQuestions Discussion

Pl f l f t t tPlease feel free to contact me:Christine Martin

Executive DirectorCalifornia Telemedicine & eHealth Center

Western Regional Telehealth Resource Centercmartin@calhealth.orgcmartin@calhealth.org

877.590.8144

© 2012 CTEC

The National Telehealth Resource Center Webinar SeriesWebinar Series

3rd Thursday of every month

Next Webinar:

T l h lth T i E CTelehealth Topic: Emergency Care

Presenter: South Central Telehealth Resource Center

Date: Thursday, April 19, 2012y, p ,

Times: 11:00 A.M. Pacific (1:00 P.M. Central, 2:00 P. M. Eastern)

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This presentation was made possible by grant number G22RH20214 from the Office for the Advancement of Telehealth, 

H lth R d S i Ad i i t ti DHHSHealth Resources and Services Administration, DHHS.