community care: paramedicine & telemedicine series the case for community-based telehealth ·...

2017 Technology Transformation Series

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Presented by

Rena Brewer, CEO & Sherrie Williams, COO

Global Partnership for Telehealth, Inc.

Community Care: Paramedicine & Telemedicine SeriesThe Case for Community-Based Telehealth

Learning Outcome Standards: Based on Best Practices of the National School of Applied Telehealth,

Consortium of Telehealth Resource Centers & American Telemedicine Association

Disclosure of Proprietary Interest

Paramedicine & Telemedicine Series

Your Logo

GPT’s proprietary interest in any product, instrument, device, service, or material discussed during this learning event is related to the NSAT Courses which were developed for the SETRC, a HRSA grant awarded to Georgia Partnership for Telehealth, Inc., a nonprofit telehealth network that falls under the GPT umbrella of nonprofit organizations / services.

The education offered by PRESENTING COMPANY in this program is compensated by the HRSA Small Hospital Improvement Program (SHIP) grant.


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The Case for Community-Based Telehealth

Purpose of Today

Technology Transformation Series

Today’s presentation is intended to state the case for comprehensive community-based telehealth that leverages all points of care in the community so that the resulting collaborative effort optimizes all health care resources for the benefit of the community & the region.

This discussion is intended for all stakeholders of telehealth fromthose in need of healthcare to those who participate at any level in the delivery of healthcare.


Learning Outcomes


By the end of this presentation, you should be able to:

• Describe Community Based Telehealth.• Identify the various stakeholders for Community-Based Telehealth.• Describe how the collaborative leveraging of all points of health care in a community

can improve access to care.• Identify other audiences that need to know this information and need to collaborate in

this area.• Identify actions items to take in response to this training.


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POLL QUESTION

Have you initiated any type of community telehealth program?

a. YESb. NOc. CURRENTLY WORKING ON ESTABLISHING A PROGRAMd. NO INTERESTe. UNSURE

Pre-Assessment Survey

Paramedicine & Telemedicine Series


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Pre-Assessment SurveyParamedicine & Telemedicine Series



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I. SECTION TITLE BUILDING THE CASE FOR COMMUNITY TELEHEALTH


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What is Community Telehealth?

• Uses technology to connect various silos of health in an effort to create a comprehensive health system

• Not hospital based or focused• Creates unique community partnerships• Serves the community so that populations are treated “where they

are”

In Rural America…….

Unintentional injury deaths are approximately 50 percent higher in rural areas than in urban areas, partly due to greater risk of death from motor vehicle crashes and opioid overdoses.

In general, residents of rural areas in the United States tend to be older and sicker than their urban counterparts.

Children in rural areas also face challenges. A CDC studyfinds that children in rural areas with mental, behavioral,and developmental disorders face more community and family challenges than children in urban areas with the same disorders.

https://www.cdc.gov/ruralhealth/ruralhealthbasics.html


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Rural America can be Hazardous to Your Health!

• Top 5 Preventable Deaths are higher in rural communities: heart disease, cancer, unintentional injuries, chronic lower respiratory diseases and stroke.

• Hospitals are Vanishing. Becker’s Hospital Review reports that from JAN 2010 to JUL 2017, 80 hospitals have closed.

• Opioid Epidemic. CDC reports that misuse of painkillers and overdoses are hitting rural areas the hardest.

• Smoking. Unfortunately, nationwide reductions in smoking rates have not been matched in rural setting.

• Physician Shortage. About 20% of the US population—more than 50 million people— live in rural areas, but only 9% of the nation's physicians practice in rural communities.

• Dental Gaps. Too few dentists serving rural communities and the lack of dental insurance threaten oral health. In many rural EDs, tooth pain is one of the most common reason for uninsured to visit the ED.

https://health.usnews.com/wellness/slideshows/11-ways-rural-life-is-hazardous-to-your-health?slide=2

What is different about rural health?

• Obstacles faced by health care providers and patients in rural areas are vastly different than those in urban areas.

• Rural Americans face a unique combination of factors that create disparities in health care not found in urban areas.

• Economic factors, cultural and social differences, educational shortcomings, lack of recognition by legislators and the sheer isolation of living in remote rural areas all conspire to impede rural Americans in their struggle to lead a normal, healthy life.

STATISTICS FROM "EYE ON HEALTH" BY THE RURAL WISCONSIN HEALTH COOPERATIVE, FROM AN ARTICLE ENTITLED "RURAL HEALTH CAN LEAD THE WAY," BY FORMER NRHA PRESIDENT, TIM SIZE: EXECUTIVE DIRECTOR OF THE RURAL WISCONSIN HEALTH COOPERATIVE.

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STATISTICS FROM "EYE ON HEALTH" BY THE RURAL WI HEALTH COOPERATIVE

National Rural Health Snapshot Rural Urban

Percentage of US Population 20% 79%

Percentage of US Physicians 10% 90%

# of Specialists / 100,000 Population 40.1% 134.1%

Population 65 & Older 18% 15%

Population below the poverty line 14% 11%

Average per capita income $19K $26K

Non-Hispanic White Population 83% 69%

Adults who describe health status as fair/poor 28% 21%

Adolescents (Aged 12-17) who smoke 19% 11%15

STATISTICS FROM "EYE ON HEALTH" BY THE RURAL WI HEALTH COOPERATIVE

National Rural Health Snapshot Rural Urban

Male death rate / 100,000 (Ages 1-24) 80 60

Female death rate / 100,000 (Ages 1-24) 40 30

Population covered by private insurance 64% 69%

Population who are Medicare beneficiaries 23% 20%

Medicare beneficiaries without drug coverage 45% 31%

Medicare spends per capita compared to US average 85% 106%

Medicare hospital payment-to-cost ratio 90% 100%

Percentage of poor covered by Medicaid 45% 49%

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II. SECTION TITLE INNOVATIVE COMMUNITY COLLABORATIONS

Improving Rural Health Care Through Collaboration& the Expansion of Telehealth Services

Think outside the box

01

Use collaborative care models and distance learning programs to

broaden the scope and improve the quality of health care services in your rural community

02

Identify partnerships & key stakeholders

03

Foster engagement

Work groups

Community Involvement

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Identify Local Stakeholders & Other Resources

TELEHEALTHSTAKEHOLDERS

INTERMEDIATE

OUTCOMES

POINTS OF HEALTHCAREWITHIN THE COMMUNITY

• Hospital Systems

• Physician Practices

• Mid Level Practices

• EMS / Ambulance

• Public Health

• Behavioral Health Clinics

• Dental Practices

• School Health Clinics

• Skilled Nursing Facilities

• Employee Health Clinics

COMMUNITY GROUPS / ORGANIZATIONS

• Universities / Technical Schools

• Council on Aging

• Civic groups

• Faith-based groups

• Nonprofit organizations

LOCAL, STATE & OTHERS

• Elected Officials

• Community Leaders

• Medicaid and Medicare offices

• State Office of Rural Health

• Veteran’s Administration

• Federal Grantors –HRSA, USDA, & others

III. ACTION ITEMS & COLLABORATIONTHE BASICS


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Leveraging Points

of Care

Source: Sg2 Healthcare Intelligence (Diagram Only)

Improves the health of a

community population

Improve patient outcomes

Reduced healthcare costs

TELEHEALTH

To Embrace or Not To Embrace!

Telehealth technology will play a critical role in meeting the healthcare needs of

the US long into the future.

Community Telehealth is important because:• Increases access• Reduces costs• Provides a more convenient delivery

mode for patients and providers


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ACTION ITEMS

Take the Lead!Identify an in-house telehealth champion with skills to coordinate a community wide effort

01

Develop a strategic plan that supports, embraces,& complements activities and interventions involved in this effort

02

Collaborate w/stakeholders & change agents to implement strategic plan

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Build momentum by collecting data and reporting results to the community-at-large and all officials (local, state, federal)

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REFERENCES & RESOURCES

The National Cornsortium of Telehealth Resource Centers

http://www.telehealthresourcecenter.org/

National School of Applied Telehealth

www.nationalschoolofappliedtelehealth.org

Centers for Disease Control & Prevention

https://www.cdc.gov/ruralhealth/ruralhealthbasics.html

US News Report, FEB 2017

https://health.usnews.com/wellness/slideshows/11-ways-

rural-life-is-hazardous-to-your-health?slide=2

NCBI, National Center for Biotechnology Information

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071163/


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Learning Outcomes


By the end of this presentation, you should be able to:

• Describe Community Based Telehealth.• Identify the various stakeholders for Community-Based Telehealth.• Describe how the collaborative leveraging of all points of health care in a community

can improve access to care.• Identify other audiences that need to know this information and need to collaborate in

this area.• Identify actions items to take in response to this training.

QUESTIONS?

If you have questions about this education, please contact:

Global Partnership for Telehealth, Inc.Rena Brewer, CEO or Sherrie Williams, COO

866-754-4325

www.gatelehealth.org

Or you can contact [email protected]

community care: paramedicine & telemedicine series the case for community-based telehealth ·...

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