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Wadena’s Wadena’s Experience with Experience with
TelemedicineTelemedicine
FAIRVIEW-UNIVERSITY OF MINNESOTA TELEMEDICINE NETWORK
Hibbing
Wadena
Aitkin
Minneapolis
Onamia
Red Wing
.Crosby
Cook
Moose Lake
Mille Lacs/ Onamia
Mora
Littlefork
Bigfork
Telemedicine Since 1994Telemedicine Since 1994
FUMTN Telemedicine NetworkFUMTN Telemedicine Network– Most Specialists from UMPMost Specialists from UMP– Most Coordination of Services from U of Most Coordination of Services from U of
MM
Tri-County HospitalTri-County HospitalCritical Access Hospital (25 bed)Critical Access Hospital (25 bed)Non-ProfitNon-Profit
Located in Health Professional Located in Health Professional Shortage Area (HPSA)Shortage Area (HPSA)
10 Family Practice M.D.’s10 Family Practice M.D.’s 1 General Surgeon1 General Surgeon 1 Radiologist1 Radiologist 6 Mid-Levels (FNP/PA’s)6 Mid-Levels (FNP/PA’s)
Referral PatternsReferral Patterns
St. Cloud – EMS TransfersSt. Cloud – EMS Transfers FargoFargo Twin Cities – Trauma/Sub SpecialistsTwin Cities – Trauma/Sub Specialists
Specialty Outreach Table Specialty Outreach Table TelemedicineTelemedicine
VIA TELEMEDICINEVIA TELEMEDICINE VISITSVISITS TOTAL VISITSTOTAL VISITS
OrthopedicsOrthopedics 278278 KneeKnee 3030 ShoulderShoulder 184184 Foot/AnkleFoot/Ankle 1111 Wrist/HandWrist/Hand 3636 SpineSpine 33DermatologyDermatology 243243PsychiatryPsychiatry 110110TOTALTOTAL 631631
TCH Specialty Outreach TCH Specialty Outreach Table OnsiteTable Onsite
ONSITE 2005ONSITE 2005 VISITSVISITS TOTAL VISITSTOTAL VISITSCardiologyCardiology 514514OrthopedicsOrthopedics 584584 KneeKnee 180180 ShoulderShoulder 1717 SpineSpine 352352 Foot/AnkleFoot/Ankle 3535UrologyUrology 667667OncologyOncology 267267OpthalmologyOpthalmology 168168TOTALTOTAL 2,2002,200
TCH Telehealth ApplicationsTCH Telehealth Applications
Teleradiology (MD to Rural Health Clinics)Teleradiology (MD to Rural Health Clinics) Telepharmacy (RPH to Rural Health Telepharmacy (RPH to Rural Health
Clinics)Clinics) Wound Care (RN to long term care Wound Care (RN to long term care
facility)facility) Speech Therapist to schoolsSpeech Therapist to schools 16-Bed Psych Hospital to ER Triage16-Bed Psych Hospital to ER Triage Jail Health – ER TriageJail Health – ER TriageTelehome care, hospice, home monitoring, Telehome care, hospice, home monitoring,
med compliancemed compliance
EquipmentEquipment
Down from $100,000 to under Down from $100,000 to under $10,000$10,000
Ongoing Line ChargesOngoing Line Charges
(Universal Services – equalize rural (Universal Services – equalize rural rates to urban rates)rates to urban rates)
VideoVideo
Why Do Telemedicine?Why Do Telemedicine?
Avoids travel – for patients/providersAvoids travel – for patients/providers Makes increased outreach possibleMakes increased outreach possible Stretches scarce health professionalsStretches scarce health professionals Keeps revenue in local communityKeeps revenue in local community
Revenue Example for Revenue Example for Outreach TelemedicineOutreach Telemedicine
“Episodes or Care” - “Episodes or Care” - Orthopedics Orthopedics
Facility FeeFacility Fee X-rays, scansX-rays, scans LabsLabs Rehab PT/OTRehab PT/OT Home Health CareHome Health Care Swing BedsSwing Beds Specialist fees paid same as face-to-faceSpecialist fees paid same as face-to-face
Why it works in WadenaWhy it works in Wadena
Specialist M.D. Access through UMPSpecialist M.D. Access through UMP Need is presentNeed is present Wadena M.D.’s supportive, make referralsWadena M.D.’s supportive, make referrals All specialty visits conducted same face-All specialty visits conducted same face-
to-face onlineto-face online Gold standard equipment and Gold standard equipment and
telecommunication service providertelecommunication service provider Excellent nurses, supportive Excellent nurses, supportive
AdministrationAdministration
Patient and MD Patient and MD Satisfaction: 99%Satisfaction: 99%
For more information or to visit For more information or to visit Wadena, please contact:Wadena, please contact:
Maureen Ideker, RN, Director of Patient Maureen Ideker, RN, Director of Patient Care Services 218-631-7481 or Care Services 218-631-7481 or [email protected]@tricountyhospital.org
Robin Klemek, RN, Outreach Manager Robin Klemek, RN, Outreach Manager
218-631-7497 or 218-631-7497 or [email protected]@tricountyhospital.org