telehealth maturity model & tactics for successful ... › sites › himsschapter › files ›...

of 20 /20
Telehealth Maturity Model & Tactics for Successful Implementation Ed Simcox

Upload: others

Post on 29-Jun-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Maturity Model & Tactics for Successful Implementation

Ed Simcox

Page 2: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Terms: Telehealth or Telemedicine?

▪ Telemedicine▪ Medical information

▪ Exchanged site to site

▪ Digital

▪ Improve clinical health status

▪ Telehealth▪ Encompasses telemedicine

▪ Broader - adds non-clinical

▪ E.g. – wellness, coaching, remote monitoring, education, therapy

Telehealth

Telemedicine

Page 3: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Definition –Wisconsin State Law

▪ “ ‘Telehealth’ is a service provided from a remote location using a combination of interactive video, audio, and externally acquired images through a networking environment between an individual at an originating site and a provider at a remote location with the service being of sufficient audio and visual fidelity and clarity as to be functionally equivalent to face-to-face contact. ‘Telehealth’ does not include telephone conversations or Internet-based communications between providers or between providers and individuals.”

Wisconsin Statute 49.45(29w)(b)1.b.

Page 4: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

The Future is NowFuturistic telehealth example from 1929:

The Teledactyl (“Tele” = far; “Dactyl” = finger - Greek)

The Smithsonian Magazine, http://www.smithsonianmag.com/history/telemedicine-

predicted-in-1925-124140942/ (as referenced 5/20/2016)

“The busy doctor, fifty years hence,

will not be able to visit his patients

as he does now. It takes too much

time, and he can only, at best, see a

limited number today.…This is

where the teledactyl and diagnosis

by radio comes in.”

- Hugo Gernsback, 1925

Page 5: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Robotic Tele-Surgery

Himpens J (2012). Surgery in space: the future of robotic telesurgery (Haidegger T,

Szandor J, Benyo Z. Surg Endosc 2011; 25(3):681-690). Surgical Endoscopy, 26 (1)

PMID:21858579. Image Credit: A.Pollinger

Telepresence-based Laproendoscopy

Page 6: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

The “Tipping Point”

“The moment of critical mass, thethreshold, the boiling point.”

– Malcom Gladwell (2000), The Tipping Point: How Little Things Can Make a Big Difference, Boston: Little, Brown.

Telehealth Tipping Point:

The moment “telehealth” and “telemedicine” become

synonymous with “healthcare.”

Page 7: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Trends

▪ Challenges▪ Reimbursement

▪ CMS

▪ Private payor

▪ Clinician and patient acceptance

▪ Licensure reciprocity

▪ Progress▪ Shift from volume to value – a need to contain costs and increase perceived value

▪ Next generation ACO – contemplates telehealth

▪ State parity laws

▪ Improved CMS and private payor reimbursement

▪ CMS reimbursement for more codes

Page 8: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Supporting the Triple AimTM

The term “Triple Aim” is a trademark of the Institute for Healthcare Improvement.

Better Value

Page 9: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Maturity Model

▪Stage 1 – “Ad-Hoc”

▪Stage 2 – Rationalized

▪Stage 3 – Clinically-Integrated

Page 10: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Maturity Model

Stage 1 – “Ad-Hoc” Telehealth▪Early adopters

▪Specific clinical need(s)

▪Single clinical stakeholder

▪Manual workflows and processes

▪Stand-alone

10

Page 11: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Maturity Model

Stage 2 – Rationalized Telehealth▪Multiple stakeholders

▪More formalized

▪Executive visibility

▪Governance introduced

Page 12: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Telehealth Maturity Model

Stage 3 – Clinically-Integrated Telehealth▪ Enterprise-wide strategy

▪ Broad governance

▪ Sponsored by executive

▪ EHR integration

▪ Automated clinical workflows

Page 13: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Key Telehealth Tactics for Successful Implementation

Page 14: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

#1 - Build an Effective Governance Model

An effective governance model:

▪ Prioritizes telehealth projects

▪ Gets stakeholders to own

▪ Is multi-disciplinary

▪ Promotes executive visibility & awareness of the program

▪ Establishes telehealth related policy & procedure

▪ Sponsors a unified technology solution approach; ensures investments

are fully leveraged

Establish

strategic

direction

Execute

Strategy

&

Manage

Risks

Ensure

Compliance

Page 15: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

#2 - Assemble a Multi-Disciplinary Team

Telehealth Director

▪ Executes strategy

▪ Manages operations and quality control

Clinical Champion(s)

▪ Help define workflows

▪ Promotes clinical adoption

▪ Address administrative and IT concerns

IT Technical Lead

▪ Liaison between clinical/administrative leaders and IT

▪ Leads technical design and implementation

▪ IT selection, procurement, and vendor management

▪ Works closely with Telehealth Coordinator

Page 16: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

#3 - Assess Needs & Current Capabilities

▪ Current activities

▪ Market opportunity, community benefit

▪ Service line capabilities

▪ Physician interest & readiness

▪ Reimbursement potential

▪ IT infrastructure and security

Page 17: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

#4 - Develop Business Plan

▪ Define success

▪ Prioritized use cases

▪ Financial model

• Estimated costs (people/technology)

• Revenue estimates

• Return on investment

• Payor contribution

• Potential sources of funding (government grants, etc.)

▪ Technology plan

▪ Operational staffing model

▪ Go to market strategy

Page 18: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

#5 - Develop a Project Plan

Project planning & implementation

▪ Vendor management

▪ IT Coordination (integration, network, etc)

▪ Training and communication management

▪ End user training

▪ Community outreach and marketing coordination

▪ Process improvement

▪ Performance measurement

▪ Risk and issue management

▪ Status reporting

Page 19: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

#6 – Measure Performance

▪ Regularly review scorecards and other measures of success

▪ Fail fast/pivot

▪ Continually improve

▪ Adapt and expand

▪ Remain flexible - evolve

Page 20: Telehealth Maturity Model & Tactics for Successful ... › sites › himsschapter › files › HIMSS telehealt… · Telehealth Definition –Wisconsin State Law “ ‘Telehealth’

Questions?

Ed SimcoxHealthcare Practice [email protected]