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Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain Workgroup June 15, 2015

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Page 1: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Creative Solutions to Challenging Access Issues

The “Next Generation” of Telehealth Services

ND Telehealth Domain Workgroup June 15, 2015

Page 2: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

gpTRAC • Federally-designated telehealth resource

center – Funded by Office for the Advancement of

Telehealth

• Since 2007

• Serving ND, SD, NE, MN, WI, and IA

• Provide:

–Guidance, assistance, information, education, and awareness

Page 3: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain
Page 4: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Classic Telehealth

– Traditional…

– Telemedicine

– Remote Monitoring

• ICU

• Etc.

Page 5: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Changing Environment

• Improved understanding

• Increased Needs

• Expectations

• Technologies

Page 6: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

New Telehealth

• More interest

• More appeal

• More consumers

• More Fizz

Page 7: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Working to address similar issues:

• Lack of access to needed services

• Need to reduce costs

• Desire to improve outcomes

• Customer/patient convenience and experience

Page 8: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

So, what is happening? • Expanding services (traditional)

• Expanding service locations

– Residential/group homes

– Assisted living centers

– Workplace-based clinics

– School-based clinics

• In-school Services: Clinical/Behavioral

Page 9: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Photo Credit: Evangelical Good Samaritan Society

Assisted Living

https://youtu.be/gNTbTWuO4zo

Page 10: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Photo Credit: Mayo Clinic Health Connection

Workplace Telehealth Services

Page 11: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Photo Credit: CRHI, MY Health-e-Schools

School-Based Telehealth Services

https://youtu.be/jv9pNKlre34

Page 12: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Group Homes

Photo Credit: LifeScapes

Page 13: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

So, what else is happening?

Convenience-focused services

Non-traditional

services

Mobile services

In-home services

https://www.youtube.com/watch?v=v9YiTIYO-2A

Page 14: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

What are the challenges?

• Regulations

– Licensure

– Practice Standards

• Billing

• Continuity of Care concerns

Page 15: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

What is being done?

• Legislation

– Federal

– State

• Regulations are working to catch up

– Texas Board

– Others

Page 16: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

What is next?

• Mobile Apps

– What is their role?

• Expanding service locations

• Expanding service providers

• Elimination of the urban “disqualifier”?

Page 17: Creative Solutions to Challenging Access Issues · 6/15/2015  · Creative Solutions to Challenging Access Issues The “Next Generation” of Telehealth Services ND Telehealth Domain

Questions?

Contact Information:

Mary DeVany [email protected]

www.gptrac.org