iht² health it summit beverly hills – wes valdes, do, medical director of telehealth services,...
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iHT² Health IT Summit Beverly Hills – Wes Valdes, DO, Medical Director of Telehealth Services, Intermountain HealthcareTRANSCRIPT
Extending The Enterprise Through TeleHealth Programs
Transforming How We Think About The Opportunity
Traditional thinking: TeleHealth technology is good for patients far away.
This is how our patients are using communication technology ...
Not so far away
How do you think about TeleHealth technology?
A different way to provide clinical services?
• Needs clinical studies, policies, outcomes measures, to prove value before investing
• Is it a better version of a phone call or a worse version of an in person encounter?
• Benefit limited to clinical
An infrastructure for more communication options?
• Phone system upgrade and is infrastructure investment in communication technology
• Providers and patients will use it as they deem beneficial
• Benefit is system wide
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How do you think about TeleHealth technology?
Line Level Thinking
• Finances assessed against projected clinical benefit
• Benefits accrue to an individual, clinic, or department
• Decreased upfront costs
• Increased long term costs and complexity
Systems Thinking
• Finances assessed against cost alternatives
• Benefits accrue to the system and solution is available for the system
• Increased upfront costs
• Decreased long term costs and complexity
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How do you think about TeleHealth technology?
Line Level Thinking
• Compare investment against a single clinical process
• NPV
• IRR
• ROI
• Payback
Systems Thinking
• Compared investment against other system proposed expenses
• $34M upfront for teleICU, entertainment, education, simulation, patient services
• $15M upfront cost for combined solution
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Extending The Enterprise Through TeleHealth Programs
Transforming How We Think About Markets
Extending The Enterprise Through TeleHealth Programs
Social Networks
Enhanced communication
Remote data collection
Self-Care Support
Patient Education
Extending TeleHealth Programs for Internal Efficiency and Cost Savings
• Facilitates delivery of a number of internal virtual services
• Live chat with families from hospital room
• Video call routing, security, and management
• Infrastructure leveraged for patient services
Extending TeleHealth Programs for External Efficiency and Cost Savings
• Video communication outside firewall to patient home
• Load balance virtual patients and virtual services
• Utilize consumer equipment lowers cost and increases adoption by patients
• Aligns with clinical workflow
• Online forms and e-Sign solution
Extending TeleHealth Programs for New Business
• New market strategies
• Market penetration to new geographical areas
• Ancillary programs as revenue generating services
• Convert to video-capable call centers
Extending The Enterprise Through TeleHealth Programs
Transforming How We Think About Ourselves
“To transform healthcare delivery, we
must first transform ourselves.”
Resistance
Change
Line of
Tolerance
Organization Know Thyself
Resistance
Change
Line of
Tolerance
1
Organization Know Thyself
Pursue with
existing
operations
infrastructure
Resistance
Change
Line of
Tolerance
Organization Know Thyself
2
1
Resistance
Change
Line of
Tolerance
Organization Know Thyself
Additional
committed
resources
1
2
Resistance
Change
Line of
Tolerance
Organization Know Thyself
2
2
1
Resistance
Change
Line of
Tolerance
3
Organization Know Thyself
1
2
2
Resistance
Change
Line of
Tolerance
3
Organization Know Thyself
New
organizational
model
3
1
2
New
LOT
2
Resistance
Change
Line of
Tolerance
Organization Know Thyself
Personalized Patient Room
Thank you
Questions?