Expanding Care Through TeleHealthTallahassee Memorial HealthCare

Leading our community to be the healthiest in the nation.

Lauren FaisonService Line Administrator

Goals for TMH TeleHealth

1. Improve overall health and quality of life for patients.

2. Increase patient access to primary and specialty care.

3. Increase efficiencies within the regional health system.

4. Promote successful transitions in care.

5. Reduce readmissions and unnecessary transfers to the ED.

Tallahassee Memorial TeleHealth

1. Telemonitoring – remote monitoring of

patients.

2. Telemedicine – connecting providers to

patients through technology vs. face to face.

Telemonitoring

1. Allows providers to remotely monitor key health

indicators such as weight, blood pressure, oxygen

levels, glucose, and health behaviors.

2. Interventions are provided quickly to prevent health

episodes that result in hospitalization or a visit to

the ER.

3. Empowers the patient be an active participant in

managing their own health.

Telemonitoring Impact

Remote Monitoring pilot project:

1. 23 high E.D. utilizers where monitored for 30-60 days.

2. Nurses were able to monitor and provide timely interventions.

Results:

Visits prior to remote monitoring/interventions

Visits after remote monitoring/interventions

Impact

105 18 83%

Telemedicine

Telemedicine Equipment

Telemedicine Capabilities

1. General Exam

2. Otoscope

3. Ophthalmoscope

4. Bluetooth Stethoscope

5. EKG

6. Ultrasound

7. X-ray

8. Vital Signs

TMH Telemedicine

1. Expansion of Behavioral Health Services to

Rural Communities

• Partnership with primary care providers

• Rural ED Baker Act Evaluations

• Outpatient follow-up

TMH Telemedicine

2. Services to Rural Hospital Partners

• Doctors Memorial – Psychiatry, Dietary, Specialists,

Transfers

TMH Telemedicine

3. Specialty Consults

4. Expanding Transitional Care Services

5. Emergency Consults

TMH Telemedicine

6. Reducing unnecessary readmissions and

visits to the ED by connecting Medical

Directors to LTC/SNFs/Rehab Facilities.

Benefits of Connecting Outpatient Facilities

1. Reduced transfers costs.

2. Increased patient safety.

3. Increased patient satisfaction.

4. Increased provider satisfaction.

Next Phase of TMH Implementation

1. Connection of hospitalists to ED

2. Transfers

3. TMH Rehab

4. Education/Residency Programs

5. Supplemental Services – supports

patient-centered service model

Advocacy

1. Advocate and inform state

legislation

2. Educate patients and stakeholders

3. Continued deployment throughout

the TMH system

Telemedicine Maintains Quality

* Telemedicine does not change the way providers care for patients, but changes the delivery method for how the patient and provider communicate.