let's talk telehealth - bunbury
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Let’s talk Telehealth
Bunbury Wednesday 10th April 2013
Lesley Pugh
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What is Telehealth?
Telehealth is defined as a consultation between a health consumer and a healthcare
provider employing the simultaneous real-time use of both an audio and visual
connection.
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Aims Of Telehealth:
•Remove barriers around accessing medical services, particularly in rural and remote areas
•Facilitate improved patient care
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Estimated cost savings for Emily and Matt
Explanation Expenses Amounts
Visit 1:Travel to Toowoomba with no overnight stay (371 km)
Childcare. Unpaid leave Matt. Petrol Food and consumables
$674.24
Visit 2: Travel to Toowoomba with overnight stay (371 km) and friend to help look after children
Childcare. Unpaid leave Matt. Petrol Food and consumablesAccommodation
$894.54
Visit 3:Travel to Toowoomba with no overnight stay (371 km)
Childcare. Unpaid leave Matt. Petrol Food and consumables
$674.24
Total costs $2243.02
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Telehealth considerations
• Appoint a clinic champion• Setting up your clinic
– Staff education– Talk IT– Protocols and processes– Establishing a Telehealth space– Troubleshooting & back up plans
• The Telehealth consultation– Clinical factors– Documentation
• After the consultation– Feedback– Lessons learned
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MBS Eligibility Practitioner Rules Eligibility Item number
Specialist Registered specialist No restrictions
Patient end GP’s, NP’s, PN’s Midwives & AHW’s
Telehealth eligible areas
Practice nurses Register nurses on behalf on GP
Telehealth eligible areas
10983
Aboriginal Health Worker
AHW on behalf of a GP
No restrictions 10983
Midwives With a provider number
Telehealth eligible area
821508215182152
Nurse Practitioners
With a provider number
Telehealth eligible area
822208222182222
Registered aged care Facilities
Must register with Medicare
No restrictionsr
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Patient-end ServicesMBS item descriptor Video consultation
paymentFace to face payment
A :lasting at least 5 min. 2100 $22.45 3 $16.60
B: lasting less than 20 min. 2126 $48.95 23 $36.30
C: lasting at least 20 min. 2143 $94.95 36 $70.30
D: lasting at least 40 min. 2195 $139.70 44 $103.50
Item 10983 $32.40
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Extra information
• Time based consultations• Multiple consultations on same day• Multiple telehealth consultations on the same day• Nurse item numbers not time based
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Thinking outside the Telehealth box
• Sometimes driven by the MBS eligibility when that might not be the most important outcome.. • Improved patient health outcomes• Improved communication and collaboration between
health professionals• Improved confidence for GP’s • Sense of importance of care for patients • Consider an out of pocket fee for patients
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Frequently asked questions
Question Yes NoCan Telehealth consultations be conducted for hospital inpatients Are Telephone consults considered a Telehealth consultation Do specialists have area eligibility restrictions Do Aged Care Facilities have area eligibility restrictions Does the GP need to be in the consultation for the entire time
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Nursing and Midwifery Telehealth Consortia
Education • 4 hour online education being developed• Module 1 & 2 available now and further 7 modules progressively
available over next month• Registration www.apna.asn.au/telehealth
Standards and Guidelines• Being developed by ANF• Due for release late March 2013
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Telehealth consortia partners
Australian Practice Nurses Association (APNA) www.apna.asn.auAustralian Nursing Federation (ANF) www.anf.org.auAustralian College of Midwives (ACM) www.midwives.org.auAustralian College of Nurse Practitioners (ACNP) www.acnp.org.auCouncil of Remote and Rural Nurses (Cranaplus)www.crana.org.au
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Useful Telehealth websites
• Australian College of Rural and Remote Medicine (ACRRM) www.ehealth.acrrm.org.au/telehealth• Doctor Connecthttp://www.doctorconnect.gov.au/internet/otd/Publishing.nsf/Content/locator• MBS online: http://www.mbsonline.gov.au/telehealth