Project Kickoff MeetingJune 25th, 2014St. Louis Medical Center

Implementing Telehealth

Nicole Norris

Chamberlain College of Nursing

NR 640 Informatics Nurse Specialist Practicum I

Summer 2014

Sponsor

Dr. Toni Hebda Phone: 630-535-8827 Cell: 724-809-3427

Project Management

Project Manager: Nicole Norris 202-437-0195 N_norris1@yahoo.com

Sponsor: Dr. Toni Hebda 630-353-8827 Thebda@chamberlain.edu

Informatics Expert: Dr. Carolyn Sipes 630-353-8757 CSipes@chamberlain.edu

Kickoff Meeting Goals

Meet and Greet Team Establish Communications Appreciate how this project Aligns with the

Institution’s Mission and Goals Discuss Key Factors for Success

Institution’s Mission

Dedicated to providing access to quality healthcare

Provided supportive environment Devoted to excellence and safety Committed to outstanding healthcare Optimizing quality of life

Vision Statement

National leader for excellence Deliver the highest healthcare Provide tailored healthcare experiences

Project Goals

Improve quality of life for patients with congestive heart failure

Provide continuous care through telehealth home monitoring

Provide 24-hour technical support Document findings and make revisions to

plan as needed

8

Project Objectives

Define telemedicine and how it works Define what CHF is and associated complications. Identify the cost of readmission of CHF patients Describe equipment required to monitor patients from home Identify the role of the patient, Assess costs of implementing a telehealth program Identify inclusion/ exclusion criteria for selected patients Summary of proposal

What is Telehealth?

Tele- “at a distance”

“The use of electronic communications to exchange medical information to improve patient outcomes.”

, (American Telemedicine Association, 2014)

Telehealth Services

Remote patient monitoring Referral services Medical education Mobile health applications Biometric devices Online consults

What are the benefits?

Decrease hospital admissions Decrease healthcare costs Improve quality of life Improve patient outcomes Improve access to healthcare Decrease use of emergency department

What is CHF?

Congestive Heart Failure Most expensive chronic condition to treat Affects approximately 5.7 billion annually Leading cause of hospitalization in people

>65.

Costs of CHF

$37.2 billion annually $4,873 average daily cost for

hospitalization. Length of stay approximately 4.76 days $17.4 billion for readmissions within 30

days

Telehealth Solution

Home monitoring program

Cost effective Wireless monitoring Monitors weight, blood pressure, pulse ox

How much does it cost?

Budget InformationIT Technical Support Staff $15,000 ($60,000/year, $5k/month x 3 months)

Equipment Installation Fee $3,750 ($150 x 25)

Telemonitoring Landline unit with b/p

$5,775.00 ($79.00/month x 25 x 3 months)

Weight Scale $1,496.25 ($19.95/month x 25 x 3 months)

Blood Glucose $1,496.25 ($19.95/month x 25 x 3 months)

Training $700 ($28/hour x 25)

Total Estimated Budget $28,218

Inclusion/ Exclusion Criteria

Inclusion Diagnosis of CHF Ambulatory Able to provide self-care Willingness to participate

Exclusion Diagnosis of co-

morbidities such as renal failure or liver disease

Non-ambulatory Refuse consent to

treatment Alcohol use Smoker

Establishing Expectations

Plan Change Management Risk Management Communication Plan Reporting requirements Closing Process

Senior Management

The project is intended to utilize telehealth home monitoring for patients with chronic CHF on an out-patient basis.

Successful implementation of this project will encompass tremendous benefits.

Project Project Management Management

PlanningPlanning

Project Management Objectives

Initiate a project that will follow a successful plan for implementation

Plan the project in an orderly fashion with established milestones and initiatives

Meet all deadlines established within the project among all team members.

Execute plan into Second Life

Project Team Roles

Project Manager-manages overall project Technical Project Team Leader- reports to

project manager SLMC Administrators- Support project

manager Patients participating in program-must

consent

Project Management Tools

Project Charter Scope Communication plan Work breakdown structure (WBS) Gantt chart

Communication plan 

Project Team Member/Stakeholder

 

 

CommunicationPreferred

 

Timing 

Report Prepared by

 

Dr. Toni HebdaEmail

Second LifeEvery

Wednesday Project Manager

Nicole Norris

 St. Louis Medical Center Administrators

 

 EmailSecond Life

Every 1st and 3rd Friday

 Project ManagerNicole Norris

Patients in trial group 

 Telephone 1st of the month

Home health nurse for agency

Technical project team leader

 

Email Every 2nd and 4th Friday

Project managerNicole Norris

 Primary doctors and healthcare staff

 

Email1st Monday of

the month Project Team

leader

Work Breakdown Structure (WBS)

What the project will deliver Documents deliverables Facilitates checklist of tasks Most important tool for project managers Relies on effective planning process

Gantt Chart

Critical Success Factors (CSF)

Stakeholder support Referral mechanisms and protocols Effective communication between stakeholders Necessary resources Support government regulation and policies Demonstrate the effectiveness of telehealth for

selected patients.

Deliverables Clearly defined presentation Accurate research data Communication Plan Budget Training needs Proposal Presentation Inclusion criteria protocols

Project Key Milestones

Project initiation Project Scope and Charter Budget Approval Finding a Vendor Finding an agency to Monitor data Inclusion/ Exclusion Criteria Trial group selection Implementation Monitoring and re-assessing

Meetings

Important to maintain communication Required scheduled meetings Must participate

Managing Change

Change is Expected…..

Organizational change Individual change Drives organizations to vision statement Requires learning new material

Risk Management

Managing Risk

Risk register

RACI chart

Assumptions

SLMC will provide a designated space for storing and monitoring equipment.

The funds will be available SLMC human resources department

provide the staffing resources needed.

Constraints

The project must be completed by the end of session 2 week 7

Limited selection of home monitoring equipment to choose from

Project is completed in the virtual world with limited amount of feedback on progress.

Closing Process

End of Project

Healthier Patients Happier Staff Decreased Cost Decreased Emergency Visits Increased Revenue

Input

Questions?

Positive Send-off to Kick Off the Project Let’s get ready to make SLMC the best by

being the first hospital to implement a successful telehealth home monitoring program!!

ReferencesDesai, A. and Stevenson, L. (2012). Rehospitalization for Heart Failure: Predict or prevent? American Heart

Association publication, Circulation. Retrieved from http://circ.ahajournals.org/content/126/4/501.full American Telemedicine Association (ATA), (2014). Retrieved from

http://www.americantelemed.org/abouttelemedicine/what-is-telemedicine#.U3g2XP1OWM8 

Center for Disease Control and Prevention (CDC, 2014). Retrieved from  http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_heart_failure.htm

Schlachta-Fairchild, L., Elfrink, V., and Deikman, A. (2009). Patient safety, telenursing, and telehealth. Retrieved from

http://www.ncbi.nlm.nih.gov/books/NBK2687/

Nickols, F., (2012). Tools for Improving the Performance of People, Processes and Organizations. Distant Consulting

LLC. Retrieved from http://www.nickols.us/change.htm