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The heart and science of medicine. UVMHealth.org UVM Health Network Telehealth Overview

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Page 1: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

The heart and science of medicine.

UVMHealth.org

UVM Health NetworkTelehealth Overview

Page 2: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Our Telehealth Mission

2

• Telehealth is a core component of how services are

delivered to our patients

• Improve access and the delivery of care

• Implement solutions that are convenient for patients,

families, and providers

• Improve quality outcomes and standardize care

across our communities

Page 3: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

3

Our Telehealth Strategy

Enable providers using technology and efficient workflow to care for our patients

Page 4: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Why Telehealth?

4

• Create access for patients

• Convenience for patients

• Provide better outcomes for patients

• Create access for providers

• Convenience for providers

• Expand service offerings for communities

Patients Providers Hospitals

Page 5: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

5

Modalities of Telehealth in our Program

Video Visits Providing care directly to patients at home, work, or remote location via scheduled video visits.

RemotePatientMonitoring

Monitoring key patient health measures such as weight, blood pressure, oxygen saturation, temperature, and glucose for patients at home.

eVisitsEnabling patients to request and receive care asynchronously using MyChart patient portal.

eConsultsEnabling provider to provider asynchronous consultation concerning patients via Epic workflows.

Tele-MentoringProviding video education and case presentation focused on specialty care for rural providers to enable care in their communities.

Video ConsultsEnabling provider to provider synchronous consultation concerning patients for stroke care and other emergent episodes.

Page 6: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

6

Where is Telehealth being used today?

Video Visits

eVisits

eConsults

RPM

Tele-Mentoring

Video Consults

Page 7: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Vid

eo V

isit

s •Alice Center Psychiatry

•Alice Hyde Oncology

•Clinical Genetic Counseling

•Elizabethtown Oncology

•Genetic Cancer Counseling

•Infectious Disease

•Nephrology

•Palliative Care

•Pediatric Developmental Behavior

•Pediatric SANE Exams

•Pediatric Travel Immunizations

•Pediatric Neurology

•Porter Primary Care

•Primary Care UVMMC

•Psychology

•Women’s Perinatal Mental Health

Tele

Co

nsu

lt •CVPH Telestroke

eCo

nsu

lts •Dermatology

•Porter Retinopathy Screening

Rem

ote

Pat

ien

t M

on

ito

rin

g • Home Health and Hospice eV

isit

s • Primary Care

Tele

-Men

tori

ng • Hep C

• Tick borne Illness

• Vaping

Active Telehealth Programs

Page 8: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Vid

eo V

isit

s •CVMC Primary Care

•CVMC ICU•CVMC

Rheumatology

•Dieticians

•EAP

•Elizabethtown Pulmonology Rehab

•Health Coaching

•Interventional Radiology

•Infectious Disease Psychology

•Otolaryngology

•Porter Orthopedics

•Porter Cardiology

•Radiation Oncology

•Renal Dialysis

•MFM

•CVMC PACU

Tele

Co

nsu

lt •CVMC ICU

•CVMC Telestroke

•Elizabethtown Telestroke

•Porter Telestroke

eCo

nsu

lts •Project CORE

Rem

ote

Pat

ien

t M

on

ito

rin

g • Home Infusion

eVis

its • Primary

Care

Tele

-Men

tori

ng •TIA

Implementing Telehealth Programs

Page 9: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

9

Impact of Telehealth 2019

• Evaluated 561 visits

• 47,000 driving miles

• 1,007 hours of driving time

Page 10: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Our Process

10

Telehealth Program

Charter

Workflow Design

Billing and Scheduling

Compliance

Technology

Training and Education

Testing and Rehearsal

Support

Page 11: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Implementing eConsults with AAMC partnership

• AAMC (Association of Academic Medical Centers)

started Project CORE in 2014 to help solve care

coordination issues

• Over 30 Academic Medical Centers are participating with

Project Core to deliver eConsults for their patients

• UVMHN joined with Project Core in 2019 and will bring it

to our patients in 2020

11

Page 12: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Project CORE Partners

12

Page 13: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

The CORE Model

13

Page 14: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

Specialties Active in Project CORE

14

Page 15: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

UVMHN Wave 1

• Anticipate launch in Spring of 2020

• Clinical Specialties

– Pharmacy

– Psychiatry

– Sleep Medicine

– Infectious Disease (Hep C)

15

Page 16: The heart and science of medicine. UVM Health Network ......2020/02/05  · •Pediatric Neurology •Porter Primary Care •Primary Care UVMMC •Psychology •Women’s Perinatal

UVMHealth.org


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