Let’s talk Telehealth Bunbury Wednesday 10 th April 2013 Lesley Pugh
Let’s talk Telehealth
Bunbury Wednesday 10th April 2013
Lesley Pugh
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.
Aims Of Telehealth:
•Remove barriers around accessing medical services, particularly in rural and remote areas
•Facilitate improved patient care
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
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
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
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
Extra information
• Time based consultations• Multiple consultations on same day• Multiple telehealth consultations on the same day• Nurse item numbers not time based
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
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
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
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
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