Orthopedic Telemedicine Solution A comprehensive review of telemedicine use- cases within the practice and an actionable implementation plan 15.777 | MIT Sloan Healthcare Lab | Fall, 2017 Team: Matt Swatzell, Hugo Yan, Chengang Liu, Yuki Koyama About MedStar Health About MedStar Health Orthopedics The Problem Recommendations Implementation Plan The Team Baltimore, MD • Not-for-profit healthcare system • Covering Baltimore, MD and Washington, DC • Over 120 affiliated entities and 10 hospitals • Revenue: $5.3 Billion (2017) • 6000 affiliated physicians • 500,000+ patients annually • Nationally and globally recognized as leader in Orthopedics • A major revenue driver for entire health system • 58+ surgeons across 30+ locations MedStar is well-known for innovation in telemedicine. However, this has primarily occurred in Urgent Care and ER settings (e.g. Telestroke). The MedStar team believes orthopedic telemedicine can: Increase Referrals Improve Patient Experience Increase Efficiency Grow Revenue Through extensive background research and stakeholder interviews (internal and external) our team has identified four innovative telemedicine programs to address pain-points for patients and providers and increase efficiency, referrals, and revenue in the process. 1 Ortho-On Demand 2 Call-My-PA 3 E-Visit 4 Second Opinion On-demand provider-to-provider access to orthopedic experts. Triaged through custom-trained physician assistants. Increases internal referrals and reduces leakage. Real-time, unscheduled telemedicine consults by PAs for post-op patients with questions on wounds, pains, etc. Increases PA efficiency and customer satisfaction. Post-op follow visits conducted entirely through telemedicine, enabling mobility limited or remote patients an improved experience. Improves customer experience and clinical-day efficiency Second opinions and workers compensation consultations scheduled by patients on cash-basis based on surgeon interest and availability. Improves surgeon satisfaction and revenue. Program Prioritization Ordering Locations Implementation Plan Projections This H-Lab team worked with MedStar Health, Inc. in Baltimore, MD to help the organization understand how telemedicine could best be leveraged to increase the efficiency, patient experience, referrals, and revenue of the prestigious orthopedics practice. We developed four innovation programs to address the organization’s needs: Ortho On-Demand, Call-my-PA, E- Visits, and Second Opinion. In addition, we created a comprehensive implementation plan documenting how the organization should go about brining these programs to life. This plan included details on prioritization, implementation order, locations, usage projections, influencers, and the implementation plan for each program. Technical Requirements Chengang Liu Yuki Koyama Matt Swatzell Hugo Yan
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OrthopedicTelemedicineSolution
Acomprehensivereviewoftelemedicineuse-caseswithinthepracticeandanactionable
implementationplan
15.777|MITSloanHealthcareLab|Fall,2017Team:MattSwatzell,HugoYan,Chengang Liu,YukiKoyama
AboutMedStarHealth
AboutMedStarHealthOrthopedics
TheProblem
Recommendations
ImplementationPlan TheTeam
Baltimore,MD
• Not-for-profithealthcaresystem• CoveringBaltimore,MDandWashington,DC• Over120affiliatedentitiesand10hospitals• Revenue:$5.3Billion(2017)• 6000affiliatedphysicians• 500,000+patientsannually
• NationallyandgloballyrecognizedasleaderinOrthopedics
• Amajorrevenuedriverforentirehealthsystem• 58+surgeonsacross30+locations
MedStariswell-knownforinnovationintelemedicine.However,thishasprimarilyoccurredinUrgentCareandERsettings(e.g.Telestroke).
TheMedStarteambelievesorthopedictelemedicinecan:
IncreaseReferrals
ImprovePatientExperience
IncreaseEfficiency
GrowRevenue
Throughextensivebackgroundresearchandstakeholderinterviews(internalandexternal)ourteamhasidentifiedfourinnovativetelemedicineprogramstoaddresspain-pointsforpatientsandprovidersandincreaseefficiency,referrals,andrevenueintheprocess.1 Ortho-OnDemand
2 Call-My-PA
3 E-Visit
4 SecondOpinion
On-demandprovider-to-provideraccesstoorthopedicexperts.Triagedthroughcustom-trainedphysicianassistants.Increasesinternalreferralsandreducesleakage.
Real-time,unscheduledtelemedicineconsultsbyPAsforpost-oppatientswithquestionsonwounds,pains,etc.IncreasesPAefficiencyandcustomersatisfaction.
Post-opfollowvisitsconductedentirelythroughtelemedicine,enablingmobilitylimitedorremotepatientsanimprovedexperience. Improvescustomerexperienceandclinical-dayefficiency
Secondopinionsandworkerscompensationconsultationsscheduledbypatientsoncash-basisbasedonsurgeoninterestandavailability.Improvessurgeonsatisfactionandrevenue.
ProgramPrioritization Ordering Locations
ImplementationPlan Projections
ThisH-LabteamworkedwithMedStarHealth,Inc.inBaltimore,MDtohelptheorganizationunderstandhowtelemedicinecouldbestbeleveragedtoincreasetheefficiency,patientexperience,referrals,andrevenueoftheprestigiousorthopedicspractice.Wedevelopedfourinnovationprogramstoaddress theorganization’sneeds:OrthoOn-Demand,Call-my-PA,E-Visits,andSecondOpinion.Inaddition,wecreatedacomprehensiveimplementationplandocumentinghowtheorganizationshould goaboutbriningtheseprogramstolife.Thisplanincludeddetailsonprioritization,implementationorder,locations,usageprojections,influencers,andtheimplementationplan foreachprogram.
TechnicalRequirements
ChengangLiu
YukiKoyama
MattSwatzell
HugoYan
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