Partnering of Clinical and Technical Leadership in Developing a Successful Telemedicine Program Jeffrey Barnello Senior Technical Coordinator Nicholas Slamon M.D. Medical Director Nemours CareConnect Pass that Telemedicine Bill Michael Kurliand, MS RN Telehealth & CareConnect Program Director &
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Partnering of Clinical and Technical Leadership in Developing a Successful Telemedicine Program Jeffrey Barnello Senior Technical Coordinator Nicholas.
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Partnering of Clinical and Technical Leadership in Developing a Successful Telemedicine Program
Jeffrey Barnello Senior Technical CoordinatorNicholas Slamon M.D. Medical DirectorNemours CareConnect
Pass that Telemedicine Bill
Michael Kurliand, MS RNTelehealth & CareConnect Program Director
&
Current State
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What is parity?
29 States + Washington DC have a telemedicine parity law*
health plans cover services provided via telemedicine to the same extent the plan covers those services if provided through in-person visits.
Rural coverage and/or urban coverage with low population
Medical professional has to be with patient
Only in-state specialists
APN’s, PA’s, LSW, Therapists, etc.
Ability to establish relationship via tele
Payment for services at the same rate as an in-person visit
Coverage for services regardless of where the patient lives in the state
Treat within capability of technology and scope of medical professional
Allow out of state specialist up x visits
Formula
1. Commitment- Personnel; Administrative and Clinical Champions and Government Affairs- Organizationally; C-suite endorsed and supported, financially and
strategically
2. Community- Medical Society of Delaware- Delaware Healthcare Association- Delaware Telehealth Coalition- University of Delaware; Parkinson’s Clinic- Nemours, A. I. duPont Hospital for Children
3. Collaboration- Leveraging each other’s strengths and momentum- Keeping each other informed- Drafting the Bill
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Formula4. Lobby
- Frame your advocacy message and make your case- Door-to-door through the capitol- Become the resident subject matter expert- Maintain visibility; be present during the votes, at the lunch table, etc.- Provide testimony
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‘Savings are going to come from system changes, not lowered reimbursement to providers.’
Opportunity Costs of Ambulatory Medical Care in the United StatesAuthor: Kristin N. Ray, MD, MS; Amalavoyal V. Chari, PhD; John Engberg, PhD; Marnie Bertolet, PhD; and Ateev Mehrotra, MD, MPH
‘This is about increasing access.’
‘A win for the community, payors, and providers.’ – provide real life examples.
Delaware Telemedicine LawDeployed over 50 carts to partnering ED’s, NICU’s,
PED’s Floors (DE Valley and Florida Operations)Internal deployment to inpatient areas for consultsDeployment for schools program to support school
nursesOn cruise ships (Florida Operations)Over 360 consults in 18 monthsOver 510 combined telehealth visits (consults and
outpatient visits
Transition to Vidyo platformAdding peripheral devices (stethoscope, otoscope)Deployment to Urgent Care CentersDeployment to select Pediatrician OfficesSchools sports programContinue to add more outpatient visits and clinics