Wibberly-2014

From Soup to

Nuts:

Getting a Telehealth

Program Off the

Ground Going the distance…so you

don’t have to…

Virginia Rural

Health Association

Annual Conference

December 11, 2014

No Longer Innovation, But Necessity

Telehealth + Rural

Rural Population Health Challenges

Telehealth + Rural

But Not Just Rural

Telehealth + Rural?

Why Telehealth?

Successes Across Demographics,

Geography and Applications

Where To Start?

Assess

Needs and Readiness

Organizational

Clinical

Financial

Technology

• Current IT infrastructure

• Broadband

connectivity

• Network integrity

(security, utilization,

firewalls, hardware,

QoS)

• Existing equipment

• Staffing

Needs

• Providers

• Patients

• Data/

Information

Coding and Billing

Administration

• Buy-In

• Staffing

• Scheduling

• Training

• Policies, Procedures and

Protocols

Purchasing

Contracting

Assess

Use Cases

Assess

Use Cases

Assess

Use Cases

Assess

Priorities

Pick One Area Of Need To Start With.

Consider:

• Low hanging fruit (area that can yield

an easy win/quick success)

• Existing champions (area where you

already have buy-in – clinical

champions or financial incentives or

strong partners or existing investments)

Assess

Best Practices

Assess

Tech Solutions

1. Live video (synchronous) consults

Video conferencing technology

Telepresence Telemedicine

Assess

Tech Solutions

Hardware CODEC Software CODEC

CODEC = COmpression, DECompression (or more simply a decoder)

*CODECS can be proprietary or standards-based

Assess

Tech Solutions

2. Store and Forward (asynchronous)

Assess

Tech Solutions

3. Remote Monitoring

Assess

Tech Solutions

Assess

Tech Solutions

4. mHealth

Assess

Connectivity Needs

Assess

What You Need To Make Sure You Understand

1. Covered Entities: Does HIPAA apply to me

and my practice?

2. Personal Health Information (PHI): What is it?

3. Business Associates: Who Are They?

4. HIPAA Safeguards: What Do I Need To Think

About?

HIPAA Compliance

Assess

5. Working with Vendors: But What If They All Claim

to be HIPAA Compliant?

Five questions to ask: • Which of these items on the ePHI list CAN your

company access, even if you don't normally view it?

• Could we view your Risk Assessment? (A required HIPAA compliance measure.)

• Would you be willing to sign OUR BAA?

• If they have access to ePHI, would you send a list of the

administrative, physical and security measures that you

have in place? • Do you have a third party audit report on your HIPAA

compliance? The lack of one may not be a deal-breaker, but it is useful)

as a comparison point.

Assess

6. The Penalty Box: What’s My Risk?

Existing and Potential Relationships

Assess

Establish

Implementation Timeline

Establish

Business Plan and Financial Models

Establish

Technology Infrastructure

Your Telehealth Team

Establish

Define

Roles and Responsibilities

Define

Processes, Policies and Procedures

Implement

Start Small, Pilot Test and Then Grow

Quality Improvement

Improve

Resources

Who We Are?

You Can Start Here!

http://matrc.org/

And Here!

http://matrc.org/summit/

Contact

For More Information:

www.facebook.com/MATRC

www.MATRC.org