TERT: Telemedicine Education and Readiness Tool
Children’s Healthcare of Atlanta
Telemedicine Department
Children’s Healthcare of Atlanta
Children’s Healthcare of Atlanta
Program Overview
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Children’s Healthcare of Atlanta
If you build it, they might come…
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Children’s Healthcare of Atlanta
Inspired physicians want to know
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Children’s Healthcare of Atlanta
New Approach
• How can we share what we know?
– Rules and Regulations
– What others are doing
– Return on investments
– Potential pitfalls/lessons learned
• How can we use time wisely but share broadly?
• How do we evaluate and communicate whether or not telemedicine is the best option?
• How do we have leaders consider options before bricks and mortar?
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Children’s Healthcare of Atlanta
TERT
Telemedicine Evaluation and Readiness Tool
• Excel format
• Up to date
• Relevant to our program
• Information from around the nation
• Information and tools, previously used in other formats
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Children’s Healthcare of Atlanta
Excel based education and Assessment tool
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Children’s Healthcare of Atlanta
What Does TERT Provide?
Research
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Children’s Healthcare of Atlanta
Use Cases-What are others doing?
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Children’s Healthcare of Atlanta
Financial and Market Analysis
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Models of Care Delivery- Non- Owned presenting site- Children’s presenting site- Non- owned satellite clinic
Children’s Healthcare of Atlanta
Financial Analysis
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Children’s Healthcare of Atlanta
Financial Comparisons
Baseline - "Bricks and Mortar" Hospital/Clinic Visit
Financial ImpactsTime
(Minutes)Established Patient
(25 min visit)Time
(Minutes)New Patient (40 min visit)
Scheduler (schedule visit) 4 $ 1.40 8 $ 2.80
Registrar (check-in and check-out) 8 $ 2.24 8 $ 2.24
MA (pre-loading and room cleaning) 6 $ 1.76 6 $ 1.76
RN (paperwork and discharge) 8 $ 3.91 8 $ 3.91 MD (patient visit) 25 $ 36.67 40 $ 58.67
Hospital Exam Room Lease (64 sq ft) 30 $ 5.84 60 $ 11.68
Support Allocation ($2095 per FTE) $ 0.86 $ 1.18
Malpractice Insurance ($7592 per FTE) $ 1.52 $ 2.43 Variable Cost per Unit of Service
Collection Expense (3.3% of net patient revenue) $ 6.35 $ 8.13 TOTAL MD Visit $ 60.54 $ 92.79
MD Charge $ 275.00 $ 352.00 MD OutPt Reimbursement *linked to reimbursement % $ 192.50 $ 246.40
12*Hypothetical revenue reflection
Children’s Healthcare of Atlanta
Community Benefit
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Ancillary Service Average Cost *Weight (% Cases) **
Calc
Urinalysis/ Hematology$ 16.25 0.8 $ 13.00
Echocardiogram/ECG$ 110.00 0 $ -
Blood Count $ 12.50 0 $ -
Sleep Study$ 350.00 0 $ -
*Hypothetical revenue reflection
Per Visit Earnings $ 110.60 Total Collection Per Visit $ 131.12
Children’s Healthcare of Atlanta
Heat Maps
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Children’s Healthcare of Atlanta
Practice Evaluation
Readiness
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Children’s Healthcare of Atlanta
Purpose
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Children’s Healthcare of Atlanta
Readiness Score
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• 40 questions• Score • Examples:
• Based on the evidence in the tool and the structure of our practice, cost will be avoided by the implementation of telemedicine.
• Telemedicine will benefit our practice by increasing our geographical market.
Not Ready: Your department is not ready to implement a TeleHealth program. To improve readiness, address elements
with a score of two or lower.
Possibly Ready: Your department is possibly ready to implement a TeleHealth program. To increase the likelihood of
success, address elements with a score of three or lower.
Ready: Your department is ready to implement the TeleHealth program successfully.
Children’s Healthcare of Atlanta
Proposed Outcome
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Children’s Healthcare of Atlanta
Questions
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Children’s Healthcare of Atlanta
Contact Information
DD Fritch-Levens, M.S.N., M.H.A., R.N.
Contact Center Director
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