iht² health it summit beverly hills – wes valdes, do, medical director of telehealth services,...

Extending The Enterprise Through TeleHealth Programs

Transforming How We Think About The Opportunity

Traditional thinking: TeleHealth technology is good for patients far away.

This is how our patients are using communication technology ...

Not so far away

How do you think about TeleHealth technology?

A different way to provide clinical services?

• Needs clinical studies, policies, outcomes measures, to prove value before investing

• Is it a better version of a phone call or a worse version of an in person encounter?

• Benefit limited to clinical

An infrastructure for more communication options?

• Phone system upgrade and is infrastructure investment in communication technology

• Providers and patients will use it as they deem beneficial

• Benefit is system wide

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How do you think about TeleHealth technology?

Line Level Thinking

• Finances assessed against projected clinical benefit

• Benefits accrue to an individual, clinic, or department

• Decreased upfront costs

• Increased long term costs and complexity

Systems Thinking

• Finances assessed against cost alternatives

• Benefits accrue to the system and solution is available for the system

• Increased upfront costs

• Decreased long term costs and complexity

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How do you think about TeleHealth technology?

Line Level Thinking

• Compare investment against a single clinical process

• NPV

• IRR

• ROI

• Payback

Systems Thinking

• Compared investment against other system proposed expenses

• $34M upfront for teleICU, entertainment, education, simulation, patient services

• $15M upfront cost for combined solution

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Extending The Enterprise Through TeleHealth Programs

Transforming How We Think About Markets

Extending The Enterprise Through TeleHealth Programs

Social Networks

Enhanced communication

Remote data collection

Self-Care Support

Patient Education

Extending TeleHealth Programs for Internal Efficiency and Cost Savings

• Facilitates delivery of a number of internal virtual services

• Live chat with families from hospital room

• Video call routing, security, and management

• Infrastructure leveraged for patient services

Extending TeleHealth Programs for External Efficiency and Cost Savings

• Video communication outside firewall to patient home

• Load balance virtual patients and virtual services

• Utilize consumer equipment lowers cost and increases adoption by patients

• Aligns with clinical workflow

• Online forms and e-Sign solution

Extending TeleHealth Programs for New Business

• New market strategies

• Market penetration to new geographical areas

• Ancillary programs as revenue generating services

• Convert to video-capable call centers

Extending The Enterprise Through TeleHealth Programs

Transforming How We Think About Ourselves

“To transform healthcare delivery, we

must first transform ourselves.”

Resistance

Change

Line of

Tolerance

Organization Know Thyself

Resistance

Change

Line of

Tolerance

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Organization Know Thyself

Pursue with

existing

operations

infrastructure

Resistance

Change

Line of

Tolerance

Organization Know Thyself

2

1

Resistance

Change

Line of

Tolerance

Organization Know Thyself

Additional

committed

resources

1

2

Resistance

Change

Line of

Tolerance

Organization Know Thyself

2

2

1

Resistance

Change

Line of

Tolerance

3

Organization Know Thyself

1

2

2

Resistance

Change

Line of

Tolerance

3

Organization Know Thyself

New

organizational

model

3

1

2

New

LOT

2

Resistance

Change

Line of

Tolerance

Organization Know Thyself

Personalized Patient Room

Thank you

Questions?