telehealth in palliative care - university of wyoming · telehealth in palliative care corey...

Telehealth in Palliative Care

Corey JenkinsUniversity of Wyoming / WIND

Wyoming Telehealth Network (WyTN)

June 24, 2019

ObjectivesBasic telehealth-related definitions and

concepts

Benefits from patient, provider, healthcare facility, and community perspective

Other telehealth use cases

Steps to implementation

Telehealth demo

What is Telehealth?

Telehealth is the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include video conferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications1.(1) HRSA Federal Office of Rural Health Policy

Definitions

Telemedicine: Remote clinical services Telehealth: Remote non-clinical services (e.g. provider

training, CME, admin mtgs) plus remote clinical services Three types:

Store-and-Forward or asynchronous Remote patient monitoring Real-time

Originating site: Location of the patient Distance site: Location of practitioners delivering telehealth ZOOM: HIPAA-secure video conferencing

platform offered no-cost to Wyoming providers/facilities

Benefits of Telehealth

PatientRural patients can access providers/specialists while

staying in local communities (distance, weather)

Engage specialists without added travel

Improved outcomes through earlier diagnosis

Lowers patient’s travel costs – missed work/school

Fewer ER visits and hospital readmissions

Hospitalized patients can stay in home community

Patients less likely to sacrifice care due to higher costs and time away

Benefits of Telehealth

Provider

Providers can more easily serve patients in underserved areas – easing shortages

Practices can become more efficient

Faster access to specialist consultations

Receive training/CME without travel

Better community image

Benefits of Telehealth

Healthcare FacilityMore revenue by keeping pts local – managed

remotely

Expanded services – better community image

Staff training – no travel costs

CommunityMore specialty care available locally

$ spent for healthcare stays in community

Increased availability of care is attractive to new businesses looking to relocate

Other Use Cases

Tele-ICU

Tele-Stroke

Tele-ER

Tele-pharmacy

Acute Care (Stitches Acute Care)

Teladoc/AmWell/MDLIVE, etc…

Direct Fee for Service

Specialty Care

Implementing a Telehealth Program

Steps Is telehealth right for you?Request no-cost, HIPAA-secure Zoom license at

www.wyomingtelehealth.org.What types of conditions are you comfortable treating

via telehealth?Will extra equipment be needed at origination or

distance sites?Provider licensure and credentialing, as appropriate.Set-up of physical facilities.Documentation (patient and facility)Assign and train telehealth staff.Practice, practice, practice…

Telehealth Demo

Zoom

User-friendly – easy scheduling options

Web-based - no additional costly hardware

HIPAA-secure

No-cost

Screen sharing feature

Flexible uses – telemedicine or large meetings

Data available for telehealth metrics

Next Telehealth Webinar

Telestroke in WyomingDavid Wheeler, MD, PhD, FAAN, FAES

Wednesday, June 26, 2019

12:00 to 1:00 pm MT

This session will update participants on current telestroke

practices in Wyoming and will discuss how a telestroke program can lead to better patient outcomes.

www.wyomingtelehealth.org

Corey Jenkins, M.S.

cjenki18@uwyo.edu

(307)766-2948

www.wyomingtelehealth.org

Questions?

Corey Jenkins, MScjenki18@uwyo.edu

(307)766-2948wyomingtelehealth.org