Download - Telemedicine Comes of Age (Yulun Wang)
Evolving Healthcare at Internet Speeds
Yulun Wang, PhD Founder, Chairman & CIO, InTouch Health
Past President, American Telemedicine Association
OurHealthcareImpera/ve
IncreasingSpecializa/on&FewerPhysicians
Sources: Left: National Research Council. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: The National Academies Press, 2013. / American Board of Medical Specialists Right: Association of Medical Colleges (AAMC) (2006). Help Wanted: More Use Doctors – Projections Indicate America Will Face Shortage of M.D.s by 2020 [Brochure]. AAMC.
0
200000
400000
600000
800000
20
66 84
145
1970 1980 1990 2000 2010
NumberofSpecial/es
2015 InTouch Telehealth Innovation Forum
TheHealthcareDeliveryBoDleneck
ELECTRONICHEALTHRECORDS$HEALTHCAREINFORMATIONEXCHANGE$
PERSONALIZEDMEDICINE$REMOTEMONITORING$
BIGDATA$
ACAEnablingTelemedicineSenateRequestsTelemedicineHearing,April2015
• Reimbursement
• Licensure
• Creden/aling
• Privileging
• Legal/Regulatory
• PayforVolumeàPayforValue• PayforPerformance• BundledPayments• ACOs• Penal/esforRe-admits
• ReducingLicensureBarriers• Fed&StateMandatedReimbursement• InterstateMedicalLicensureCompact
• MinimizingLegal&RegulatoryBarriers• OIGAdvisoryOpinionregardingTelemedicine
TelemedicineHistoricBarriers
HealthcareReform
HealthcareReformisAccelera/ngTelehealthAdop/on
TelehealthMarketSegments
Segment AcuteCare Post-Acute PrimaryCare
AcuityLevel High Moderate Low
CareManagement PhysicianDirected PhysicianDirected ConsumerDirected
Customers• HealthSystems• Hospitals
• HealthSystems• Hospitals• Retail
• Consumers• Payers• LargeEmployers
OfferingOpportunity
• TechnologyPlaZorm• ClinicalServices
• TechnologyPlaZorm• ClinicalServices
• TechnologyPlaZorm• ClinicalServices
~1.5milonlinepa/entconsulta/ons
~150,000pa/entsdiagnosed
viatelestroke
~600,000ICUpa/entsremotelymonitored
ImprovingPa/entLives
Tele-Stroke
HubCustomer #ofSites
ThomasJefferson 29
WakeForestBap/st 10
DignityHealth 18
MichiganStrokeNetwork 31
ProvidenceOregon 19
MissionHospital 11
6HealthSystemAvg. 20
2,2062,754
3,331
683 840 1,007
0
500
1,000
1,500
2,000
2,500
3,000
3,500
Year1 Year2 Year3
6HealthSystemCompositeAvg.ConsultsandTransfers–Years1,2&3
NetworkTeleStrokeConsults #Pa/entTransfers
$972$1,728
$2,160$1,564$1,968
$2,39674
95
117
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20.0
40.0
60.0
80.0
100.0
120.0
140.0
$-
$500
$1,000
$1,500
$2,000
$2,500
$3,000
Year1 Year2 Year3
Thou
sand
s
20SpokeSitesAverage
BaselineMarginProjected AverageMarginAchieved($$)
Avg.#EndovascularProcedures
Measure InTouchCustomers
Na/onalGoal/Avg.
DoortoNeurologyEval. 8min. 20min.
DoortoCTFirstSlice 18min. 25min.
DoortoIVt-PAStarted 43min. <60min.
t-PAAdministra/onRate 19% 5%
*Basedon20,000strokepa/entsover110hospitalsusingInTouchTeleHealthNetwork
HealthSystemsexperience19%tPAadmin.rate
TeleStrokeOutcomes
11
EXPANDINGACCESSEXPANDINGACCESSTOCAREANYWHERE
2015 InTouch Telehealth Innovation Forum
EnhancedVisualiza/onThroughThermalImaging
13
VisualSearchforTeleDermorWound