telehealth applications in a community health center
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Telehealth Applications in a Community Health Center. Patrick McShane Director – Special Programs Beaufort Jasper Hampton Comprehensive Health Services, Inc. Beaufort Jasper Hampton Comprehensive Health Services Inc. BJHCHS. - PowerPoint PPT PresentationTRANSCRIPT
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Telehealth Applications in a Community Health Center
Patrick McShaneDirector – Special Programs
Beaufort Jasper Hampton Comprehensive Health Services, Inc.
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Beaufort Jasper Hampton Comprehensive Health Services, Inc. (BJHCHS) is a section 330 Federally Qualified Health Center (FQHC),
• Patient Centered Medical Home model.
• Predominantly serve rural areas of Beaufort, Jasper and Hampton Counties.
• Hampton and Jasper counties are designated as Medically Underserved Areas (MUAs).
BJHCHS
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Providing care for 18,000 patients/year
• More than 81,000 patient visits per year
• Most are uninsured or underinsured
• Additionally care includes: Pediatric; OB/GYN Services; Home Health Care; Nutritional Services; School Based Health Care; Migrant Farm Workers;
BJHCHS Healthcare Mission
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• 1996 BJHCHS and the Medical University of South Carolina received a grant through the Office of Naval Research for Telemedicine
• Purpose - address prostate health disparity in BJHCHS’ underserved population– Nurse Practitioner to conduct prostate biopsies in Port Royal
– With real time guidance by a senior faculty Urologist at MUSC
Early Telemedicine - BJHCHS and MUSC
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Innovative technology supported by IBM, Telemedicine & Advanced Technology Research Center (TATRC), and Walter Reed Medical Center Telemedicine.
• Real time encounters were not common place in 1990s.
• The technology was Developed and NP was trained and approved for practice by MUSC Department of Urology
• Local healthcare politics brought the program to an early conclusion in the community
Early Technology – Community Engagement
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7TH NationallyProstate Cancer
Public Health\Research InitiativeSouth Carolina Men Ages 20-79
Beaufort-Jasper-Hampton Comprehensive Health Services, Inc.(Section 330 Community Health Center)
St. HelenaCenter
EstillCenter
Port RoyalCenter
ChelseaCenter
RidgelandCenter
HardeevilleCenter
HamptonCenter
SheldonCenter
Institute for Cancer Prevention(Designated NCI Cancer Center)
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• 2000 - The Institute for Cancer Prevention (IFCP) in New York partnered with BJHCHS - research to identify bio-indicators for prostate cancer
• Distance technology enabled full participation with researchers in NY
• Conducted community screenings
• Provided patient and provider education programs to detect early prostate cancer in African American Men
Research – The Disparity of Prostate Cancer
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Video conferencing capability in a variety of setting:– Participation in Practice Based Research Programs (PBRN)– Engage in Educational programs from CDC, NIH, CMS,
HRSA, HHS, MUSC, and others– Outreach to rural sites – Telehealth technology fostered adoption of other
technologies by staff• Contributed to early entry of Electronic Health Record
system – we are now implementing our second generation EHR system
Utilization of Distance Technology
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
Distance Video Conferencing now everyday event
– Telehealth in some rural communities remains a challenge because of service providers
– Recent Telehealth grant application to support 5 School Based Health Care and 5 Medical Centers
2014 Applications
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Our recent application outlined programs that would reach the most rural communities served by BJHCHS:– Expand capacity of School Based Healthcare Program
– Extend the capability of limited resources in support of Patient Centered Medical Home program
– Extend availability of limited resources to distant rural communities with nutrition services, behavioral health, provider outreach, specialty consultations, and others.
Telehealth can supports our mission now
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• We are currently applying for funding to: – Include both provider and patient educations programs for
diabetes, hypertension, and weight management
– Provide community outreach programs to several venues simultaneously
– Enable a dialogue with MUSC and other research institutions
– Provide the capability for providers at BJHCHS to reach out to specialists
Telehealth Support of Current Mission
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• MUSC’s Department of Telemedicine –guided us to additional resources at MUSC and in South Carolina
• South Carolina AHEC - supports provider and staff CME education
• Palmetto Care Connections – understanding of rural community and connectivity challenges
• Polycom, Inc. provides technical guidance and grant experience
• South Carolina Office USDA – quick and thorough
• Support from community leaders
Telehealth Guidance
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• BJHCHS views Telehealth as an additional tool to support our existing mission
• Telehealth can connect to distant locations efficiently enabling a wide range of potential solutions for patient care
• Enables specialized staff (I.E. Dieticians, Pharmacists, etc.) to access more patients in distant centers without the burden of travel
• Providers and staff can access CME without the burden of travel
• Providers can have ability to reach out to specialists
• PCMH can be expanded and implemented more efficiently
Summary
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Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Cost of connectivity used to be a major restriction to Telehealth – now available at reasonable rates
• Funding opportunities are more readily available
• Community leaders need to share in the vision of the application
• Community Coordinators and Community Health Workers can contribute significantly in support of mission of Telehealth
• Telehealth needs a champion beyond the traditional IT department
• PCMH can be expanded and implemented more efficiently
Lessons Learned