TELEHEALTHTELEHEALTHSolution to America’s healthcare Solution to America’s healthcare

disparity problems, or an expensive disparity problems, or an expensive solution looking for a problem?solution looking for a problem?

TELEHEALTHTELEHEALTHSolution to America’s healthcare Solution to America’s healthcare

disparity problems, or an expensive disparity problems, or an expensive solution looking for a problem?solution looking for a problem?

Rob Sprang, MBARob Sprang, MBAKentucky TeleCare/Kentucky TeleHealth NetworkKentucky TeleCare/Kentucky TeleHealth Network

University of KentuckyUniversity of Kentucky

What is Telemedicine?What is Telemedicine?

Move information, Move information, not peoplenot people

What is Telemedicine?What is Telemedicine?

Move information, Move information, not peoplenot people

Problem...Problem...Problem...Problem...

Many Americans are Many Americans are geographically isolated from geographically isolated from needed healthcare services, needed healthcare services,

not available in their local not available in their local communitiescommunities

The Result...The Result...The Result...The Result...

Patients and clinicians must Patients and clinicians must leave their community to leave their community to

access needed healthcare access needed healthcare resources, or those needs resources, or those needs

remain unmet.remain unmet.

Solution...Solution...Solution...Solution...

Bring healthcare resources to Bring healthcare resources to those who are in needthose who are in need

More Clearly Stated...More Clearly Stated...More Clearly Stated...More Clearly Stated...

Get the right services Get the right services

to the right peopleto the right people

in the right place in the right place

at the right timeat the right time

BENEFITS TO THE PATIENTBENEFITS TO THE PATIENTBENEFITS TO THE PATIENTBENEFITS TO THE PATIENT Reduce need to travel - Cost, Reduce need to travel - Cost,

inconvenience, travel anxiety inconvenience, travel anxiety

Personal physician manages patient Personal physician manages patient care & collaborates on treatment plan care & collaborates on treatment plan developmentdevelopment

Enhanced continuity of care Enhanced continuity of care

Remain close to home, family and Remain close to home, family and natural support systemsnatural support systems

Better access to care = Better healthBetter access to care = Better health

Benefits to the Rural ClinicianBenefits to the Rural ClinicianBenefits to the Rural ClinicianBenefits to the Rural Clinician Personal physician manages care Personal physician manages care

Greater involvement with patient Tx planGreater involvement with patient Tx plan

Better compliance seeking specialty careBetter compliance seeking specialty care

Retain more patients/Capture more Retain more patients/Capture more revenuerevenue

Access to educational resources not Access to educational resources not locally available helps reduce locally available helps reduce professional isolation and improves professional isolation and improves professional developmentprofessional development

Other Healthcare Stakeholders Other Healthcare Stakeholders Who Benefit From TelemedicineWho Benefit From TelemedicineOther Healthcare Stakeholders Other Healthcare Stakeholders

Who Benefit From TelemedicineWho Benefit From Telemedicine

Patient’s family/friendsPatient’s family/friends

SpecialistsSpecialists

Rural healthcare facilitiesRural healthcare facilities

EmployersEmployers

Medicaid/Medicare/private payorsMedicaid/Medicare/private payors

TaxpayersTaxpayers

Who benefits from Who benefits from Telemedicine Services?Telemedicine Services?

Who benefits from Who benefits from Telemedicine Services?Telemedicine Services?

Everyone!Everyone!

Telehealth is Telehealth is

expensive!expensive!

A network site can cost A network site can cost $10K-$50K, and a hub can $10K-$50K, and a hub can

cost $150K+cost $150K+

Why Sustainability Planning Why Sustainability Planning is Important for Telehealthis Important for Telehealth

Programs that fail have a negative Programs that fail have a negative impact on the telehealth industryimpact on the telehealth industry

Except for correctional telehealth Except for correctional telehealth programs, the telehealth office programs, the telehealth office normally does not have a positive normally does not have a positive cash flowcash flow

If your program fails…If your program fails…

YOU ARE YOU ARE UNEMPLOYED!UNEMPLOYED!

How can How can

telehealth succeedtelehealth succeed

??????????????????

Define Success…Define Success…

Plan for SuccessPlan for Success

This story teaches This story teaches us that it is much us that it is much

easier to plan here:easier to plan here:

This story teaches This story teaches us that it is much us that it is much

easier to plan here:easier to plan here:

Than here:Than here:Than here:Than here:

What is success?What is success?What is success?What is success? Expand clinical service area?Expand clinical service area? Improve continuity of care/outcomes?Improve continuity of care/outcomes? Deliver educational programming?Deliver educational programming? Reduce travel for administrative meetings?Reduce travel for administrative meetings? Cohesive medical informatics system?Cohesive medical informatics system? Positive cash flow?Positive cash flow? Create research/external funding Create research/external funding

opportunities?opportunities? Public health/disaster preparedness/responsePublic health/disaster preparedness/response Other???Other???

Kentucky TeleHealth Network SuccessKentucky TeleHealth Network SuccessKentucky TeleHealth Network SuccessKentucky TeleHealth Network Success

Legislative mandateLegislative mandate Supports medical student educationSupports medical student education Education promotes University cliniciansEducation promotes University clinicians Correctional/other contracts medicine generates $Correctional/other contracts medicine generates $ Awarded over $1.5M in grants in 2003Awarded over $1.5M in grants in 2003 Supports disaster preparedness/response effortsSupports disaster preparedness/response efforts Recruitment/retention of community cliniciansRecruitment/retention of community clinicians Telehealth is a great marketing/PR toolTelehealth is a great marketing/PR tool Provides a great story for University/State leadersProvides a great story for University/State leaders Focus on VALUEFocus on VALUE

Does Kentucky TeleCare Does Kentucky TeleCare generate a positive cash flow?generate a positive cash flow?

Does Kentucky TeleCare Does Kentucky TeleCare generate a positive cash flow?generate a positive cash flow?

NO!NO!

Are we considered successful?Are we considered successful?Are we considered successful?Are we considered successful?

YES!YES!

How do you position telehealth How do you position telehealth for long term success? for long term success?

How do you position telehealth How do you position telehealth for long term success? for long term success?

Telehealth is a vital Telehealth is a vital component of the component of the

infrastructure of the infrastructure of the healthcare facility, just like healthcare facility, just like

air conditioning.air conditioning.

The single greatest The single greatest challenge faced by challenge faced by

telehealth...telehealth...

The single greatest The single greatest challenge faced by challenge faced by

telehealth...telehealth...

You!You!

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Kentucky TeleHealth Network (KTHN) Sites

For more information, contact 859-257-6404

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Disaster Preparedness/Disaster Preparedness/Response ActivitiesResponse Activities

We can never imagine We can never imagine what disaster is just what disaster is just

down the road, so we down the road, so we must prepare ourselvesmust prepare ourselves

Disaster Preparedness/Disaster Preparedness/Response ActivitiesResponse Activities

We can never imagine We can never imagine what disaster is just what disaster is just

down the road, so we down the road, so we must prepare ourselvesmust prepare ourselves

PROACT (Preparedness and PROACT (Preparedness and Response on Advanced Network Response on Advanced Network

Technology) Technology)

Disaster preparedness education is a top Disaster preparedness education is a top priority for KY DPHpriority for KY DPH

Needed a core group of geographically Needed a core group of geographically disperse, dependable sitesdisperse, dependable sites

Signed LOA’s from CEO’s committing to Signed LOA’s from CEO’s committing to 24x7 response in the event of a disaster24x7 response in the event of a disaster

Can connect to CDC, DHS and other vital Can connect to CDC, DHS and other vital agenciesagencies

KentuckyKentucky

Kentucky PROACT Network Preparedness and Response On Advanced Communications Technology

For more information, contact 859-257-6404

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Network Hub Sites

Network Sites

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Click on any site for further information

on that site

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What’s Next?What’s Next?

Generate more revenues from Generate more revenues from educational programming supporteducational programming support

Pursue more clinical contractsPursue more clinical contracts

Promote clinicians to include telehealth Promote clinicians to include telehealth in clinical grants (more $ than clinics)in clinical grants (more $ than clinics)

More interstate/international activitiesMore interstate/international activities

Coordinate UK/UL collaborative activities Coordinate UK/UL collaborative activities (Genetics, grants…)(Genetics, grants…)

Thank you for your time and Thank you for your time and attention. It was a privilege to have attention. It was a privilege to have

the opportunity to speak to you.the opportunity to speak to you.

Rob Sprang, MBA Rob Sprang, MBA rsprang@uky.edursprang@uky.edu

859-257-6404859-257-6404