Whose Shoulders Now?

James McElligott, MD MSCRMedical Director, Telehealth

Look How Tall We Are

• Connectivity– USAC (PSPN)

• Endpoints– Codecs, software, browsers oh my

• Encounter Management– Not just for stroke anymore

• Network Management– Coordination means serving the presenting site

• Grass roots organization– Partnerships, alliances, networks and more

Not Your Momma’s Telehealth

• Two essential themes– Telehealth must add efficiency to the care

system. The value of a successful program will be enhanced communication and coordination.

– Everyone must win. All stakeholders must benefit, including the patient, referring providers and consulting providers

Service

• The Smart Grid– Triaging the patient to the right place at the

right time• Obstetrics (e.g. UAMS Angels)• Neonatology (e.g. UAMS TOUCH)• Stroke• Mental health

Service

• Accessing Care Along the Health Continuum – Mobile health rapid access– School clinics– Long term care – Home monitoring for high risk patients

Service

• Establish the Captain of the Ship– Co-management between the medical home

the specialist• The rapid triage visit for the well majority• Teach the teacher for the complex minority (e.g.

Project Echo)