Telehealth In California

1
Telehealth In California
Rural Telehealth Network Development Impact on
Rural California
Christine Martin, MBA, PMP Executive
Director California Telemedicine eHealth Center
California State Rural Health AssociationDecember
2, 2008
2
Federal Vision for Telehealth

• No matter who you are
• or
• where you are
• you can get
• the health care you need
• when you need it

3
Benefits of Telehealth

• Improved access to care
• Improved health outcomes
• Improved clinician access to information
• Positive health interventions at earlier points
  on the continuum of care
• Improved quality of life

4
Telemedicine and Telehealth
Telemedicine
5
Telemedicine and Telehealth

Telehealth
Telemedicine
6
Telemedicine and Telehealth
Telehealth
Regional Health Information Sharing
Health Professions Education
Telemedicine
Consumer Education
Evaluation Research
Public Health
Administration
Homeland Security
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Applications Across Types of Service
Emergency Response Vehicles
Chronic care monitoring
Emergency Departments
Skilled nursing services
Intensive Care Units
Screening services
Clinical education
Specialty Services
Home monitoring
Patient education
Inpatient Care
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Innovative Uses for Telehealth

• Trains and Boats and Planes
• Mobile Services
• School based programs
• Retail stores
• Travel applications
• Continuing medical education

• Work programs
• Translator Services
• Support Groups
• Home monitoring
• eICU
• Stroke Programs

9
Telehealth In Rural California

• California
• 12 of US Population
• California has 37 million residents
• 10th largest economy in the world
• 20 states have populations less than
• Californias total rural population

• Rural California
• 3 million people
• 11 - 15 of CA population
• 92 percent of landmass
• 43 of 58 counties rural
• 7 counties frontier area
• Health professional shortages in 51 of 58
  counties

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Early Needs Identification

• Clinician shortages
• Maldistribution of providers
• Rural underserved
• Travel time, cost hardship
• Delayed treatment
• Language barriers
• Clinical education programs
• Administrative meetings

11
1992

• UC Davis establishes remote fetal monitoring
  services at Colusa Hospital

12
1998

• Blue Cross, Department of Corrections
• UC Davis, CTEC Rural Networks

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2008

• Over 125 telemedicine sites

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(No Transcript)
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University of California
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UC Davis Network
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Prison Sites
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Blue Cross
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Veteran's Administration
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Californias Development Environment

• State Legislation 1996
• Medi-Cal reimbursement
• CTEC UC Davis Blue Cross
• Foundations Endowments
• Governor support
• Department of Corrections
• 200 million UC Med Schools
• FCC Grant - 22 million

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Telemedicine 2005 - 2007

• CTEC Grantees
• 10 Networks with 93 sites
• 65 of Counties with Service Sites
• Service Totals 17,446
• California 12,184
• Mexico 5,282
• Annual Average 8,700

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California Service Summary CTEC Grantees 2005 -
2007

• Top Services Volume
• Diabetic retinopathy screening
• Psychiatry
• Dental Screenings
• Neurology
• Endocrinology
• Dermatology

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2010

• Adding hundreds of new sites

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Development Not Without Challenges

• Reimbursement / payment strategies
• Organizational strategic integration
• Funding for Development
• Replicable operational models
• Sustainable business models
• Program costs
• Credentialing, privileging accreditation

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California Telemedicine eHealth Center

• Christine Martin, MBA, PMP
• Executive Director
• [phone]