Telemedicine Strategic Plan Template

1. Telemedicine Strategic Plan Template Health Care IT AdvisorMarketing and PlanningLeadership Council

2. How to Use This Template Health Care IT Advisor Instructions The Telemedicine Strategic Plan Template assists you in developing a ready-to-present plan for telemedicine at your organization. The Telemedicine Strategic Plan Template provides direction on key steps of the planning process: performance analysis, market assessment, strategic plan design, and plan evaluation. Review the available tools and exercises included in this document and add and remove slides to match the level of detail you need. The template is designed to be used as an active document across the life of the strategic plan. Progress on the plan can be continuously tracked using the scorecard provided and modifications can be made as needed. Templates for financial planning, implementation planning, and communication planning are also included. This template can be used for an individual hospital or multihospital system. Throughout the template, “institution” is used to refer to either the hospital or the health system. The “notes” section of each slide describes the purpose of each component and provides instructions for the specific task to complete. Where appropriate, links to additional resources are provided to assist in the analysis. Further instructions appear on the slides as place holders and examples are provided throughout the template slides in italics. When putting this document together, it might be helpful to print out this deck with the notes section. After completing the template, remove the Advisory Board slides (in red), and delete/replace all placeholder and sample text that appears on the slides to share the presentation with stakeholders.

3. Add your institution’s logo here Telemedicine Strategic Plan DATE VERSION (e.g., Draft, Final, Draft 3.0) Program/Department Name

4. Road Map Telemedicine Strategic Plan Overview 1 2 3 4 CURRENT PERFORMANCE ANALYSIS FUTURE MARKET ASSESSMENT PLAN DESIGN PLANSUMMARY • Total Investment Summary • Resources Required • Staffing Required • Interdepartmental Support • Performance Scorecard • Communication Plan • Mission and Vision • Key IT-Enabled Accomplishments • Current Telemedicine-Enabled Initiatives • Patients • Payers • Payment Reform • Employers • Providers • Competitors • Regulatory Changes • Telemedicine Technologies • Defining Goals, Objectives, and Initiatives • Aligning Telemedicine with Overall Business Strategy • Telemedicine Initiative Description

5. Current Performance Mission and Vision Institution Mission and Vision Describe your hospital mission and vision here. Information Technology Mission and Vision Describe your IT mission and vision here.

6. Current Performance Key IT-Enabled Accomplishments 20XX-20XX 20XX-20XX IT Strategic Plan Review

7. Current Performance Current Telemedicine-Enabled Initiatives 20XX-20XX Strategic Plan Review

8. Future Market Assessment CURRENT PERFORMANCE FUTURE MARKET ASSESSMENT PLANDESIGN PLANSUMMARY

9. Future Market Assessment Market Forces Driving Telemedicine Adoption, 2015-2020 • Patients • Demand convenient access to care • Technology-adept, sophisticated • Price-sensitive • XXX • Payers • Payers moving towards direct provision of telemedicine services • XXX • Regulatory Changes • Broadening coverage of telemedicine services for Medicare • XXX • Payment Reform • Population health management incents improved access, optimized utilization, cost control. • XXX • Technology • Emerging technologies such as e-visits increase competitiveness in market. • XXX • Employers • As employers consider self-insurance models, employers offer direct-to-consumer telemedicine services. • XXX • Competitors • Retail clinics offer convenient alternative for many basic care needs. • XXX • Physicians • Expected shortage of medical staff will require innovative approaches to increasing effective panel size. • XXX

10. Future Market Assessment Patient Demands Identifying Consumer Needs Excellent Okay Terrible Implications of evolving patient demands on our telemedicine strategy: • Describe impacts here • E.g., patients increasingly demanding accessibility, which represents a prime opportunity for telemedicine programs

11. Future Market Assessment Patients: Projected Chronic Disease Prevalence Projected Increase in Chronic Disease Cases1 2003-2023 19%: Projected population growth, 2003-2023 Implications of trends in chronic disease prevalence on our telemedicine strategy: • Describe impacts here • E.g., cancer, a key area of research for ABC Hospital, is projected to grow by 62%. Telemedicine consults can help offset pressures of a growing patient population. • Source: DeVol R, et al., “An unhealthy America: The economic burden of chronic disease,” Milken Institute, 2007, available at: http://assets1c.milkeninstitute.org/assets/Publication/ResearchReport/PDF/chronic_disease_report.pdf.

12. Future Market Assessment Payer Coverage of Telemedicine Services Key Hook Hospital Payers: X, Y, Z Implications of reimbursement on our telemedicine strategy: • Describe impacts here • E.g., Payer X, a major payer at ABC Hospital, covers a broad range of telemedicine services we currently are not offering. This represents a key area of growth for us.

13. Future Market Assessment Payers as Competitors Key ABC Hospital Payers: X, Y, Z Implications of payer telemedicine offerings on our telemedicine strategy: • Describe impacts here • E.g., avoiding disintermediation by payers requires competitive service offering emphasizing integration into care continuum.

14. Future Market Assessment Payment Reform ABC Hospital’s Payment Reform Strategy Impact on Telemedicine Implications of the shift in payment model on our telemedicine strategy: • Describe impacts here • E.g., decreasing readmissions with remote patient monitoring technologies upon discharge can reduce penalties.

15. Future Market Assessment Employer Partnerships Implications of employer partnerships on our telemedicine strategy: • Describe impacts here • E.g., potential for expanding behavioral health capacity with virtual visits for employees at Lily Manufacturing Co.

16. Future Market Assessment Provider Adoption Readiness Feeling Good Minor Concerns Major Obstacle Implications of provider adoption readiness on our telemedicine strategy: • Describe impacts here • E.g., providers may be reluctant to adopt telemedicine due to concerns about workflow.

17. Future Market Assessment Provider Capacity Implications of provider capacity on our telemedicine strategy: • Describe impacts here • E.g., growing incidence of chronic disease presents challenges for already over-burdened PCPs—telemedicine programs can help manage chronic illnesses.

18. Future Market Assessment Competitors: Market Competition Assessment No Risk Moderate Risk Significant Risk Implications of competitors’ telemedicine initiatives on our telemedicine strategy: • Describe impacts here • E.g., Evaluate partnership opportunities with XYZ vendor.

19. Future Market Assessment Regulatory Impact Implications of regulatory environment on our telemedicine strategy: • Describe impacts here • E.g., Medicare expanding telemedicine service coverage, representing opportunity for more services.

20. Future Market Assessment Telemedicine Modalities Workflow Implementation Difficulty and Technological Complexity Real-Time Interventions High Remote Monitoring • Telesurgery Telepresence • Home Monitoring • eICU Workflow Implementation Difficulty Data Exchange • E-visits • Specialist Consults Messaging • Remote Radiology Interpretation • Dermatology • Texting and Email • Telephone Low High TechnologicalComplexity Low • The following are meant to be examples of vendors in the market and not intended as an endorsement by the Advisory Board Company.

21. Future Market Assessment Themes Emerging Across Future Market Assessment 1 2 3 4 5

22. Strategic Plan Design CURRENT PERFORMANCE ANALYSIS FUTURE MARKET ASSESSMENT PLANDESIGN PLANSUMMARY

23. Plan Design Defining Terms Goal Objective Initiative Definition Institution-level goals that address broad strategic issues defined by the leadership such as growth, quality, patient satisfaction, physician alignment, and financial health High-level action items that address system-level goals such as increase market share and improve PCP1 capacity Focused IT action items that meet a defined objective such as utilize RPM2to decrease readmissions Examples • Grow volumes • Improve patient satisfaction • Increase market share • Customize patient encounter • Increase PCP capacity with asynchronous e-visits • Improve patient engagement by offering virtual care options for chronic disease management Sample Metrics • % increase in volumes • % increase in patient satisfaction • % increase in primary and secondary market share • % improvement in satisfaction measures • X% increase in market share • Y% improvement in satisfaction scores 23 PCP = primary care physician. RPM = remote patient monitoring

24. Plan Design Aligning Telemedicine with Overall Business Strategy Improve Patient Satisfaction Institution Goals Goal #3 Goal #4 Goal #5 Grow Volumes • Objective #1 • Objective #2 • Objective #3 • Objective #1 • Objective #2 • Objective #3 Institution Objectives • Increase market share • Increase PCP capacity • Partner with employers • Customize patient experience • Engage patients • Objective #1 • Objective #2 • Objective #3 • Objective #1 • Objective #2 • Objective #3 • Objective #1 • Objective #2 • Objective #3 Telemedicine Initiatives • Increase PCP capacity with asynchronous e-visits • Partner with employers to offer telemedicine consults • Initiative #1 • Initiative #2 • Initiative #3 • Initiative #1 • Initiative #2 • Initiative #3 • Initiative #1 • Initiative #2 • Initiative #3 • Customize patient experience with online education • Improve patient engagement by offering virtual care options for chronic disease management

25. Goal #1: Grow Volume Objective #1: Increase PCP Capacity Initiative #1: Increase PCP capacity with asynchronous e-visits, 2014-2016 Goal Objective Initiative Initiative #1: Increase PCP capacity with asynchronous e-visits A large portion of PCP visits (more than half by some estimates) are for low-acuity conditions that can be handled virtually in less time than in-person visits. This represents a unique opportunity for ABC Health System to grow patient volumes by increasing PCP capacity. Under this model of telemedicine, patients and providers would communicate asynchronously via an application that automatically triages lower-acuity cases for virtual care. This is accomplished through an application that collects patient information, triages the case based on data provided, and sends an alert to the provider to review the summary. The provider reviews the summary, makes recommendations, and closes the encounter. This saves the provider time and increases their panel capacity.

26. Goal #X: Objective #X: Initiative #X: Title Goal Objective Initiative Initiative #X: Title Description

27. Strategic Plan Summary CURRENT PERFORMANCE ANALYSIS FUTURE MARKET ASSESSMENT PLANDESIGN PLANSUMMARY

28. Plan Summary Total Investment Required for Telemedicine Initiatives, 20XX-20XX

29. Plan Summary Resources Required

30. Plan Summary Staffing Required

31. Plan Summary Interdepartmental Support Required for Strategic Initiatives, 20XX-20XX Physicians Marketing Department #5 Finance Goal #3 IT Department • XXX • XXX • Scope vendor marketplace • Approve vendor contract • Approve project budget • Telemedicine implications on workflow • Advertising programs • Identifying consumer demands/needs

32. Plan Summary Performance to Date On Track Minor Setbacks Major Setbacks

33. Plan Summary Communication Plan: Key Messages and Communication Tactics

34. Plan Summary Communication Plan: Strategies to Address Potential Concerns