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Telehealth in Michigan: A Status Report

Telehealth in Michigan: A Status Report. Sally Davis. Imagine a world where anyone can get health care when they need it. Defining the field. Telehealth Events Connections Telemedicine Clinical consults Patient encounters Store and forward Telehome Care Informatics.

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Telehealth in Michigan: A Status Report

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  1. Telehealth in Michigan: A Status Report Sally Davis

  2. Imagine a world where anyone can get health care when they need it.

  3. Defining the field • Telehealth • Events • Connections • Telemedicine • Clinical consults • Patient encounters • Store and forward • Telehome Care • Informatics

  4. Finding reality in definitions • NICU infant to mother • Neonatologist to pediatric surgeon • Pediatric echo transmission • Pediatric surgery follow-up • Dietician to parent

  5. Technology in a nutshell • Equipment • Room systems, set tops, clinical, desk tops, home health, home monitoring • Transmission • ISDN • T-1 • Internet Protocol • Bandwidth • POTS • 128kbps and beyond

  6. Status of Telehealth in Michigan • Established Networks • UPTN, REMEC, DOC, VA • Applications • Why these network? • Rural • Funding • Activity level • Others: UMHS, Hospice of Michigan, Lifeways Mental Health

  7. Why it makes sense for us.. • Weather • Isolation • Sparse population • Travel time, risks and distance • Quaternary health care 18+ hour drive

  8. Success Measures • Steady growth and expansion • Continuation post initiation • Integration into system • Multiple uses • Evidence of acceptance • Administrative support • Value to the organization • Continuous objective evaluation

  9. Developing Networks • Northeast, HNHS, Alpena, Southwest • Michigan RHI funding • Applications • Challenges in developing • Practitioner buy in • Start up funding • Process • Practicality • Sustainability post grant funding

  10. Michigan Challenges • Licensure, credentials • Payment, reimbursement • Safety, Liability • Infrastructure • Privacy, Security

  11. UPTN Web Site www.mgh.org/telehealth/index.html

  12. Michigan Telehealth Policy Group Web Site http://www.msu.edu/~pwhitten/policy/

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