Telehealth Data Collection Tool Introduction / Demonstration

1. Telehealth Data Collection ToolIntroduction / Demonstration Webex Training SessionMay 2007

2. Goal for Development • Design a standardized methodology for data collection to determine the impact of home telehealth • Patient Care Management • Improved Patient Outcomes • Care Coordination • Cost of Care Delivery

3. Important Design Elements • User-friendly Word-based application • Streamlined data entry process • HIPAA compliant • Ability to design & generate reports • Agency generated reports • Aggregate statewide reports • Ability to easily export data for statewide aggregation & analysis • Ability to import demographic data from agency source

4. Telehealth Data Tool Pilot Group • Special Thanks!!! • At Home Care • Eddy VNA • Jewish Home & Hospital • Lifetime Care • St. Francis Hospital Home Care • St. Peter’s Hospital Home Care • VNA of Albany • VNA of Utica & Oneida County • VNS & Hospice of Suffolk • Warren County Home Health • Winthrop Hospital Home Care

5. Telehealth Data Collection Tool Components • Agency Information Module • Patient History Module • Patient Information • Pre-THC Patient History • THC Services • Emergent Care Visits/ Hospitalizations • Vendors • Cost Module • Report Module

6. Installation Guidelines

7. Installation Guidelines Insert CD ROM with Telehealth Data Collection Tool Open up CD ROM & double click the file setup.exe

8. Installation Guidelines

9. Installation Guidelines Create a Short Cut to your Desk Top

10. Installation Guidelines Initial Log-In: • Log In: admin • Password: admin Refer to page 30 in Instruction Manual to change password

11. Installation Guidelines Click to load the Cost module Click to load the Cost module

12. Installation Guidelines Icon Key Add Information Edit Information Delete Information Save Information Scroll Up Scroll Down Select / De-select Item Select / De-select All Items

13. Installation Guidelines • Telehealth Data Collection Tool can be loaded to PC and can be loaded to a shared drive to allow access by multiple users • Detailed installation, data export & back-up procedures are provided in Instruction Manual

14. Standardized Measures to Demonstrate Clinical Outcomes • Compare 12-month period prior to THC to post THC: • Reason for hospitalization • Frequency of hospitalization • Length of Stay • Emergent care episodes • By ICD-9 • Type of equipment / peripherals / timeframes • Planned & unplanned visits & type of • intervention

15. Report Options • Telehealth Data Collection Report • Provides an aggregated breakdown of the data elements entered into the tool, capturing all patients who had a telehealth episode during the report period requested by the user • Patient Care Status • Emergent Care Visits – Primary Reason • Hospitalizations – Primary Reason & Length of Stay • Primary Reason for Telehealth • Number of Telehealth Episodes by Equipment Type • Type of Therapeutic Services Provided • Types of Peripherals & Time Frame Used

16. Report Options • Telehealth Outcome Report • Provides an aggregated breakdown, by payertype, of the data elements entered into the tool, capturing all patients who had telehealth episode during the report period requested by the user • Number of Telehealth Patients & Episodes by Equipment Type • Total Length of Telehealth Episodes • Average Number of Direct In-Home Nursing Visits • Average Number of Remote Telehealth Visits • Average Number of Planned Home Visits • Average Number of Unplanned Home Visits • Reasons & Types of Interventions for Unplanned Home Visits

17. Report Options • Telehealth Cost Report • The Cost Report provides detail on a number of cost and time allotment data elements that are entered by the user in the Cost Module that include the following: • Video Equipment Cost • Non-Video Equipment Cost • Telephone Monitoring Equipment Cost (for non-telehealth agencies) • Video Staff Labor • Non-Video Staff Labor • Staff training • Indirect Costs

18. Export of Data to IPRO • Tool allows for export of de-identified data to IPRO for aggregation into a statewide report

19. Telehealth Data Tool Request • Complete the Agency Commitment to Participate faxback form (emailed with Webex call materials & posted to IPRO Web site) by 06/30/07

20. Telehealth Data Tool Request • Upon receipt of faxback form, IPRO will forward agency a CD ROM loaded with the Telehealth Data Tool & an electronic and hard copy of the User’s Manual • Ongoing technical assistance is offered • Conference call will be scheduled in June for a re-review of tool and to answer questions

21. Contact Information • Sara Butterfield , RN, BSN, CPHQ, CCM / Project Director • Phone: 518-426-3300 ext. 104 • Email: sbutterfield@nyqio.sdps.org • Christine Stegel RN, MS, CPHQ • Performance Improvement Coordinator • Phone: 518-426-3300 ext. 113 • Email: cstegel@nyqio.sdps.org • Victoria Agramonte RN, MS • Performance Improvement Coordinator • Phone: 518-426-3300 ext. 115 • Email: vagramonte@nyqio.sdps.org This material was prepared by IPRO, the Medicare Quality Improvement Organization for New York State, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 8SOW-NY-TSK1B-07-03

22. Telehealth Data Collection ToolDemonstration