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Rob Sprang, MBA Kentucky TeleCare/Kentucky TeleHealth Network University of Kentucky

TELEHEALTH Solution to America’s healthcare disparity problems, or an expensive solution looking for a problem?. Rob Sprang, MBA Kentucky TeleCare/Kentucky TeleHealth Network University of Kentucky. What is Telemedicine? Move information, not people. Problem.

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Rob Sprang, MBA Kentucky TeleCare/Kentucky TeleHealth Network University of Kentucky

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  1. TELEHEALTHSolution to America’s healthcare disparity problems, or an expensive solution looking for a problem? Rob Sprang, MBA Kentucky TeleCare/Kentucky TeleHealth Network University of Kentucky

  2. What is Telemedicine?Move information, not people

  3. Problem... Many Americans are geographically isolated from needed healthcare services, not available in their local communities

  4. The Result... Patients and clinicians must leave their community to access needed healthcare resources, or those needs remain unmet.

  5. Solution... Bring healthcare resources to those who are in need

  6. More Clearly Stated... Get the right services to the right people in the right place at the right time

  7. BENEFITS TO THE PATIENT • Reduce need to travel - Cost, inconvenience, travel anxiety • Personal physician manages patient care & collaborates on treatment plan development • Enhanced continuity of care • Remain close to home, family and natural support systems • Better access to care = Better health

  8. Benefits to the Rural Clinician • Personal physician manages care • Greater involvement with patient Tx plan • Better compliance seeking specialty care • Retain more patients/Capture more revenue • Access to educational resources not locally available helps reduce professional isolation and improves professional development

  9. Other Healthcare Stakeholders Who Benefit From Telemedicine • Patient’s family/friends • Specialists • Rural healthcare facilities • Employers • Medicaid/Medicare/private payors • Taxpayers

  10. Who benefits from Telemedicine Services? Everyone!

  11. Telehealth is expensive! A network site can cost $10K-$50K, and a hub can cost $150K+

  12. Why Sustainability Planning is Important for Telehealth • Programs that fail have a negative impact on the telehealth industry • Except for correctional telehealth programs, the telehealth office normally does not have a positive cash flow • If your program fails…

  13. YOU ARE UNEMPLOYED!

  14. How can telehealth succeed ?????????

  15. Define Success… Plan for Success

  16. This story teaches us that it is much easier to plan here:

  17. Than here:

  18. What is success? • Expand clinical service area? • Improve continuity of care/outcomes? • Deliver educational programming? • Reduce travel for administrative meetings? • Cohesive medical informatics system? • Positive cash flow? • Create research/external funding opportunities? • Public health/disaster preparedness/response • Other???

  19. Kentucky TeleHealth Network Success • Legislative mandate • Supports medical student education • Education promotes University clinicians • Correctional/other contracts medicine generates $ • Awarded over $1.5M in grants in 2003 • Supports disaster preparedness/response efforts • Recruitment/retention of community clinicians • Telehealth is a great marketing/PR tool • Provides a great story for University/State leaders • Focus on VALUE

  20. Does Kentucky TeleCare generate a positive cash flow? NO!

  21. Are we considered successful? YES!

  22. How do you position telehealth for long term success? Telehealth is a vital component of the infrastructure of the healthcare facility, just like air conditioning.

  23. The single greatest challenge faced by telehealth... You!

  24. 28 27 30 9 6 4 50 51 38 37 36 35 34 63 32 33 61 11 64 49 56 62 Kentucky TeleHealth Network (KTHN) Sites For more information, contact 859-257-6404 47 48 52 53 24 55 23 29 22 25 59 31 3 2 45 21 43 20 1 26 44 54 14 15 5 58 65 41 8 7 10 57 42 40 16 13 60 19 12 39 18 46 17

  25. Disaster Preparedness/Response ActivitiesWe can never imagine what disaster is just down the road, so we must prepare ourselves

  26. PROACT (Preparedness and Response on Advanced Network Technology) • Disaster preparedness education is a top priority for KY DPH • Needed a core group of geographically disperse, dependable sites • Signed LOA’s from CEO’s committing to 24x7 response in the event of a disaster • Can connect to CDC, DHS and other vital agencies

  27. Kentucky Kentucky PROACT Network Preparedness and Response On Advanced Communications Technology For more information, contact 859-257-6404 Click on any site for further information on that site Kentucky Department of Public Health 16 Central Control Site 15 18 2 3 Network Hub Sites 1 Network Sites 6 8 7 10 10 11 4 13 19 9 20 5 17 12 14

  28. What’s Next? • Generate more revenues from educational programming support • Pursue more clinical contracts • Promote clinicians to include telehealth in clinical grants (more $ than clinics) • More interstate/international activities • Coordinate UK/UL collaborative activities (Genetics, grants…)

  29. Thank you for your time and attention. It was a privilege to have the opportunity to speak to you.Rob Sprang, MBA rsprang@uky.edu859-257-6404

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