Peoples Communication Inc In Partnership with Global Partnership For Telehealth Present

1. Peoples Communication Inc In Partnership with Global Partnership For Telehealth Present

2. Making The TeleConnection

3. Services Provided • Field Based Liaisons • Consultation for development and implementation of program • Equipment – guidance, installation, and support • Comprehensive support services: scheduling, credentialing, program coordination • On going education and training • 24/7 technical support • Dedicated telehealth liaison – ongoing program support • Foundation for expansion

4. Presentation Site Presentation Site Presentation Site Presentation Site Specialty Center Specialty Center Specialty Center “Open Access”Network Model • Creates a web of access points • Any Presentation Site can connect to any other site

6. Case Study Georgia Partnership For Telehealth • 500+ rural and specialty sites within the Georgia network. • Over 180 specialists, representing 40 specialties. • 8 encounters in January 2006 • 75,000 + encounters in 2012

7. Top Ten GPT TeleMedicine Encounters 2012

8. National Telehealth Resource Centers

9. Telemedicine Applied

10. Telemedicine Demonstration

11. Hospitals • Stroke Portal • Limits time between occurrence and treatment • Decreases transports • Psychiatric Evaluations • Decreases time in ED • Efficient work-flow model

12. Aging In Place • Benefits • Reduced hospital readmissions • Able to stay in the comfort of home • Shorten rehab stay • Telehome Monitoring • Live vital readings • Monitored by healthcare specialist • Chronic Care Management

13. Skilled Nursing Facility • Mental Health • Medication Management • Screening/Assessment • Wound Care • Wound images • Diagnosis and Treatment • Episodic Care • Non-emergent issues (sore throat, flu, etc) • Benefits for the Resident • Decrease transports to ED • Decrease stress on the resident and family • Decrease the changes of a fall • Decrease hospital acquired illness

14. Correctional Facilities • The Eighth Amendment of the U.S. Constitution mandates access to quality healthcare for inmates. Lack of access to appropriate medical care was deemed "cruel and unusual punishment" in Estelle v. Gamble (429 U.S. 97; 97S. Ct. 285; SOL. Ed. 2d 251, 1976). • Benefits • Increases access to specialty care providers • Decreases transports • Reduces security threats • Reduces threat of communicable diseases

15. School-Based Telehealth Centers • Health has a direct impact on student learning • Education • Absenteeism • Learning Experience • Increased access to: • Healthcare (primary care & episodic care) • Mental Healthcare • Oral Healthcare • Specialists • Pharmacy • Benefits • Students like them • SBHCs are 5 minutes or 50 feet from the student’s world • Increase in yearly medical visits • 3.4 hours saved from parents missing work (avg of $43 in lost wages) • Reduced ED visits (avg savings per family $224) • Creates a true system of care for the student

16. Impact • CASE ANALYSIS • Nursing Home ER Avoidance: 160 ER Visits avoided 2011 resulting in savings of $480,000. • Out of 40,009 encounters, a random sample showed an average savings of PT travel of 124 miles per encounter resulting in an estimated pt savings of $762,027 just in fuel. • Improve access to care for remotely located patients • Shift appropriate visits from high-cost settings • Reduce cost of managing chronic patient populations • Reduce unnecessary hospital readmissions • Improve patient outcomes • Create higher satisfaction among patients and providers TIME COST ACCESS CONVENIENCE COMPLIANCE

17. Next Steps • Discuss a TSTCI Study Group • Examine needs of Texas • Shared resources across the state • Networking • Learn how Telemedicine can fit into your plan and benefit your community • Explore Funding Opportunities

18. Kelley Kesler, MS 3599 Plant Ave Ext. Blackshear, GA 31516 912-285-0902 (O) 720-505-0721 (M) kelley.kesler@gatelehealth.org www.gatelehealth.org Steven Steele, GM KevanBurroughs 102 N. Stephens P.O. Box 228 Quitman, TX 75783 903-878-3170 (O) 903-850-0919 (M) kkburroughs@peoplescom.net