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INTOUCH HEALTH 3rd Annual Remote Presence Clinical Innovations Forum

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INTOUCH HEALTH 3rd Annual Remote Presence Clinical Innovations Forum

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    2. A Successful Multi-Specialty Approach for Rural Outreach

    3. IDA/ORE Telehealth Network Mission We support the Mission of Saint Alphonsus Regional Medical Center to improve the health of our communities through the use of technological advances in telemedicine. Vision Our vision is to develop an intermountain network using remote presence technology to deliver Saint Alphonsus Regional Medical Center clinical excellence to rural communities.

    4. Remote Presence Strategy Start with a grant Achieve long-term program sustainability through development of multiple applications for the technology Establish multiple service lines delivered through remote presence to network hospitals (hub and spoke) Enhance physician consulting Reduce inappropriate patient transfers

    5. Remote Presence Programs Neonatal Intensive Care Neonatologists consultations available 24/7 for assessment of newborns Maternal-Fetal Medicine Ultrasound interpretation and consultation for high risk pregnancies Cardiology Assessment for acute myocardial infarction Intensive Care Intensivist consultation for small hospitals that lack this specialty Mike you could take out the descriptions and just leave the bullets and add educationMike you could take out the descriptions and just leave the bullets and add education

    6. Remote Presence Programs Stroke Program Provide rapid consultation for people who present with stroke symptoms to ascertain potential for intervention Mental Health Assessments Provide risk-assessments in emergency departments Psychiatric Clinics Provide on-going psychiatric care to patients in remote areas Outreach Education Provide education for physicians, nurses, and patients Mike you can move outreach education to the current program slideMike you can move outreach education to the current program slide

    7. Remote Presence Robotics Network

    8. Telehealth not only includes clinical services but also non-clinical medical services such as education, research, and administrative functions. (Source: The Association of Telehealth Service Providers) Telehealth not only includes clinical services but also non-clinical medical services such as education, research, and administrative functions. (Source: The Association of Telehealth Service Providers)

    9. This Collaboration Saint Alphonsus Regional Medical Center, Boise, Idaho 365 bed Regional Medical Center Grande Ronde Hospital, La Grande, OR 25 bed Critical Access Hospital 177 miles west of Boise

    10. Where We Started 2007 GRH only using Nighthawk for after hours teleradiology. June 2007 Mike’s first Visit…… July 2007 Executive leadership from Saint Alphonsus including CEO and physician champions flew to La Grande to meet and greet GRH Executive leadership and medical staff. August 2007 EDGAR arrives at GRH (Educated Doctor Guided Assisting Robot) December 2007 Cardiology contingent meets with medical staff in La Grande. Talk about how this meeting cemented the relationship and it was clear there was commitment from both partners. Talk about the Oregon Board of Medical Examiners only recognizing teleradiology Talk about the subsequent meetings with Cardiology, Advanced ICU Multiple visits by Mike Jill and Yair The winning concept of curbside consults in order to gain acceptanceTalk about how this meeting cemented the relationship and it was clear there was commitment from both partners. Talk about the Oregon Board of Medical Examiners only recognizing teleradiology Talk about the subsequent meetings with Cardiology, Advanced ICU Multiple visits by Mike Jill and Yair The winning concept of curbside consults in order to gain acceptance

    11. Where We Are RP7 Control Station in the Regional Medical Clinic Overall acceptance by the Medical Staff ICU Intensivist program to begin August, 2008 Multiple Successes Cardiology Neonatalology Grand Rounds, Physician Rounds Outpatient Cardiology Clinic Ambassador Program Telebaby

    12. Cardiac Care in the Emergency Room Neonatology Consults Telebaby Events Intensive Care Outpatient Cardiology Clinic Dermatology Noteworthy Successes

    13. Challenges “The physician shall examine the patient in person prior to diagnosing, treating, correcting or prescribing…”

    14. Where We’re Going Neurology for Acute Stroke and consults Teledermatology Telepsychiatry Willing to pilot a fixed device for remote presence consults in the clinic setting

    15. Mike- This is the standard clause that TATRC asks that we include. When you discuss you may want to clarify what their role is. Mike- This is the standard clause that TATRC asks that we include. When you discuss you may want to clarify what their role is.

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