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1 “Using Technology To Tame The West” The Story of the Cooperative Telehealth Network.

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Presentation on theme: "1 “Using Technology To Tame The West” The Story of the Cooperative Telehealth Network."— Presentation transcript:

1 1 “Using Technology To Tame The West” The Story of the Cooperative Telehealth Network

2 2 What Is CTN? The Cooperative Telehealth Network is one of over 200 video based networks that is focused on improving access to care and education through clinical, educational and administrative servicesThe Cooperative Telehealth Network is one of over 200 video based networks that is focused on improving access to care and education through clinical, educational and administrative services Part of The Hospital Cooperative, a collaborative of 14 hospitals in Southeast Idaho and West Wyoming (also includes Health West clinicsPart of The Hospital Cooperative, a collaborative of 14 hospitals in Southeast Idaho and West Wyoming (also includes Health West clinics

3 3 What Is Telehealth?

4 4

5 5 Partners/Connections The Hospital Cooperative Administrative Office Hospital Members of THC HealthWest FQHC Clinics Idaho State University Utah Telehealth Network Partners in Health Telemedicine Network Other partner sites in Idaho and Wyoming

6 6 Current and Future Locations Bear Lake Memorial Hospital – MontpelierBear Lake Memorial Hospital – Montpelier Bingham Memorial Hospital – BlackfootBingham Memorial Hospital – Blackfoot Caribou Memorial Hospital – Soda SpringsCaribou Memorial Hospital – Soda Springs Franklin County Medical Center – PrestonFranklin County Medical Center – Preston Harms Memorial Hospital – American FallsHarms Memorial Hospital – American Falls Lost Rivers Medical Center – ArcoLost Rivers Medical Center – Arco Madison Memorial Hospital – RexburgMadison Memorial Hospital – Rexburg Minidoka Memorial Hospital – RupertMinidoka Memorial Hospital – Rupert Oneida County Hospital – MaladOneida County Hospital – Malad Portneuf Medical Center – PocatelloPortneuf Medical Center – Pocatello St. Benedicts Family Medical Center-JeromeSt. Benedicts Family Medical Center-Jerome Star Valley Medical Center – Afton, WYStar Valley Medical Center – Afton, WY Steele Memorial Medical Center – SalmonSteele Memorial Medical Center – Salmon Teton Valley Hospital – DriggsTeton Valley Hospital – Driggs Health West Clinics – Bannock, Bingham, Power CountiesHealth West Clinics – Bannock, Bingham, Power Counties

7 7 History 2004-Site development with 4 hospital sites in East Idaho and West Wyoming2004-Site development with 4 hospital sites in East Idaho and West Wyoming 2006 to current-appropriation funds (Portneuf Medical Center) and Office of the Advancement of Telehealth (OAT) grant helped fund installation of high speed lines (T-1), purchase of additional equipment, and staff2006 to current-appropriation funds (Portneuf Medical Center) and Office of the Advancement of Telehealth (OAT) grant helped fund installation of high speed lines (T-1), purchase of additional equipment, and staff 2007-Idaho State University provided funding for new video equipment2007-Idaho State University provided funding for new video equipment

8 8 Clinical Service First clinical application: Tele-psychiatry (May 2007)First clinical application: Tele-psychiatry (May 2007) –First provider-adult psychiatrist –Both Idaho and Wyoming are complete statewide Mental HPSA –State grades: ID-D and WY-D from NAMI Overall visits –Entire Program: 750+ Financial data: –Entire Program-Miles: 91,365 Miles at $0.55 (IRS rate): $50,250 Time saved: 105,495 minutes or 1,758 hours

9 9 Other Accomplishments 14 current sites on CTN system14 current sites on CTN system Providing tele-radiology servicesProviding tele-radiology services Services developing in cardiology, child psychiatry, diabetes, obstetrics and oncologyServices developing in cardiology, child psychiatry, diabetes, obstetrics and oncology Developed and sponsored first ever Telehealth Summit for the state of IdahoDeveloped and sponsored first ever Telehealth Summit for the state of Idaho Patients are seen regardless of ability to pay- $20,000 from private Idaho foundationsPatients are seen regardless of ability to pay- $20,000 from private Idaho foundations

10 10 Internal Education Portneuf Medical Center programs –Weekly physician CME –Cath Conference –Heart and Vascular Grand Rounds –Diabetes Support Group –Cultivating Compassion Series –Nursing Excellence Series The Hospital Cooperative –Brown Bag Lunch Series –Business Series –Case Review with William Hazle, M.D. –Certified Nursing Assistant (CNA) courses

11 11 External Education Utah Telehealth Network-Diabetes Brown Bag SeriesUtah Telehealth Network-Diabetes Brown Bag Series Partners in Health Telemedicine Network- Variety of topicsPartners in Health Telemedicine Network- Variety of topics Idaho State University-Rural Nurse ResidencyIdaho State University-Rural Nurse Residency

12 12 Benefits of CTN Retention of services and dollars in local healthcare facilities (x-rays, lab, etc.)Retention of services and dollars in local healthcare facilities (x-rays, lab, etc.) Decreased costs for physicians, patients, and staffDecreased costs for physicians, patients, and staff –Time away from work –Travel –Meals, hotel, babysitters, etc. Increased confidence in local hospital and positive community perceptionIncreased confidence in local hospital and positive community perception New services available locallyNew services available locally Education available locallyEducation available locally

13 13 Future Complete installation of sites by December 2009Complete installation of sites by December 2009 Increase provider depth in psychiatry-all levelsIncrease provider depth in psychiatry-all levels Cultivate new opportunities for clinical services and deliveryCultivate new opportunities for clinical services and delivery Maintain internal educational programmingMaintain internal educational programming Add “series” type programming-Leadership/LegalAdd “series” type programming-Leadership/Legal Additional partnerships in West and North Idaho; Wyoming-CAH network for educationAdditional partnerships in West and North Idaho; Wyoming-CAH network for education Clinical certification courses (TNCC, PALS) taught centrallyClinical certification courses (TNCC, PALS) taught centrally

14 14 Lessons Learned With technology, everything takes longer than you plan Technology constantly changes-$ Healthcare is still very “hands on” Expectations today are higher than in the past Changes create different objectives; educate! Providers struggle to see telemedicine as a benefit to their current practice; timing in life means everything

15 15 More Lessons Always have an answer for reimbursement questions Many paths can lead to success Determine clear plan for system deployment at sites Often, staff have other responsibilities Don’t reinvent the wheel Set clear expectations for partners

16 16 Keys to Success Identify all players before you start- experience Obtain multiple physician buy-in at start Ensure that services are wanted and needed- commitment from participants Clinical services housed at healthcare entity Technology assessment complete

17 17 Additional Keys Appropriate policies, procedures and processes spelled out Develop partnerships with grant agencies Discuss plans with insurance companies Provide multiple options for education

18 18 Questions? Jon Smith, Executive Director The Hospital Cooperative 850 East Young Street Pocatello, Idaho (208)


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