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Brian J Grady, M.D. Director TeleMental Health Department of Psychiatry School of Medicine University of Maryland TeleMental Health.

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Presentation on theme: "Brian J Grady, M.D. Director TeleMental Health Department of Psychiatry School of Medicine University of Maryland TeleMental Health."— Presentation transcript:

1 Brian J Grady, M.D. Director TeleMental Health Department of Psychiatry School of Medicine University of Maryland TeleMental Health

2 Today’s Topics TMH OverviewTMH Overview University ProjectsUniversity Projects TMH PolicyTMH Policy Future DirectionsFuture Directions 2

3 TeleMental Health Overview Beginnings Late 1950’sBeginnings Late 1950’s Interactive “Television” 1960’s to 1990’sInteractive “Television” 1960’s to 1990’s “Affordable” VideoConferencing late 1990’s to mid 2000’s“Affordable” VideoConferencing late 1990’s to mid 2000’s Evidence Based TMH mid 2000’s to presentEvidence Based TMH mid 2000’s to present

4 The Merger Technology

5 The Merger Technology Clinical Needs

6 The Merger Technology Clinical Needs Telemental Health

7 The Merger Technology Clinical Needs Access

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11 UMB TMH Projects Maryland Youth Practice Improvement Committee – Consortium of Psychiatry Department UMB, Psychiatry Department JHU, Mental Hygiene Administration, Regional Institutes for Children and Adolescents, State C&A Inpatient UnitsMaryland Youth Practice Improvement Committee – Consortium of Psychiatry Department UMB, Psychiatry Department JHU, Mental Hygiene Administration, Regional Institutes for Children and Adolescents, State C&A Inpatient Units School Based Mental Health ProjectsSchool Based Mental Health Projects –Baltimore, Western High School (’04/’05) –Prince George Co, Suitland HS & Kettering MS Health Resources and Services Administration Grant - Consortium of Mid-Shore MH CSA, Mental Hygiene Administration, Garrett Co Core Service Agency, St. Mary’s Co Core Service Agency, Psychiatry Department UMBHealth Resources and Services Administration Grant - Consortium of Mid-Shore MH CSA, Mental Hygiene Administration, Garrett Co Core Service Agency, St. Mary’s Co Core Service Agency, Psychiatry Department UMB 11

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13 Required Resources Clinical Champion Distant SiteClinical Champion Distant Site Site Champion Originating SiteSite Champion Originating Site Administrative SupportAdministrative Support Technical SupportTechnical Support Financial SupportFinancial Support 13

14 Financing GrantsGrants –Health Services Resources Administration –Department of Agriculture –Maryland Community Health Resources Commission Fee for ServicesFee for Services –Medicare –Maryland Public Mental Health System –Third Party Reimbursements Contractual AgreementsContractual Agreements 14

15 TMH Policy –Regulations Board of PhysiciansBoard of Physicians MedicareMedicare –Balanced Budget Act (BBA) of 1997 –Benefits Improvement and Protection Act of 2000 (BIPA) MedicaidMedicaid –Draft Regulations

16 Medicare Originating Sites (additional Medicaid proposed) Physicians or practitioner officePhysicians or practitioner office HospitalHospital Critical Access HospitalCritical Access Hospital Rural health clinicRural health clinic Federally qualified health centerFederally qualified health center (Elementary, middle, high, or technical school with a supported nursing, counseling or medical office. A college or university student health or counseling office)(Elementary, middle, high, or technical school with a supported nursing, counseling or medical office. A college or university student health or counseling office) (County Health, Human and/or Social Service offices or clinics and other county offices appropriate for private clinical evaluations and services)(County Health, Human and/or Social Service offices or clinics and other county offices appropriate for private clinical evaluations and services)

17 Qualified Geographical Areas Medicare Health Practice Shortage Areas (HPSAs)Health Practice Shortage Areas (HPSAs) Non-Metropolitan Statistical Area (MSA) countiesNon-Metropolitan Statistical Area (MSA) counties Entities that are Federal telemedicine demonstration projectsEntities that are Federal telemedicine demonstration projects Medicaid Garrett Allegany Worcester Somerset Wicomico Dorchester Caroline (proposed) Talbot Queen Anne’s Kent St. Mary’s Calvert Charles

18 Technical Requirements 1. Minimum ISDN or IP bandwidth using H.264 video protocol > 256 kbps 2. Monitor: minimum, non-anamorphic, net display size of 16" diagonally 3. Minimum resolution of 1 Common Intermediate Format/Source Input Format 4. Switched Network or Encryption

19 Future Directions Vision: TeleMental Health Center of ExcellenceVision: TeleMental Health Center of Excellence –Clinical Champion –Coordinator Resource –Technical Resource –Education, training & research 19

20 Comments, Questions


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