1. Telehealth and Telepresence
Jeff Doty-Senior Manager Business Development
Tammy Flick- Telehealth Program Manager HNc

2. HealthNet connect, LC & BHC, LC Wholly Owned Subsidiaries of Unity Point Health
“Connecting Healthcare, Business and Government to our Communication and IT Infrastructure!”

3. Innovation through Value!

4. HNcBNc-Who are we? Wholly owned subsidiaries of UnityPoint Health
HealthNet connect, LC is a consortium established for healthcare entities to securely share healthcare information using our private technology infrastructure.
BHC, LC is a technology holding company consisting of two subsidiaries;
HNc Services Inc. a communications and technology services company developed to provide value added services to the healthcare market.
BroadNet connect a communications and technology services companies developed to provide value added services to business and community anchor institutions.

5. HNcBNc Mission
Our mission is to introduce and integrate business concepts and related technologies seamlessly within our client’s organizations. As a business partner and technology advisor we will provide the best services, support and infrastructure enabling health care organizations, schools, government entities and businesses to make a difference in the lives of the communities they serve.

6. The HNcBNc Advantage
Providing the most advanced communications and technology solutions.
An Independent, privately owned 3,200+ mile fiber optic network that serves Iowa, Nebraska and Illinois and parts of Colorado with the ability to extend to other parts of the country.
A HIPAA compliant Data Center Infrastructure
Provide a host of communication and technology services under one roof.
Providing support that is unmatched in the industry.

7. HNcBNc Services

8. Fiber Optic Network

9. Data Center

10. Cloud Services

11. Server and Desktop Services

12. Support Services

13. Application Services

14. Telehealth and Telepresence

15. Telehealth and Telepresence
The future is now……

16. Telepresence: Removing Barriers

17. Telepresence Endless Use Cases Decrease travel expense
Connect with field support team
Meetings, Conference, Education
Banking, customer service, support
Schools- Distance learning, school nurse

18. Telehealth

19. Purpose and Aim
The purpose of a Tele-health initiative is to improve care coordination, increase access to healthcare and providers, and improve efficiencies for health care providers.

20. Telehealth is the Future…..
Doing more with less
ACO
HIE
Population Health Management
Limited Resources
Provider Shortages
Changing Payment Models
Consumer Demands
Healthcare is a business, and with any business there is a constant need to be able to do more with less. As the healthcare industry changes and evolves, initiaves such as accountable care organizations and population health management are slated to become the new model of care. This is an extreme change from the fee for service model that has traditionally been utilized and will move the nimble and successful healthcare organizations into the practice of utilizing telehealth to ensure they are viable and successful in the future. In rural areas the barriers of limited resources and provider shortages can be alieveiated with the use of Telemedicine and implementation of telehealth programs. Telehealth is quickly becoming the future standard of care and payment models are evolving to include telehealth from the Federal Government down to State and Local governments. Not only that, the consumers themselves are now looking to have conveinece and access to the care they need real time and close to home. Telehealth is the full suite solution for the future and staying ahead of the curve will allow your organization to not only survive but thrive in the healthcare industry.
Healthcare stakeholders have high hopes for Tele-health as an essential ingredient for creating a better system of care.
The future of remote care delivery depends on powerful technologies and smart networks to attain these aspirations.
With rising healthcare costs and unprecedented pressures on healthcare systems to engage in population health, the time is right to use Tele-health to break down the barriers to make healthcare more patient-centered, to better coordinate patient care and to reduce healthcare costs.

21. According to the American Hospital Association:
52% of hospitals utilized telehealth in 2013
Another 10% were in process of implementation
74% of US consumers would use Telehealth
76% of consumers prioritize access to care vs human interaction with providers
70% of consumers are comfortable communicating with providers via text, , video vs seeing them in person
AHA Trend watch January 2015
Data from 2013 AHA annual survey

22. Expected Benefits
Improved patient and care-giver access to health services and providers
Reduced unnecessary travel time and cost for patients/care- giver and clinical staff
Improved patient and care-giver involvement in care planning
Improved ability for rural practitioners to access specialist health services
Improved ability to conduct screenings and health promotion within our communities
Increased viability of providing services locally in rural and remote communities
Considerations:
Reimbursements
Iowa Magellan
Medicare and Medicaid WQ

23. Cost Savings and Avoidance
A recent Towers Watson study of employers with more than1,000 employees showed U.S. employers could save up to $6 billion each year by employees routinely engaged in remote consults for appropriate medical problems vs visiting ER, urgent care centers, and physicians’ offices.
Median charges ranged from $740 (95% CI $651–$817) for an upper respiratory infection average telehealth charge under $100

24. Provider Shortages in Iowa
In 2014 over 90 counties in Iowa are listed as HPSA for primary care while 72 out of the 99 counties are listed as medically underserved according to HRSA.
These shortages equate to a need for over 100 full time primary care providers and over 170 full time mental health providers in the state of Iowa.
Nearly all of Iowa is rural and a majority of the counties are healthcare provider shortage areas (HPSA) in primary care and mental health providers. In 2014 over 90 counties in Iowa are listed as HPSA for primary care while 72 out of the 99 counties are listed as medically underserved according to HRSA.3 These shortages equate to a need for over 100 full time primary care providers and over 170 full time mental health providers in the state of Iowa.
Health resources services administration

25. Iowa HCPSA Primary Care

26. Telehealth – Expanding care
Access to care-Rural and Underserved
Neurology
Psych
Other specialty providers
Technology is available now!
Affordable
Easy to use
Evolution of healthcare
Approximately 20 percent of Americans
live in rural areas where many do not have
easy access to primary care or specialist
services. The availability of telehealth services
to these areas facilitates greater access
to care by eliminating the need to travel
long distances to see a qualified health
care provider. Telehealth also can fill
gaps in subspecialist care.
With a nationwide shortage of psychiatrists,
telepsychiatry can assist patients in
need of behavioral health services who
may otherwise have to drive hours to see
mental health providers. Telepsychiatry
services allow psychiatrists to speak to and
evaluate patients in need of mental health
services through videoconferencing.
Tele-Mental Health
Tele-Stroke
Tele-Pharmacy
Tele-Palliative Care
Tele-Diabetic Education
Specialty providers- Dermatology, Neurology, Surgical Follow up

27. Questions?
Tammy Flick R.N. CPEHR Telehealth Program Manager HealthNet connect

28. Questions?
Jeff Doty Senior Manager Business Development HNcBnc (515) office