1. OVERVIEW OF TELEHEALTH TVHS 2012 Dr
OVERVIEW OF TELEHEALTH TVHS Dr. David A Baker, MD, MBA Clinical Informatics Officer TVHS

2. WHAT is Telehealth Telecommunications and videoconferencing
HT – Home Telehealth
CVT – Clinical Video Telehealth
S&F – Store and Forward images
MHV - My HealtheVet Patient Portal
Video to Home – coming

3. WHY - Telehealth
Telehealth in VA helps ensure veteran patients get the right care in the right place at the right time.
Easier access to CARE
Travel time and cost, convenience
Decrease barriers to CARE
Increase efficiency of CARE
Patient Demand
Some Veterans live many miles from a VA medical center, making visits to the doctor an all-day event
Others with chronic conditions require constant monitoring, but opt to stay at home rather than in the hospital.

4. Home Telehealth Not Home Health
Telehealth Equipment/Nursing/case management
Ability to monitor veterans with chronic diseases (COPD, DM, HTN, PTSD, CHF, Depression)
MOVE (Weight management)

5. WHO - Home Telehealth
Patients at higher risk
Need for more frequent biometric monitoring
Distance/travel problems
Medication compliance issues
Educational gaps

6. Disease Management Protocols
Diabetes
Heart Failure
COPD
CAD
Hypertension
Depression
PTSD
Substance Use Disorder
Weight Management
Future DMP's are under consideration or development
( SCI, smoking cessation, chronic kidney disease hepatitis C, multiple sclerosis, palliative care, mild TBI, dementia)

7. Health Buddy

8. CVT – Clinical Video Telehealth
Local – Go to the local VA Clinic
Connect to a Provider miles away
Use videoconferencing equipment
Great for education
Preventive Health/MOVE – weight management
Nutrition
Diabetic Education
Excellent for many Mental Health
Groups and Individual clinics

9. CVT – Clinical Video Telehealth
Medication Management
Pharm D
Pain meds
Lipids/cholesterol
Diabetic meds

10. CVT – Clinical Video Telehealth
Almost same as a face to face exam but NOT
Not always a substitute for an in person visit
More difficult for some specialty services needing a hands on physical exam

11. CVT - Telehealth Education Mental Health Medication Management
Heart Failure
Motorized Wheelchair Clinic
Neurology – movement disorders
Podiatry
Infectious Disease

12. Video-conferencing Equipment
Monitor and Camera

13. Video-conferencing Equipment
Electronic Stethoscope

14. Video-conferencing Equipment
Electronic Stethoscope

15. Video-conferencing Equipment
Electronic Stethoscope

16. Video-conferencing Equipment
Electronic Otoscope

17. Video-conferencing Equipment
Electronic Otoscope

18. Video-conferencing Equipment
Electronic Hand Held Camera
Oral
Skin lesions
Wounds
Neck Veins

19. Store & Forward - Telehealth
Diabetic Retinal Screening
Dermatology
Wound Care
Podiatry

20. Telehealth - Store & Forward
Tele - Retinal Equipment

21. Video to Home - Telehealth

22. Video to Home - Telehealth
Real time care in the home
Pilot underway
Barriers to overcome
Patient equipment and internet access
Knowledge
Technical support

23. My HealtheVet - Telehealth

24. My HealtheVet Research Health
Healthy Living Centers
Disease and Condition Centers
Mental Health Resources
Medical Libraries
Service Related Conditions
MedlinePlus®
My HealtheVet Learning Center
Monthly feature articles

25. My HealtheVet Pharmacy
VA Prescription Refills
VA Prescription Refill History
Self-entered medications, herbals, over-the-counters (OTCs), and supplements
VA Medications List*
My Complete Medications List (VA and self-entered)*
Over 27.5 million VA prescription
refill requests since launched in August 2005
*requires authenticated account

26. VA Blue Button

27. My HealtheVet Secure Messaging*
eHealth Clinical Service for non-urgent communication with patient’s health care team
Veterans can request appointments, prescription renewals, ask health and/or administrative questions, etc.
*requires authenticated account

28. 2012 Telehealth Encounters Tennessee Valley Healthcare System
Home Telehealth 9000
CVT
Store & Forward 5500
MyHealtheVet

29. Nationally VA Telehealth
2011 over 380,000 Veterans used its clinic-based Telehealth services.
another 100,000 patients nationwide were enrolled in VA’s Home Telehealth program

30. QUESTIONS ?