1. © University of Minnesota, August 2005 Fairview – University of Minnesota Telemedicine Network Stuart M. Speedie, PhD Project Director University of Minnesota

2. © University of Minnesota, August 2005 The Basics of Telehealth Telecommunications Link Geographic Distance

3. © University of Minnesota, August 2005 Telemedicine: Live health care provider - patient interactions where medical care is delivered.

4. © University of Minnesota, August 2005 Littlefork Medical Center, Littlefork FAIRVIEW-UNIVERSITY OF MINNESOTA TELEMEDICINE NETWORK Range Regional Health Care Ctr, Hibbing Tri-County Hospital, Wadena Riverwood HealthCare Center, Aitkin Fairview-University Medical Center, Minneapolis Ne-Ia-Shing Clinic, Onamia Fairview Medical Center, Red Wing Cuyuna Regional Medical Center, Crosby Cook Community Hospital, Cook Mercy Hospital and Health Care Ctr, Moose Lake Mille Lacs Health System, Onamia Kanabec County Mora Bigfork Community Hospital, Bigfork Cass Lake Wheaton Inter. Falls

5. © University of Minnesota, August 2005 Videoconference Equipment

6. © University of Minnesota, August 2005 Digital Stethoscope

7. © University of Minnesota, August 2005 Electronic Medical Records

8. © University of Minnesota, August 2005 The Specialties We Provide Dermatology Orthopedics Wound Care Gastroenterology Neurology Clinical Psychology Asthma/Allergy Pulmonology Child Psychiatry Adult Psychiatry Ad Hoc consults

9. © University of Minnesota, August 2005 Service Growth Project Years Annual Consults

10. © University of Minnesota, August 2005 Reimbursement Coverage Same as face-to-face Medicare, Medicaid and almost all private insurance companies provide coverage.

11. © University of Minnesota, August 2005 Store & Forward Teledermatology Secure Server Dermatologist Consult Report Consult Report

12. © University of Minnesota, August 2005 Home Telehealth

13. © University of Minnesota, August 2005 Patient Outcomes: Transfers to a higher level of care Control TeleHomeCare

14. © University of Minnesota, August 2005 Benefits High patient satisfaction Patients remain in the community Employers see fewer lost work hours Patients have better access to specialty care Patients have better medical outcomes

15. © University of Minnesota, August 2005

16. Opportunities in Telemedicine/Telepharmacy Stuart M. Speedie, PhD Division of Health Informatics University of Minnesota Medical School District V Meeting, NABP-AACP June 29, 2005

17. © University of Minnesota, August 2005 Telemedicine in Minnesota Stuart M. Speedie, PhD University of Minnesota Medical School

18. © University of Minnesota, August 2005 Telehealth and Telemedicine: Telehealth : … encompasses all those interactions between a health care provider or their surrogate and a patient where there is a geographic and/or temporal separation. Telemedicine: telehealth where a live health care provider - patient interaction occurs and medical care is delivered. Speedie, SM, Telehealth and the Framework for Health Information Technology, Journal of Telemedicine and Telecare (in press)

19. © University of Minnesota, August 2005 The Specialties Provided Dermatology Orthopedics Wound Care Gastroenterology Neurology Rheumatology Clinical Psychology Asthma/Allergy Pulmonology Child Psychiatry Adult Psychiatry

20. © University of Minnesota, August 2005 Service Growth Project Years Consults

21. © University of Minnesota, August 2005 Electronic Medical Records

22. © University of Minnesota, August 2005 Insurance Coverage Same as face-to-face for physicians and other covered practitioners. if they pay for it now they will pay for it delivered via telemedicine 98% of Minnesota payers provide coverage. A small facility fee is collected by the originating site

23. © University of Minnesota, August 2005 What We Do

24. © University of Minnesota, August 2005 Home Telehealth in Action

25. Littlefork Medical Center, Littlefork FAIRVIEW-UNIVERSITY OF MINNESOTA TELEMEDICINE NETWORK Range Regional Health Care Ctr, Hibbing Tri-County Hospital, Wadena Riverwood HealthCare Center, Aitkin Fairview-University Medical Center, Minneapolis Ne-Ia-Shing Clinic, Onamia Fairview Medical Center, Red Wing Cuyuna Regional Medical Center, Crosby Cook Community Hospital, Cook Mercy Hospital and Health Care Ctr, Moose Lake Mille Lacs Health System, Onamia Kanabec County Mora Bigfork Community Hospital, Bigfork