1. Coordinating Telehealth Services Delivery in New Mexico The Telehealth Alliance as a Trusted Third Party Broker New Mexico Telehealth Commission Presentation September 20, 2006 Dale C. Alverson, MD

2. Fast Facts  Nonprofit New Mexico corporation since 2003  Board Membership includes large and small health care providers, governmental agencies, and academia  Monthly Board of Directors meetings  Annual meeting and state-wide conferences

3. Diversity in the Healthcare Delivery System Demands Telehealth Collaboration  Patients cross between systems for healthcare services  Telehealth Alliances can improve continuity of care and avoid unnecessary redundancy or creation of unrelated “silo” networks For example; A patient might be seen in the IHS system, VA, University HSC, DOH, and the Private Sector

4. “The Whole is Stronger than the Sum of its Individual Parts”  Partnerships are critical in providing services and sharing infrastructure  No one system can be the sole provider of all Telehealth services  Improving local capacity through sharing knowledge and expertise  Creating Alliances adds significant value in the Telehealth Network for all participants

5. The New Mexico Telehealth Alliance Concept Telehealth Alliance  Represents a consortium of public and private health care stakeholders: “Neutral Territory”  Reflects the diversity of our health care delivery system in New Mexico  Enables collaboration in meeting the needs of our unique populations through the use of Telehealth & Information Technologies “Networks of Networks” Providers Consumers Telehealth Expertise Communication Networks Social Networks

6. History  November 2002: 1 st Telehealth Alliance Planning Conference  Early 2003: Filed Articles of Incorporation as Non-profit Organization and By-laws Drafted  May 2003: Telehealth Alliance Conference (Congressman Udall and Representative Picraux speak)  Regular Board of Directors Meetings Start and Board expands  May 2005: State-wide Telehealth Alliance Conference (Governor Richardson, Senator Domenici, Representative Picraux Speak)  July 2005: Telehealth Commission starts  October 2006: HINT Conference planned

7. Vision & Mission VISION STATEMENT New Mexico will serve as an exemplary national and international model by integrating telehealth into our healthcare delivery system to provide all New Mexican communities timely access to competent, reliable and affordable healthcare. MISSION STATEMENT The New Mexico Telehealth Alliance will provide a forum for individuals and organization to improve the health of New Mexicans through the collaboration and sharing of health resources statewide. The Alliance seeks to enable the development and delivery of technology assisted programs that promote access, utilization and affordability of telehealth services.

8. NM Governor Richardson

10. New Mexico Telehealth Act Passed and Signed into Law 2004 Introduced by: Rep. Danice Picraux(D) Supported by Sen. Susan Wilson- Beffort(R) HOUSE BILL 581 46TH LEGISLATURE - STATE OF NEW MEXICO Introduced by: Sen. Steven Komadina (R) and Rep. Danice Picraux (D) SENATE BILL 473(HB 536) 47TH LEGISLATURE - STATE OF NEW MEXICO 2005 New Mexico Telehealth Commission Act Passed and Signed into Law 2005

11. New Mexico Telehealth Alliance Stakeholder Representatives (23/30)  Universities: e.g. UNM, NMSU  Health/Telehealth, Business  Health Policy Commission  NM Corrections Department  NMBME  IHS  VA  Primary Care Assoc.  NMMRA  NMHR Assoc.  Home Health Care  Wellness Coalition  Oral Health  Private Sector  Presbyterian  Lovelace  LCF/NMHIC  Sangre de Cristo CHP “Networks of Networks”

12. UNM and Other Healthcare Entities Have Established a Working Telehealth Network in New Mexico through Collaboration Already over 30 NM communities and over 100 sites connected and still growing Sangre de Cristo CHP/SBIRT DOH DOC UNM: ECHO REACH CHECS Net

13. SBIRT ECHO SBHC REACH

14. NM Telehealth Alliance Current Objectives  Create an Operational Organization that will act as a “Trusted Third Party” to: 1) Manage the Telehealth Network of Networks (Telehealth NOC) and 2) Coordinate Telehealth services (Clinical and Educational) between Telehealth Service Providers and Service Recipients across Stakeholders  Provide user training in Telehealth  Evaluate outcomes and success of Telehealth programs in New Mexico  Compliment, assist and coordinate with other Telehealth Initiatives, such as the Telehealth Commission, the State Agencies, and Individual Organizational Telehealth Programs  Coordinate with other HIT Initiatives (“RHIO Grande”, NMHIC, NMMRA, NMPCA, CHILI etc.)

15. Proposal for New Mexico Telehealth Alliance Organizational Structure and Operational “Command and Control” Model New Mexico Telehealth Commission

16. How The Alliance Can Help The Commission  Daily management of the Telehealth “Network of Networks” in New Mexico, serving as the NM Telehealth Network Operating Center (NOC)  Act as a “Trusted Third Party Broker” for coordination of Telehealth Services between Telehealth Providers and Recipients  Act as a Resource representative of all stakeholders interested in Telehealth

17. How the Commission Could Compliment the Alliance  Advisory to other State Agencies, the Governor and the Legislature  Assist in the Development of coordinated legislation that supports Telehealth  In conjunction with other stakeholders, address barriers to the use of Telehealth in New Mexico and identify solutions  Facilitate the appropriate, effective, efficient, and coordinated implementation of Telehealth  Broadly represent the interests of the citizens of New Mexico, Rural communities and the Underserved, and other Stake-holder Organizations related to Telehealth

18. How The Commission Can Help The Alliance  The Commission can work closely with the Alliance in a coordinated fashion and provide feedback related to daily operations and state needs  Assist in overcoming barriers and facilitating the integration and adoption of Telehealth  Support the requested budget required to make the Telehealth Alliance Third Party Broker Model operational