1. Shea Ross Director of Development and Government Affairs Global Partnership for TeleHealth

2. Georgia Partnership for TeleHealth has 63 SBTC in Georgia in 16 school districts Utilizing the school nurse, students can see physicians via telemedicine without leaving their school Cuts down on student absences, better ability to control communicable diseases, less demand on families SBTC’s are not free clinics, insurance is billed normally. Cost saving families includes: travel expenses time of work Care for other children This is the potential of School Based telehealth School Based Telemedicine Centers (SBTC)

3. Sustainability SourcesNumber Federal Government46* State Government9 County/City Government0 Local/Regional Medical Centers10 Local School Boards22 Private Funds2 Funding Sources *HRSA funds used for start-up; most funding has expired or is about to expire (those that are expired are also represented in other funding categories)

4. In Georgia, schools are considered a approved telemedicine presentation sites which allows billing SB183 allows school nurses to work with 3 rd party health providers, allowing connections with physicians via telemedicine Currently DCH is working with Amerigroup, Coffee County Schools and Ware County Schools to pilot a Medicaid billing process Estimated that by January 2016 the Medicaid school billing process will be in use. Q3014 billing code ($20.52 per encounter) Telemedicine Billing and Schools

5. Utilization ServicesNumbers Primary Care for Students AND Faculty49 Primary Care for Students ONLY14 Specialty Care Services for Students (including mental health) 49 Mental Health only2 Oral Health*1 Sees Patients other than those enrolled at the school 0 Uses an electronic Health Record12** *Clinic and equipment are in place, services have not yet begun **Funding via a grant

6. Utilization continued Spring semester of 2015 (January – June), 421 patients were seen via telemedicine in Georgia’s schools These appointments ranged from Primary Care to specialty care including psychiatric services.

7. PROVIDERS AND PRESENTERS GPT has approximately 240 providers in the network, ranging from primary care to specialists It is the goal of GPT to connect schools to providers in their local area and not extract business/medical services from the local economy. Continuity of care is maintained as much as possible, especially when local services are available for telemedicine. In situations where a provider is not available within the community, GPT looks to surrounding counties then eventually to metropolitan areas to find services. All providers and presenters are trained in telemedicine through GPT’s staff as well as through online certification courses Providers must be an RN, LPN, or CNA to present patients to providers and utilize billable services in our network

8. Models Coffee County School System Ware County School System Upson County School System (behavioral health only) Turner County Elementary School Tattnall County School System Pulaski County School System Whitefoord School Based Health Center (2016)