1. Telehealth: A New Frontier TechMED Invitational August 19, 2015 All rights protected. Do not reproduce or use without written permission.

2. Telehealth Defined The use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. American Telehealth Association All rights protected. Do not reproduce or use without written permission.

3. Key Benefits Access Efficiency QualityLifestyle All rights protected. Do not reproduce or use without written permission.

4. Telehealth Modalities Telehealth Telemedicine VideoAudioEmailPhone Apps Image Transmission & Store Forward Education (Provider and Patient) Health Portals All rights protected. Do not reproduce or use without written permission.

5. Settings Acute Care – Telesepsis – Telestroke – Telesitter – TeleICU Telehome Monitoring Telemental Health Telerehab TeleSkilled Nursing Telepathology Teledermatology Telejail Tele… All rights protected. Do not reproduce or use without written permission.

6. Telehealth Programs 6 Tele Patient Monitoring Tele Visits Tele Intensive Care All rights protected. Do not reproduce or use without written permission.

7. Visit Practice Guidelines Security/Privacy, Inactivity Time Out Quality Legal Compliance Patient Rights/Grievance Process Patient Choice – Visit Type Prescribing Policies Emergency Care Plan Prior In Person Visit / Assessment Secure Work Space of Provider Provider and Patient Identify Verification Process Bi-Directional Bandwith (384Kbps) Resolution (640x480) at 30 Frames/Sec Reliable Connections and Redundancy to Ensure Availability Encryption All rights protected. Do not reproduce or use without written permission.

8. Operational Challenges Integration of data into electronic medical record Operational management programs Platform that allows physicians and clinicians to document within medical record while conducting a Telehealth visit Reimbursement limitations and executive support for cost avoidance value Strategy for home implementation of medical equipment for monitoring and patient/family education Patient and Physician acceptance of new technology Development of new partnership models with payers and other providers All rights protected. Do not reproduce or use without written permission. 8

9. Telehealth: A New Frontier The healthcare landscape is changing at unprecedented rates. Shifts in payment mechanisms, increased consumer engagement and emerging technologies are forcing healthcare providers and payers to consider innovative methods of care delivery. Telehealth is gaining recognition as not only an efficient solution, but an effective one as well. Using secure two way communications and high definition audio and video is becoming the strategic game changer that it has promised to be. How will providers and payers leverage telehealth solutions? What will the healthcare landscape look like when telehealth becomes as ubiquitous as the stethoscope in the provision of healthcare?

10. Thank You Patricia Bush R.N., M.S., FACHE, CSSC Tampa General Hospital IT Director, Telehealth, Outcomes Management, and Quality pbush@tgh.org All rights protected. Do not reproduce or use without written permission.