1. Jenelle O’Donnell, Telemedicine Coordinator
Broadband Healthcare Applications:
Telemedicine
Jenelle O’Donnell, Telemedicine Coordinator

2. About Winona Health Nonprofit healthcare provider Winona Health has:
Winona Health is governed by a board of community volunteers who adopts governance policies and practices to guide the organization’s fulfillment of its mission:
to improve the health and well-being of the community and the patients it serves.
Winona Health has:
-More than 60 physicians and associate providers
-13 specialties
-More than 1,100 employees
-More than 400 volunteers
-99-bed hospital
-140-bed nursing home
-60-apartment assisted living community
-20-apartment assisted living community for memory care

3. Starting Our Telemedicine Adventure…
Federal Beacon Grant
Awarded in 2011
Started Telemedicine visits in August 2012
Wanted to focus our start on Primary Care
With the intension to progress to specialty care
Partnered with local broadband operator
Hiawatha Broadband Corporation-Winona, MN

4. What is Telemedicine?
What is the audience’s perception of Telemedicine? Do they know what it is?

5. Winona Health’s definition:
Telemedicine:
A professional medical appointment between a patient and a Provider through interactive video conference.
Telehealth:
The delivery of health related services and patient information via telecommunication technologies.
Example: sending an x-ray or collecting vital signs for the ability to monitor patients at home.

6. Other Broadband Uses…
HIE—being able to get pt records from Mayo or Gundersen without having to fax or mail the records.

7. Who is involved to make this work?
Winona Health
HBC
A-Vu Media Corp
Around the outside of this circle is the community of Winona----Winona works really hard to keep everything connected and keep it’s comm members healthy

8. What types of locations are connected?
Nursing Homes x4
Remote Clinics x2
Home and Community Options
St. Mary’s University
Schools
Home Care, Hospice, & Palliative Care
Assisted Living
Urgent Care
Southern Cities Psychiatry Clinic
Faribault, MN
Winona Health
Shared
ePortal

9. What departments/services are offered?
Diabetes Education
Nutrition Services
Psychiatry & Counseling
Family Practice
Internal Medicine
Student Health
Pediatrics
Family Medicine
We have MDs, PAs, and NPs all providing appointments with in these departments/services

10. Key Uses of Telemedicine
Psychiatry
Shortage of providers especially at Nursing Homes
Urgent Care
High volume times
Wound Care
Utilize specialists no matter where the patient is
Remote Clinics & specialist access
Able to provide the right resource to see patients
Diabetes and Nutrition Education
Allows patients the flexibility to be seen when they want to

11. Positive Outcomes
Positively impact disease management
Improve overall health status and quality of life
Apply new technology
Increase access to health care
Improving communication and coordination
Controlling costs
Creating Community
Just as it takes a village to raise a child, there is a sense here that it takes a community to keep one healthy.

12. Benefits of Telemedicine
Increasing access to healthcare by providing an alternative way to connect with a provider
Saving time
Efficient
Quality and clarity-both video and appointment
Opportunity to invite remote family members to appointments or care conferences
Costs the same as a face to face clinic visit and most insurance companies now pay for Telemedicine
Significant cost savings
Ambulance transports and ED visits

13. More Benefits of Telemedicine…
Saves travel for both patients and providers
Especially if they have mobility issues
Reduce re-admission to the hospital
Flexibility of the system
Improve patients’ overall health status and quality of life in a manner that is convenient for the patient and creates a meaningful patient experience
**Create a cost-effective model for health care delivery

14. Barriers to Telemedicine
Connectivity to rural areas ex. Home Care
Limits the use of this technology & reduces access to patients in need of care
Credentialing and Privileging of providers
Licensure in every state in which they see patients
Credentialed at every building where patients are located
Reimbursement for services or certain providers
Diabetic Educator to NH’s
Visits in the home

15. What is the future of Telemedicine at Winona Health?
Worksite Wellness
Add Providers & locations in & around Winona
BUILD THE NETWORK
Gain Access to Specialists at other facilities
Aim to keep more patients close to home and heal closer to home at Winona Health
Goals and Future State of Winona Health Telemedicine
So think about how this may benefit you or a family member. Are there ways in which you can impact someone’s health by suggesting Telemedicine?
Ask your doctor about Telemedicine!!

16. Closing Points Telemedicine technology works
It’s robust and adaptable
Telemedicine is one of the solutions needed to address the challenges in healthcare.

17. QUESTIONS?