Telehealth: Pursuing, Planning and Prospering .

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Goals. Will have the capacity to name two gatherings of people expected to purchase into telehealth for it\'s effective implementation.Will have the capacity to distinguish two lessons learned in telehealth begin up.Will have the capacity to recognize one procedure change strategy.. About Good Samaritan Home Health Care. Provincial territory in Southwest MinnesotaMedicare guaranteed home consideration providerRN, HHA, OT, PT, ST, homemakers, compan
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Telehealth: Pursuing, Planning and Prospering Joyce Doughty, BSN, PHN, RN Director Good Samaritan Home Health Care

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Objectives Will have the capacity to name two gatherings of people expected to purchase into telehealth for it\'s fruitful execution. Will have the capacity to recognize two lessons learned in telehealth start up. Will have the capacity to recognize one process change technique.

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About Good Samaritan Home Health Care Rural range in Southwest Minnesota Medicare confirmed home care supplier RN, HHA, OT, PT, ST, homemakers, partners Serve 7 provinces Average customer stack, 80-100

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How to Get Started With a Telehealth Program We began our telehealth program in 2001 with an allow from the Bush Foundation to give Assisted Living like administrations to individuals in their own particular homes. The program has extending to four extra home care offices with help from a USDA concede.

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How to Get Started… There are stipends accessible to help with start up expenses yet you have to search for them. Numerous establishments will support new and creative routes for giving social insurance administrations. Most hardware organizations have rental contracts accessible to help with start up.

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How to Get Started… Need staff and doctor purchase in. Staff concerns: -All on location visits supplanted with telehealth visits and they won\'t have work. - Use of the hardware. The majority of our medical caretakers did not figure out how to run a PC in school.

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How to Get Started… - Clients won\'t consent to telehealth visits since they are excessively indifferent. - Clients won\'t have the capacity to utilize the gear. - No coherence of care. The essential medical caretaker would not comprehend what is going on with their customers.

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How to Get Started… Taught all staff how to run gear and the essentials for introducing hardware in customer homes. In the event that left up to everybody nobody does it. Designated one medical attendant to be the telehealth nurture. This medical caretaker needs to truly grasp telehealth. She is the purpose of contact with all referrals.

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How to Get Started … We discuss telehealth at our week after week staffing gatherings. Fundamentally maybe a couple medical attendants do the telehealth visit. Attendant and customers get comfortable with each other. Every one of the medical attendants do telehealth visits at any rate month to month.

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How to Get Started… Physician concerns: - Don\'t know much about telehealth and what a visit includes. - Can mistake telehealth for telemedicine. - Patients and their families won\'t need telehealth visits.

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How to Get Started… When we think a customer can profit by telehealth we call their doctor and disclose to them what telehealth incorporates. We clarify how it can profit them with diminished readmits to the healing center and lessening telephone calls from families.

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How to Get Started… We visit doctors to exhibit our hardware and answer questions. We offer to furnish them with a client name and secret key for getting to the protected site where the information on their patients is keep.

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Lessons We Bring To The Table: Getting it Right! You should be focused on telehealth to make it work for you. A telehealth program does not simply occur without any forethought. You have to realize what it is you are attempting to achieve and begin in view of that.

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Lesson We Bring… Families truly like the possibility of telehealth however our customers where at first anxious of it. We frequently listened, "I don\'t know how to run a PC." We would urge them to attempt it for couple of weeks. Customers balanced rapidly.

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Lessons We Bring... Can educate nearly anybody to utilize the hardware. One size does not fit all. Need to pick the fitting innovation for the customer. We realized what not to state to customers as we acquaint telehealth with them.

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Lessons We Bring… We found that telehealth truly helps shield customers from having regular ER visits and readmits to healing centers. We permit our customers to call us when they are not feeling admirably. We will then do an associate with them. Customers do begin taking control of their wellbeing.

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Lessons We Bring… We can do 5-6 telehealth visit for each in home visits. This permits us to give administrations to extra customers without extra staff. We cut down on drive time and mileage costs permitting us to have a positive primary concern.

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Lessons We Bring Medicare permits us to utilize telehealth in a scene of care however they don\'t tally toward our five visits expected to get a full scene installment. (Enactment presented by Rep. Ramstad). In Minnesota Medical Assistance will pay for telehealth talented attendant visit.

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Lessons We Bring… We have worked with provinces to contract to pay for nonskilled visits for medicine updates. Have started discussions with MN Department of Human Services to permit nonskilled visits and checking unit administrations to be a piece of their reimbursable administration menu.

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Lessons We Bring… If we feel the customer can profit by telehealth we contact their protection supplier. Some protection suppliers will pay for telehealth visits. We have built up a private pay program for people or families who might want telehealth administrations that are paid for by different payors.

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Lessons We Bring… The little numbers in our venture made it hard to get comes about that payors will take a gander at. The framework to pay for telehealth visits has not been set up, but rather it is coming.

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Where Do We Go From Here: Process Improvement Outcomes should be tended to toward the begin of the program. From 2001-2003 we took a gander at five customers all things considered. We found that we kept them out of a more elevated amount of tend to 24 months.

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Where Do We Go… … We our consolidating the quantities of four home care offices to get measurably critical outcomes to bring to payors. Telehealth suppliers need to join results to get the numbers that are expected to take to payors. When we have the numbers the payors will react.

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Where Do We Go… As more home care suppliers start requesting repayment payors should address this. As individuals and doctors catch wind of our telehealth program we get referrals for telehealth.

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Where Do We Go… Telehealth gives us as edge over home care offices that don\'t have telehealth. We need to make telehealth some portion of our standard of care.

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Where Do We Go… As Medicare starts to take a gander at telehealth in home care they will anticipate that it will be a piece of what we give. Later on there will be fiscal motivating forces to utilize telehealth. As telehealth increases force it will get to be distinctly expected as a major aspect of our models of care.

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Contact Information Joyce Doughty

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