Transcript Document
PHC Platform for Connected Health Telehealth and Premier HealthCare: Looking toward the future 6/10/14 PHC is a member of the YAI network. Overview: Premier HealthCare – Then and now • • • • • • • • Pre-PHC –1983 to mid 90’s Premier HealthCare opens 1997 NCQH Recognition Summer 2011 –Electronic Health Record 2013 PCMH Level III Meaningful Use 100,000+ visits per year Adding components to EHR & upgrading Premier HealthCare Services • Primary Care Medicine for adults and children • Assistive Technology • Audiology • Dentistry • Dermatology • Endocrinology • Gastroenterology • • • • • • • • Gynecology Medical Social Work Neurology Ophthalmology Rehab: OT/PT/SP/MH Physiatry Podiatry Psychiatry Premier HealthCare Locations What we do online • • • • • • • • • Banking Education Dating Wedding planning Participation in Support groups Divorce Wills, trusts Socialize Job seek/Network Benefits of Telehealth • • • • Improved access Decreased costs Improved quality of care Patient satisfaction – Decrease number of visits to and time spent in a doctor’s office Challenges to Telehealth • • • • • Legalities Billing Technical Challenges Resources (human and Monetary) Patient and staff resistance Challenges Telehealth can address: • Access – Transportation • Can be difficult to get same day transport for patients who are non-ambulatory • Weather – Caregiver availability/time off from work – Residence staff availability • Quality of care and of life – Specialist availability – Challenges of Coordination of care between care givers and providers and within provider teams – Multiple visits to multiple specialties Telehealth Applications • Remote visits – With nursing staff in Residences – At Schools or Day Programs • Specialty consults – real time from the PCP office – stored information sent and reviewed later Telehealth Applications • Huddles and multidisciplinary rounds • Home monitoring – Patient or caregiver uploads data to the electronic health record – Nursing staff in residence can access EHR • Virtual establishment of therapeutic relationship Telehealth Applications • Portal – Scheduling and document exchange – Care plans can be created stored and updated – Access by specialists to view and address these plans – Refill requests Telehealth and Nursing Practice • Nurse Call Centers • Home Visits • Chronic Disease Management Telenurse’s Role in Ambulatory Care • • • • Telephone Triage Enhanced Follow-up Care Patient Education Partnerships with other Care Providers Considerations • Competencies • Legal Implications • Research Questions?