Transcript Developing the Next Generation

Developing the Next Generation
Roadmap for HIT & Telemedicine to a Healthy
eTexas
Sponsored by:
Statewide Health Coordinating Council (SHCC)
&
Texas Public Health Association
Technology Committee
Presenter:
Janie M. Gonzalez, SHCC Public Member
Date: February 19, 2010
State of Texas Healthcare Costs
 In the 1998 fiscal year, Texas spent 40% of
the state’s budget on Health and Human
Services (HSS)
 The largest portion of the Texas state budget
is allocated to HHS
 HSS spending exceeds the state’s
educational costs
Factors contributing to HSS Costs
 Aging population
 Obesity-related illnesses
 Prison population
 Disease threats
 Emergency room costs
 Health professional shortage
Bottom Line
 Texas recognizes a need for
aggressive governance and fresh
solutions to healthcare issues that
also address the rising costs of
healthcare
State of Texas Action Plan
 Government efforts in place to widen the use
of Health Information Technology (HIT)
 HIT and telemedicine have social and
economical benefits
 HIT converges the Internet with health
networks
 HIT broadens healthcare access and
improves health outcomes
Statewide Health Coordinating Council
(SHCC)
 Examines ways Health Information
Technology (HIT) and Telemedicine (TM)
enhances the efficiency and quality of
institutional healthcare
 Improves the delivery of medical treatment
and collaborative efforts among health
professionals and support staff
SHCC Technology Committee
 Composed of various members of Texas
from diverse backgrounds
 Representative of
 Small and large employers
 Hospitals
 Health policy experts
 Community leaders
 Business leaders
SHCC Technology Committee
Purpose of the Committee:
 Reviews healthcare and technology data
 Identifies and assesses the use of
policies, tools and technology in Texas
 Makes recommendation to policymakers
Telemedicine and Telehealth
Programs in Action
 Two-thirds of healthcare organizations use
telehealth for clinical or non-clinical
purposes, according to a 2009 Healthcare
Intelligence Network Suvey (Donovan 2010)
Telemedicine Case Study
 This video describes the computer charting
and Telemedicine technology that is being
used in the Los Angeles County Sheriff's
Medical Services Unit.
 Copy/Paste link to a Internet Browser to view
Telemedicine Case Study on YouTube.com:
http://www.youtube.com/watch?v=_I0_fut2H8U
Finds of the Technology
Committee (1)
 Investment in training for the use of
Telemedicine is critical to its success of HIT
 HIT is essential for establishing the ability to
track Telemedicine utilization
Finds of the Technology
Committee (2)
 Texas telemedicine legislation currently
addresses the participation of various health
providers, including physicians, dentists,
chiropractors, nurses, and other health
professionals.
 Telemedicine holds the potential for the greatest
economical impact on the rising health costs
during century in the State of Texas.
Recommendations (1)
 Enhance the efficiency and quality of
institutional healthcare thereby improving
the delivery of medical treatment and
collaborative efforts through the HIT.
 Provide training incentives to healthcare
providers, clinical trainees, and students in
health-related fields’ reimbursement up to
50% of their training costs.
Recommendations (2)
 Expand the market for telemedicine with a
national licensure system to reduce health
care costs, increase accessibility, and
eliminate many of the legal and regulatory
ambiguities that constrain the present
system.
 Provide healthcare providers with
reimbursements for a wider range of
covered medical services
 Promote the use and development of new
technologies to enhance health
Recommendations (3)
 Enhance and strengthen public and private
partnerships to include regional strategic
mapping of staff and services between
organizations improve recourse allocation,
trim numerous costs, and avoid service
duplication.
 Identify reform regulatory barriers, and
amend laws to accommodate expansion of
telehealth modalities.
Conclusion (1)
 There is a need and an interest in developing
collaborations among telehealth
stakeholders, including patients, patient
communities, research funders, researchers,
healthcare services providers, professional
societies, industry, healthcare
management/economists, and healthcare
policy makers
 Critical components of TM/HIT include the
development, marketing, adoption, and
implementation of these tools and
technologies, communication, training,
cultural sensitivity, and end-user
customization
Conclusion (2)
 Next generation tools and technologies are
vehicles toward personalized medicine,
extending the telemedicine model to include
cell phones and Internet-based
telecommunications tools for remote and
home health management with video
assessment, remote bedside monitoring, and
patient-specific care tools with event logs,
patient electronic profile, and physician
note-writing capability. Telehealth is
ultimately a system of systems in scale and
complexity.
Conclusion (3)
 To cover the full spectrum of dynamic and
evolving needs of end-users, we must
appreciate system complexity as telehealth
moves toward increasing functionality,
integration, interoperability, outreach, and
quality of service.
Acknowledgements
SHCC Technology Committee:
 Janie Martinez Gonzalez, Public Member
 Stephen Palmer, Office of e-Health
Coordination HHSC
 Dr. Alex Vo, Executive Director of AT&T
Telemedicine
 Tom Valentine, HHSC
 Don Henderson, DADS
 Elizabeth Sjoberg, JD, THA