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Delaware Telehealth Coalition

Winter 2014 Meeting

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Delaware Telehealth Roundtable Strategic Action Plan

O Event: December 4, 2013O Facilitated by MATRCO 55+ attendees - individuals,

government officials, healthcare providers, advocates and citizens

O Partners: MATRC/DHSS/DTCO 2-3 year Strategic Action Plan

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Vision

“Telehealth will be fully integrated into Delaware’s healthcare system so that all residents will have equitable access

to affordable, world-class, patient-centered healthcare throughout the

state.

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Strategic Focus/Priorities

O Improve access to behavioral health services

O Improve access to specialty careO Improve management of chronic

diseaseO Identify technology infrastructure

and training needs

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Process

O Identify barriers and challengesO Envision telehealth-enabled solutionsO Prioritize categories based on lowest

hanging fruit (ability to make the greatest contribution in a 2-3 year time frame)

O Prioritize solutions within categories based on lowest hanging fruit

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Strategic Action PlanRecommended Areas for Action

THE TOP FIVE CATEGORIESO CostO Fragmentation/Gaps in Service (Care

Transition/Coordination)O Fragmentation/Gaps in Service (Caregiver

and Patient In-Home Support)O Workforce (Lack of

Providers/Specialists/Interdisciplinary Teams)

O Workforce (Provider Buy-In and Training)

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Priority “Cost” Solutions

O B.1. Establish a value of telehealth that can be quantified (cost savings + improved health outcomes) and find resources to support integrative telehealth practice.

O B.2. Make available non-competitive grants through the State for the purchase of telehealth equipment which is standards based and interoperable.

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Priority “Care Transition/ Coordination” Solutions

O C.1. Establish remote patient monitoring/care coordination centers

O C.2. Use telehealth to provide mental health consultations within primary care practices/medical homes

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Priority “Caregiver and Patient In-Home Support” SolutionsO D.1. Enable delivery of health services

through telehealth in the home – including evaluation, treatment, follow-up, care coordination and education and support.

O D.2. Develop more favorable policies regarding reimbursement for home based services in order to support D.1. This includes reimbursement for home health services, remote patient monitoring, and using the home as the originating site of care.

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Priority “Lack of Providers/ Specialists/Interdisciplinary

Teams” SolutionsO E.1. Emulate or adopt Project Echo. O E.2. Inventory existing resources

and create a database/statewide directory of specialists who can provide telehealth

O E.3. Find other organizations that have the capacity to provide services through telehealth

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Priority “Provider Buy-In and Training” Solutions

O F.1. Research existing telehealth curricula and encourage adoption of such curricula in health professions education programs throughout Delaware.

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Immediate Next Steps Needed for Success

O Infrastructure to support and facilitate plan implementationO StaffingO LeadershipO AccountabilityO Policy

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Priority “Policy” NeedsO CredentialingO Electronic Medical RecordsO LiabilityO LicensureO Practice GuidelinesO ReimbursementO Technology StandardsO Health Resources Planning &

Coordination

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Next Steps

ODTC FeedbackOEarly winsORole of the DTCOMid-range winsOCommunity feedback

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RUS DLT Grant/Bridging the Gap Scores

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More…ORoundtable page as temporary

website OOther updates from membersOPermanent website/Facebook pageOEmail updates

O Webinars, trainings, vendor outreach, etc. – should I email to all? To a select few where appropriate? Leave up to the individual members? Wait for website/Facebook page?

ODirectory updates