峰會前會議B：遠程醫療101和102.pdf

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1、Lloyd Sirmons Executive Directorlloyd.sirmonssetrc.usProud Member of The National Consortium of Telehealth Resource CentersDisclosureThe SETRC has no relevant financial interest,arrangement,or affiliation with any organizations related to commercial products or services discussed in this program.Inf

2、ormation provided in todays talk is not to be regarded as legal advice.Todays talk is purely for informational purposes.Always consult with legal counsel.HRSA Funded Telehealth Resource Centerswww.telehealthresourcecenter.orgServices the TRCs ProvideAs a TRC we assist health care organizations,netwo

3、rks,and physicians/health providers in implementing cost-effective telehealth programs.We also assist with:Equipment selection Policy Practice Guidelines Program Development Business Models Much more!3 Things We DoAssist Technical AssistanceOutreach conferences,webinars,etc.Educate-trainingsMobile T

4、elehealth Learning CenterTRC Resourceswww.telehealthresourcecenter.orgwww.setrc.uswww.cchpca.org https:/ Youll often hear Telehealth and Telemedicine.These terms are sometimes used interchangeably.Whats the difference?Telehealth:Telehealth is an umbrella term,which includes telemedicine and other mo

5、dalities of communication.It encompasses a broader spectrum of healthcare delivery.Telemedicine:Telemedicine is direct clinical care provided from a distance using electronic communication to provide/support clinical care.Other Terms:You may hear other terms frequently used when discussing telehealt

6、h such as eHealth,mHealth,digital care,etc.We will focus on the terms“telehealth”and“telemedicine”.Modalities There are 3 primary modalities of telehealth recognized by the NCTRC:Synchronous:A term used to describe a live,interactive communication because the transmission of information among partie

7、s is happening at exactly the same time period.This is also known as“live”or“interactive”telemedicine.Asychronous:A term used to describe“store-and-forward”transmission of medical information.The information is often stored from one platform to another for later review by healthcare providers.This i

8、s also known as“store-and-forward”.Remote Patient Monitoring(RPM):RPM utilizes technology to collect medical and other forms of health data from patients in one location and securely transmit the information to health care providers in another location.CCM Chronic Care Monitoring RTM Remote Therapeu

9、tic MonitoringBenefitsImproved access to health careAddresses health care provider shortageReduces provider and patient travel time and costsPatients can receive healthcare locally,especially in rural/heavily populated areasChallengesReimbursementUnderstanding the technologyLicensing and credentiali

10、ng,especially for providers across state linesTELEHEALTH APPLICATIONSEMERGENCY SERVICESBEHAVIORAL/MENTAL HEALTHBehavioral telehealth may also be referred to as telebehavioral health,telemental health,telepsychiatry,or telepsychology.Telebehavioral health can break down barriers and offers more priva

11、cy protections than face-to-face mental health care.Services include individual and group therapy,and telehealth treatment of substance disorder.HOME HEALTHThe COVID-19 public health emergency has required EDs to adopt or scale up telehealth and telemedicine services for patients.This helped reduce

12、COVID-19 exposure,expand access to care,and address capacity challenges.Services include tele-triage,tele-emergency care,virtual rounds,e-consults,and follow-up care.SCHOOL HEALTHTelehealth isnt just for primary care well/sick and follow up visits anymore.Specialty care providers are breaking into t

13、he arena and offering patients new ways to access care.Specialty telehealth services include but are not limited to audiology,cardiology,dental,dermatology,endocrinology,genetics,nephrology,orthopedic,sickle cell,and more.Telehealth supports a variety of clinical uses in home health care,including t

14、ransitional&palliative care,chronic disease management,mental&behavioral health,and others.Services include but are not limited to check-ins,patient education,caregiver involvement,immediate medical response,and virtual monitoring.Many students lack access to healthcare outside the school walls.Tele

15、medicine extends the hands of healthcare professionals to reach children in schools,where they frequent most.With integrated devices,providers extend pediatric care across acuity levels for both minor medical concerns and chronic conditions.HOSPITAL INPATIENT/OUTPATIENT SETTINGSTELE EMS SERVICESRura

16、l Tele-EMS Network(ER-TEMS)EMORY U The ER-TEMS network is the collaboration of a large tertiary healthcare system(Emory Healthcare)with a statewide EMS agency(Grady EMS)and over 35 rural hospitals throughout the state of Georgia.EMS currently connects an Emergency Physician with rural EMS crews and

17、critical patients throughout 14 counties of Georgia including Baldwin,Ben Hill,Brooks,Clay,Cook,Decatur,Hancock,McIntosh,Mitchell,Pierce,Quitman,Randolph,Seminole,and Worth counties.ER-TEMS enhances early access to specialty care for patients with long transport times to the closest hospital.Tele-Em

18、ergency physicians will complete virtual evaluations and recommend treatment plans at the point of patient contact.The audiovisual software installed on each regions ambulance can also be used for non-clinical support,such as providing consultation to incident commanders at the scene of a disaster.E

19、R-TEMS currently covers 6 out of the 14 Georgia Hospital Coordinating Center Regions.The SRDRS is working to expand the tele-EMS network by engaging new partners so that this capability is available in each of the 14 GA HCC regions.TechnologyBREAKKey ConsiderationsTelemedicine is governed at the sta

20、te levelKnow your rules and regulations(state&federal)Licensure follows the patient at the time of serviceMedicare policy is the same for all statesFederal Telehealth Policy AreasMEDICAREPRESCRIBINGHIPAASC Telehealth and Telemedicine Modernization ActSonya Ebeling,MPADirector,SC Telehealth AllianceD

21、isclaimerThe information provided herein is provided“as is”without warranty,express or implied,and is provided solely for informational and educational purposes.This information shall not be considered a substitute for legal or compliance advice.All implied warranties of merchantability and fitness

22、for a particular purpose are hereby excluded.Background SCTA is a statewide collaboration of many organizations joining forces to expand telehealth across South Carolina Founded in 2014 and administered out of the MUSC Center for Telehealth Funded by SC State legislature in the states annual Appropr

23、iations Act through both MUSC and the SC Department of Health and Human ServicesThe Telehealth and Telemedicine Modernization Act(Act 120 of 2024)Introduced in 2023,passed and signed by Gov.McMaster in 2024Telehealth volumes have stabilized post-COVID,and remain higher than 2019,demonstrating the im

24、portance of a hybrid healthcare delivery system.Review of existing SC legislation necessitated an update to modernize statutory language to be in alignment with practice advancements.ENACTED:SC Telehealth&Telemedicine Modernization ActAdditional Policy and Reimbursement Resources 2024 Modernization

25、Act resource page(SCTA website)Billing and Reimbursement resource page(SCTA website)SC Virtual Care Coverage Document SCTA Payer Scorecard Telehealth Billing and Documentation Bootcamp moduleContact UsSonya Ebeling,MPADirector,SCTAfrankosomusc.eduTemporary Extension for Prescription of Controlled Me

26、dicationsThe full set of telemedicine flexibilities regarding prescription of controlled medications as were in place during the COVID19 PHE will remain in place through November 11,2023.Additionally,for any practitioner-patient telemedicine relationships that have been or will be established on or

27、before November 11,2023,the full set of telemedicine flexibilities regarding prescription of controlled medications as were in place during the COVID19 PHE will continue to be permitted via a one-year grace period through November 11,2024.In other words,if a patient and a practitioner have establish

28、ed a telemedicine relationship on or before November 11,2023,the same telemedicine flexibilities that have governed the relationship to that point are permitted until November 11,2024.Starting PointHave a plan Failure to plan is a plan to fail.Know your state rules and regulationsKnow what services

29、are coveredChoose a vendor/platformNew and Innovative Telehealth UsesIngestible Device Can Remotely Monitor Vital SignsThe Vitals Monitoring Pill(VM Pill)is a capsule-size device that can accurately collect and report vital signs,including respiratory and heart rates.It leverages a custom configurat

30、ion of integrated circuits and electronic sensors,including an accelerometer,to measure small ballistic movements generated in the gastrointestinal tract each time the heart beats or breathing occurs.https:/ and Innovative Telehealth UsesVRVirtual reality allows the user to be immersed in a computer

31、-generated environmentBy 2030,IDTechEx predicts the augmented,virtual and mixed reality market to be over$30Bn.With COVID limiting physical interaction,virtual communication and interaction will be the normal for many years to come.Although seen as futuristic by some,augmented,virtual and mixed real

32、ity devices have shown that they have an important part to play in many different industries.They are truly the technology of the future,today.Source:IDTechEx Research,“Augmented,Mixed and Virtual Reality 2020-2030:Forecasts,Markets and Technologies”.For more information please visit www.IDTechE and

33、 Innovative Telehealth UsesThe beauty of gaming is the versatility of consoles(Wii,Xbox,Nintendo Switch,Playstation,tablets,and so on),the different games themselves,and the ability to grade a game based on difficulty level or content.Gaming requires a multitude of cognitive,physical and social dema

34、nds that can all be simultaneously improved during treatment sessions when gaming is correctly and purposefully implemented in therapy.Video Games and Therapy ServicesAI in HealthcareLloyd Sirmons Executive Directorlloyd.sirmonssetrc.usProud Member of The National Consortium of Telehealth Resource Centers