Show-me ECHOExtension for Community Healthcare

Outcomes

E. Rachel Mutrux

Sr. Program Director, Missouri Telehealth Network

June 26, 2014

Missouri Telehealth Network

• University of Missouri- School of Medicine

• Mission: to use telehealth to increase access & quality of healthcare & provide education & research

• What we do:o Connect providers & patients over telehealtho Provides Continuing Medical Education (CME) credits for providers in rural

Missouri Telehealth Network.o Is a part of the HTRC – Resource Center for telehealth activities in the state and

across the nation.o Sub-contractor for the Missouri REC- Missouri HIT Assistance Center working

with primary care providers to get EHR and achieve Meaningful Use

MTN Staff3

Mirna Becevic, Associate Director

Deb Denham, Business Support Specialist II

Dr. Karen Edison, Medical Director

Candy Garb, Telehealth Coordinator

Omer Malik, Telehealth Coordinator Intern

Rachel Mutrux, Sr. Program Director

Danny Myers, Project Development Specialist

Mary Beth Schneider, Training Coordinator

Wendy Vogel, Office Support Assistant IV

Katie Vollmer, Telehealth Coordinator

Paulina Vazquez Moldando, International Telehealth Fellow

MTN Experience• Work with legislature• Develop new telehealth clinics- work with providers• Existing partnerships with health care stakeholders

o Missouri Primary Care Associationo Missouri Hospital Associationo Federally Qualified Health Centers

• Technology• Provide CME• Training conferences • Existing communication lines• Research• Missouri HIT Assistance Center- Missouri’s REC

Missouri Counties with MTN sites

6

Hospitals Federally Qualified Health

Care Centers Community Mental Health

CentersSpecialty Medical ClinicsRural Health ClinicsCancer Hospital Missouri Division of Youth

Services locationsMissouri Department of

Corrections facilities

Army HospitalRehabilitation HospitalsSchool of MedicineNursing Homes State Health Facilities School of Nursing School of Health

ProfessionsUrgent Care ClinicStudent Health CenterClassroomsConference Rooms

Types of Locations

Growth of MTN Clinical Telehealth

Includes all MTN member site usage.

7

1996

1998

2000

2002

2004

2006

2008

2010

2012

0

5000

10000

15000

20000

25000

30000

35000

40000

Encounters

Encounters

Telehealth / Telemedicine

• Is NOT a new service.• IS a new service delivery mechanism.• Increases Access!• Moves information- not people.• Reduces travel costs and other barriers.

Why Telehealth• Clinical Shortages• Maldistribution of providers• Rural / Urban underserved• Aging population• Travel time, cost & hardship• Delayed Treatment• Language barriers• Clinical education programs• Administrative meetings• An economic development factor in rural areas

Limits of 1:1 Telehealth

ECHO layers onto existing MTN services…

ECHO

Specialist outpatient care

via video

CME & Admin use of

Telehealth

Unlimited Potential

Patients treated by PCP in own Community

PCP’s getting educated

ECHO Teams

1:1

• Missouri Project:o Wayne Cooper, retired state representative and physiciano Diane Franklin, current state representativeo Karen Edison, dermatologist, health policy expert, telehealth

championo Rachel Mutrux, Director, MTN

December

MO Delegation to New Mexico

January

-ECHO visits MO

-Educate legislative & executive branches & stakeholders

March

-Rep. Franklin introduces HB2154

-Funding inserted in appropriation bill

-Show-me ECHO team testifies in support

May

-ECHO language in 2 House bills gets combined and ends up in 2 Senate bills, passed both houses

-ECHO funding passes both houses

June

-ECHO planning continues

-ECHO teams

-Evaluation

-Space

Waiting for Governor’s signature on bills!

DiabetesHealth Literacy

HepatitisPain Management

CDC Application

MO DHS

S

MPCA

MO DOC

ECHO wish list for MO

Chronic Pain Management Hepatitis C Mental Health/ Substance Abuse Autism Diabetes High Risk OB Infectious disease

Complex

Costly

Common

Chronic

Questions?

Contact:

E. Rachel Mutrux

Sr. Program Director, Missouri Telehealth Network

2401 Lemone Industrial Blvd.

Columbia, MO 65212

573-884-7958

mutruxe@health.missouri.edu