Embed Size (px)
Citation preview
TERT: Telemedicine Education and Readiness Tool
Children’s Healthcare of Atlanta
Telemedicine Department
Children’s Healthcare of Atlanta
Children’s Healthcare of Atlanta
Program Overview
2
Children’s Healthcare of Atlanta
If you build it, they might come…
3
Children’s Healthcare of Atlanta
Inspired physicians want to know
4
Children’s Healthcare of Atlanta
New Approach
• How can we share what we know?
– Rules and Regulations
– What others are doing
– Return on investments
– Potential pitfalls/lessons learned
• How can we use time wisely but share broadly?
• How do we evaluate and communicate whether or not telemedicine is the best option?
• How do we have leaders consider options before bricks and mortar?
5
Children’s Healthcare of Atlanta
TERT
Telemedicine Evaluation and Readiness Tool
• Excel format
• Up to date
• Relevant to our program
• Information from around the nation
• Information and tools, previously used in other formats
6
Children’s Healthcare of Atlanta
Excel based education and Assessment tool
7
Children’s Healthcare of Atlanta
What Does TERT Provide?
Research
8
Children’s Healthcare of Atlanta
Use Cases-What are others doing?
9
Children’s Healthcare of Atlanta
Financial and Market Analysis
10
Models of Care Delivery- Non- Owned presenting site- Children’s presenting site- Non- owned satellite clinic
Children’s Healthcare of Atlanta
Financial Analysis
11
Children’s Healthcare of Atlanta
Financial Comparisons
Baseline - "Bricks and Mortar" Hospital/Clinic Visit
Financial ImpactsTime
(Minutes)Established Patient
(25 min visit)Time
(Minutes)New Patient (40 min visit)
Scheduler (schedule visit) 4 $ 1.40 8 $ 2.80
Registrar (check-in and check-out) 8 $ 2.24 8 $ 2.24
MA (pre-loading and room cleaning) 6 $ 1.76 6 $ 1.76
RN (paperwork and discharge) 8 $ 3.91 8 $ 3.91 MD (patient visit) 25 $ 36.67 40 $ 58.67
Hospital Exam Room Lease (64 sq ft) 30 $ 5.84 60 $ 11.68
Support Allocation ($2095 per FTE) $ 0.86 $ 1.18
Malpractice Insurance ($7592 per FTE) $ 1.52 $ 2.43 Variable Cost per Unit of Service
Collection Expense (3.3% of net patient revenue) $ 6.35 $ 8.13 TOTAL MD Visit $ 60.54 $ 92.79
MD Charge $ 275.00 $ 352.00 MD OutPt Reimbursement *linked to reimbursement % $ 192.50 $ 246.40
12*Hypothetical revenue reflection
Children’s Healthcare of Atlanta
Community Benefit
13
Ancillary Service Average Cost *Weight (% Cases) **
Calc
Urinalysis/ Hematology$ 16.25 0.8 $ 13.00
Echocardiogram/ECG$ 110.00 0 $ -
Blood Count $ 12.50 0 $ -
Sleep Study$ 350.00 0 $ -
*Hypothetical revenue reflection
Per Visit Earnings $ 110.60 Total Collection Per Visit $ 131.12
Children’s Healthcare of Atlanta
Heat Maps
14
Children’s Healthcare of Atlanta
Practice Evaluation
Readiness
15
Children’s Healthcare of Atlanta
Purpose
16
Children’s Healthcare of Atlanta
Readiness Score
17
• 40 questions• Score • Examples:
• Based on the evidence in the tool and the structure of our practice, cost will be avoided by the implementation of telemedicine.
• Telemedicine will benefit our practice by increasing our geographical market.
Not Ready: Your department is not ready to implement a TeleHealth program. To improve readiness, address elements
with a score of two or lower.
Possibly Ready: Your department is possibly ready to implement a TeleHealth program. To increase the likelihood of
success, address elements with a score of three or lower.
Ready: Your department is ready to implement the TeleHealth program successfully.
Children’s Healthcare of Atlanta
Proposed Outcome
18
Children’s Healthcare of Atlanta
Questions
19
Children’s Healthcare of Atlanta
Contact Information
DD Fritch-Levens, M.S.N., M.H.A., R.N.
Contact Center Director
20
