Telehealth & Community Health Centers Jason Cunningham Agency Medical Director
• Clinical Sites: • Primary Care – 4 sites (3-4 FTE Provider Practices) • Dental Clinic • Teen Clinic • Labor Center Outreach • Wellness Center • Healthcare For the Homeless • Patients • 15,000 individuals, 77.000 visits. • 80 % under 200% of poverty level • 2015 Budget • $15 million • 70% patient fees, 30% grants, contracts, fundraising • Staff and Providers • 195 employees - 160 FTEs • 28 medical providers, 2 dentists, 16 behavioral health counselors, and 1 psychiatrist
Traditional Telemedicine • Specialty Consultation • Tele-psychiatry • Tele-Endocrinology • Tele-dermatology • Direct Dermatology
Lesson’s Learned • Infrastructure no longer a barrier • Have a dedicated project manager • Market to providers and patients • Frequent meetings with telehealth partner • Get IT involved early • Capture patient feedback – it is good
USING VIDEO TO ENHANCE COMMUNICATION WITHIN PRIMARY CARE
Relational Care “It is much more important to know what sort of patient has a disease than what sort of disease a patient has.” -William Osler
Primary Care is a Collaborative TEAM Sport
Need for Better Communication Tools
Outside the Four Walls • Homeless Outreach • RN Care Management Home Visits • Community Heath Worker • Geriatric Group Home
Video Communication Between Staff RN Care Manager • Pharmacy Tech • Referrals • Wellness Center • Dental • Medication Verification • Huddles, meetings •
Hospital Discharge Warm Hand-Off
Lesson’s Learned • “Presence” • IT infrastructure • It has to be “easy” and “quick” • Let them “Play” • Let them practice safely
THANK YOU
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