School-Based Health Care via Telemedicine Amanda Martin Steve North
Disclosure WE HAVE NOTHING TO DISCLOSE
Who is in the room? • Thank you for responding to the survey • n= various 17 organizations from 14 states
Who is in the room? Role: 10 Administration 2 Clinicians 3 Both
Time in the field 40 35 30 25 20 15 10 5 0 0 1 2 3 4 5 6 7 8 9
Organization
Simple Hub & Spoke Hub Spoke
Basic Hub & Spoke Spoke Hub Spoke Spoke
Basic Hub & Spoke Spoke Spoke Spoke Hub Spoke Spoke Spoke Spoke
Busy Hub Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Hub Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke
Multiple Hubs, Multiple Spokes Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Multiple Hubs Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke Spoke
Linked SBHCs SBHC SBHC SBHC SBHC SBHC
Equipment/Technology Live, two-way audio and video • Otoscope • Stethoscope • Exam camera • Spirometry • iPad (for surveys & education) • More?
DATA, DATA, DATA
YOUR RESPONSES
Data from this group Years providing tSBHC 1-4 years Origination sites 1-22 sites Distant sites 1-11 sites Visits provided 444 was highest number Percent of students enrolled 10%-50% Total District Population 100-10,000 % of enrolled patients seen 4-11%
What types of school-based health care do you currently provide via telemedicine? • Answered: 8 Skipped: 0
Where are your school-based originating sites (patient) located
Where are your distant sites (provider) located?
Who presents the patient at the originating site (patient)? • Answered: 7 Skipped: 1
Who pays for the presenter's time?
Q12: Do you bill for ANY of the school- based telemedicine services provided?
Q13: Do you receive a "site fee" or any type of reimbursement from any insurers for using telemedicine services in addition to billing for the office visit E&M code?
Do you bill independently or through a third party?
Q15: Are you measuring any outcomes in your project? (Select all that apply)
Have you presented or published any of the data collected from your?
Who is the sponsoring organization for the school-based telemedicine program?
What types of funding sources have you used/are you using?
School-Based Health Alliance Census Data
SBHCs Providing Telehealth Unique programs 52 Unique Schools 132 States 25 states
SBHA 13-14 Census Services Provided Schools Programs States Behavioral 30 19 15 Health Oral Health 9 6 5 Health 1 1 1 Education Nutrition 4 4 4
Do we know of other programs
Rochester, NY Name: Health-e-Access Number of Sites: 50+ Type of Care: Acute care only Sponsoring org: University of Rochester Providers: 10 PCMHs and NP at University of Rochester Billing: Unclear Years in Operation 10
New Mexico Name: Envision New Mexico Number of Sites: 19 School-based health centers Type of Care: Child and Adolescent Psychiatry Sponsoring org: UNM Department of Pediatrics Providers: Psychiatrists at UNM Billing: Yes Years in Operation 8
Kiosks
Austin, MN Name: HealthSpot Number of Sites: 2 Type of Care: Acute care only for teachers and dependents Sponsoring org: Austin Public Schools District and Mayo Clinic Providers: Local Mayo Clinic physicians Billing: Yes Years in Operation Launched in Feb 2015
Pennsylvania Name: Virtual School Counselor Network Number of Sites: ??? (170 patients 2014-2015 school year) Type of Care: Providing IEP Sponsoring org: As above Providers: LCSWs, LPCs Billing: Directly reimbursed by schools Years in Operation 1
Western North Carolina Name: Health-e-Schools Number of Sites: 22 Type of Care: Primary care for all students, faculty & staff plus pediatric psychology & cardiology, adolescent consults Sponsoring org: The Center for Rural Health Innovation Providers: Family Nurse Practitioner, specialists Billing: Yes Years in Operation 4
Contact Information • Amanda Martin – Amanda.martin@crhi.org • Steve North, MD, MPH – Steve.north@crhi.org
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