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Virtual Visits Mary Graham Director of Network Innovation & - PowerPoint PPT Presentation

Virtual Visits Mary Graham Director of Network Innovation & Education Our stakeholders Plan Agent Member/ Employer Patient Relationship Provider Govt Provider engagement Access to Care and Patient Experience Outcomes Fair and


  1. Virtual Visits Mary Graham Director of Network Innovation & Education

  2. Our stakeholders Plan Agent Member/ Employer Patient Relationship Provider Gov’t

  3. Provider engagement

  4. Access to Care and Patient Experience Outcomes Fair and Clinical Transparent Collaboration Costs Triple Aim Cost Experience Continuous Economic Quality Alignment Improvement

  5. Access

  6. Transparency isn’t just to help people shop… it’s to engage

  7. Transparency XYZ facility Any Town, MI

  8. Continuous improvement

  9. Economic alignment

  10. Clinical collaboration Working with providers to change care delivery

  11. Change Attack chronic disease the way care is delivered

  12. Why virtual visits?

  13. Respond to Improve access Improve patient market to care experience

  14. • Reviewed available solutions • Selected MDLive - Founded in 2006 - 24/7/365 availability - Board-certified network physicians - Medical treatment protocols

  15. By the numbers

  16. 3,000+ members registered 902 visits with MDLive

  17. Virtual visits with MDLive 600 508 500 394 400 300 2015 Visits 2014 Visits 200 134 109 104 80 100 71 57 53 48 46 46 44 38 27 23 14 8 0 Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. YTD 2015 / YE 2014

  18. Calls during practice hours: Peds visits (0-17 years) 7a-7p 12% Visits with RX 68% 53% Based on CY2014 Data

  19. Satisfaction with Visit Where patients would have gone 1% 6% 3% 11% Urgent Care Excellent Very Good Emergency Room 25% Good 26% PCP 55% Fair 65% Poor Other 8% Based on CY2014 Data

  20. Award Winning Virtual visits wins 2014 MAHP Pinnacle Award

  21. Goal = Network solutions

  22. We pay for telemedicine Priorityhealth.com/provider >Provider manual >Procedures and services >Telemedicine

  23. Terms and types Telemedicine • Billable interactive clinical services – Remote/Hosted (synchronous) – Direct to Consumer (synchronous) – Store and Forward (asynchronous) Telehealth • Broader field of distance health activities (CME, etc.) • Clinical remote monitoring (usually at home)

  24. Telemedicine options • Telemonitoring : Post discharge follow-up, cardio, diabetes, HTN, case management • Tele-Education: CDE, lactation • Compassionate Programs • Tele-ED: Critical access consults with trauma centers and sub-specialist • Teleconsults: Ophthalmology, Audiology, Stroke, Burn • Translation/ASL services

  25. Opportunities for providers • More in-office visits for those who must be seen in-person • Stay connected with your snowbirds • Vacationing patients

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