1. Telehealth/Telemedicine
Healthcare Delivery in
2015

2. Agenda
• Telehealth vs. Telemedicine
• Portfolio of Products and
Services
• ROI

3. Telehealth – Definition #1
Telehealth - is the use of electronic
information and telecommunications
technologies to support long-distance
clinical health care, patient and
professional health-related education,
public health and health administration.
Source: Health Resources and
Services Administration -
www.hrsa.gov/telehealth

4. Telehealth – Definition #2
Telehealth - is the delivery of health-
related services and information via
telecommunications technologies.
Telehealth could be as simple as two
health professionals discussing a case
over the telephone or as sophisticated
as doing robotic surgery between
facilities at different ends of the globe.
Source: Wikipedia

5. What is the Difference Between
Telehealth and Telemedicine?
Telehealth is different from telemedicine
because it refers to a broader scope of
remote healthcare services than
telemedicine. While telemedicine refers
specifically to remote clinical services,
Telehealth can refer to remote non-clinical
services, such as provider training,
administrative meetings, and continuing
medical education, in addition to clinical
services. Source: Healthit.gov

6. Medicare Reimbursement for Telehealth
Medicare reimburses for Telehealth at the same rate as face-to-face.
Medicare also reimburses $18 per session for the staff person presenting
with the client (Telehealth originating site facility fee - CPT code Q3014).
Medicare imposes three restrictions on the use of Telehealth:
Geographic - The consumer must be located in a non-metropolitan
statistical area, or a rural census tract within a metropolitan statistical area.
Note: you need to provide State code County code + census tract from
your street address search.
Facility type - The consumer must be located in a qualifying facility such as
a Skilled Nursing Facility, and accompanied by a staff person.
Procedure - Must be an approved procedure for Telehealth

7. Medicare Reimbursement
Bottom line as it relates to reimbursement:
Reimbursement for Medicare covered services,
including those with telemedicine applications, must
satisfy federal requirements of efficiency, economy
and quality of care.

8. Telehealth Kiosk Initiatives
1. Video Receptionist Kiosk
2. NHS - Vitals Kiosk
3. Telemedicine Kiosk
4. Patient Self Check In

9. Video Receptionist

10. Video Receptionist
• Kiosk replaces receptionist in Doctors office
• If patient encounters an issue during check-in they can
initiate a teleconference with a receptionist
• ROI - One video receptionist can handle 4-5 doctor
offices if used in tandem with patient self check-in
software
• FTE Funds can be reallocated to patient care givers

11. NHS Vitals Kiosk

12. Data captured at kiosk
• Blood Pressure
• Body Mass Index (BMI)
• Pulse
• Irregular heart rhythm
• Blood sugars
• INR – Blood coagulation
• Non-contact thermometer
• Questionnaires including Pill check for contraception

13. Vitals Kiosk ROI
• Product reduces vitals entry time (15-20% of MedTech’s
time is data entry) and streamlines operations
• Increases revenue
1. # of patients seen per day – increases
2. # of patients seen per month – increases
3. Monthly revenue - increases

14. Telemedicine Kiosk

15. Telemedicine Kiosk

16. Patient Self Check In Software and
Hardware
• Improves Patient Access to Clinicians
• Shortens Patient Wait Time for Return Patients
• Allows PSR to handle new patients inputting
demographic and insurance data correctly
• Helps reduce the use of paper, ink and other
supplies need in traditional patient check in
• PSR can be trained in other areas to enhance
their value to the hospital

17. Patient Check in Kiosks Integration
• Patient Check in Software can be integrated into
various EHR’s
• Cooperation between the Hospital IT Staff, the
EHR provider and the software and hardware
providers is key
• Proper deployment of kiosks is important for
patient utilization
• Train hospital employees on the technology and
how it helps them-this is very important

18. Patient Check needs to be easy to see

19. Patient Check In needs to be simple

20. ROI for Telehealth
“That's been one of the major problems with
business strategy -- that there's no clear ROI for
Telehealth and telemedicine services yet until
insurance reimbursement changes.“
Harry Rhodes, director of HIM practice excellence for
the American Health Information Management
Association and co-chair of the national Mobile Health
Workgroup

21. The future
"The technology advances focused on improving the quality
and cost-effectiveness of care are moving Telehealth
forward, but where we're seeing real innovation is in the
concept of patient-centered care -- with patients now
squarely in the center as consumers of care. It's not just a
conceptual issue, but one that's also propelled by benefit
designs and consumer demand for more convenience and
access.“
Reed Tuckson, president-elect of the American Telemedicine
Association

22. ROI Conclusions for Telehealth
• Video Receptionist Kiosk - Measurable
• Vitals Kiosk – Measurable
• Telemedicine Kiosk – TBD
• Patient Self Check In Kiosks-Measureable
• ROI is not attained without adaptation and
utilization of the technology – how do you get
the utilization numbers needed to make a solid
ROI case?

23. Michael G. Tulloch
mtulloch@connectedts.com
262.437.8092
www.connectedts.com
Charlie Beale
Cbeale@uhsweb.com
352.672.2537
www.uhsweb.com