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Resource Savings, Family and Societal Benefits of A Statewide Pediatric Telemedicine Program
1. Resource Savings, Family and Societal
Benefits of A Statewide Pediatric
Telemedicine Program
D.D.Fritch-Levens, MSN, MHA, RN
Children’s Healthcare of Atlanta
2. Locations
Children’s Healthcare of Atlanta
• Children's serves our community with three hospitals and
17 neighborhood locations, including four Immediate Care
Centers and a Primary Care Center.
… at Egleston … at Scottish Rite … at Hughes Spalding
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3. Current Program Offerings
Subspecialist
at Scottish Rite
TeleEmergency at
EG and SR
Subspecialist
at Egleston
TELEMEDICINE PROGRAM
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4. Our Patients…Our Community
• We have served 1,372 patients since inception
• 2009: 88
• 2010: 461
• 2011: 823
• Patients served live in 74 of the Georgia’s 159
counties
• All outside of the MSA
• Representing 47% of Georgia’s counties.
• 78% of our patients are covered by Medicaid /CMO’s
4 * 2011 Volume = January-December
7. Benefits
• Builds stronger statewide relationships
• Convenience
• Miles
• Hours
• Work
• School
• Research – Abstract submitted and approved by
Pediatric Academic Society
“Resource Savings, Family and Societal Benefits of a
7 Statewide Pediatric Telemedicine Program”.
8. Objective
To evaluate the overall resource savings that a
Statewide Telemedicine (TM) Program for Children
can bring to patients, families and society
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9. Barriers to Pediatric Sub-Specialty Care
• Limited number of pediatric subspecialists
• Regionalization of subspecialists/Distance to care
• Access to and limited public transportation
• Direct and Indirect costs for seeking care
• Direct costs:
• Travel time
• Gas and car wear and tear
• Medical transports for chronically ill (Medicaid vans
and others)
• Indirect Costs/Opportunity Costs
• Time from work
• Time from school
• Impact on remaining family (caring for other
children, facilitating transport etc)
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10. Gas Prices
http://www.GasBuddy.com/gb_retail_price_chart.aspx?city1=USA
Average&city2=&city3=&crude=nutmeg=36&units=us
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11. 2011 Data
Year to Date…Per visit: Mean Median Range
Miles Saved 310 344 72-524
Cost of miles saved $170 $189 $40-$288
Hours Saved Traveling 5.6 6.0 2-9
School days 86% of our patients would have missed
*Children greater than 5 y/o school to travel to Atlanta
Work Days Missed >80% of our parents would have missed a
*One adult present full day of work to travel to Atlanta
Overall cost of miles saved: $118,134 (0.55/mile)
476 less days of work missed - Impact on Workforce
476 less cars in Atlanta - Clean Air
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12. Summary of Findings
• Telemedicine represents significant direct cost
savings in decreased travel time and expenses for
patients & families.
• Indirect cost savings include time saved in travel
that can be reallocated to school, work or other
societal benefits.
• The high use by patients with Medicaid reinforces
that telemedicine can improve access to care for
this often underserved population.
• Additional benefits can also be seen as Medicaid
patients and those needing assistance in travel
(from family or others) can have these resources
also reallocated.
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13. Data Collection
Use of data:
• Measure by region
• Marketing
• Benefits to families by Counties
How is the data collected on an ongoing basis?
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18. Recognition
Resource Savings, Family and Societal Benefits of a Statewide
Pediatric Telemedicine Program:
Harold K. Simon, MD, MBA 1,2,3
Daniel A. Hirsh, MD 1,2,3
D.D. Fritch-Levens, RN, MSN, MHA 2
Cyndie Roberson RN 2
Mary Joyce Bacon 2
Linda Cole, RN, MBA 2
Stephanie Fessler, MD 1
Larry A. Greenbaum, MD, PhD 1,2
Michael McConnell, MD 1,2,4
1Department of Pediatrics, Emory University School of Medicine
2Children’s Healthcare of Atlanta
3Department of Emergency Medicine, Emory University
4Sibley Heart Center
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