Request for Proposal (RFP)

The Indian Health Service (IHS) today issued a Request for Proposal (RFP) to provide telehealth services at its seven hospitals and many health centers and other facilities throughout Iowa, Nebraska, South Dakota and North Dakota. IHS is seeking to expand telehealth services as a means of strengthening access to care at its facilities in all 19 Great Plains Area service units, which serve 130,000 American Indians and Alaska Natives.

IHS is seeking your help in distributing this RFP to interested parties.  Please feel free to share the following link with anybody inside or outside your organization who might have an interest in this opportunity. https://www.fbo.gov/index?s=opportunity&mode=form&id=5115931f47d934a776984e14472c318b&tab=core&_cview=0

American Telemedicine Association (ATA) Annual Conference

The American Telemedicine Association’s (ATA) Annual Conference & Trade Show is the world’s largest and most comprehensive meeting focused on telemedicine, digital, connected and mobile health.  This year ATA 2016 will take place May 14-17, 2016, at the Minneapolis Convention Center.

An estimated 6,000 attendees from traditional medicine, academic medical centers, technology and telecommunications companies, e-health, medical societies, government and others will attend.  The meeting will feature 75+ peer-reviewed sessions – as well as keynote presentations from leading individuals transforming the Telehealth industry – on how they’re overcoming barriers and advancing telemedicine through the professional, ethical and equitable improvement in health care delivery. In addition, over 300 healthcare technology product and service providers will be on display in the exhibit hall.

Early bird pricing is available until April 15th. Click here to learn more about ATA 2016 and to register for the event!

 

Proposed Federal Telehealth Law Could Save Medicare an Estimated $1.8 Billion

A bipartisan group of US Senators led by Brian Schatz (D-HI) has introduced legislation that would enable an expansion of telemedicine services covered by Medicare, and could result in substantial cost savings.

The bill’s other sponsors are Senators Ben Cardin (D-MD), Thad Cochran (R-MS), John Thune (R-SD), Mark Warner (D-VA), and Roger Wicker (R-MS).

The bill, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, contains three significant policy changes that would serve to increase use of telehealth technologies:

The bill would:

  • Establish a “bridge program” that allows doctors participating in the Merit-based Incentive Payment System (MIPS) to apply for demonstration waivers that would exempt them from restrictions Medicare imposes on the coverage of telehealth,
  • Cover telehealth and remote patient monitoring (RPM) for provider participants in Alternative Payment Models (such as Accountable Care Organizations-ACOs, Patient Centered Medical Homes-PCMHs, etc., and
  • Provide for coverage of RPM technologies for patients with chronic conditions to fee-for-service physicians and practitioners, whether or not they participate in Medicare quality and value improvement programs

Click here for more information

 

Telemedicine in Retail? It’s Already There!

Telemedicine has expanded from its traditional setting (hospital, clinic, doctor’s office) to a more “convenient” location for the patient – the supermarket. MercyCare Community Physicians recently launched its first retail telemedicine clinic at the Edgewood Hy-Vee grocery store in Cedar Rapids, Iowa. The telemedicine clinic is similar to a regular office visit. After checking in, patients are taken to a private room where a registered nurse takes their health history and documents their vitals and symptoms in EPIC (Mercy’s Electronic Medical Record system). The nurse calls the provider using Cisco technology embedded in the AMD Global Telemedicine Clinical Assist system.   and The provider appears on a video feed which enables him/her to have a live interaction with the patient and give instructions and education to the patient. The nurse remains in the room for the duration of the exam and, at the direction of the provider, uses telemedicine diagnostic equipment (stethoscope, otoscope, general exam camera) and AGNES interactive software to assist the provider with the physical examination. Some of the typical acute conditions assessed and treated include, but are not limited to, sinus infections, ear infections, urinary tract infections, rashes, flu and more.

The telemedicine clinic operates Monday-Friday from 7:30 a.m. until 5:00 p.m. Plans to extend these hours are coming in the near future.

This type of telemedicine demonstrates that  healthcare can be made available to patients anywhere they live, shop or work.  Patients now have the convenience of receiving immediate care in their local area without the process of making an appointment. Congratulations to MercyCare Community Physicians and Hy-Vee for using innovative ways to provide quality and affordable care to patients.

 

Telemedicine program at the MN State Fair..Don’t miss it!

Come and see us at the Minnesota State Fair and experience telemedicine “in action”. You will get “a taste” of what telemedicine is like, see some of the technologies used in telemedicine, and have the opportunity to get a free dermatology screening from a Minnesota dermatologist and a small prize. We have eight (8) scheduled sessions with seven dermatologists that have volunteered to do this. The sessions are listed below. This program takes place inside the University of Minnesota building, at the fair, which is located on Dan Patch Avenue, near Underwood street, and next to the Crossroads building.  We hope to see you at the fair.

Scheduled sessions:

Friday, August 28                      02:00-03:00 p.m.                    Dr. Cindy Smith
Friday, August 28                      03:00-04:00 p.m.                    Dr. Kia Lilly
Saturday, August 29                 10:00 a.m.-12:00 noon             Dr. Jennifer Lee
Sunday, August 30                   12:00 noon-01:00 p.m.             Dr. Spenser Holmes
Tuesday, September 1              01:00-02:00 p.m.                     Dr. Kimberly Bohjanen
Thursday, September 3            12:00 noon-01:00 p.m.              Dr. Cari Dakin
Friday, September 4                 11:00 a.m.-12:00 noon             Dr. Kia Lilly
Saturday, September 5            12:00 noon-01:00 p.m.              Dr. Maria Hordinsky

 

 

Remember…it is about the patient!

A couple of weeks ago, I listened to a presentation on Minnesota Public Broadcasting (MPR) by Adam Darkins, MD, which again energized me about the work that we do supporting the growth and development of telehealth.

Dr. Darkins, VP for Medical Affairs and Enterprise Technology Develop at Medtronic, was presenting at a conference in Minneapolis focused on the use of technology in healthcare. Early on in his presentation he said something that made me sit up a bit straighter and listen just a bit more closely. It was something that I have heard many times from a former co-worker of mine (a registered nurse and telehealth champion): remember, it is about the patient.

Yes! That is who must stay at the absolute center of our focus as we discuss all things telehealth!

Telehealth, more simply healthcare, must focus on what is happening with the patient. When we consider the new opportunities in telehealth, we need to specifically identify what problem we are trying to solve, not just for the provider, the health system or the insurance company, but for the patient.

While convenience and access are both key components to the value of telehealth, it needs to be about more. It must also be about improvements – improvements in a patient’s overall health, improvement in the overall costs of providing that care, improvements in the health of the general public – in order for telehealth to truly make a difference.

Or maybe, as Dr. Darkins shared, it is about shifting the model of care to more fully benefit the patient. Maybe the patient’s primary care location really is considered their home, and they would “in-reach to the hospital” or clinic for supportive services and care when needed, rather than obtaining “outreach from the hospital” only after a major illness episode or the identification of a disease. His description of the current or traditional healthcare delivery model as being “very much from the industrial age”, where you brought people TO their care access point, is really not the way the rest of the world functions today. It is becoming more important to figure out ways to bring healthcare to the patient, in their everyday experiences. The right place for the provision of care could be almost anywhere, and the right time could be now.

Healthcare, supported by telehealth, needs to continue to focus on what is actually being done and why, remembering always…it is about the patient!

Listen to the entire presentation here:

www.mprnews.org/story/2015/05/14/mpr_news_presents


Regional Telehealth Legislative Update

So far, 2015 has proven to be a busy year for telehealth-related discussions in state legislatures around our region.  Several bills relating to various aspects of the utilization of telehealth methodologies have been introduced and are moving their way through the legislative process.  Here is a brief summary of current activity:

Interstate Medical License Compact – This compact would allow an expedited process for physicians interested in obtaining licenses in multiple states.  So far, this has been introduced in:

  • South Dakota (SB63 – passed both houses and awaiting Governor’s signature)
  • Minnesota (HF321/SF253 – have been referred to their respective committees)
  • Iowa (various bills – HSB20, SF273, SSB1019)
  • Nebraska (LB258)
Telehealth Parity – The idea of reimbursing equally for services whether they were delivered in-person or by telehealth technologies is also being discussed.  So far, two states have introduced a version of telehealth parity.
  • Minnesota (SF981, SF1150, & HF1246 – in various stages)
  • North Dakota (HB1038 – introduces the concept of parity initially under the public employees medical benefits coverage)
Supporting Mental Health Services – Bills are also being considered which would allow for telehealth to be used more extensively in the care of those needing mental health services.  These include:
  • Minnesota (HF850, SF825 – referred to their respective committees)
Click here to access the full list of telehealth bills being discussed across our region.

 

Grant Opportunity

The State of Minnesota recently announced a Request for Proposal for Live Well at Home Grants.   We  know Live Well at Home to be one of the few grants that welcomes proposals that include  technology to develop and /or provide services for older Minnesotans to live in the community.

You need to act quickly!   Pre-registration for the responders conference (to be held Feb. 19th) closes on Feb. 16th and applications are due on March 27th.   For further information see: http://www.mn.gov/dhs/partners-and-providers/continuing-care/grants-rfps/live-well

 

gpTRAC Regional Telehealth Conference April 6-7, 2015

gpTRAC Regional Telehealth Conference April 6-7, 2015

Save the date! The 2015 Regional Telehealth Conference will be held April 6-7 at the Hilton Garden Inn in Sioux Falls, South Dakota.

gpTRAC is excited to again offer an opportunity for the region’s healthcare community to come together to network and learn more about making a difference through telehealth services. This 1.5 day forum offers the opportunity to learn from both regional and national experts as they share their stories and experiences in developing and implementing telehealth to meet the needs of their area.  Click on the FORUM tab above to access additional event details.

We look forward to seeing you in Sioux Falls, South Dakota. Please call us at 888-239-7092 if you have any questions.

REGISTER TODAY

2015 Regional Telehealth Conference

 

Growth of Telepsych

Telepsychiatry companies or telemental health companies are popping all over.  It is, by far, the fastest growing telemedicine business today.  Even if a telemedicine company offers several services via telemedicine e.g. Specialists On Call, telemental health is usually included in the services provided.

There are a variety of business models and services that have evolved in this area.  For example:  some of these companies have developed their own technologies or applications which are tailored to specifically to mental health services; some offer electronic tools to help providers diagnose and monitor a variety of mental health issues; some provide training on now to develop a thriving telemental health practice; some offer clinical, business and marketing resources to support the work of mental health professionals; and some develop online therapy applications and network development.

A sampling of these service business show that services are accessed from a variety of locations:

  • Colleges and Universities
  • Community mental health clinics
  • Correctional facilities
  • Critical Access Hospitals
  • EAP’s and Wellness Centers
  • Emergency departments
  • Federallly Qualifies Health Centers (FQHCs)
  • Individual homes
  • Long term care facilities
  • Military
  • Native American Health Care Systems
  • Primary care offices
  • Shelters
  • Urgent Care Centers
  • Work sites

 

Conditions typically treated include:

  • Anxiety disorders
  • Depression and Bipolar disorders
  • Medication management
  • Obsessive-compulsive
  • Panic and agoraphobia
  • Psychotherapy
  • PTSD
  • Relationship problems
  • Self esteem; self image/eating disorders
  • Substance and alcohol addiction