TERT: Telemedicine Education and Readiness Tool

Children’s Healthcare of Atlanta

Telemedicine Department

Children’s Healthcare of Atlanta

Children’s Healthcare of Atlanta

Program Overview

2

Children’s Healthcare of Atlanta

If you build it, they might come…

3

Children’s Healthcare of Atlanta

Inspired physicians want to know

4

Children’s Healthcare of Atlanta

New Approach

• How can we share what we know?

– Rules and Regulations

– What others are doing

– Return on investments

– Potential pitfalls/lessons learned

• How can we use time wisely but share broadly?

• How do we evaluate and communicate whether or not telemedicine is the best option?

• How do we have leaders consider options before bricks and mortar?

5

Children’s Healthcare of Atlanta

TERT

Telemedicine Evaluation and Readiness Tool

• Excel format

• Up to date

• Relevant to our program

• Information from around the nation

• Information and tools, previously used in other formats

6

Children’s Healthcare of Atlanta

Excel based education and Assessment tool

7

Children’s Healthcare of Atlanta

What Does TERT Provide?

Research

8

Children’s Healthcare of Atlanta

Use Cases-What are others doing?

9

Children’s Healthcare of Atlanta

Financial and Market Analysis

10

Models of Care Delivery- Non- Owned presenting site- Children’s presenting site- Non- owned satellite clinic

Children’s Healthcare of Atlanta

Financial Analysis

11

Children’s Healthcare of Atlanta

Financial Comparisons

Baseline - "Bricks and Mortar" Hospital/Clinic Visit

Financial ImpactsTime

(Minutes)Established Patient

(25 min visit)Time

(Minutes)New Patient (40 min visit)

Scheduler (schedule visit) 4 $ 1.40 8 $ 2.80

Registrar (check-in and check-out) 8 $ 2.24 8 $ 2.24

MA (pre-loading and room cleaning) 6 $ 1.76 6 $ 1.76

RN (paperwork and discharge) 8 $ 3.91 8 $ 3.91 MD (patient visit) 25 $ 36.67 40 $ 58.67

Hospital Exam Room Lease (64 sq ft) 30 $ 5.84 60 $ 11.68

Support Allocation ($2095 per FTE) $ 0.86 $ 1.18

Malpractice Insurance ($7592 per FTE) $ 1.52 $ 2.43 Variable Cost per Unit of Service

Collection Expense (3.3% of net patient revenue) $ 6.35 $ 8.13 TOTAL MD Visit $ 60.54 $ 92.79

MD Charge $ 275.00 $ 352.00 MD OutPt Reimbursement *linked to reimbursement % $ 192.50 $ 246.40

12*Hypothetical revenue reflection

Children’s Healthcare of Atlanta

Community Benefit

13

Ancillary Service Average Cost *Weight (% Cases) **

Calc

Urinalysis/ Hematology$ 16.25 0.8 $ 13.00

Echocardiogram/ECG$ 110.00 0 $ -

Blood Count $ 12.50 0 $ -

Sleep Study$ 350.00 0 $ -

*Hypothetical revenue reflection

Per Visit Earnings $ 110.60 Total Collection Per Visit $ 131.12

Children’s Healthcare of Atlanta

Heat Maps

14

Children’s Healthcare of Atlanta

Practice Evaluation

Readiness

15

Children’s Healthcare of Atlanta

Purpose

16

Children’s Healthcare of Atlanta

Readiness Score

17

• 40 questions• Score • Examples:

• Based on the evidence in the tool and the structure of our practice, cost will be avoided by the implementation of telemedicine.

• Telemedicine will benefit our practice by increasing our geographical market.

Not Ready: Your department is not ready to implement a TeleHealth program. To improve readiness, address elements

with a score of two or lower.

Possibly Ready: Your department is possibly ready to implement a TeleHealth program. To increase the likelihood of

success, address elements with a score of three or lower.

Ready: Your department is ready to implement the TeleHealth program successfully.

Children’s Healthcare of Atlanta

Proposed Outcome

18

Children’s Healthcare of Atlanta

Questions

19

Children’s Healthcare of Atlanta

Contact Information

DD Fritch-Levens, M.S.N., M.H.A., R.N.

Contact Center Director

d.d.fritch-levens@choa.org

20