Post on 08-Jun-2020
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NYP OnDemandThe Next Generation of Care Delivery
Session 78, March 6, 2018
Shauna Coyne, Director of Digital Health, New York-Presbyterian Hospital
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Shauna Coyne
Has no real or apparent conflicts of interest to report.
Conflict of Interest (30pt Verdana)
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Agenda• NYP’s Strategic Vision
• Industry Leaders
• NYP OnDemand – Suite of Services
• Results to Date
• 2017 Overview
• Challenges
• Governance Model
• 2018 Goals
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Learning Objectives
• Identify appropriate programs for diverse populations
• Construct a strategic framework for introducing Telehealth
– 80% people, 15% process, 5% technology
• Recognize the unique governance for a large care delivery initiative
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Access
Experience
Engagement
.
NYP’s Strategic Vision: Virtualization
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Industry Leaders
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Second Opinion Urgent Care Specialty ConsultsVirtual VisitsExpress Care
Overview of Services
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Second Opinions
• Over 330
physician
experts
• 80+ Specialties
.
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Express Care
• Fast track low acuity
patients
• Reduced wait times
• Virtual medical
screening exam (avg
7 patients per hour)
.
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Urgent Care
• Available in NY, NJ,
CT, FL
• Adult and pediatric
urgent care
• 8-10 minutes visit
time
.
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Virtual Visits
Anesthesiology
Hospitalists CT
Surgery
Urology Neurosurgery
Psychiatry
Endocrinology
Cardiology
Pre Surgical Testing
.
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Specialty Consult
• Reduced transfers
• Reduced
readmissions
• Levering existing
specialists as we
expand the enterprise
.
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Mobile Stroke Unit
• On board CT scanner
• Virtual neurologist
• Real time stroke
diagnosis
.
14Second Opinion Urgent Care Mobile StrokeSpecialty ConsultExpress Care
Second opinion: 64 days to 1 day
Emergency room wait time: 150 min to 30 min
Psychiatry consults: 24 hours to 1 hour
Stroke care: 108 min to 38 min (140M brain cells saved)
OnDemand visits: available in 8-10 mins (NY/CT/NJ/FL)
Cancer
Orthopedic Surgery
Cardiac Disorders
Neurologic Disorders
Rare Diseases
Chronic Conditions
Major Surgery
80+ SpecialtiesAsthma
Back Pain
Bronchitis
Cold or the Flu
Constipation
Cough
Diarrhea
Skin
Conditions
Sore Throat
Sprains and
Strains
UTI
Vomiting
Etc.
Results to Date
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NYP OnDemand: 2017 Overview
Services Key Outcomes Collaborations
• 10,000+ Visits
• 580% Visit Growth in 2017
• 700+ Doctors
• Virtual Visits in 80+
Specialties
Second Opinions
Express Care
Urgent Care
Specialty Consult
Mobile Stroke
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Walgreens/Duane Reade Collaboration
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Access to Puerto Rico Disaster Relief
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Access to Puerto Rico Disaster Relief
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Challenges Remain
Legal
Federal and State
regulations
Liability
Malpractice and
Claims
Clinical Staff
24/7, Operations,
Workflow
Reimbursement
Varied State
Parity Laws
.
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Challenges Remain
.
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• Creating Awareness
• Digital Marketing
Challenges Remain
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Interdisciplinary Effort
Operations Legal
Compliance Privacy
StrategyFinance Information
Technology
Global
Services
Marketing & PR
WCM,
CUMC &
NYPMG
.
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• Improving Communication
• Leadership Buy In
Partnership Across Stakeholders
.
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Goals Moving Forward
Reduce ER utilization and readmission
Decrease total cost of care per patient
Maintain patient satisfaction score of 95%
Improve access to care anywhere
Scale to 200K visits by 2019
Leverage existing platform and infrastructure
.
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Primary Care Specialty Care
Teleparamedics
International
Second Opinions
Urgent Care
• Home
• Walgreens
• ZocDoc
• Samsung
Express Care
• Columbia
• Weill Cornell
• Allen
• LMH
Follow Ups
• Cardiology
• Urology
• ENT
• Ophthalmology
RPM
• Early
Discharge
• ED to Home
• Chronic Care
Peer-Peer
• Stroke
• Peds
• Neuro
• Psych
• Nursing Homes
TeleParamedics
• Manhattan
• Brooklyn
• Queens
• Bronx
MSU
• Specialty
Ambulance
• Treatment
in the Field
Second
Opinions
• Domestic
• International
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NYP OnDemand 2.0