CAMILLE INFANTE, COO JENNIFER CAVALLARO, M.D, CMIO LYNETTE SEID, VP FACILITIES TONY NGO, VP...
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Transcript of CAMILLE INFANTE, COO JENNIFER CAVALLARO, M.D, CMIO LYNETTE SEID, VP FACILITIES TONY NGO, VP...
CAMILLE INFANTE, COOJENNIFER CAVALLARO, M.D, CMIO
LYNETTE SEID, VP FACILITIESTONY NGO, VP ANCILLARY SERVICES
PROJECT PLAN FOR FEBRUARY 14, 2014
Lakeland Regional Health System
Project Proposal: Telemedicine
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WHO WE ARE
Est. in 1914, Lakeland Regional Health System (LRHS) is a community-based health care network with multi-hospitals including specialty departments in Centers of Excellence for Cardiology, Oncology, Women’s Health, Behavioral Health, Neuro-Sciences and Orthopedics.
Includes senior communities for independent and assisted living and long-term care, Employee Assistance Plan, home care, hospice, teaching/research environment, and holistic medicine.
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OUR CHALLENGE
LRHS leadership is challenged to provide Centers of Excellence services to remote clinics:• Long distance between remote clinics and the Centers of
Excellence • Long patient access wait time for specialty appointments• Physician resource inefficiencies due to extensive travel time• Less physician and patient interaction for regular follow-up
appointments/consultations• Low patient satisfaction scores
Lakeland Regional Health System’s lack of integration between the metropolitan hospitals and the remote clinics must be properly addressed to retain its goal of providing high quality patient care.
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THE SOLUTION
Implementation of telemedicine technology at Lakeland Regional Health System remote clinics
What this provide for LRHS and the community:• Increase physician accessibility/
productivity by allowing patients to interact with their physician via video conferencing
• Reduce patient access wait times by allowing more convenient times for patient follow-ups and consultation
• Improving patient satisfaction • Better serve the rural communities
by extending specialty care services to those who are in need of primary and secondary care
• Improve the overall efficiency and integration of the health care continuum between metropolitan and rural areas
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OUR VISION
Lakeland Regional Health System Goals :
Partnerships with patients and communities
Convenient appointments at local clinics with centers of excellence physicians
Physicians and nurses working as a teamPhysician-to-Physician consultations
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FEATURES
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SCOPE AND LIMITATIONS
In-Scope
• Telemedicine • Hardware• Cisco
HealthPresence© 2.5• Software• Centers of
Excellence• Specialties• Physician & Nurse• Training
Out-of-Scope
• Infrastructure Upgrade
• Emergency Services• Invasive Procedures• Specialties other
than those listed• Assisted Living and
Long-Term Facilities • Home
Health/Hospice
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ORGANIZATIONAL SCOPE
•12 Remote clinics
•Cardiology, Oncology, Neuro & Ortho
Phase I
•Behavioral Health, Dermatology
•Women’s Health
Phase II
•Assisted & Long-Term Care
•Home Health & Hospice
Phase III
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PROJECT SUCCESS FACTORS
• Immediate increased patient access to specialist care.
• Improved health outcomes.• 25% increase in physician productivity.• 75% decrease in appointment
cancellations and no-shows.• Increased patient satisfaction scores.
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PROJECT BUDGETDescription Amount
Capital Funds Telemedicine - 12 Telemedicine Stations (USB Ultrasound probe, PC based ECG monitor, Diagnostic Image camera, and Streaming Stethoscope)
120,000$
- Live interactive video equipment for the Centers for Excellence 40,000 - Cisco HealthPresence© 2.5 software 100,000 - Facility Expenses to Install Equipment 15,000 Subtotal 275,000$ Project Resources 125,375 Project Contingency (5%) 20,019 Total Capital Funds 420,394$
Operating Funds - Project Startup Expenses 20,000$ - Training Expenses 20,000 - Misc. Operating Expenses 25,000
Total Operating Funds 65,000$
Total Project Budget (Capital and Operating) 485,394$
Ongoing Support Costs - Software/hardware maintenance 26,000$
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PROJECT TIMELINE
Description Complete Date
Create project proposal and request funding February 14, 2014Project start June 1, 2014Create steering committee and define governance processes June 8, 2014Develop project plan June 15, 2014Define telemedicine business requirements June 30, 2014Define “as is” and “to be” business processes July 8, 2014Identify IT solutions – hardware, software and infrastructure July 8, 2014Negotiate pricing with vendor and purchase equipment July 15, 2014Redesign business processes July 15, 2014Develop and test solution August 15, 2014Develop training program and train users September 15, 2014Implement telemedicine technology (go live) October 1, 2014Post-Implementation support October 31, 2014Monitor and track results to ensure return on investment February 1, 2015
Assumption: Complementary IT Infrastructure project will be completed by June 1, 2014
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BUSINESS RISKS AND MITIGATIONS
Risk Risk Mitigation Strategy
Lack of acceptance of patients to use telemedicine
The project team will work with the project Physician Leader and identify ways to prepare patients for the new technology. Recommendations include Telemedicine preview day at each clinic to demonstrate the technology
Quality of network infrastructure and WiFi capabilities
The project team will closely monitor the progress of the complementary IT Infrastructure Project to ensure delivery of a strong network and WiFi capabilities
Privacy and Security concerns The project team has identified IT Security resources to join the project team
Continuity of care in EHR The project team will work with the clinics and specialty physicians to define the training necessary to provide continuity of care in the EHR
Credentialing of physicians The project team has identified ARL resources to ensure appropriate credentialing
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PROJECT ORGANIZATION
STEERING COMMITTEECamille Infante, COO *Tony Ngo, VP Ancillary ServicesClark Gable, CFOSusan Leonard, CTO
Jennifer Cavallaro, MD, CMIO **Lynette Seid, VP FacilitiesVivian Leigh, CIO
PROJECT TEAMLynette Seid, Lead Project ManagerRaj Sidana, IT AnalystRick Ricketts, Project Manager IChristine Stern, Training and DevIT Infrastructure (as needed)IT Communications (as needed)IT Security (as needed)IT Network (as needed)
Compliance
Billing
Internal Audit
Nursing
Accreditation, Regulatory
and Licensing
Regulatory Affairs
Training and Development
Appointment Call Center
Human Resources
* Business Sponsor** Business Owner
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TRAINING SCOPE
The training programs will cover clinical, operation, business, and technical aspects of the organization.
The training plans should include: basic knowledge on telemedicine instructions on how to use the new system information on how to learn about new policies and procedures
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TRAINING TOPICS
Project Managers
Strategic Planning
Telemedicine Technologies
Managing organizational
change
Legal and regulatory
considerations
Data collection and management
reporting
Office
AdminInforming patients about
telemedicine, confidentiality and
privacy
Working with remote clinicians
Patient exams
Operating telemedicine
equipment and scopes
Collecting program data
Clinical Providers
Clinical protocols
Privacy and Security
Performing telemedicine consultations
Using the telemedicine equipment
Regulatory Issues
Technical Staff
How to apply telemedicine technologies
Telecommunications fundamentals
Knowing equipment types
Equipment maintenance
Troubleshooting
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TRAINING APPROACH
Ongoing training for new staff and refresher courses will be given to
ensure skills are adequate.
The remaining stakeholders will be trained by the cross functional
team.
Cross Functional Team/Super Users
Project managers, representatives from each department of clinical providers, operations staff, administrations, and technical staff.
Vendors
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FOR YOUR CONSIDERATION
Request approval for telemedicine projectThe Telemedicine Project meets all LRHS
goals:• Partners with patients and communities• Convenient appointments at local clinics• Physicians and nurses working as a team• Physician-to-Physician consultations
Increases physician productivityProject budget: $485,394Project timeline: start 6/1/14 - go live
10/1/14Project sponsor: Camille Infante, COO
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Questions?
TELEMEDICINE PROJECT