Challenges to Telehealth in Academic Medicine

Alex NasonProgram Director

Office of Telehealth and Interactive Learning

Historic Billings Building

New Clinical Building

Expanding Our Global Presence

IT @ JHM - Critical Juncture

• ‘Entity centric’ to ‘Patient centered’

• Single tightly integrated solution

• Patient centered care requires coordination of care across JHM

• Enable operational efficiencies, cost controls, and productivity

• Achieve quality and patient safety well beyond meaningful use

• Requires careful TCO and ROI analysis

• Require redesign of care

The Origins of JHM

ResearchClinical Care

Education

Consumerism in Health

Challenges

• Human Factors and Culture

• Acceptance by Physicians/Patients/Users

• IT Department

• BYOD/Security

• Reimbursement

• Costs

• License / Regulatory

• Evaluation and Research

Challenges

• Business Planning – Sustainability

• Training

• Communication

• Cultural Considerations

• Environment

• Local Legal Issues

• Time Zones (DST)

Real World Problems

• Acute Care Response

• Stroke

• Chronic Disease Management

• Diabetes, Obesity, CHF

• Physician Shortages

• i.e. Intensivists

• Global Issues

• Pandemic Flu

• SARS

• Hurricane Katrina - Asian Earthquake

• Bio-terrorism

• Global Economics

Things to Consider

• Social Networks / Social Media

• Wisdom of Crowds

• Education / Training

• Security/Theft

• Accountable Care Organizations

• Patient Protection and Affordable Care Act

• Research….Research…Research

• Clear question

• Documented approach

• Efforts to ensure VALIDITY

A Whole New Mind – Daniel Pink

Right Brain• Holistic• Intuitive• Non-Linear

Left Brain• Sequential• Logical• Textual