New Possibilities !

Women’s Telehealth: Who We Are and What We Do Mission: “ Mission: “ To bring scarce high risk maternal fetal medicine services to rural To bring scarce high risk maternal fetal medicine services to rural

Georgia and to other underserved areas via telemedicine”Georgia and to other underserved areas via telemedicine”

Hosting station based in Atlanta but with experience in rural GAHosting station based in Atlanta but with experience in rural GA

Services: Ultrasound via teleradiology (store and forward and real time)Services: Ultrasound via teleradiology (store and forward and real time) Maternal-Fetal consultation (scheduled and urgent)Maternal-Fetal consultation (scheduled and urgent) Remote “Grand Round” access for MFM input, transfer of care Remote “Grand Round” access for MFM input, transfer of care

assistassist Specialty high risk “clinics” for HTN, Gestational DM, fetal echoSpecialty high risk “clinics” for HTN, Gestational DM, fetal echo Remote long distance learning for U/S techs, OB’s for telemedRemote long distance learning for U/S techs, OB’s for telemed Adding genetic counseling in near futureAdding genetic counseling in near future

PRO’s: PRO’s: Access to MFM in rural area, decreased expense and time, pt. managed Access to MFM in rural area, decreased expense and time, pt. managed

in their home community frequentlyin their home community frequently

CHALLENGES: CHALLENGES: Connectivity, telemedicine adoption, license/credentialing Connectivity, telemedicine adoption, license/credentialing issues issues

Our Results So Far…… Completed hundreds of MFM telemedicine encounters since 2/2011 via store and forward, Completed hundreds of MFM telemedicine encounters since 2/2011 via store and forward, MFM consults, urgent MFM visits MFM consults, urgent MFM visits

Provides scarce MFM resource to rural Georgia pregnant women. Nationally, 70M Provides scarce MFM resource to rural Georgia pregnant women. Nationally, 70M Americans live in rural areas, estimated 34M are women and children. Americans live in rural areas, estimated 34M are women and children.

Often, high risk OB patients can be managed in their own community vs. transport or > 2 hrs Often, high risk OB patients can be managed in their own community vs. transport or > 2 hrs travel to closest MFM resource located in a larger citytravel to closest MFM resource located in a larger city

Three way OB bridged consult in rural GA for fetal anomalyThree way OB bridged consult in rural GA for fetal anomaly MFM via telehealth and Pediatric Cardiologist at Children’s Healthcare in ATLMFM via telehealth and Pediatric Cardiologist at Children’s Healthcare in ATL

- Fetal heart anomaly was managed entire pregnancy remotely with travel to ATL- Fetal heart anomaly was managed entire pregnancy remotely with travel to ATL - Patient maintained in home community by primary OB - Patient maintained in home community by primary OB

- Pt. delivery in local community with infant cardiac follow up in Tifton- Pt. delivery in local community with infant cardiac follow up in Tifton

Invited to speak at national ATA meeting in April 2012. Named one of TAG’s Health Invited to speak at national ATA meeting in April 2012. Named one of TAG’s Health Innovation company’s of the yearInnovation company’s of the year

New Possibilities !