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tion had no claims history of further dermatology in-person office visits. More than 80% of skin conditions treated by DD were found to have improved at the patients’ follow-up visit. Patients obtained a diagnosis and treatment within two business days by a DD consultation initiated through their PCP. Patients who went directly to a dermatologist for an office visit had an average wait of more than 90 days for an appointment. Conclusion: DirectDerm offers unparalleled access to comprehensive, high quality, cost-effective care for integrated health systems and the populations they serve. 16. Realizing Value with Telehealth in Chronic Condition Management (CCM) Programs Monica Leslie, MHA and Rehan Virani Schumacher Clinical Partners Background: Chronic conditions represent more than 80% of all health care spending. Telehealth is an effective tool for chronic condition management (CCM), but reimbursement on a volume basis is halting organizations from taking steps toward adoption. Methods: We've conducted a thorough analysis of industry research and performed interviews with successful programs to create a body of research and tools that help organizations see the benefits of focusing on value over volume. We compare and draw conclusions on value of CCM programs with and without telehealth. Results: Organizations that use telehealth to manage chronic populations will see an estimated 50-60% more value created over those that do not. Conclusions: Benefits that produce that value include revenue from the Medicare CCM program, cost avoidance opportunities from avoiding admissions and readmissions, as well as cost savings opportunities from shifting to more appropriate care settings and appropriate use of clinical resources. tering Pregnancy program with maternal fetal telemedicine. They focused on low income African American birth outcomes as Georgia ranks 50/50 for maternal death and 42/50 for infant mortality. Centering pregnancy is a model of group pregnancy care for women who are due the same month. Patients have a monthly health department OB visit and Women’s Telehealth provides long distance patient education at four critical times: antenatal testing, the 18-20 week ultrasound, the 26-28 week gestational diabetic screening visit, and the last trimester for pregnancy complications. Patients with high risk indications get a maternal fetal telehealth consult. The partnership has achieved national acclaim and astounding patient outcomes. Methods: Strategies that facilitated these results include:  Innovative joint program creation  Focusing on health districts with existing women’s programs  Both organizations having physician “champions” and committed leadership  Georgia Medicaid reimbursing for telemedicine  Both entities willing to “pilot” a new program for an extended period Results: Over three years, a total of 524 MFM telemedicine encounters and education sessions were completed. Within the first 18 months, the preterm labor rate dropped from 18.2% to 8% in the targeted “at risk” population that is 86% African American (below the national average of 12.1%.) The program has saved GA Medicaid an estimated $4.3-$6.7 million dollars. Conclusion: This model has been effective for low income patients who have childcare, travel, IT access at home and cost barriers. Early high risk identification and patient compliance has been significantly improved. The success, format and program expansion has demonstrated that this model can be replicated in other areas with high risk OB populations. 18. Implementing Maternal Fetal Telemedicine into an Urban Obstetric OB Practice Tanya Mack and C. Anne Patterson, MD 17. Using Maternal Fetal Telemedicine to Decrease Preterm Labor Birth Rates in High Risk Areas Tanya Mack and C. Anne Patterson, MD Women’s Telehealth Background: To bring specialized maternal fetal medicine to underserved areas of Georgia, Women’s Telehealth and the Southwest District DCH office (serving 14 counties) created a first-of-its-kind public-private partnership to integrate a Cen- Women’s Telehealth Background: Although telemedicine has extended subspecialty access for many years, maternal fetal telemedicine physicians are rare and most often practice in large healthcare institutions. Studies show that telehealth use can mitigate complications of high risk pregnancy and reduce costs. Imagine what might happen if obstetricians could offer MFM services directly in their offices! In 2014, Intown Midwifery, an Atlanta-based, independent obstetric practice delivering > 500 births/year, and Women’s Telehealth, a maternal fetal 38 | Page