a commitment to serving rural communities with many facilities
operating in remote areas. To address the obstacles that stand in
the way of consistent mental health services, Deer Oaks enhanced
their care model by implementing telemedicine as a complement
to on-site services, for both Gero-Psychology and Gero-Psychiatry.
Partnering with leading telemedicine software provider SnapMD,
Deer Oaks extended their care offering virtually via the Patient-
Presenter Workflow to allow on-site general medical staff to
“present” patients requiring care to physicians for treatment.
All of which meet Medicare/Medicaid requirements addressing
rurality, multi-language requirements, and more efficient allocation
of higher-end resources and specialists. In implementing
telemedicine for behavioral health, Deer Oaks designed and
deployed a telemedicine program within reimbursement operating
margins, selected/configured scalable platform/hardware,
overcame cultural/communication barriers towards telemedicine,
and changed traditional treatment delivery to embrace healthcare
IT while employing cross entity partnerships of onsite and remote
healthcare staff. By providing distant provider services as a
complement to on-site care, Deer Oaks can now fully meet the
needs of long-term care patients wherever they may be. Care
teams also found no limitations of telemedicine, which increased
patient and facility satisfaction.
23) Expanding MAT on the Mountain
Jennifer Pierce BBA 1 , Sunshine Coffman MA 1 , Rose Planteen MPH,
CPhT 1 , Sara Gibson MD 1 , Ryan Kivela MA 1 , Lauren Lauder MSW,
MBA, LISAC 2
1
Health Choice Integrated Care (HCIC), 2 Southwest Behavioral &
Health Services
Background: Health Choice Integrated Care (HCIC) partnered
with Project ECHO® to launch a tele-mentoring program
for Northern Arizona’s physical and behavioral healthcare
practitioners. Project ECHO (Extension for Community
Healthcare Outcomes) is a hub and spoke model of knowledge-
sharing in which a group of specialists and remote clinics meet
via video conferencing on a regular basis to present didactics
and cases.
Methods: In March 2018, HCIC introduced Mountain ECHO,
a community collaborative specific to Northern Arizona that
offers training and support to multidisciplinary healthcare
professionals serving individuals diagnosed with opioid use
disorder (OUD). The project is funded by the State Targeted
Response grant from SAMHSA and administered through
AHCCCS. The goal of Mountain ECHO is to increase access to
medication assisted treatment (MAT), the evidence-based best
practice for treating OUD.
Results: As of the end of May 2018, six sessions have been
completed. Attendance ranged from 25 to 39 participants,
excluding the hub team. A survey is sent after each session
asking about session satisfaction, use of time, the lecture,
the case presentation, likelihood of ongoing attendance,
and impacts on change in practice. Each survey yielded a
50 percent or greater response rate. The feedback has been
overwhelmingly positive. We received over 3.5 on a 4-point
scale for overall satisfaction, good use of time, and brief
lecture survey results. When asked if the case was useful for
the attendees we received above a 3.4 on a 4-point scale. We
received 100 percent positive responses that the participant will
attend in the future.
Conclusion: Our first ECHO clinic is scheduled to end August
20 th , 2018. Based on the positive reaction and successful impact
we have enough demand to start again in October 2018.
24) Technical Innovations to Deliver State-
Wide Oncology Lectures in North Carolina
Jon Powell, PhD
UNC Cancer Network, UNC Lineberger Comprehensive Cancer
Center; UNC School of Medicine; the University of North Carolina
at Chapel Hill
The UNC Cancer Network is a part of The Lineberger
Comprehensive Cancer Center and the UNC School of
Medicine. As a part of our non-profit’s mission to reduce
cancer morbidity and mortality in North Carolina, we provide
approximately twenty-four live and self-paced oncology
lectures each year. These lectures reach a live audience of
clinicians across our state, and we award, CME, CNE, and ASRT
credit. Our schedule is available at http://www.unccn.org/
live. All lectures are also made available on-demand for free
continuing education credits via our Online Learning Portal
at https://learn.unccn.org/. Over the years, our service has
evolved from one that exclusively utilized Polycom and Cisco
video conferencing systems for live lectures, to a much more
accommodating approach that uses Zoom in coordination
with video conferencing systems and Mediasite to deliver live
lectures via Zoom Webinar, H.323, SIP and a live stream. Poll
Everywhere is utilized across all video delivery mechanisms to
provide interactive polling and Q&A throughout our lectures.
For Zoom Webinar participants, to-the-minute participation
is tracked to provide attendance accountability. In late 2017
we introduced an in-house developed, WordPress-based LMS
to provide access to our recorded content. This system allows
registered users to view our Mediasite-recorded content and
receive online, continuing education certificates (provided
a proficient score is achieved in an online assessment). Our
group relies heavily on our non-profit access to Salesforce for
managing customer records, site details, customer outreach,
bulk emailing, equipment inventory, internal knowledge-based
articles, support case management, project management, and
much more. Having a fine-tuned CRM allows our small team to
maintain detailed and relevant records in order to continually
expand our reach. We look forward to attending SPS in October
Telemedicine Telehealth Service Provider Summit
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