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© American Telemedicine Association
© American Telemedicine Association
Telemedicine Today
Jonathan D. Linkous, CEO
American Telemedicine
Association
© American Telemedicine Association
NAME GAMES
Telemedicine
Telehealth
E-Health Telecare
Remote Medicine
m-Health
© American Telemedicine Association
A COUPLE OF HELPFUL
DISTINCTIONS
HIT and Informatics
Telemedicine
© American Telemedicine Association
Focused on support
systems
• Electronic Records
• E-Prescribing
• Management
Information Systems
• Electronic Payments
HIT AND INFORMATICS
© American Telemedicine Association
Focused on patient
care
• Telehealth
• Mobile Health
(mHealth)
• Remote Monitoring
• Outsourced
Specialty Services
TELEMEDICINE
© American Telemedicine Association
© American Telemedicine Association
WORLDWIDE DRIVERS FOR
TELEMEDICINE
• Accelerating demands and costs
• Shortages of health professionals
• Global public health concerns
© American Telemedicine Association
Kathleen Casey-Kirschling
January 1, 1946, 12:00:01 am
© American Telemedicine Association
694,000
1,078,000
384,000
32,000,000
© American Telemedicine Association
© American Telemedicine Association
TSUNAMI OF CHRONIC ILLNESS
“Frequent Flyers”
•5-10 percent of admissions, 1 percent of
users
•22 percent of costs
•Primary chronic conditions:
cardiac/COPD/mental health/diabetes
© American Telemedicine Association
COST OF CHRONIC CONDITIONS
10
© American Telemedicine Association
© American Telemedicine Association
Country 2000 2050
World 10.0% 21.4%
China 6.9% 22.7%
Germany 23.2% 34.5%
United States 16.1% 25.5%
POPULATION > 60 YEARS
© American Telemedicine Association
© American Telemedicine Association
© American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE
© American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE
Boston Logan Airport to Massachusetts General
Hospital 1967
© American Telemedicine Association
© American Telemedicine Association
HISTORY OF TELEMEDICINE
STARPAHC – On the Papago Indian Reservation
1975
© American Telemedicine Association
TELEMEDICINE
CIRCA 2005
© American Telemedicine Association
HOSPITAL HUB-AND SPOKE
NETWORKS
200
networks
3,000+
sites
© American Telemedicine Association
© American Telemedicine Association
ARIZONA
TELEMEDICINE
PROGRAM
© American Telemedicine Association
© American Telemedicine Association
TELEMEDICINE SERVICES
Outsourced services –
teleradiology, neurology,
mental health
Service contracts -
prisons, oil rigs,
ships, international
© American Telemedicine Association
© American Telemedicine Association
TEXAS
PRISON
HEALTH
MEDICAL
NETWORK
© American Telemedicine Association
© American Telemedicine Association
© American Telemedicine Association
VETERANS
ADMINISTRATION
© American Telemedicine Association
© American Telemedicine Association
EMERGENCY SERVICES
AND DISASTER RESPONSE
© American Telemedicine Association
CONTINUING MEDICAL
EDUCATION
© American Telemedicine Association
TELEMEDICINE
CIRCA 2013
© American Telemedicine Association
BIG MED
© American Telemedicine Association
• Abdominal
Radiology
• Angiography and
Interventional
Radiology
• Body Imaging
• Breast Imaging
• Cardiovascular
Radiology
• Chest Radiology
• Diagnostic
Radiology
• Emergency
Radiology
• Gastrointestinal
Radiology
• Genitourinary
Radiology
• Head and Neck
Radiology
• Interventional
• Mammography
• MRI Radiology
• Musculoskeletal
• Neuroradiology
• Nuclear Medicine
• Nuclear
Radiology
• Pediatrics
• Radiation
Oncology
• Teleradiology
• Thoracic
• Ultrasound
• Vascular and
Interventional
Radiology
© American Telemedicine Association
OUTSOURCED AND SHARED
SPECIALTY SERVICES
© American Telemedicine Association
ONLINE SERVICES AND
CONSUMER HEALTH APPS
© American Telemedicine Association
ADVANCED TECHNOLOGIES
Robotics
Remote
Surgery
Live Monitoring via
Cell Phones
© American Telemedicine Association
© American Telemedicine Association
PATIENTS SERVED BY TELEMEDICINE 2012
North America data
© American Telemedicine Association
© American Telemedicine Association
PATIENTS SERVED (2012)
Civilian Network Consults
Federal Network Consults
Remote Monitoring
Implanted Devices
Cardiac Monitoring
Internet-Pharmacy Services
Internet Clinical Consults
Teleradiology
Outsourced Specialists
© American Telemedicine Association
1. Historic resistance to change
2. Lack of consistent adoption and
integration pathways
3. Changing service delivery
models and payment coverage
ADOPTION ISSUES
© American Telemedicine Association
© American Telemedicine Association
RESISTANCE TO CHANGE
Discovery to implementation in medicine = 15 years
TIME
Rate
of
Change
Society
Business
Technology
Healthcare
© American Telemedicine Association
WHAT ATA DOES
© American Telemedicine Association
© American Telemedicine Association
ROAD MAPS FOR ADOPTION
AND INTEGRATION
© American Telemedicine Association
© American Telemedicine Association
ATA PRACTICE GUIDELINES
Goal
Quality
Assurance for
Payers, Public,
Policy Leaders
© American Telemedicine Association
Technical
Clinical Business
ATA PRACTICE GUIDELINES
© American Telemedicine Association
© American Telemedicine Association
COLLABORATIONS
© American Telemedicine Association
© American Telemedicine Association
OTHER ATA ACTIVITIES
Member Networks
Meetings and
Education
© American Telemedicine Association
© American Telemedicine Association
Identifying and
Translating
Market Changes
Consulting with
Policy Leaders
OTHER ATA ACTIVITIES
© American Telemedicine Association
© American Telemedicine Association
• 600 Scientific Presentations
• 200,000 Square Feet of Exhibits
• 6,000 Attendees
The World's Largest Telemedicine, Telehealth &
mHealth Trade Show
ATA 2013 - 18th Annual International Meeting & Trade
Show
May 5-7, 2013 in Austin, TX
www.ATA2013.org
© American Telemedicine Association
© American Telemedicine Association
www.americantelemed.org
1100 Connecticut Avenue, Suite 540
Washington, DC 20036

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Linkous-ATA-Feb-13-2013.ppt

  • 1. © American Telemedicine Association © American Telemedicine Association Telemedicine Today Jonathan D. Linkous, CEO American Telemedicine Association
  • 2. © American Telemedicine Association NAME GAMES Telemedicine Telehealth E-Health Telecare Remote Medicine m-Health
  • 3. © American Telemedicine Association A COUPLE OF HELPFUL DISTINCTIONS HIT and Informatics Telemedicine
  • 4. © American Telemedicine Association Focused on support systems • Electronic Records • E-Prescribing • Management Information Systems • Electronic Payments HIT AND INFORMATICS
  • 5. © American Telemedicine Association Focused on patient care • Telehealth • Mobile Health (mHealth) • Remote Monitoring • Outsourced Specialty Services TELEMEDICINE
  • 6. © American Telemedicine Association © American Telemedicine Association WORLDWIDE DRIVERS FOR TELEMEDICINE • Accelerating demands and costs • Shortages of health professionals • Global public health concerns
  • 7. © American Telemedicine Association Kathleen Casey-Kirschling January 1, 1946, 12:00:01 am
  • 8. © American Telemedicine Association 694,000 1,078,000 384,000 32,000,000
  • 9. © American Telemedicine Association © American Telemedicine Association TSUNAMI OF CHRONIC ILLNESS “Frequent Flyers” •5-10 percent of admissions, 1 percent of users •22 percent of costs •Primary chronic conditions: cardiac/COPD/mental health/diabetes
  • 10. © American Telemedicine Association COST OF CHRONIC CONDITIONS 10
  • 11. © American Telemedicine Association © American Telemedicine Association Country 2000 2050 World 10.0% 21.4% China 6.9% 22.7% Germany 23.2% 34.5% United States 16.1% 25.5% POPULATION > 60 YEARS
  • 12. © American Telemedicine Association © American Telemedicine Association
  • 13. © American Telemedicine Association © American Telemedicine Association HISTORY OF TELEMEDICINE
  • 14. © American Telemedicine Association © American Telemedicine Association HISTORY OF TELEMEDICINE Boston Logan Airport to Massachusetts General Hospital 1967
  • 15. © American Telemedicine Association © American Telemedicine Association HISTORY OF TELEMEDICINE STARPAHC – On the Papago Indian Reservation 1975
  • 16. © American Telemedicine Association TELEMEDICINE CIRCA 2005
  • 17. © American Telemedicine Association HOSPITAL HUB-AND SPOKE NETWORKS 200 networks 3,000+ sites
  • 18. © American Telemedicine Association © American Telemedicine Association ARIZONA TELEMEDICINE PROGRAM © American Telemedicine Association
  • 19. © American Telemedicine Association TELEMEDICINE SERVICES Outsourced services – teleradiology, neurology, mental health Service contracts - prisons, oil rigs, ships, international
  • 20. © American Telemedicine Association © American Telemedicine Association TEXAS PRISON HEALTH MEDICAL NETWORK © American Telemedicine Association
  • 21. © American Telemedicine Association © American Telemedicine Association VETERANS ADMINISTRATION © American Telemedicine Association
  • 22. © American Telemedicine Association EMERGENCY SERVICES AND DISASTER RESPONSE
  • 23. © American Telemedicine Association CONTINUING MEDICAL EDUCATION
  • 24. © American Telemedicine Association TELEMEDICINE CIRCA 2013
  • 25. © American Telemedicine Association BIG MED
  • 26. © American Telemedicine Association • Abdominal Radiology • Angiography and Interventional Radiology • Body Imaging • Breast Imaging • Cardiovascular Radiology • Chest Radiology • Diagnostic Radiology • Emergency Radiology • Gastrointestinal Radiology • Genitourinary Radiology • Head and Neck Radiology • Interventional • Mammography • MRI Radiology • Musculoskeletal • Neuroradiology • Nuclear Medicine • Nuclear Radiology • Pediatrics • Radiation Oncology • Teleradiology • Thoracic • Ultrasound • Vascular and Interventional Radiology
  • 27. © American Telemedicine Association OUTSOURCED AND SHARED SPECIALTY SERVICES
  • 28. © American Telemedicine Association ONLINE SERVICES AND CONSUMER HEALTH APPS
  • 29. © American Telemedicine Association ADVANCED TECHNOLOGIES Robotics Remote Surgery Live Monitoring via Cell Phones
  • 30. © American Telemedicine Association © American Telemedicine Association PATIENTS SERVED BY TELEMEDICINE 2012 North America data
  • 31. © American Telemedicine Association © American Telemedicine Association PATIENTS SERVED (2012) Civilian Network Consults Federal Network Consults Remote Monitoring Implanted Devices Cardiac Monitoring Internet-Pharmacy Services Internet Clinical Consults Teleradiology Outsourced Specialists
  • 32. © American Telemedicine Association 1. Historic resistance to change 2. Lack of consistent adoption and integration pathways 3. Changing service delivery models and payment coverage ADOPTION ISSUES
  • 33. © American Telemedicine Association © American Telemedicine Association RESISTANCE TO CHANGE Discovery to implementation in medicine = 15 years TIME Rate of Change Society Business Technology Healthcare
  • 34. © American Telemedicine Association WHAT ATA DOES
  • 35. © American Telemedicine Association © American Telemedicine Association ROAD MAPS FOR ADOPTION AND INTEGRATION
  • 36. © American Telemedicine Association © American Telemedicine Association ATA PRACTICE GUIDELINES Goal Quality Assurance for Payers, Public, Policy Leaders
  • 37. © American Telemedicine Association Technical Clinical Business ATA PRACTICE GUIDELINES
  • 38. © American Telemedicine Association © American Telemedicine Association COLLABORATIONS
  • 39. © American Telemedicine Association © American Telemedicine Association OTHER ATA ACTIVITIES Member Networks Meetings and Education
  • 40. © American Telemedicine Association © American Telemedicine Association Identifying and Translating Market Changes Consulting with Policy Leaders OTHER ATA ACTIVITIES
  • 41. © American Telemedicine Association © American Telemedicine Association • 600 Scientific Presentations • 200,000 Square Feet of Exhibits • 6,000 Attendees The World's Largest Telemedicine, Telehealth & mHealth Trade Show ATA 2013 - 18th Annual International Meeting & Trade Show May 5-7, 2013 in Austin, TX www.ATA2013.org
  • 42. © American Telemedicine Association © American Telemedicine Association www.americantelemed.org 1100 Connecticut Avenue, Suite 540 Washington, DC 20036