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Empowering eTexas Healthcare: Next-Gen HIT & Telemedicine Roadmap

Explore insights into the State of Texas healthcare costs and factors influencing them, along with the action plan involving HIT and telemedicine. Discover the role of SHCC and its Technology Committee in enhancing institutional healthcare delivery through technology advancements.

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Empowering eTexas Healthcare: Next-Gen HIT & Telemedicine Roadmap

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  1. Developing the Next Generation Roadmap for HIT & Telemedicine to a Healthy eTexas Sponsored by: Statewide Health Coordinating Council (SHCC) & Texas Public Health Association Technology Committee Presenter: Janie M. Gonzalez, SHCC Public Member Date: February 19, 2010

  2. State of Texas Healthcare Costs • In the 1998 fiscal year, Texas spent 40% of the state’s budget on Health and Human Services (HSS) • The largest portion of the Texas state budget is allocated to HHS • HSS spending exceeds the state’s educational costs

  3. Factors contributing to HSS Costs • Aging population • Obesity-related illnesses • Prison population • Disease threats • Emergency room costs • Health professional shortage

  4. Bottom Line • Texas recognizes a need for aggressive governance and fresh solutions to healthcare issues that also address the rising costs of healthcare

  5. State of Texas Action Plan • Government efforts in place to widen the use of Health Information Technology (HIT) • HIT and telemedicine have social and economical benefits • HIT converges the Internet with health networks • HIT broadens healthcare access and improves health outcomes

  6. Statewide Health Coordinating Council (SHCC) • Examines ways Health Information Technology (HIT) and Telemedicine (TM) enhances the efficiency and quality of institutional healthcare • Improves the delivery of medical treatment and collaborative efforts among health professionals and support staff

  7. SHCC Technology Committee • Composed of various members of Texas from diverse backgrounds • Representative of • Small and large employers • Hospitals • Health policy experts • Community leaders • Business leaders

  8. SHCC Technology Committee Purpose of the Committee: • Reviews healthcare and technology data • Identifies and assesses the use of policies, tools and technology in Texas • Makes recommendation to policymakers

  9. Telemedicine and Telehealth Programs in Action • Two-thirds of healthcare organizations use telehealth for clinical or non-clinical purposes, according to a 2009 Healthcare Intelligence Network Suvey (Donovan 2010)

  10. Telemedicine Case Study • This video describes the computer charting and Telemedicine technology that is being used in the Los Angeles County Sheriff's Medical Services Unit. • Copy/Paste link to a Internet Browser to view Telemedicine Case Study on YouTube.com: http://www.youtube.com/watch?v=_I0_fut2H8U

  11. Finds of the Technology Committee (1) • Investment in training for the use of Telemedicine is critical to its success of HIT • HIT is essential for establishing the ability to track Telemedicine utilization

  12. Finds of the Technology Committee (2) • Texas telemedicine legislation currently addresses the participation of various health providers, including physicians, dentists, chiropractors, nurses, and other health professionals. • Telemedicine holds the potential for the greatest economical impact on the rising health costs during century in the State of Texas.

  13. Recommendations (1) • Enhance the efficiency and quality of institutional healthcare thereby improving the delivery of medical treatment and collaborative efforts through the HIT. • Provide training incentives to healthcare providers, clinical trainees, and students in health-related fields’ reimbursement up to 50% of their training costs.

  14. Recommendations (2) • Expand the market for telemedicine with a national licensure system to reduce health care costs, increase accessibility, and eliminate many of the legal and regulatory ambiguities that constrain the present system. • Provide healthcare providers with reimbursements for a wider range of covered medical services • Promote the use and development of new technologies to enhance health

  15. Recommendations (3) • Enhance and strengthen public and private partnerships to include regional strategic mapping of staff and services between organizations improve recourse allocation, trim numerous costs, and avoid service duplication. • Identify reform regulatory barriers, and amend laws to accommodate expansion of telehealth modalities.

  16. Conclusion (1) • There is a need and an interest in developing collaborations among telehealth stakeholders, including patients, patient communities, research funders, researchers, healthcare services providers, professional societies, industry, healthcare management/economists, and healthcare policy makers • Critical components of TM/HIT include the development, marketing, adoption, and implementation of these tools and technologies, communication, training, cultural sensitivity, and end-user customization

  17. Conclusion (2) • Next generation tools and technologies are vehicles toward personalized medicine, extending the telemedicine model to include cell phones and Internet-based telecommunications tools for remote and home health management with video assessment, remote bedside monitoring, and patient-specific care tools with event logs, patient electronic profile, and physician note-writing capability. Telehealth is ultimately a system of systems in scale and complexity.

  18. Conclusion (3) • To cover the full spectrum of dynamic and evolving needs of end-users, we must appreciate system complexity as telehealth moves toward increasing functionality, integration, interoperability, outreach, and quality of service.

  19. Acknowledgements SHCC Technology Committee: • Janie Martinez Gonzalez, Public Member • Stephen Palmer, Office of e-Health Coordination HHSC • Dr. Alex Vo, Executive Director of AT&T Telemedicine • Tom Valentine, HHSC • Don Henderson, DADS • Elizabeth Sjoberg, JD, THA

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