Presented at the 2014 Border to Border Broadband: A Call to Action conference in St Paul MN

1. BROADBAND HEALTHCARE
APPLICATIONS:
TELEMEDICINE
Jenelle O’Donnell, Telemedicine
Coordinator

2. About Winona Health


Nonprofit healthcare provider
Winona Health is governed by a
board of community volunteers
who adopts governance policies
and practices to guide the
organization’s fulfillment of its
mission:

to improve the health and wellbeing of the community and the
patients it serves.
Winona Health has:
-More than 60 physicians and associate
providers
-13 specialties
-More than 1,100 employees
-More than 400 volunteers
-99-bed hospital
-140-bed nursing home
-60-apartment assisted living community
-20-apartment assisted living community
for memory care

3. Starting Our Telemedicine
Adventure…

Federal Beacon Grant



Wanted to focus our start on Primary Care


Awarded in 2011
Started Telemedicine visits in August 2012
With the intension to progress to specialty care
Partnered with local broadband operator

Hiawatha Broadband Corporation-Winona, MN

4. What is Telemedicine?

5. Winona Health’s definition:
Telemedicine:
A professional medical appointment
between a patient and a Provider
through interactive video conference.
Telehealth:
The delivery of health related services
and patient information via
telecommunication technologies.
Example: sending an x-ray or
collecting vital signs for the ability to
monitor patients at home.

6. Other Broadband Uses…

7. Who is involved to make this
work?

8. What types of locations are
connected?

9. What departments/services are
offered?

10. Key Uses of Telemedicine

11. Positive Outcomes
Just as it takes
a village to
raise a child,
there is a
sense here
that it takes a
community to
keep one
healthy.

12. Benefits of Telemedicine







Increasing access to healthcare by providing an
alternative way to connect with a provider
Saving time
Efficient
Quality and clarity-both video and appointment
Opportunity to invite remote family members to
appointments or care conferences
Costs the same as a face to face clinic visit and most
insurance companies now pay for Telemedicine
Significant cost savings

Ambulance transports and ED visits

13. More Benefits of Telemedicine…

Saves travel for both patients and providers





Especially if they have mobility issues
Reduce re-admission to the hospital
Flexibility of the system
Improve patients’ overall health status and
quality of life in a manner that is convenient for
the patient and creates a meaningful patient
experience
**Create a cost-effective model for health care
delivery

14. Barriers to Telemedicine

Connectivity to rural areas ex. Home Care


Credentialing and Privileging of providers



Limits the use of this technology & reduces
access to patients in need of care
Licensure in every state in which they see
patients
Credentialed at every building where patients are
located
Reimbursement for services or certain
providers

15. What is the future of Telemedicine
at Winona Health?
Goals and Future State of Winona Health Telemedicine

16. Closing Points

Telemedicine technology works


It’s robust and adaptable
Telemedicine is one of the solutions needed to
address the challenges in healthcare.