Using technology to bridge a geographic divide and build a network JAC DAVIES, MS, MPH

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1 Using technology to bridge a geographic divide and build a network JAC DAVIES, MS, MPH

2 Critical access hospital network (CAHN) Established in 2002 with HRSA Network Development Grant Program. Has grown to 15 members: 14 CAHs 13 PHDs Located in 10 highly rural counties Organized as a 501c3 with a Board of Directors comprised of Member CEOs.

3 CAHN Mission and vision Mission: To share resources and collectively support rural health systems to develop integrated models of care. Vision: To collectively contract for and support cost effective high quality population health services in rural communities through the development of individual community capacity and innovative partnerships.

4 Strategic priorities Leadership The CEO of each CAHN member fully commits to leading the transition from volume-based to value-based health care. Partnerships Each CAHN member participates in its local Accountable Community of Health-like (ACH-like) organization and has in place clear definitions of accountability to that partnership. Care Management Each CAHN member provides the right care, at the right place, at the right time.

5 Strategic priorities Information Management Each CAHN member provides accurate, timely and relevant data in support of both its own operations and the work of the NWRHN as a whole. Operational Efficiencies and Quality Each CAHN member documents improved quality of care and decreased cost per patient individually and as part of the CAHN as a whole.

6 IMMEDIATE OPPORTUNITIES Increasing availability of behavioral health services Collaborating to define common requirements, investigate options and collectively implement solutions Increasing capacity for and use of core metric measurement and reporting Identifying and tracking common metrics across network members Identifying specific measurement needs of individual network members and developing common solutions

7 Immediate opportunities Promoting communication and collaboration among members Supporting peer learning by facilitating peer networking Identifying common challenges and opportunities Organizing collective action

8 How? Technology is critical for bridging members of a widespread network Website enables communication and resource sharing Videoconferencing promotes relationships Technology is also critical for implementing collective solutions Telehealth allows providers to see patients across multiple rural locations Coordinated scheduling supports optimal use of staff and patient time Shared quality metrics enable tracking of outcomes

9 A new network Critical Access Hospital Network is now the Northwest Rural Health Network

10 Thank you nwrhn.org

11 Leverage Technology To Improve Access Tammy Arndt, Director Northwest TeleHealth

12 New Opportunities Legislative Regulatory Technology Cultural

13 Use of Video-Technology in Healthcare

14 Technology Can Only Be As Effective As The People Using It Unified Process Policies Procedures Corporate Adoption Administration Providers / Staff IT Reliable Tools Adaptable Application

15 Identify Goals and Process

16 Program Considerations Telemedicine service must satisfy a need at the rural site where patient is located Determine if telemedicine is a good fit for your organization Complementary to what you already offer Adapts to existing work flow Fits within corporate mission Provider & patient adoption Reimbursement

17 Program Development and Implementation Telemedicine Technology Assessment and Integration Business Agreements Policy/Procedures Staff Training Workflow Assessment Unified Delivery Platform

18 Implement appropriate technology based on telemedicine services needed.

19 Choosing the Right Solution

20 Value of VC Networks Shared Resources Infrastructure Platform Support

21 Those who have learned to collaborate and improvise most effectively have prevailed Charles Darwin