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Professional & Continuing Studies

Session descriptions

Keynote: Perspectives on Telehealth: Opportunities and Challenges for our Nation

Karen S. Rheuban, MD
9:10 a.m. – 10:10 a.m.

Synopsis:

Telehealth has already played an influential role in mitigating many of our nation’s most significant health challenges. These include things like disparities in access to care, health care workforce shortages, and the geographic mal-distribution of providers. Success stories abound regarding how telehealth has been used to improve clinical outcomes, reduce the burden of travel for care, fosters more timely access to care, facilitate greater patient engagement and lower the cost of care. As our health system moves from volume-based to value-based care, even greater opportunities exist for telehealth to support an integrated systems approach focused on disease prevention, enhanced wellness, chronic disease management, decision support, improved efficiency, quality and patient safety. In spite of significant gains in the adoption of telehealth into mainstream practice over the past decade, in order to fully realize the potential for telehealth in all these areas, there still exists a number of challenges that need to be overcome.

Learning objectives:

  • To increase awareness of telehealth and telehealth successes.
  • To stimulate thought on the roles and opportunities for telehealth in furthering the Triple Aim: better care, better health and lower costs.
  • To have a better understand of the barriers and challenges that continue to thwart the widespread adoption of telehealth.
The Changing Face of Telehealth in Delaware

Secretary Rita Landgraf
10:10 a.m. – 10:30 a.m.

Learning objectives:

  • To have a better understanding of the evolution of telehealth and related policies in Delaware
  • To visualize the possibilities for the future of telehealth in Delaware
Keynote: Perspectives on Telehealth: Opportunities and Challenges for Delaware

Kathy H. Wibberly, PhD
11:00 a.m. – 12:00 p.m.

Synopsis: The Delaware Telehealth Coalition (DTC), established in 2011, has embraced the following vision: “Telehealth will be fully integrated into Delaware’s health care system so that all residents will have equitable access to affordable, world-class, patient-centered health care throughout the state.” Join us as we explore the past, present and strategic direction for telehealth in Delaware.

Learning objectives:

  • To learn about resources available to support telehealth program development and sustainability through the Mid-Atlantic Telehealth Resource Center.
  • To have a better understanding of the background and processes utilized in establishing the Delaware Telehealth Strategic Action Plan.
  • To engage in dialogue around the opportunities and challenges that exist in Delaware as we move toward the DTC vision.
Connected Care—Yesterday, Today and Tomorrow

Joseph A. Tracy, MS
1:00 p.m. – 2:00 p.m.
Synopsis: Over the last 20 years the world of connected care (i.e., telehealth, telemedicine, mHealth, eHealth) has grown and changed in many ways. This presentation will provide a look-back at where connected care has been, where it is today and where it may be tomorrow. Along this journey examples of real-world connected care services will be discussed, along with the barriers that still need to be overcome in order for connected care to become mainstream.

Learning objectives:

  • Following the presentation, the participants will be able to:
  • Define how connected care assists health care providers in delivering quality health care at a distance.
  • Discuss the current state of connected care.
  • Articulate how other health care providers are using connected care technologies.
  • Identify barriers to connected care
  • Discuss the future state of connected care.
Application of Telehealth Technologies Across Occupational Therapy Practice Areas

Tammy Richmond, MS, OTR/L, FAOTA
2:00 p.m. – 3:00 p.m.

Telehealth technologies provide opportunities to increase access to various types of Occupational Therapy services and to expand present care and delivery models through advanced telecommunications methods such as smart phones, videoconferencing software, and health and fitness apps. This break-out session will highlight current use of telehealth in populations such as aging in place, rehabilitation, early intervention/children, health and wellness.

Learning objectives:

  • Articulate current evidence-supported clinical applications of telehealth within occupational therapy
  • Identify available resources, including AOTA official documents, practice guidelines and state regulations, to ensure legal and ethical practice using telehealth technologies
  • Demonstrate case use examples of utilization of telehealth technologies across several different practice and population areas
Remote Monitoring Best Practices and Quality Outcomes

Bonnie Britton, MSN, RN, ATAF
2:00 p.m. – 3:00 p.m.

The audience will experience the health care journey of Mr. Doe to illustrate the benefits of remote patient monitoring. This presentation will examine remote monitoring best practice models of care to prevent hospital readmissions, provide chronic care management, aid in care transitions, and engage patients. Finally, we will examine financial and clinical outcomes from best practice programs.

Learning objectives

Following the presentation, the participants will be able to:

  • Understand the clinical and financial impact of care without remote monitoring for patients and health care entities.
  • Articulate Remote Monitoring Best Practice Models of Care
  • Discuss the clinical and financial outcomes for Remote Monitoring Best Practice programs.
Using Health Information Technology and Teledentistry to Improve Outcomes in Rural Federally Qualified Health Centers

Terry Yonker, RN, MS, FANP-BC
Anthony J. Mendicine Jr., DDS
2:00 p.m. – 3:00 p.m.

Finger Lakes Community Health has an innovative program that utilizes mobile services, technology, and care coordination to improve oral health outcomes for vulnerable, rural children who are at risk for early childhood caries (ECC). The goal of the program is to prevent ECC, to promote access to a dental home, and to have timely evaluation and treatment by a pediatric dentist when necessary.

Presentation Objective: To share effective oral health primary, secondary, and tertiary prevention strategies to combat early childhood caries in children from underserved rural populations

Learning outcomes:

  • To identify the barriers faced by high risk pediatric populations in accessing oral health care
  • To discuss innovative strategies that overcome barriers faced by children in accessing preventive services, evaluations, and treatment for early childhood tooth decay
  • To demonstrate the use of real time teledentistry as a method of improving access to evaluation and treatment of oral health disorders in children
  • To review the role of the patient centered dental home and its integrated team approach of using HIT, community health workers, primary care and specialty care providers to improve outcomes for children with ECC
  • To set an example of a model that can be replicated for other health centers who serve high risk, underserved populations
Speech Telepractice: Strategies for Success

Michael Towey, MA
3:10 p.m. – 4:10 p.m.

Speech therapy telepractice offers the opportunity to transform speech therapy by using the power of an interactive, content-rich, and motivating web environment that people are already using every day where they work, learn, and live (Towey, 2012c). This presentation will provide the core procedural and therapeutic competencies for successful telepractice. Video examples will demonstrate successful telepractice programming and include examples of low cost/no cost telepractice platforms and web-based treatment.

Learner objectives:

  • Participants will be able to list 3 core competencies of speech telepractice
  • Participants will define 3 clinical competencies necessary for speech therapy telepractice.
  • Participants will identify 3 critical HIPAA security features in developing policies and procedures for speech therapy telepractice.
Aging in Place—Advances in Home Remote Monitoring to Aid caregivers and patients

Bonnie Britton, MSN, RN, ATAF
3:10 p.m. -4:10 p.m.

This presentation will examine the various technologies and services which are allowing people to age in place during all stages of their senior years. The presenter will use real life examples of how technology and services were wrapped around her mother for the last 10 years of her life allowing her to not only age in place but prevented multiple emergency room visits and hospitalizations.

Learning objectives:

Following the presentation, the participants will be able to:

  • Identify age appropriate technology and services for various levels of senior care (sensors, personal response systems, self-management, tablets, apps)
  • Discuss the importance of wrap around services for seniors
Starting a Chronic Disease Telehealth Clinic: Successes and Lessons Learned

Ingrid Pretzer-Aboff, PhD, RN
3:10 p.m. – 4:10 p.m.

During this hour long session, we will discuss key components of starting the Parkinson’s Telehealth Clinic in the University of Delaware Nurse Managed Health Center. This patient-centered chronic care clinic was designed specifically for people diagnosed with Parkinson’s Disease and their families. Successes and lessons learned will be shared. This model of care can be adapted to other settings and other chronic diseases.

Learning objectives:

  • Understanding the key components to starting/maintaining a telehealth program
  • Describe data driven measures of success
  • Discuss lessons learned along the way
Using Telehealth and Health Information Technology (HIT) To Improve Outcomes In Patient Centered Medical Homes: Options and Solutions For the Present and Future

Terry Yonker, RN, MS, FANP-BC
4:10 p.m. – 5:10 p.m.

Finger Lakes Community Health in Upstate New York is a Level III PCMH which has pioneered the use of telehealth programs to improve care to underserved populations. A model of care that utilizes EMR registries, care coordination, telemedicine, teledentistry, and telehealth has significantly improved outcomes for patients with diabetes, HIV, early childhood caries, neurodevelopmental concerns, mental health disorders, and other chronic disease. Timely access to medical, dental, and behavioral subspecialists has been achieved in a cost effective and culturally competent manner.
Presentation Objective: To review the integrated clinical application of HIT and telehealth in a primary care setting in order to improve health outcomes for special populations

Learning outcomes:

  • Discuss applications of telehealth in primary care
  • Identify how telehealth provides opportunities to increase access to care
  • List ways in which telehealth has tangible and intangible cost benefits
  • Explain how telehealth programs can improve quality of care
Introduction to Telemental Health

Jay Ostrowski, MA, LPC/S, NCC, DCC, ACS
2:00 p.m. – 3:00 p.m.

  • Learning objectives: Providers will be able to describe the practical applications of telemental health, list five current practice settings, learn the major types of technologies available, discern services that are legal, ethical, HIPAA-compliant and reimbursable by third party health insurers.
  • Competencies:
    • Can name five types of TMH/TBH services and discern which ones are reimbursed
    • Has awareness of how TMH/TBH can harm clients/patients and providers
    • Has a basic understanding of technology security and privacy
    • Can describe competent telemental health/telebehavioral health services.
  • Content
    • Overview of the TMH/TBH industry and current issues (privacy, security, jurisdictions, etc)
    • Types of TMH/TBH – video, text (email, chat, text), avatar, self-help
    • Use cases/settings and opportunities for each type
    • Funding, and third party reimbursement overview
    • Overview of telemental health competencies
      • Specific knowledge related to
        • Historical context, research and problems solved by TMH/TBH
        • Industry terms for various settings and license boards
        • Laws and ethics
        • Clinical settings
        • Presentation environment
        • Appropriate technology choices
        • Privacy, security and HIPAA
        • Limitations of TMH/TBH use
        • Potential harm to clients/patients and providers
    • Awareness of specific TMH/TBH skills/Protocols
      • Using technology – secure set up, environment, presentation
      • Informed consent
      • Client orientation
      • Polices and procedures for legal and ethic use/best practices
      • Emergency service policy and procedures
Laws and Ethics in Telemental Health (TMH/TBH)

Jay Ostrowski, MA, LPC/S, NCC, DCC, ACS
3:10 p.m. – 4:10 p.m.

  • Learning objectives:
    • Providers will be able to list key legal and ethical issues in TMH/TBH and describe policies and protocols for mitigating known risks inherent to online service provision.
    • Providers will be able to describe protocols necessary for legal and ethical TMH/TBH services in both the clinic-to-clinic (CTC) and direct-to-consumer (DTC) settings.
    • Providers will develop protocols for managing client/patient crisis from a distant location.
  • Competencies:
    • Can name the specific term(s) used by the state in which they are licensed.
    • Has awareness of the laws and requirement of the jurisdiction in which they practice.
    • Has awareness of the ethical standards issues by their profession.
    • Has established work settings and protocols to ensure compliance with state laws, federal laws and professional ethics.
    • Understands jurisdiction issues and takes steps to ensure they are operating legally.
    • Is prepared to manage a remote client/patient crisis (psychosis, suicidal/homicidal ideation).
    • Assesses the suitability of the technology venue for the client at each session.
    • Can describe the best practice requirement differences between CTC and DTC service provision
  • Content:
    • Understanding licensing and jurisdiction issues, including the definition of “where are services provided.”
    • Informed consent – specific to TMH/TBH; variations by state
    • Verification of client/patient identification, age, location
    • Provider identity verification for the client
    • Emergency service preparation – Alternative communications preparation and protocol
    • Assessing the suitability and use of online service for different client populations
    • Understand how to perform legal and ethical duties in virtual context.
    • Differences and similarities between CTC and DTC
    • Documentation requirements
    • Ethical policies of the provider’s profession
    • Remote supervision best practices
    • Professional liability insurance considerations
Crisis Planning and Protocols in Telemental Health

Jay Ostrowski, MA, LPC/S, NCC, DCC, ACS
4:10 p.m. – 5:10 p.m.

  • Learning objectives:
    • Providers will be able to describe the preparation necessary to manage suicidal, homicidal and psychotic clients/patients.
    • Providers will be able to describe protocols for managing client crisis from a distant location.
  • Competencies:
    • Knows how clients/patients can be harmed by services provided through technology.
    • Takes precautions to prevent known events that can cause harm to the client/patient.
    • Has a protocol for managing client/patient crisis from a distance.
    • Has prepared for a client/patient crisis in advance.
    • Has provided the client/patient with alternative communication means in case of a technology breakdown.
    • Has established protocols to and safeguards (like encryption of data in transit) to ensure client/patient privacy.
    • Coordinates care with other professionals through secure communications.
  • Content:
    • Suicidal, homicidal and psychosis (include review ethics and laws)
    • Role play examples of managing these scenarios
    • Documentation, supervision and reporting
    • Crisis response preparation
    • Examples of response protocols
    • Alternative communications protocols
Telemental Health Roundtable

Jay Ostrowski, MA, LPC/S, NCC, DCC, ACS
5:30 p.m. – 7:30 p.m.

In this roundtable discussion, the presenter will be answering questions and discussing issues relevant to operational, staffing, legal and reimbursement related to the implementation of telemental and telebehavioral health services.

Learning objectives:

  • Identify three operational best practices for HIPAA compliant telemental health services
  • Design an operational work flow for telemental health services
  • Describe four legal guidelines pertaining to telemental health service delivery

University of Delaware • Division of Professional and Continuing Studies
Newark, DE 19716 • USA
Phone: 302-831-7600  •  E-mail: continuing-ed@udel.edu  •  Follow us: