Optimizing and Sustaining Telehealth Operations in Rural Communities
- Shared screen with speaker view

49:16
Good Morning Marie Francois from the Foothill AIDS Project Southern California

55:59
Can we get a copy of the presentation sent to breich@maniilaq.org please?

56:06
https://nrtrc.org/

57:41
https://telehealthresourcecenter.org/

58:27
https://www.cchpca.org/

58:50
https://telehealthtechnology.org/

59:36
Hello Brad, a copy of the presentations will be sent out all participants after the webinar

59:49
https://nrtrc.org/about/

01:02:26
https://nrtrc.org/resources/provider.shtml

01:02:35
https://nrtrc.org/resources/patient.shtml

01:02:58
https://nrtrc.org/resources/funding.shtml

01:03:33
https://nrtrc.org/events/calendar.php

01:04:08
https://nrtrc.catalog.instructure.com/

01:06:09
https://nrtrc.org/resources/licensure.shtml

01:06:58
https://nrtrc.org/resources/emergency.shtml

01:07:08
https://findtelehealth.nrtrc.org/map

01:08:12
Link to be added https://wimtracking.com/telehealth/

01:08:26
https://nrtrc.org/resources/resources.shtml#cah

01:09:19
https://nrtrc.org/conference/

01:09:28
Is that regional telehealth map being merged with telehealthlocator.org?

01:09:45
WIll that conference have a virtual option?

01:09:50
https://telehealthresourcecenter.org/

01:10:58
@Sarah Yes it will!

01:12:40
@Kim-Yes, the facility locator will be implemented within telehealth locator.

01:13:12
Thanks, Nicki!

01:20:13
Do you use the same visit types for your non-reimbursable services? (ie diabetes education). And if so, what visit/appointment types do you have set for telemedicine visits, and does that workflow differ for audio-only t/m?

01:21:52
what are you doing for pts who need training and or technical assistance to use telehealth/technology...and what barrier busters have you developed to address pt lack of access to appropriate devices and or internet service?

01:24:58
how do you classify audio-only telemed and what is your philosophy around audio-only versus a/v?

01:25:28
very cool on site ta..and for those who can't afford devices or internet?

01:25:39
Were patients educated on telehealth prior to receiving teleservices?

01:27:44
we discussed this in depth here in Alaska. the one concern is opioid abuse and safeguards for that and the other was missed symptoms on camera as opposed to in person.

01:27:54
In Wisconsin, we called them C.O.Ws Computers on Wheels....

01:28:39
LOLOL love it!

01:28:54
I recommended having a full body screen like seeing the patient's entire body, not just their face.

01:29:01
with the robots how was the physical findings documented for proper coding?

01:30:00
in acute, when do you use the ipads on a stick versus the fancy teledoc robot and are you happy with that decision?

01:31:25
when you say, "make money", do you mean that doctors have to pay for this service to some telehealth company? can't they just use their own computers and bypass paying anyone?

01:33:35
so it stays private still?

01:34:11
Did I hear you correctly - RN visits are not reimbursable for telehealth?

01:34:12
how do they prevent opioid abuse?

01:36:44
For RN visits that are turned over to a provider such as a positive pregnancy test, would that be reimbursable under the provider?

01:46:07
Sometimes patients access specialty care from other tribal health clinic outside of their local tribal health organization HUB or Anchorage, such as for Addiction Medicine. There are only a few IHS Internet eligible provider designation Addiction specialists in the state (I work in Ninilchik), and ANMC does not have a designated addiction specialist to refer to. Although this service is available to connect patients in any location to care wherever it is available, sometimes the local administrators don't understand the legal/billing issues around telemedicine and tend not to refer patients for this care from their facilities.

01:47:41
What would be the next move for cross platform for multi-billing for more care providers especially in rural areas? or is that even possible at this point for health care as a whole?

01:49:49
If the patient comes to clinic to have a visit with a remote provider, are there particular tools you recommend as far as oto/ophthalmoscope/stethoscope with camera/Bluetooth that the MA can use to facilitate physical exam?

01:51:24
is there a way to get information pamphlets about this to our village ? Our seniors were asking alot of questions

01:52:06
if I can get like 50, I can hand them out personally

01:52:41
so happy to hear you provide pt technical assistance..I believe health literacy should now cover health technology

01:53:20
I have a lot of questions regarding those suffering with OUS/SUD??

01:54:51
Are there opportunities for certified recovery staffing in this region?

02:03:58
From your experience, what social factors would facilitate adoption of telehealth at individual level?

02:04:49
https://www.asante.org/services/video-visits/primary-specialty-care/

02:04:59
Anyone used a telehealth literacy curriculum? If so can you share?

02:05:14
NRTRC Patient Resources https://nrtrc.org/resources/patient.shtml

02:05:29
https://www.anthc.org/telehealth/

02:05:36
Could you add a link to the telehealth mapping site?

02:08:19
No that’s a great 😊 answer! My apologies OUD not OSD

02:08:58
With the smart computer/ipads how are the physical findings being listed if they don't have the face to face and does it fall under the units of time per unit of service?

02:09:16
Oregon

02:10:13
https://www.ortelehealth.org/

02:11:45
TTAC-National Telehealth Technology Assessment Resource Center https://telehealthtechnology.org/

02:12:45
Telehealth Finder https://findtelehealth.nrtrc.org/map

02:13:49
have any of the speakers worked with interpreters and tele health- any advice?

02:17:26
thank-you fora really informative session.

02:17:38
Thank you it was very informational and great knowledge on the telehealth!

02:17:41
Thank you very much!

02:17:42
Thank you for the helpful information!

02:18:04
Thank you and I’ll ask more questions later!

02:18:04
Thanks very much!

02:18:16
Upcoming Events and Registration Links: Behavioral Health: ‘Self-Care: Improving the Mental Health of the Health Workforce through Innovative Programs”, June 16, 2022, 9AM PT, Registration: https://hrsa-gov.zoomgov.com/meeting/register/vJItdeitqTspGlKWkiaXKFITP5q4zg03ZY0 Grant Technical Assistance Webinar: Understanding the HRSA Grant Review Process, June 23, 2022, 10AM PT, Registration: https://hrsa-gov.zoomgov.com/meeting/register/vJIsduqurjwqE5lKdNaS2RpbR7UE6ewS9Zk 2022 American Indian/ Alaska Native Health Forum, July 26, 2022, Registration Coming Soon!

02:18:35
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