Transformation

Oral Presentation

(T12-01) Realizing Value with Telehealth in Chronic Condition Management (CCM) Programs

Tuesday, April 25
2:00 PM - 2:19 PM
Location: W331 A

Chronic conditions impact over half of the American population and represent more than 80% of all health care spending in the U.S. each year. Traditional Chronic Condition Management (CCM) programs alone fall short on delivering improved health outcomes and cost savings. The most common chronic conditions include:

â–ºHeart Disease
â–ºStroke
â–ºDiabetes
â–ºObesity
â–ºBehavioral/Mental Health
â–ºCancer

Many chronic conditions can be managed or prevented and could be the key to saving trillions in future health care costs. Through analysis of industry research and interviews with successful CCM programs, SCP gained expertise and developed a tool to aid organizations in understanding the benefits of value over volume. By comparing and drawing conclusions on the value of CCM programs with and without Telehealth, we identified tangible differences in the overall Value on Investment (VOI), rather than traditional Return on Investment (ROI). These differences led to:

â–º40%+ reduction in 30-day readmissions for target patient population
â–º40%+ reduction in hospitalizations for target patient population
â–º50%+ decrease in total cost of care for target patient population
â–º$3.30 of value for every $1.00 of investment

Similar to an iceberg, much of the value of CCM + Telehealth lies below the surface, out of immediate sight of health care providers and leaders; yet it provides a significant opportunity to improve population health, increase care access and contain costs. Returns on Investment (Fee for Service reimbursement, Copays, PMPM and Coinsurance) are traditionally turned to when organizations create financial models, however, with our changing payment system, this way of thinking about the financial picture of implementing Telehealth is outdated. Elements that translate to Value on Investment (Reduced Readmissions, Improved Patient Satisfaction, Reduced Avoidable ED Visits, Better Managed Provider Time, Increased System Capacity, Reduced Avoidable Days, Increased Service Utilization, Better Medication Management and Better Managed Conditions) are what forward thinking health care leaders are utilizing to more accurately represent the business case for creating Chronic Condition Management Programs with Telehealth.

Realizing value with Telehealth in CCM programs starts with a good business plan and comprehensive financial model. Our CCM benefits estimation tool was developed to:

1. Understand the revenue, avoidable loss and savings opportunities from the deployment of a CCM program
2. Demonstrate the potential increase in value from the deployment of Telehealth

Learning Objectives:

Rehan Virani

Telehealth Consulting Manager
Schumacher Clinical Partners

Rehan is a Healthcare Consulting Manager at Schumacher Clinical Partners (SCP). Rehan has over 10 years of experience in the healthcare IT market and currently focuses on Telehealth / Telemedicine, Connected Care, mHealth, enterprise medical imaging / VNA, health IT planning and program management. He is a certified Project Management Professional (PMP) and has led many large scale IT projects.
Rehan has extensive experience and knowledge in the areas of:
Telehealth Strategy, Planning and Implementation
Project Management Design and Execution
Workflow/Process Design and Improvement
Enterprise Medical Imaging
Vendor Selection Design and Execution
System-wide EMR Implementation
Prior to joining SCP, Rehan was a senior member of EMC’s healthcare consulting division. Rehan along with a few others built the healthcare practice from the ground up. Prior to EMC, Rehan was a senior consultant with the Global Medical Imaging Group (MIG) at McKesson where he was tasked with building out a new consulting service offering. He was also a consultant at Exogen Healthcare where he led many healthcare system implementations.
Rehan is an active member of multiple healthcare trade organizations. Rehan holds a Masters in Health Systems and a Bachelor in Computer Science from Georgia Institute of Technology.

Presentation(s):

Send Email for Rehan Virani

Monica L. Leslie

Senior Consultant
Schumacher Clinical Partners

Monica is a Senior Consultant at Subsidium Healthcare. She joins the firm with over 7 years of experience and operational leadership working with both large provider and payer organizations. Monica has a passion for marrying the policy and regulatory aspects so relevant in today’s health care world with a honed knowledge and awareness of how large, complex health systems operate.
Monica brings a wealth of industry expertise to the practice specifically in the areas of: Telehealth Strategy, Planning and Implementation, Post-Acute and Transitional Care Strategy and Operations, Rapid Cycle Process Design and Improvement, Project Management Design and Execution, System-wide EMR Implementation, Meaningful Use Operational Program Design and Implementation.
Prior to joining Subsidium, Monica was the Director of Operations & Strategy for Ingenios Health, a personalized, preventative health care organization that delivers technology-based client services in patient homes. Monica has also served in leadership roles at Wake Forest Baptist Health and University of Florida Health. She holds a Master of Health Administration and an undergraduate degree in Finance from the University of Florida. Upon completion of graduate studies, Monica completed an intensive, year long Executive Mentorship program at Wake Forest Baptist Health.

Presentation(s):

Send Email for Monica Leslie


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(T12-01) Realizing Value with Telehealth in Chronic Condition Management (CCM) Programs



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