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ePoster Presentations

EP-154 - Acute Care Telemedicine Caring for Rural America

Monday, April 30
4:45 PM - 5:00 PM
Location: Education Zone, Booth 2416, Screen 2

Hospital Medicine at Regions Hospital in St. Paul Minnesota has started using video telemedicine to create a unique opportunity to improve the quality of care for patients and quality of life for physicians in rural hospitals during the evening and night time shifts. It is common in remote areas for a primary care provider to be on call for hospital admissions during the night and often enter hold over orders when an admission arrives. The patient and family in the hospital do not see to a doctor until the next day. In the morning the provider's clinic is full, but they still have to complete admissions from the night before and are now sleep deprived. What if we could make the primary care provider's work life balance better? What if we could progress patient care overnight connecting patients and families to a hospitalist immediately? What if we could do all this by a single hospitalist covering multiple Originating Sites using video telemedicine technology?

Access to a hospitalist physician should not be dependent on where a patient lives or the time of day care is needed. Supporting critical access hospitals in order to keep patients close to home and progress care around the clock is the main goal of the Hospital Telemedicine service. Through engaging key stakeholders and thinking innovatively the Hospital Medicine Service Line has furthered their pursuit of achieving the Triple Aim.

This presentation will detail the new staffing model and patient care system at Regions Hospital in support of rural hospitals during the evening and night time shifts. A checklist of the implementation steps to consider when deploying a hospital telemedicine program will be included, such as operations and workflow, reimbursement, technology & device support, contracting, credentialing, training & education and marketing. Clinical competencies and lessons learned from developing and supporting an overnight acute care telemedicine service will be shared in this presentation. A critical component to a successful hospital telemedicine service is support by Originating Site staff. A description of the process Regions Hospital undertook to engage rural site leadership and frontline nursing staff will be included.

Learning Objectives:

LeeAnn Heim

Telemedicine Program Manager
Regions Hospital

LeeAnn Heim is currently the Telehealth Program Manager at Regions Hospital, a HealthPartners facility located in St. Paul Minnesota, and oversees various kinds of telemedicine programming. Her passion is giving patients and providers choices when it comes to providing and receiving healthcare and her interests are state telehealth policies and how telehealth technology can help reduce barriers to accessing care.
In 2007 LeeAnn received her BA from the University of Minnesota in Psychology. She moved to Tallahassee FL in 2008 and worked for a mental health service provider for three years in both clinical and administrative roles supporting clients in rural communities south of the city, in and around the bay area. In 2011 she moved back to Minneapolis and found a position managing Clinical Video Telehealth at the Minneapolis VA Healthcare System. In 2012 LeeAnn was offered the Facility Telehealth Coordinator role, which expanded her oversight to include Home Telehealth and Store and Forward Telehealth. She graduated from the University of Minnesota in the Masters in Healthcare Administration, Executive Track program in January 2017. LeeAnn has been with HealthPartners since September of 2016.

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