Monday, January 15, 2018

Mary Lowry, Administrative Director, Center for Telehealth, DHMC

Today’s guest is Mary Lowry, the administrative director of Dartmouth-Hitchcock health system’s Center for Telehealth. The Center for Telehealth is Dartmouth-Hitchcock’s consolidated telemedicine program, and in this podcast we talk about the variety of services and support that Mary’s team provides across New Hampshire and Vermont. It’s a fascinating look at the future of medicine, even though as Mary notes, telemedicine isn’t new, I think it is just now coming of age, and as we continue to transition away from a fee for service model in healthcare and towards the provision of value based care, we are only going to see greater levels of telemedicine utilization.

Links to the Podcast
Transcript is available here:

Podcast Outline 
Time       Topic
0:01:15 introduction - about Dartmouth-Hitchcock
0:03:12 Mary's background, role of the administrative director
0:04:56 Connected Care Center
0:05:42 Telemedicine and Transfer Management
0:06:38 history of the program
0:07:38 Services - Telestroke & Teleneurology
0:10:11 which hospitals contract for telemedicine services and why
0:11:24 critical access hospitals, night coverage at PPS hospitals
0:18:35 partnership with Specialists on Call
0:19:47 reimbursement
0:21:40 the business case for telemedicine - keeping patients
0:23:25 protocol for treatment with telehealth
0:24:08 other inpatient telehealth services
0:25:26 tele-emergency medicine
0:28:50 challneges of quantifying the business case
0:30:18 tele-intensive care (tele-ICU)
0:31:48 "wired bed"
0:36:11 tele-ICU - complement, not substitute
0:37:51 the tele-ICU stations team
0:38:56 revenue stream for tele-ICU, ROI
0:40:50 tele-pharmacy
0:42:36 tele-psychiatry
0:45:40 why not ambulatory tele-psychiatry
0:47:50 ambulatory services
0:50:35 billing for home telehealth visits
0:51:45 pediatric specialty services - efficiency
0:52:45 strategy implications of telemedicine
0:56:30 synergies between services
0:57:20 identifying gaps in care and bringing resources to patients
0:58:05 building the business, seeking profitability
0:59:46 role of telemedecine and value based care
1:01:26 what are the limits on growth for telemedicine
1:04:06 future visions for telemedicine
1:05:35 business to business vs. business to consumer
1:09:25 closing thoughts

Topics Discussed:

Connected Care Center

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