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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
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Appendix C

Workshop Agenda

INSTITUTE OF MEDICINE WORKSHOP ON
THE ROLE OF TELEHEALTH IN AN EVOLVING HEALTH CARE ENVIRONMENT

AUGUST 8-9, 2012
LOCATION: NATIONAL ACADEMY OF SCIENCES BUILDING
2100 C STREET, NW
WASHINGTON, DC

SPONSORED BY: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION

Workshop Objectives

  • Delineate the evidence base for telehealth (outcomes, costs).
  • Highlight special implications for rural populations.
  • Discuss the actions HHS and others can undertake.
  • Identify what in particular warrants further study.
8:00-9:00 REGISTRATION

9:00-9:45 Welcome and Opening Remarks
Karen S. Rheuban, University of Virginia Health System, Planning Committee Chair
Mary Wakefield, Health Resources and Services
Administration, Project Sponsor

9:45-10:15 Keynote: “The Evolution of Telehealth: Where Have We Been and Where Are We Going?”
Thomas S. Nesbitt, University of California, Davis, Health System

Q&A with Audience
Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×

10:15-12:00 TOPIC #1: Challenges in Telehealth

Panel Moderator: Spero M. Manson, University of Colorado Denver

Overview of Common Challenges
Jonathan Linkous, American Telemedicine Association

Licensure
Gary Capistrant, American Telemedicine Association

Federal Communications Commission Rural Health Care Support Programs
Dale C. Alverson, University of New Mexico

Misalignment in the Definition of “Rural”
Steve Hirsch, HRSA Office of Rural Health Policy

Q&A with Audience

12:00-1:00 LUNCH BREAK

1:00-2:30 TOPIC #2: Telehealth and Payment

Panel Moderator: Thomas S. Nesbitt, University of California, Davis, Health System

Rural Medicare Payment
Jeff Stensland, MedPAC

Challenges to the Traditional Payment Models
Karen E. Edison, University of Missouri Health System

Private Pay
Manish N. Oza, Wellpoint Comprehensive Health Solutions

New Models for Payment
Linda Magno, Centers for Medicare & Medicaid Services

Q&A with Audience

2:30-3:00 BREAK
Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×

3:00-4:15 TOPIC #3: The Health Care Continuum

Panel Moderator: Sherilyn Z. Pruitt, HRSA Office of Rural Health Policy

Promoting Health, Preventing Disease, Prompting Population Progress
William Appelgate, Iowa Chronic Care Consortium

Acute Care
Joseph A. Tracy, Lehigh Valley Health Network

Chronic Disease Management (Project ECHO)
Sanjeev Arora, University of New Mexico

Q&A with Audience
 
4:15-5:00 CLOSING REMARKS

Planning committee members will reflect on the day and then engage in discussion with the audience.

Panel Moderator: Karen S. Rheuban (Chair), University of Virginia Health System
  • Nina M. Antoniotti, Marshfield Clinic
  • Kamal Jethwani, Partners Healthcare Center for Connected Health; Harvard Medical School
  • Spero M. Manson, University of Colorado Denver
  • Thomas S. Nesbitt, University of California, Davis, Health System
  • Sherilyn Z. Pruitt, Health Resources and Services Administration

Q&A with Audience

5:00 ADJOURN
Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×

THURSDAY, AUGUST 9


8:30-8:35 Overview of Day
Karen S. Rheuban, University of Virginia Health System, Planning Committee Chair

8:35-10:00 TOPIC #4: Current Evidence Base

Panel Moderator: Kamal Jethwani, Partners Healthcare Center for Connected Health; Harvard Medical School

Current Research Base
Elizabeth Krupinski, University of Arizona

Using Data to Change Policies or Standards of Care (Tele-Stroke)
Lee Schwamm, Massachusetts General Hospital; Harvard Medical School

Q&A with Audience

10:00-11:30 TOPIC #5: Technological Developments

Panel Moderator: Kamal Jethwani, Partners Healthcare Center for Connected Health; Harvard Medical School

Patients’ Provision of Data, Including Patient-Generated Data
David Muntz, Office of the National Coordinator for Health Information Technology

Remote Patient Monitoring
Bonnie Britton, Vidant Health

Patient Support Groups, Social Networking, Etc.
Dave Clifford, PatientsLikeMe

The Future of Wireless Health
Mohit Kaushal, West Wireless Health Policy Institute

Q&A with Audience
Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×

11:30-12:15 LUNCH BREAK

12:15-1:45 TOPIC #6: State-Based Perspectives

Panel Moderator: Karen S. Rheuban, University of Virginia Health System

Individual State Perspectives
Laura Herrera, Maryland Department of Health and Mental Hygiene
Cindi Jones, Virginia Department of Medical Assistance Services
Rita Landgraf, Delaware Department of Health and Social Services

State Advocacy
Maurita K. Coley, Minority Media & Telecommunications Council

Q&A with Audience

1:45-3:00 TOPIC #7: Experiences of VA and IHS

Panel Moderator: Spero M. Manson, University of Colorado Denver

Speakers
Adam Darkins, Department of Veterans Affairs Mark Carroll, Flagstaff Medical Center/Northern Arizona Healthcare Jay H. Shore, University of Colorado Denver

Q&A with Audience

3:00-3:15 BREAK

3:15-4:00 TOPIC #8: Stakeholder Perspectives

Panel Moderator: Nina M. Antoniotti, Marshfield Clinic

National Rural Health Association
Alan Morgan
Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×

  American Telemedicine Association
Stewart Ferguson

American Public Health Association
Georges Benjamin

Q&A with Audience

4:00-5:00 Planning Committee Concluding Remarks and Open Discussion

Planning committee members will reflect on the day and then engage in discussion with the audience.

Panel Moderator: Karen S. Rheuban (Chair), University of Virginia Health System
  • Nina M. Antoniotti, Marshfield Clinic
  • Kamal Jethwani, Partners Healthcare Center for Connected Health; Harvard Medical School
  • Spero M. Manson, University of Colorado Denver
  • Thomas S. Nesbitt, University of California, Davis, Health System
  • Sherilyn Z. Pruitt, Health Resources and Services Administration

Q&A with Audience

5:00 ADJOURN
Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×

PLANNING COMMITTEE

Karen S. Rheuban (Chair), University of Virginia Health System

Nina M. Antoniotti, Marshfield Clinic

Kamal Jethwani, Partners Healthcare Center for Connected Health; Harvard Medical School

Spero M. Manson, University of Colorado Denver

Thomas S. Nesbitt, University of California, Davis, Health System

Sherilyn Z. Pruitt, Health Resources and Services Administration

Institute of Medicine Staff

Tracy A. Lustig, Senior Program Officer

Samantha Robotham, Senior Program Assistant

PROJECT WEBSITE: www.iom.edu/telehealthworkshop

Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
×
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Suggested Citation:"Appendix C: Workshop Agenda." Institute of Medicine. 2012. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13466.
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The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary Get This Book
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In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers.

Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others.

The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

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