Whose Shoulders Now?
James McElligott, MD MSCR
Medical Director, Telehealth
Look How Tall We Are
• Connectivity
– USAC (PSPN)
• Endpoints
– Codecs, software, browsers oh my
• Encounter Management
– Not just for stroke anymore
• Network Management
– Coordination means serving the presenting site
• Grass roots organization
– Partnerships, alliances, networks and more
Not Your Momma’s Telehealth
• Two essential themes
– Telehealth must add efficiency to the care
system. The value of a successful program will
be enhanced communication and
coordination.
– Everyone must win. All stakeholders must
benefit, including the patient, referring
providers and consulting providers
Service
• The Smart Grid
– Triaging the patient to the right place at the
right time
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Obstetrics (e.g. UAMS Angels)
Neonatology (e.g. UAMS TOUCH)
Stroke
Mental health
Service
• Accessing Care Along the Health
Continuum
– Mobile health rapid access
– School clinics
– Long term care
– Home monitoring for high risk patients
Service
• Establish the Captain of the Ship
– Co-management between the medical home
the specialist
• The rapid triage visit for the well majority
• Teach the teacher for the complex minority (e.g.
Project Echo)