Minnesota Telehealth Inventory 2007

Prepared by:
University of Minnesota
Institute for Health Informatics
for
Minnesota Department of Health
Office of Rural Health and Primary Care
MINNESOTA TELEHEALTH INVENTORY 2007
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Appendix A – Inventory Survey
MINNESOT A T EL EHEAL T H INVENT ORY 2007
1. Does your site utilize telemedicine as part of it s practice?
1
Yes (Go to Question 4, below.)
0
No
2. Have you thought about implem enting telemedicine services?
1
Yes
0
No
Please stop here and return this survey with the
prepaid envelope provided. Thank you!
3. W hy haven’t you im plement ed telem edicine services? (Check all that apply)
1 Currently working on setting this up
2 Specialists/practitioners available on site
3 Costs
4 Unsure how to start
5 Lack of staff expertise
6 Lack of staff time
7 Not in strategic plan
8 Could not obtain approval
9 Other, please specify: _________________________________________
Please stop here and return this survey with the prepaid envelope provided.
Thank you!
4. W hat services do you provide using telemedicine? (Check all that apply)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Asthma/Allergy
Behavioral/Mental Health
Cardiology
Child/Adult Psychiatry
Chronic disease management
Deaf and Hearing services
Dermatology
Dental
Dietician services
Enterostomal therapy
Endocrinology
Forensic and Court services
Gastroenterology
Home care/Hospice
29
Other, please specify: ____________________________________________________
15
16
17
18
19
20
21
22
23
24
25
26
27
28
ICU care/remote monitoring
Jail/prisoner health - Triage
Long-term care
Neurology
Orthopedics
Patient education/prevention
Patient monitoring
Pharmacy, satellite/after hours
Pre- and Post-natal care
Radiology
Rehabilitation therapies
School health (K-12)
Speech Language Pathology
Training (staff, distance learning)
Please turn the page and go to Question 5.
DCSS/MTI7 001 (1-2) 2/07 Ver. 1
Produced by DCSS
Page 1 of 2
Minnesota Department of Health/Office of Rural Health & Primary Care
University of Minnesota/Institute for Interprofessional Health Informatics
/&
5. In colum n A below, list sites your facility connects to via telemedicine link s for their m edical ser vices.
In colum n B, list sites that connect to your facility via telemedicine link s for your m edical services.
Colum n A
Colum n B
L ist sites that your facilit y connects t o for their
L ist sit es that connect to your facility, for your
medical services. Attach an additional page, if needed.
medical services. Attach an additional page, if needed.
Name of facility:
City and State:
Name of facility:
City and State:
6. If your f acilit y is part of an established telemedicine network , please provide t he name of the
network : _________________________________________________________________________
7. Please fill in your facilit y’s cont act inf ormation, below. Please write clearly.
Name of your facility: _________________________________________________________________
Contact person’s first and last name: _____________________________________________________
Contact person’s email address: ________________________________________________________
Phone: ( ___ ___ ___ ) - ___ ___ ___ - ___ ___ ___ ___
Fax:
( ___ ___ ___ ) - ___ ___ ___ - ___ ___ ___ ___
Web site address: _____________________________________________________________________
Facility Address: _____________________________________________________________________
City: ______________________________________County: __________________________________
State: ___ ___ Zip Code: ___ ___ ___ ___ ___
8. W e plan t o conduct a more detailed phone or in-person survey of a sample of sites using telemedicine.
This survey would include questions such as what specific technologies you use at your site, how your
telemedicine efforts are funded and reim bur sed, and other related issues.
M ay we contact you t o tak e part in a m ore detailed survey of your site’s telem edicine usage?
1 Yes
0 No
Page 2 of 2
DCSS/MTI7 001 (2-2) 2/07 Ver. 1
Produced by DCSS
Minnesota Department of Health/Office of Rural Health & Primary Care
University of Minnesota/Institute for Interprofessional Health Informatics
Appendix B – Follow Up Survey
MINNESOTA TELEHEALTH INVENTORY 2007: Phase II
Name of organization:
Phase I Survey Number:
Respondent name:
Interviewer:
Date:
Type of interview:
Start time:
Position:
Face-to-face
End time:
Telephone
Room setup
1. Where is your telemedicine equipment set up? (Check all that apply)
Dedicated room or site
Examination room
Physician/clinician
Staff conference room
office
Nurse’s office or
Other (please
station
specify)____________________________________
Connections
2. What type(s) of connections do you use? (Check all that apply)
Dial-up modem
ISDN
Other (please specify)
DSL
T1 line
__________________________
Cable modem
T3 line
__________________________
3. What connectivity issues do you experience, if any? (Check all that apply)
Type of issue
Low quality audio or video
Problems making a connection
Problems keeping a connection (network
outages)
Other _______________________________
Technical support
4. How are technical issues (breakdowns, adjustments) handled at your site?
In-house Information Technology or technical staff
Contract support by an external service (please specify)
Provider staff (physicians, nurses, etc.)
Other
Costs/funding/reimbursements
5. What year did you first begin to provide telemedicine services?
6. What were your startup funding source(s)?
Source of funding
Amount
or
Federal grants
$__________
State grants
$__________
Foundation grants
$__________
percentage
____ %
____ %
____ %
/
Venture capital
Internal funds
Other:___________________________
$__________
$__________
$__________
____ %
____ %
____ %
7. How much do you pay each year, on average, for your connections?
8. Do you have an annual budget for equipment purchases?
Yes
___
No
9a. What are your sources of reimbursement for clinical telemedicine services?
Medicare
Private insurance
Self-funding (indigent care)
Medicaid
Patient
Other___________________
9b. What issues or difficulties have you faced in receiving reimbursement for clinical services?
(Check all that apply)
Inadequate/partial
Other ______________________________________________
Late
_____________________________________________________
10a.
What are your sources of reimbursement for telemedicine services technologies?
Medicare
Private insurance
Universal Service Fund
Medicaid
Patient
Other___________________
10b. What issues or difficulties have you faced in receiving reimbursement for service
technologies?
(Check all that apply)
Inadequate/partial
Other ______________________________________________
Late
_____________________________________________________
Staff use and training
11. Who decides or initiates the use of telehealth services during care? (Check all that apply)
Primary care physicians
Specialists
Therapists/clinicians
Nurses
Patients
Other _______________________________________
12. Has training ever been conducted for use of the telemedicine equipment?
If so, describe the type of training conducted.
Who has done the training?
How much time has it required?
Is there a continuing need for training?
Yes
No
Yes
No
13. Does the purchase of new equipment and services usually necessitate additional training?
Yes
No
Patient satisfaction
14. Have you ever measured patient satisfaction with telemedicine services?
If so, how were the measurements made?
What were the results? High degree of satisfaction Mixed results
Low degree of satisfaction Don’t know
Yes
No
15. Do you think that patient satisfaction has influenced your usage patterns of telemedicine
services?
Yes
No
If ‘Yes,’ in what way? Positively
Negatively
16. Have you ever used your telemedicine services as a marketing point?
Yes No
If yes, how?
____________________________________________________________________
Future
17. Do you think your telemedicine services will be continued in the future?
18. If so, do you have plans for additional or extended services?
What are they?
Yes
Yes
19. Have you ever expanded services before?
If so, which services and why?
Yes
No
20. Have you ever ceased a previous type of service?
If so, which services and why?
Yes
No
No
No
21. What barriers do you see (or have experienced) to telemedicine expansion?
Financial: ____Cost of providing services ____Equipment costs ____Line costs
____Staff costs
Support: ____Technical ____ Physician/clinician ____Administrative ____Board
Infrastructure/connectivity
issues:____________________________________________________
Usage by clinicians: ___Lack of interest ____Fear/opposition _____Other
Patient satisfaction
Staff training
Availability of specialists/clinicians
Lack of demand/need (perceived or empirical)
22. Additional notes and comments:
'

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