Show-me ECHO
Extension for Community Healthcare Outcomes
E. Rachel Mutrux
Sr. Program Director, Missouri Telehealth Network
June 26, 2014
Missouri Telehealth
Network
• University of Missouri- School of Medicine
• Mission: to use telehealth to increase access & quality
of healthcare & provide education & research
• What we do:
o Connect providers & patients over telehealth
o Provides Continuing Medical Education (CME) credits for providers in rural
Missouri Telehealth Network.
o Is a part of the HTRC – Resource Center for telehealth activities in the state and
across the nation.
o Sub-contractor for the Missouri REC- Missouri HIT Assistance Center working
with primary care providers to get EHR and achieve Meaningful Use
MTN Staff
3
Mirna Becevic, Associate Director
Deb Denham, Business Support Specialist II
Dr. Karen Edison, Medical Director
Candy Garb, Telehealth Coordinator
Omer Malik, Telehealth Coordinator Intern
Rachel Mutrux, Sr. Program Director
Danny Myers, Project Development Specialist
Mary Beth Schneider, Training Coordinator
Wendy Vogel, Office Support Assistant IV
Katie Vollmer, Telehealth Coordinator
Paulina Vazquez Moldando, International Telehealth
Fellow
MTN Experience
• Work with legislature
• Develop new telehealth clinics- work with providers
• Existing partnerships with health care stakeholders
o Missouri Primary Care Association
o Missouri Hospital Association
o Federally Qualified Health Centers
•
•
•
•
•
•
Technology
Provide CME
Training conferences
Existing communication lines
Research
Missouri HIT Assistance Center- Missouri’s REC
Missouri Counties with
MTN sites
Types of Locations
 Hospitals
 Federally Qualified
Health Care Centers
 Community Mental
Health Centers
 Specialty Medical Clinics
 Rural Health Clinics
 Cancer Hospital
 Missouri Division of Youth
Services locations
 Missouri Department of
Corrections facilities











Army Hospital
Rehabilitation Hospitals
School of Medicine
Nursing Homes
State Health Facilities
School of Nursing
School of Health
Professions
Urgent Care Clinic
Student Health Center
Classrooms
Conference Rooms
6
Growth of MTN Clinical Telehealth
Encounters
40000
35000
30000
25000
20000
Encounters
15000
10000
5000
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
0
Includes all MTN member site usage.
7
Telehealth /
Telemedicine
•
•
•
•
•
Is NOT a new service.
IS a new service delivery mechanism.
Increases Access!
Moves information- not people.
Reduces travel costs and other barriers.
Why Telehealth
•
•
•
•
•
•
•
•
•
•
Clinical Shortages
Maldistribution of providers
Rural / Urban underserved
Aging population
Travel time, cost & hardship
Delayed Treatment
Language barriers
Clinical education programs
Administrative meetings
An economic development factor in rural areas
Limits of 1:1 Telehealth
ECHO layers onto
existing MTN services…
ECHO
Specialist
outpatient care
via video
CME &
Admin use of
Telehealth
Unlimited Potential
Patients treated by PCP
in own Community
PCP’s getting
educated
ECHO
Teams
1:1
• Missouri Project:
o Wayne Cooper, retired state representative and physician
o Diane Franklin, current state representative
o Karen Edison, dermatologist, health policy expert, telehealth
champion
o Rachel Mutrux, Director, MTN
June
May
January
-ECHO visits
MO
-Educate
December legislative &
executive
MO
Delegation branches &
stakeholders
to New
Mexico
March
-Rep. Franklin
introduces
HB2154
-Funding
inserted in
appropriation
bill
-Show-me
ECHO team
testifies in
support
-ECHO
language in 2
House bills
gets combined
and ends up in
2 Senate bills,
passed both
houses
-ECHO funding
passes both
houses
-ECHO
planning
continues
-ECHO teams
-Evaluation
-Space
Waiting for
Governor’s
signature
on bills!
Diabetes
Health Literacy
Hepatitis
Pain Management
CDC Application
MO
DHSS
MPCA
MO
DOC
ECHO wish list for MO
Complex
Chronic Pain Management
Hepatitis C
Mental Health/ Substance Abuse
Autism
Diabetes
High Risk OB
Infectious disease
Costly
Common
Chronic
Questions?
Contact:
E. Rachel Mutrux
Sr. Program Director, Missouri Telehealth Network
2401 Lemone Industrial Blvd.
Columbia, MO 65212
573-884-7958
mutruxe@health.missouri.edu