Utilization Reporting Network Partners: 202 sites in 62 counties Army Hospital Community Mental Health Centers Federally Qualified Health Care Centers Critical Access Hospitals Department of Social Services Department of Health & Senior Services Department of Mental Health Hospitals Rural Health Clinics Home Health Agency Health Systems Rehabilitation Hospitals Outpatient Cancer Center Mental Health Hospitals Nursing Homes Specialty Medical Clinics State Habilitation Center State Rehabilitation Centers State Hospitals State Correctional Facilities Schools of Medicine School of Nursing School of Health Professions Urgent Care Clinics UMHS Telehealth Encounters FY2011-2012 Specialty Psychiatry Dermatology Autism Peds Endocrinology Neurology **All Others Count of Encounters 852 342 343 99 77 91 In fiscal year 2012, 69 medical professionals in 29 specialties conducted more than 1,804 clinical encounters via telehealth. With a total of 545.67 educational hours of usage. ** All Other Specialties include: Family Medicine, Burn/Wound, Physical Medicine & Rehab, Pediatric Nephrology, Endocrinology/Diabetes, Infectious Diseases, Pediatric Specialty, Nephrology, Cardiology and Adolescent Medicine Clinical: MTN provides services in many different medical specialties, with a majority of the work coming from mental health, dermatology, radiology, and child health. This usage brings specialized care to underserved, rural areas of Missouri in a manner that is convenient to both patient and provider. Educational: In FY2012, 545.67 hours of education were reported under general education, continuing medical education and multidisciplinary. Undergraduate and graduate students, medical students, residents, fellows and practicing providers benefit from the network through collaboration with distant medical and research centers. MTN allows physicians to receive continuing medical education credits by participating in grand rounds and other educational opportunities via video. Administrative: In FY2012, more than 1,124.25 hours were reported. UMHC makes extensive use of telehealth for administrative meetings between various locations at the main hospital, School of Medicine, Women’s & Children’s Hospital, Ellis Fischel, Missouri Rehabilitation Center, and clinic sites. Numerous other groups use telehealth for administrative purposes, including the Health Policy Center, Ethics Center, Medical Education, School of Nursing, Cerner Simulation Center, and Missouri Foundation for Health. Top Utilization among Specialties Mental Health; In FY2012 Burrell Behavioral Health reported 4,002 appointments. In the same time period, Pathways reported 20,780 appointments. In FY2012, University of Missouri Health System reported 852 psychiatry appointments via telehealth. The total for FY2012 telepsychiatry appointments came to 25,634. The combined windshield time of transportation if the psychiatrists drove to their location is around 4,785 hours/yr. This windshield time reflects time that the psychiatrists would lose seeing patients if it weren’t for the use of telepsychiatry. The reduction of windshield time from the use of telepsychiatry results in an annual overall savings of approximately $598,150/year to Burrell Behavioral Health and Pathways Community Behavioral Health. Radiology: In FY2012, 17,855 interactive video encounters have been conducted by network participants. Dermatology: In FY2012, 342 telehealth appointments have been reported with rural telehealth sites throughout the State of Missouri. Autism: In FY2012, 343 telehealth appointments have been reported with rural telehealth sites throughout the State of Missouri. Specialty Services Received: Autism Adolescent Medicine Bariatric Surgery education Burn Cardiology Child Psychiatry Dermatology Developmental Pediatrics Diabetes Education Ethics Consultations Endocrinology Gastroenterology Genetics Hematology Infectious Disease Internal Medicine Nephrology Neurology Orthopedic Oncology Pediatric Dermatology Physical Medicine & Rehabilitation Psychiatry Radiology Rheumatology Sign Interpretation Spine Clinic Surgical Follow-up Surgery, Neurological Surgery, Oncology Surgery, Vascular Trauma Urology