How Essentia Health Pairs Remote Patients with Hospital- and Clinic-Based Telehealth Services

=How do you identify patients for telehealth services? In the case of Essentia Health, which conducts an average of 5,000 telehealth visits annually and whose largely rural footprint touches three states, the telehealth service may dictate selection.

In this HealthSounds episode, Maureen Ideker, RN, BSN, MBA, Essentia Health’s senior advisor for telehealth, defines a set of scenarios her organization uses to match patients to its half dozen tele-hospital based telehealth services and more than 20 tele-clinic programs.

During Telemedicine Across the Care Continuum: Boosting Health Clinic Revenue and Closing Care Gaps, a March 2018 webcast now available for rebroadcast, Maureen Ideker, RN, BSN, MBA, senior advisor for telehealth at Essentia Health, provides a roadmap of the program’s implementation, challenges and successes as well as details on its new key components.

The webinar provided key details on engaging providers in telehealth; staffing and equipment requirements; clinic ROI from telehealth; rundown of tele-hospital and tele-clinic services; telehealth innovation stories moving the needle on financial, clinical and quality metrics such as readmissions and patient no-show rates; using telehealth to tackle the opioid addiction crisis; and much more.


Length: 3:27 minutes

Adventist Health, Blue Shield of California Telehealth Collaboration Targets Underserved, Remote Patients

Robert MarchukA collaboration between Adventist Health and Blue Shield of California is improving access to specialist care and reducing inefficiencies through virtual telehealth visits.

In this collaboration, Blue Shield of California has contracted with Adventist Health specialists in a number of areas to make these specialties available to specific members in remote areas of northern California. We asked Robert Marchuk, vice president of ancillary services at Adventist Health, to share some of the aspects of this program with us in this audio interview. He addresses whether all Adventist providers within identified specialties are required to participate, and while the benefits to the patient are obvious, what do specialists gain from the experience? He also discusses how virtual encounters contribute to care coordination, and how patients’ primary care providers are kept in the loop.

During an October 15, 2014 webinar, Robert Marchuk will be joined by Christine Martin, director of operations for Adventist Health, and Lisa Williams, senior director of strategic integration and execution, healthcare quality and affordability for Blue Shield of California. They’ll discuss the inside details on the telehealth collaboration and their shared mission and values leading to the program’s success. The webinar, “Creating a Virtual Multi-Specialty Physician Network: A Payor-Provider Collaborative,” is sponsored by The Healthcare Intelligence Network.


Length: 5:56 minutes

Adventist Health-Blue Shield of California Multispecialty Telehealth Visits Save Members Time, Travel, Cost

Blue Shield of CaliforniaSelect Blue Shield of California health plan members in remote areas of the state no longer have to travel long distances or endure long waits for a wide range of specialty care, thanks to a “very deep” telehealth collaboration with Adventist Health, explains Lisa Williams, senior director of strategic integration and execution for Blue Shield of California. The visits are conducted at one of nine Adventist clinics in northern California with the help of specially trained telehealth coordinators who “present” the patient to the specialist via interactive video.

In this interview, Ms. Williams describes the patient selection process, the sophisticated clinical technology employed during specialty telehealth visits, the role of the telehealth care coordination center, and early feedback from patients on the experience. Ms. Williams also contrasts this telehealth collaboration with virtual visits available to consumers via cellphone or Internet for treatment of minor health complaints.

Lisa Williams will be joined by Robert Marchuk, vice president of ancillary services, Adventist Health, and Christine Martin, director of operations, Adventist Health during an October 15, 2014 webinar Creating a Virtual Multi-Specialty Physician Network: A Payor-Provider Telehealth Collaborative, a 45-minute program sponsored by The Healthcare Intelligence Network. The trio will share inside details on the collaboration and the shared mission and values of the organizations that is leading to the program’s success.


Length: 9:04 minutes

N.Y. Diabetes Telehealth Monitoring Advocates Individualized Care, Individual Goals

Susan LehrerThere are no hard and fast rules to determine when a patient is ready to ‘graduate’ from the New York City Health and Hospitals Corporation’s (NYCHHC) House Calls Telehealth Program, notes Susan Lehrer, RN, BSN, CDE, associate executive director of NYCHHC’s telehealth office. To do so would violate the basic tenets of diabetes education: individualized care and the setting of individual goals.

That being said, there are some clinical guidelines for seniors who participate in the program.

In this audio interview, Ms. Lehrer describes the work environment of care managers in the House Calls program, a blend of telehealth and telephonic case management for patients with diabetes, and comments on case load assignments.

Susan Lehrer will describe the telehealth care management program as well as the initiative’s impact on patient behavior change and outcomes during a July 24, 2014 webinar, Diabetic Telehealth Monitoring: The Impact of Real-Time Data on High-Risk Patients, a 45-minute program sponsored by The Healthcare Intelligence Network.


Length: 3:48 minutes

Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization

More than a third of healthcare organizations have launched nurse advice lines to reduce avoidable emergency room use and direct patients to the most appropriate care venue, according to a July 2010 survey by the Healthcare Intelligence Network. The staffing and operation of Optima Health’s nurse advice line is influenced by many factors, explains Patricia Curtis, director of operations, clinical care services for Optima Health. Curtis describes the distinct responsibilities of the LPNs and RNs who staff the advice line as well as the diverse needs of the member populations who call the advice line.

Curtis shared how Optima’s nurse advice line has evolved from a call center that supported a staff model HMO to a critical component of the organization’s effort to improve the efficiency of healthcare utilization during Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization, a 45-minute webinar on January 6, 2011.




Length: 3:53 minutes