Telemedicine

CONCURRENT ORAL PRESENTATIONS ABSTRACTS2 diabetes. The FDA-cleared application is a self-management tool that enablespatients to manage their diabetes. Users can track food consumption andblood sugar levels by logging their activity via a highly-secure mobile application.Upon conclusion of the 6 month pilot, the Medicaid provider hasshown promising results, including long term and high engagement, reducedA1C levels, reduction in hospital admissions and ER visits. Of the 200 candidates,145 completed the pilot program. Members maintained an averagelevel of five to six blood glucose entries per week throughout the initiative.Additionally, comparisons were made between the program participants and asimilar population (high risk, type II diabetics, etc.) for hospital and emergencyroom utilization 90 days prior to program registration compared to 90days after registration. The results reflect a 55% decrease in hospital utilizationand decrease of 16% in emergency room utilization for program participantscompared to members who did not participate. Analysis of the largeself-insured employer’s initiative, including over 30,000 health data entries,represents one of the first large-scale data captures and implementations ofmHealth technology in a real-world setting. Initial findings also show highadoption and engagement of the solution, with 81% of program participantsshowing consistent use of the system, 35% of participants using the system atleast 75% of the time, and 18% of the participants making health data entriesevery week they participated in the program. Attend this session to learn howan interactive, mHealth solution with personalized coaching can drive thesustained engagement that has eluded other mHealth solutions for chronicdisease management.Objectives:1. Discover the steps to creating a successful mHealth implementation todiverse populations.2. Learn how to make an impact on the care of individuals struggling withdiabetes by extending care beyond the physician’s office.3. Explore the opportunities for using mobile technology for bettermanagement of diabetes and other disease states.1:15 pm–2:15 pm Monday, May 6, 2013PRESENTATION PANELSession Number: 014Session Title: 430 NEUROLOGY TELEMEDICINETrack: Best Practices and Service Delivery Models II Meeting Room 17 A/BMODERATOR: Jack W. Tsao, MD, DPhil, Chairman, NeurologyTelemedicine Work Group.American Academy of Neurology, Minneapolis, MN, USA.PRESENTERS AND CONTRIBUTING AUTHORS:Jack W. Tsao, MD, DPhil, Chairman, Neurology Telemedicine WorkGroup 1 , Lawrence Wechsler, MD, Neurologist and Department Chairman 2 .1 American Academy of Neurology, Minneapolis, MN, USA, 2 University ofPittsburgh, Pittsburgh, PA, USA.Background: Neurology telemedicine is becoming a more accepted methodfor delivering neurological care to remote areas of the world.Objectives: The American Academy of Neurology (AAN) has recently publisheda white paper describing the use of telemedicine to enable neurologicalcare to be provided to patients in need who may not have ready access to aneurologist. This panel will review AAN guidelines, discuss practical aspectsfor establishing a neurology telemedicine network for general neurologicalconditions and stroke, and discuss practice issues, including credentialing,billing and coding, and technology.Intent: Participants will leave this session with knowledge of how to enhancetheir clinical practice to improve and expand neurological care delivery.Objectives:1. Know the American Academy of Neurology practice recommendations,practice issues, and how to set up a practice incorporating telemedicine2. Know which general neurological conditions can be treated usingtelemedicine3. Know how to establish a stroke system of care including the delivery ofthrombolytic therapy via telemedicine consultation1:15 pm–2:15 pm Monday, May 6, 2013INDIVIDUAL ORALSession Number: 015Session Title: UNIQUE APPROACHES TO DELIVERINGSPECIALTY SERVICESTrack: Best Practices and Service Delivery Models III Meeting Room 16 A/BMODERATOR: Peter Yellowlees, MD, MBBS, Director, Health InformaticsProgram.UC Davis Health System, Sacramento, CA, USA.422 TELEDERMATOLOGY AT SEAPRESENTERS AND CONTRIBUTING AUTHORS:Anne E. Burdick, MD, MPH, Associate Dean for TeleHealth,Scott C. Simmons, MS, Jennfier Herrera-Perdigon, MSN, NP-BC.University of Miami Miller School of Medicine, Miami, FL, USA.During the last three years, the University of Miami has provided a storeand-forwardteledermatology service for cruise ships around the world. Theservice is designed to be primarily for crewmembers, but passengers are seenwhen necessary. This presentation will address the operational and clinicalaspects of this service, including systems architecture and workflow, descriptionand classification of volume, and presentation of interesting cases.Our experience demonstrates that a store-and-forward approach can be usedto effectively provide teledermatology services for an employee populationthat is geographically dispersed. The service allows crew medical staff toeffectively manage skin conditions for their employees, reduce the need for onshore dermatology visits, and more effectively make medical evacuation decisions.Objectives:1. Describe the 3 year University of Miami store-and-forward teledermatologyfor cruise ships around the world.2. Understand the operational and clinical aspects of this service.3. Identify the benefits to crew medical staff in managing shipboarddermatology conditions, reducing on shore dermatology visits, and formore effectively making medical evacuations decisions.353 TELEPAIN: A PLATFORM FOR CONCURRENT EDUCATION, CLINICALCARE, AND RESEARCHPRESENTERS AND CONTRIBUTING AUTHORS:David J. Tauben, MD, University of Washington, Cara Towle, RN.University of Washington, Seattle, WA, USA.Telemedicine at the University of Washington is a multi-state regionalclinical and educational services network established in 2001. Recently, UWTelePain, has established a robust educational, clinical, and research platformª MARY ANN LIEBERT, INC. 2013 TELEMEDICINE and e-HEALTH A-41