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Top of Page 1 2 3 4 5 6 7 8 9 10 11 NMTHA's Telehealth Toolkit NMTHA's Telehealth Toolkit provides: Templates Best practice guidelines Gene ral resources Links to additional toolkits 11 telehealth topic areas, including: Client engagement Provider eng agement Provider self-care Technology Clinical specialities As part of a grant provided by the New Mexico Human Services Department (HSD), the resources below were curated and organized to match themes from interviews and surveys supported through efforts by the NMTHA and Anchorum St. Vincent . How do we address broadband and other telehealth challenges in rural New Mexico? How do we get started with telemedicine? How do we improve client engagement? How do we improve provider engagement? How do we manage our telehealth practice? How can we reduce provider burnout? How do we use/expand telehealth in schools and youth programs? What are the best ways to use telehealth for clinical specialties? What is the future of telehealth? What is the latest data on telehealth? How do we collect data on telehealth use? What telehealth platforms are best (and other technology questions)? 1 HOW DO WE ADDRESS BROADBAN D AND OTHER TELEHEALTH CHALLENGES IN RURAL NEW MEXICO? To o lk i ts Rural Telehealth Toolkit T h is toolkit from the Rural Health Informat ion Hub, compiles evidence-based, promising models and resources to support organizations in identifying and implementing telehealth programs to address common challenges experienced in rural communities across the United States. Audience: Facility leadership and providers in rural areas. G ene ral Resources Active Programs to Improve Telehealth Services in Remote Areas Office of the Advancement of Telehealth (OAT) provides funding to promote and improve telehealth services in rural areas. Audience: Executive leadership for clinics/facilities in rural areas. Virtual Critical Care: A Lifeline for Rural Hospitals and Patients (CASE STUDY) Auburn University Health and Amwell identify methods participating rural hospitals used to reduce their transfers by more than 80%, enabling patients to receive care in their communities with minimal disruption to continuity of care. Comparing Televideo and Telephone Behavioral Health Services for People with Chronic Mental Illness Powerpoint presentation from the UNM Rural Psychiatry Program, Annual Spring Conference: "Adapting Care for 2021 and Beyond." HOW DO WE GET STARTED WITH TELEMEDICINE? Toolkits Setting Up Tele-Be havioral Health Service This step-by-step guide provided by the Indian Health Services is meant to be comprehensive, touching upon everything that may need to be considered in s etting up Telebehavioral health services at your site. Audience: Facility directors and providers serving tribal and Indigenous populations. Telehealth Program Developer Kit From the California Telehealth Resource Center: "The CTRC Program Developer was designed to assist in developing and implementing telehealth services. This Guide provides overview information on the process and the activities and information you will collect during each of the development phases. Each of the steps is designed to allow an organization to consider critical aspects of development and to support decision making.” Telehealth Implementation Playbook Learn more about identifying the need for telehealth, finding a vendor, designing the workflow, implementing, and scaling from the American Medical Association. A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice Telehealth services and payment, roles and responsibilities, licensing and legal requirements, technology, workflow, and family medicine scenarios. Toolkit from the American Academy of Family Physicians (AAFP) . Templa tes Telemedicine Multi-S ite Agreement Arizona Telemedicine offers a template for consideration of the mutual covenants and agreements for involved parties. Best Practice Guidelines 15 Key Steps to Creating a Business Proposal to Implement Telemedicine Here you’ll find a concise overview of 15 steps to implement a successful telemedicine program at your facility. Offered by the Northwest Regional Telehealth Resource Center. Audience: Directors and Executive leadership. General Resources Telehealth Start-Up and Resource Guide Covering Telehealth vs. Telemedicine, ATA and AMA guidelines, startup to sustainability, telehealth module and outlook, reimbursement guide, Medicaid, Medicare billing, CNM code information and other resources. This start-up and resource guide was created in partnership between Telligen and gpTRAC, the GreatPlains Telehealth Resource and Assistance Center. It is intended to provide an overview and framework for implementing telehealth in critical access hospitals and rural areas, and to point the reader toward reliable and informative resources for learning about telehealth and the organizations that support the use of telehealth in various ways. General Provider Telehealth and Telemedicine Tool Kit This document contains links to reliable information sources regarding telehealth and telemedicine. Most information is directed toward providers seeking to establish a permanent telemedicine program with specific documents useful for choosing telemedicine vendors, initiating a telemedicine program, monitoring patients remotely, and developing documentation tools. The New Normal: Tips for Making Telemedicine Part of Your Permanent Practice September 2020, 1:02:46 Alaska Native Medical Center and Shoshone Family Medical Center join together via Project ECHO to help participants understand tactics to develop a well-rounded telehealth program, move telemedicine into their standard operations, outline the elements of a telemedicine quality program, understand considerations of health equity in telemedicine, proactively and reactively address patient barriers, and outline infrastructure components needed to support ongoing program success. Audience: Facility directors ready to establish a telemedicine program. Telemedicine: Where Do I Start? July 2020, 1:03:41 Project ECHO, Shepherd’s Clinic, UV Medicine, and CommonSpirit Health offer an expert-guided video on how to start and subsequently navigate telemedicine. Audience: Facility directors ready to establish a telemedicine program. 2 3 HOW DO WE IMPROVE CLIENT ENGAGEMENT? Templates Behavioral Telehealth Session Checklist Mental Health Technology Transfer Center Network provides this checklist put together by Operation PAR, Inc. to provide basic guidance on the before-, during-, and after- of a telehealth session. Audience: Behavioral health providers using telehealth and looking to improve their interactions with clients or behavioral health providers using telehealth for the first time. Telehealth Instructions for Behavioral Health Patients Behavioral Health Partners offers telehealth instructions to behavioral health patients in preparation for a telehealth visit. Patient Consent Form Telemedicine patient consent form provided by the Southwest Telehealth Resource Center. Audience: Facility directors. Telehealth Instructions for Behavioral Health Patients Behavioral Health Partners offers telehealth instructions to behavioral health patients in preparation for the telehealth visit. Audience: Behavioral health providers using telehealth and looking to improve their interactions with clients or behavioral health providers using telehealth for the first time. Telehealth Visit Etiquette Checklist From the American Medical Association: "This checklist is intended for clinicians and care team members who will be hosting the telehealth visit to ensure that the professional standards of in-person care is maintained in a virtual environment.” Audience: Telemedicine and telebehavioral health providers. Patient Information Sheet (English) Overview of telehealth visit for patients from the FQHC Telehealth Consortium. Patient Information Sheet (Spanish) Overview of telehealth visit for patients from the FQHC Telehealth Consortium. Best Practice Guidelines Telehealth Etiquette Video Series In this series of videos, we learn the difference between a Bad, Good, and even Better telehealth consult. While some demonstrations may seem humorous or “over the top,” all are based on actual patient scenarios. As you watch, notice the difference between the Good, the Bad, and the downright Ugly. Provided by the South Central Telehealth Resource Center and produced by Old Dominion University College of Health Sciences, School of Nursing. Audience: Telemedicine and telebehavioral health providers. General Resources Telehealth Best Practice s April 2020, 0:04:06 A short video from the Hawaii State Department of Health Genomics Section highlighting best practices for healthcare providers when using telehealth to provide services. Audience: All providers. 4 HOW DO WE IMPROVE PROVIDER ENGAGEMENT? General Resources Clinical Best Practices and the Art of the Tele-Physical Exam September 2020, 0:59:31 This video aims to help providers understand the process of conducting a telemedicine visit, select the equipment needed to conduct a physical assessment through telemedicine, collec t physical data through a videoconferencing session without peripherals , and utilize creative strategies to obtain clinical data. Provided by the University of New Mexico’s Project ECHO as a joint effort with the Center for Telehealth Innovation, Education, & Research; Old Dominion University; and the Mid-Atlantic Telehealth Resource Center. Audience: Primary care providers. Physicians' Motivations and Requirements to Adopting Digital Clinical Tools February 2020 Study by the American Medical Association on “Physicians’ motivations and requirements for adopting digital health and adoption and attitudinal shifts from 2016 to 2019.” Audience: Executive leadership. Telehealth Driver Diagram Develop a sustainable, patient-centered, and equitable telehealth model and achieve an advanced level of maturity with the FQHC Consortium diagram. Top Five Tips for Managing Expectations and Challenges of Transitioning to Telehealth May, 2020, 0:17:46 Discussion of the "Top 5 tips for Managing Expectations and Coping with the Challenges of Transitioning to Telehealth." Speakers: Nancy Roget, Executive Director of the Center for the Application of Substance Abuse Technologies at the University of Nevada–Reno and Co-Director of the Mountain Plain Addiction Technology Transfer Center (ATTC) Regional Center, and Paul Warren, research project director at the New York State Psychiatric Institute, Division of Substance Use Disorders, in association with Columbia University and Project Manager for the Northeast and Caribbean ATTC. Audience: Executive leadership and facility directors. 5 HOW DO WE MANAGE OUR TELEHEALTH PRACTICE? Toolkits Organizational Assessment Toolkit for Primary and Behavioral Health Care Integration Designed by a team of integration experts and offered by the National Council for Mental Wellbeing, the Organizational Assessment Toolkit for primary and behavioral health care Integration (OATI) provides a compendium of tools that lay out a path for organizations to assess readiness for integration, as well as benchmarking opportunities for those organizations well down the line in integration efforts. Audience: Facility directors and providers looking to integrate primary care and behavioral health. Telehealth Playbook Federally Qualified Health Centers Telehealth Consortium provides a Telehealth Playbook as a how-to guide to support the adoption and sustainability of telehealth at health centers. Templates Job Description RN Coordinator - Telehealth Sample Sample from UW Health. (University of Wisconsin) Audience: Clinic administrators and directors. Job Description: Telehealth Program Coordinator Sample Sample from the FQHC Telehealth Consortium. Audience: Clinic administrators a nd directors. Job Description: The Telemedicine Navigator (TMN) Sample Sample from the FQHC Telehealth Consortium. Audience: clinic administrators and directors. Job Descriptions Multiple Telemedicine Positions Includes several sample telemedicine job descriptions from the California Telehealth Resource Center. Audience: clinic administrators, directors and executive leadership. Appointment Types & Duration Guide From the FQHC Telehealth Consortium. Audience: Clinic administrators. Best Practice Guidelines Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service Prepared by the Center for Connected Health Policy and The National Telehealth Policy Resource Center to provide guidance on billing for telehealth and virtual healthcare and fee-for-service (FFS) Medicare and Medicaid programs. Audience: Facility directors and providers. General Resources 2021 Medicare Coverage and Payment for Audio Only Services (Telephone E/M) The Association of American Medical Colleges provides an overview of current Medicare coverage for audio-only services. Audience: Facility directors and providers. Billing and Coding Medicare Fee-for-Service Claims During the COVID-19 Pandemic More Medicare fee-for-service (FFS) services are billable as telehealth during the COVID-19 public health emergency. Read the latest guida nce on billing and coding FFS telehealth claims. Audience: Facility directors and providers. Coding Scenario: Coding for Telehealth Visits Guide for how to bill for a variety of telehealth visits from the American Academy of Family Physicians. Audience: Facility directors and providers. C overage and Payment for Telemedicine The American Medical Association offers an overview of health plan coverage and payment for telemedicine services. Audience: Facility directors and providers. Interstate Medical Licensure Compact American Medical Association explains pathway to expedite licensing of physicians already licensed in another state. Audience: Facility directors. NCTRC Webinar - Digital Marketing: Best Practices for Direct-to-Consumer Telehealth July 2020, 0:59:09 This South Central Telehealth Resource Center presentation lays the foundation for building a digital strategy for telemedicine practice. Participants will learn how to identify opportunities to reduce friction based on consumer journey, discuss highest value marketing channels based on consumer data, define audience segments, and outline conversion goals. Audience: Executive leadership and facility directors. NCTRC Webinar - Leveraging Telehealth to Address Social Determinants November 2020, 1:00:08 The National Consortium of Telehealth Resources presents on how the healthcare industry's shift from fee-for-service (FFS) to value-based care, planning, implementing, and enhancing telehealth as a service delivery model, makes it crucial to ensure practices are on the leading edge - not the bleeding edge - of reimbursement strategies. Audience: Executive leadership and facility directors. Overview of Telehealth Billing and Reimbursement Policies August 2020, 1:03:35 The Center for Connected Health Policy, via Project ECHO, presented this installment during a 10-week series offered by the National COVID Response peer-to-peer learning. Audience: Executive leadership and facility directors. Policy Telehealth Coding and Payment Quick Guide The American Medical Association’s Advocacy team summarizes the latest updates in Federal policy , including key policy and payment considerations. Audience: Executive leadership and facility directors. Service Provider Directory Telemedicine and Telehealth The directory lists companies providing medical specialty services (e.g., radiology, rheumatology, neurology, psychiatry) and ancillary services (e.g., patient education and language interpretation) through telemedicine to healthcare providers (e.g., hospitals, clinics, nursing homes, private practices, urgent care centers). Audience: Hospital and healthcare administrators and other decision-makers who want to expand or improve their healthcare services to their patients, employees, clients, etc. by connecting them with specialty care. Telehealth and Health Equity: Considerations for Addressing Health Disparities During the COVID-19 Pandemic September 2020, 1:04:50 Centers for Disease Control and Prevention presenters discuss the intersection of telehealth and health equity, and the implications for health services during the COVID-19 pandemic. Presenters will identify long-standing systemic health and social inequities that contribute to COVID-19 health disparities while highlighting the opportunities and limitations of telehealth implementation as an actionable solution. Audience: Executive leadership, facility directors and providers. Telemedicine Policy Guidelines for creating a telemedicine policy from the American Medical Association. Audience: Facility directors. Telemedicine Quick Reference Guide Created by BlueCross/BlueShield of New Mexico to help providers with questions on telemedicine services and billing. Please note: this does not include federal or state exceptions for the Public Health Emergency for COVID. Audience: Directors and providers offering telemedicine in New Mexico. Workflows and Documentation August 2020, 1:02:00 The California Telehealth Resource Center, along with Dartmouth-Hitchcock Medical Center and Mary’s Center, offer a Project ECHO video presentation showing basics of facilitating workflow conversations, creating workflow maps, and how to pull together and lead successful teams. Audience: Executive leadership, facility directors and providers. Podcasts Top Five Clinical Best Practices for Telehealth April 2020, 0:10:08 Mary Ellen Evers, LCSW, CAADC, a registered telebehavioral health clinician for mental health and addiction services and a telebehav ioral health trainer for the Center for the Application of Substance Abuse Technologies, shares her top five clinical best practices for providing services via telehealth platforms. Audience: Providers. Top Five Tips for Group Services via Telehealth April 2020, 0:09:03 Sandes Boulanger, LCSW, MCAP, the Vice President of Clinical Services for Operation Par, Inc., located in Florida, shares her top five tips for running group sessions and support via telehealth during COVID-19. Audience: Providers. Top Five Tips for Telehealth Implementation April 2020, 0:09:22 Kathy Wibberly, the Director of the Mid-Atlantic Telehealth Resource Center located at the University of Virginia Karen S. Rheuban Center for Telehealth, gives her top five tips for successful implementation of telehealth services. Audience: Executive leadership, facility directors and providers. Top Seven Telehealth Privacy Considerations April 2020, 0:09:41 The Center for Excellence for Protected Health Information presents key points around privacy, HIPAA, and confidentiality when providing telehealth behavioral health and addiction services, with Jacqueline Seitz, JD; CoE-PHI, Christine Khaikin, JD; CoE-PHI, and Michael Graziano. Audience: Executive leadership, facility directors and providers serving behavioral health patients. Top Seven Tips for Telehealth Billing April 2020, 0:18:34 A review of best practices for billing for telehealth services to ensure reimbursement during COVID-19, presented by Kathy Wibberly, PhD, the director of the Mid-Atlantic Telehealth Resource Center located at the University of Virginia. Audience: Facility directors and providers. 6 HOW DO WE REDUCE PROVIDER BURNOUT? Toolkit Physician Suicide and Support The American Medical Association discusses how to identify at-risk physicians and facilitate access to appropriate care. Audience: Executive leadership and facility directors. Provider Self-Care Toolkit The National Center for Post Traumatic Stress Disorder discusses how managers can support employees struggling with burnout and stress. Audience: Executive leadership and facility directors. Tips for Supporting Employee Mental Health The National Council for Mental Wellbeing offers a toolkit on Stress, Anxiety, Depression: "What it Looks Like at Work and How to Provide Support." Audience: Executive leadership and facility directors. General Resources Burnout in Healthcare Workers: Prevalence, Impact, and Preventative Strategies Article from the National Center for Biotechnology Information, U.S. National Library of Medicine . Audience: Providers and executive leadership. Equipping Physicians to Manage Burnout Resources from the American Medical Association, including a tip of the week, free learning modules, and podcasts. Audience: healthcare leaders and providers. Gratitude Practice for Nurses The Gratitude Practice for Nurses initiative is a joint effort of the American Nurses Foundation and the Greater Good Science Center at the University of California, Berkeley, aimed at cultivating the practice of gratitude within the nursing profession. Decades of research have shown that practicing gratitude is highly effective in promoting physical and psychological health, both at the individual and organizational levels. Audience: Nurses and healthcare leaders. Mental Health Support for Healthcare Providers Support from the National Alliance on Mental Health includes confidential and professional support, peer support, resources on building resiliency, and more. Audience: All medical and behavioral treatment staff and providers. Provider Burnout: Prioritizing Self-Care to Strengthen Patient Care Ideas for self-care from the American Academy of Physician Assistants. Audience: All medical and behavioral treatment staff and providers. 7 HOW DO WE USE/EXPAND TELEHEALTH IN SCHOOLS AND YOUTH PROGRAMS? Toolkit National Telehealth Toolkit for Educators/Faculty Created in 2019, a group of over 45 nursing faculty from 19 U.S. States, Canada, and 28 universities met to develop a telehealth toolkit with the goal of providing faculty with content needed to integrate telehealth across the curriculum for health professions programs. Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children’s Health and Well-Being School-Based Checklist and Resources Compiled by the Clearinghouse for Military Family Readiness at Pennsylvania State University, this document provides a variety of checklists as well as links to additional resources. Audience: Directors of school and youth programs using telehealth. Best Practice Guidelines Evaluation Considerations for Delivering Virtual School-B ased OT Services via Telehealth Checklist, resources, and recommendations provided by the American Occupational Therapy Association. Audience: Directors of school and youth programs using telehealth. General Resources How to Start and Implement a School-Based Telehealth Program How to Build a School-Based Telemedicine Program in Your Community 0:52:21 The South Central Telehealth Resource Center, University of Arkansas for Medical Sciences, offers a video on building a school-based telemedicine program. Audience: Directors of school and youth programs looking to implement a telemedicine program. R eimbursement of School-Based Telehealth Services-Report The National Academy for State Health Policy report explores how states are increasing their Medicaid coverage of school-based telehealth services during COVID-19, determining which services can be effectively delivered through telehealth, and supporting equitable access to telehealth services for students. Audience: Directors of school and youth programs using telehealth. 8 WHAT ARE THE BEST WAYS TO USE TELEHEALTH FOR CLINICAL SPECIALTIES? Behavioral Health Best Practice Guide Introduction to telehealth for behavioral health care. Audience: Executive leadership and fac ility directors. Telehealth Delivery of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) The Medical University of South Carolina offers a 2-part webinar series: Part 1 (0:59:26) - Provides logistics for delivering trauma-informed, evidence-based mental health services via telehealth (e.g., necessary equipment, procedures, documentation, ethical considerations) Part 2 (1:41:09) - Provides specific tips and resources for delivering Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) via telehealth. Audience: Facility directors and providers. Dentistry ADA Guide to Understanding and Documenting Teledentistry Events The American Dental Association provides Q&A with scenarios providing insight and understanding of how care is delivered and reported wh en teledentistry is a facet of the process. Audience: Dental office directors and providers. Emergency Departments Best Practice Guide: Introduction to Telehealth Practices for Emergency Departments The Health Resources and Services Administration (HRSA) provides information on getting started, billing, tele-triage, tele-emergency care, virtual rounds, e-consults, and telehealt h for follow-up care. Audience: Executive leadership, ED directors, and providers. Hospice and Palliati ve Care Best Practices for Using Telehealth in Hospice and Palliative Care Article from the National Library of Medicine highlights the work of expert clinicians from multiple hospice and palliative care organizations to develop best practices for conducting telehealth visits in inpatient and community settings. Audience: Facility directors and providers. Maternal Health UMTRC Webinar: Ohio Telehealth Billing & Reimbursement Webinar for Maternal Health May 2020, 0:55:22 Ohio State University and the Ohio Department of Health provide a video on how maternal health providers in Ohio can integrate telehealth into their clinical practices, and a deep dive into telehealth reimbursement for maternal health, with an emphasis on Ohio Medicaid. Audience: Facility directors and providers. Pediatrics Pediatric Telemedicine in Ambulatory and Inpatient Settings D uring COVID-19 and Beyond May 2020, 1:0 4:51 The University of Minnesota Pediatrics Grand Rounds offers a video that describes: 1. Evolution of telemedicine practice before and since COVID in pediatric ambulatory and inpatient settings. 2. Three elements of best practice for effective telemedicine visits. 3. Advantages and disadvantages of telemedicine in Pediatrics. 4. Applications for telemedicine after the COVID-19 pandemic in your practice. Audience: Facility directors and providers. Remote Monitoring Remote Patient Monitoring Toolkit The Mid-Atlantic Telehealth Reso urce Center designed a toolkit to help many different audiences quickly understand remote patient monitoring and define the responsibilities of each role. Audience: Facility directors and providers. Substance Use Disorders Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders From the Center for Mental Health Services (CMHS) and Substance Abuse and Mental Health Services Administration (SAMHSA): “This guide reviews ways that telehealth modalities can be used to provide treatment for serious mental illness and substance use disorders among adults, distills the research into recommendations for practice, and provides examples of how these recommendations can be implemented.” Audience: Behavioral health providers and clinical supervisors. Tele-Treatment for Substance Use Disorders Treating substance use disorders via telehealth requires expertise and training in addiction care. Telehealth Health and Human Services provide special considerations to keep in mind for telehealth substance use treatment. Audience: Facility directors and providers. 9 WHAT IS THE FUTURE OF TELEHEALTH? Best Practice Guidelines Current State Laws and Policies for New Mexico Current state laws and policies related to telemedicine in New Mexico curated by the Center for Connected Health Policy. Audience: Ex ecutive leadership, facility directors and providers. Statute on Establishing a Patient-Physician Relationship Via Telehealth The American Medical Association offers a quick reference guide for providing care with medical ethics while maintaining the patient’s well-being via telemedicine. Audience: Executive leadership, facility directors and providers. General Resources A New Decade for Telehealth: A Loo k at the Rapid Rise in Telehealth Adoption and What's Required to Support its Growth White paper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber te chnology solutions serving America’s largest businesses and communications service providers. Audience: Executive leadership. Covering the Cost of Telehealth White paper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers: “Healthcare leaders expect patient demand for digital services to continue rising — even after the COVID-19 public health crisis subsides. That in turn has healthcare organizations (HCOs) strategizing on how to cover the costs of the telehealth investments they’ll need to meet rising demands in the months and years ahead.” Audience: Executive leadership. How Telehealth Can Support People Living in the Community The American Telehealth Association provides background education on telehealth, increases awareness of the benefits of telehealth that support community living, and raises policy considerations for States, health plans, and providers. Medicare and Medicaid COVID-19 Program Flexibilities and Considerations for Their Continuation Statements of Jessica Farb, Director of Health Care, and Carolyn L. Yocom, Director of Health Care, were incorporated in the Testimony Before the Committee on Finance, U.S. Senate, in response to the COVID-19 pandemic to discuss flexibilities related to Medicare and Medicaid made available during the public health emergency. Testimony highlights the various flexibilities and waivers implemented during the COVID-19 pandemic and provides preliminary information on how these flexibilities have likely benefited providers and beneficiaries. Audience: Executive leadership, facility directors and providers. Pending Telehealth Legislation and Regulation in New Mexico and the United States A quick reference guide presented by the Center for Connected Health Policy. Audience: Healthcare leadership and all providers. Return on Health: Moving Beyond Dollars and Cents in Realizing the Value of Virtual Care This report, jointly developed by the American Medical Association and Manatt Health Strategies, expands on existing research by articulating a more robust framework for measuring the value of digitally enabled care that accounts for the various ways in which virtual care programs may increase the overall “return on health” by generating positive impact for patients, clinicians, payers and society going forward. Audience: Executive leadership, facility directors and providers. Telehealth Needs & Opportunities: Emerging Findings from Non-Profit Behavioral Health Providers in Northern New Mexico Special Report from the New Mexico Telehealth Alliance and Anchorum St. Vincent, a community health impact organization, resulting from a needs assessment in early 2021. Audience: Executive leadership, facility directors and providers. 10 WHAT IS THE LATEST DATA ON TELEHEALTH USE OR HOW DO WE COLLECT DATA ON TELEHEALTH USE? Te mplates Telehealth Patient Experience Survey Sample survey from the FQHC Telehealth Consortium. Audie nce: Providers and administrators. General Resources Configuring Telehealth Visits Using RPMS and EHR Presentation by the Indian Health Service from Sept. 2020 regarding standardization for national tracking and reporting. Audience: Facility directors and provid ers serving native and Indigenous populations. Measures of S uccess: 5 Key Metrics for Evaluating Telehealth Services White paper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers. Audience: Executive leadership. Measuring Patient Experience and Satisfaction with Telemedicine: A Quick Guide to Survey Selection The California Health Care Foundation provides a guide to support and inform quality improvement efforts at health centers. Audience: Executive leadership and facility directors. Supporting Today’s Data-Intensive Clinical Environments Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers, offers tep-by-step guidance for planning a network infrastructure that advances digital health initiatives and improves efficiency and patient outcomes. Audience: Executive leadership. Telemedicine and Non-Telemedicine Visit Experience Interview Guides The University of Rochester provides an interview guide designed to be conducted with patients, physicians, nurses, and office staff in an ambulatory setting and includes questions to assess users' satisfaction and perceptions of telehealth. Audience: Executive leadership, facility directors and providers. 11 WHAT TELEHEALTH PLATFORMS ARE BEST AND OTHER TECHNOLOGY QUESTIONS? Toolkits Remote Patient Monitoring Platforms: Vendor Overview Snapshot of various platforms from the FQHC Teleheal th Consortium. Telehealth Platforms: Vendor Overview Snapshot of various platforms from the FQHC Telehealth Consortium. Vendor Selection Toolkit From the Mid-Atlantic Telehealth Resource Center, this provides some quick info on selecting your telehealth vendor. Audience: Directors and executive leadership. General Resources AMA Telehealth Implementation Playbook Includes a vendor evaluation checklist on pages 32-38. Audience: Directors and executive leadership. Comparing 11 Top Telehealth Platforms: Company Execs Tout Quality, Safety, EHR Integrations Article from HealthcareIT News. Audience: Executive leadership and facility directors. Growing Digital Health Innovation Means It’s Time for a Bandwidth Checkup Whitepaper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers. Audience: Directors and executive leadership. Telehealth Technology Trends October 2020, 0:59:41 National Consortium of Telehealth Resources: The Telehealth Technology Assessment Resource Center (TTAC) has seen a significant shift in choosing telehealth technology for providing patient care, specifically in choosing video conferencing platforms and providing care to the patient in the home, both from the provider and the consumer perspective. TTAC gives a short overview of changing trends observed now and for the future. Audience: Executive leadership and facility directors. The Top 30 Tools for Improving Your Telehealth Implementation Telehealth tools, hardware, software, monitoring and on-demand portals from Cambridge Brain Sciences. Audience: Executive leadership and facility directors.

Top of Page Agenda Kick-off, Welcome, Intros Opening Remarks Equity Gaps AI + Digital Innovation Medicare Telehealth HCA/Turquoise Care Closing Remarks Innovating Remote Access 2 Innovating Remote Access to Care A New Mexico Telehealth Alliance, Southwest Telehealth Resource Center, & HealthInno NM Collaboration 2024 Q4 Education & Networking Special Event: Date: Thursday, October 17th, 2024 Time: 2:00 - 7:30pm MST Place: Indian Pueblo Cultural Center & Zoom Cost: Complimentary! Agenda INNOVATING REMOTE ACCESS TO CARE A special extended event starting with educational presentations from national and regional experts, followed by Table Talks for networking and small-group discussions, and ending with an open mic session for in-person attendees to introduce themselves and their work, and to announce upcoming events, accomplishments, and collaborative opportunities. The recorded educational presentations linked below focus on trends and updates in remote care delivery, telehealth adoption, regulation, and local efforts to expand innovative approaches to remote access to health care. AGENDA Kick-off, Welcome, Event Partner Introductions Opening Remarks Bridging Health Equity Gaps / Disparities AI + Digital Innovation Medicare Telehealth HCA/Turquoise Care Vision & Strategies Closing, State Legislature Remarks PRESENTATION RECORDINGS, SLIDE DECKS, & SUMMARIES: Kick-off with Event Welcome + Introducing Partner Stefany Goradia, MEIE ( LinkedIn ) Head of Impact + Community, HealthTech Rx Stetson Berg, MPH ( LinkedIn ) Board Chair, New Mexico Telehealth Alliance Alex Carter, PA-C ( LinkedIn ) Board Vice Chair, New Mexico Telehealth Alliance Video Key Points & Highlights Stefany Goradia: Overview of HealthTech RX's mission and event goals Networking and Participation: In person attendees encouraged to network and rotate through 4 Table Talks on diverse healthcare topics. No scheduled breaks; food served and cash bar served opens at 5 PM. Focus Areas: Enhancing care delivery for rural and underserved communities. Exploring partnerships and innovation in digital health solutions. Event Structure: First Half: Educational presentations by local/national experts on trends and regulations (2–5 PM). Second Half: Interactive Table Talks focusing on specific topics (5–7:30 PM). HealthTech RX Role: Functions as innovation hub and convenes stakeholders for collaborative problem-solving. Organizes quarterly events, innovation challenges, hackathons, and pilot programs to address unique healthcare challenges. Event Overview: Q4 HealthInno NM event by HealthTech RX, focusing on healthcare innovation in New Mexico. Aims to bring together healthcare leaders, technologists, policymakers, and stakeholders to improve health equity and economic development. Theme: "Rethinking Remote Care," emphasizing telehealth and tech-enabled care models for underserved communities. Stetson Berg: Telemedicine advancements and local/national scale innovation Alex Carter: Personal and professional insights on telehealth Opening Remarks Elizabeth Krupinski, PhD ( LinkedIn ) Professor & Vice-Chair for Research, Dept. of Radiology & Imaging Sciences, Emory University Associate Director of Evaluation, Arizona Telemedicine Program Director, Southwest Telehealth Resource Center Video Key Points & Highlights Southwest Telehealth Resource Center: Focuses on promoting and supporting telehealth in Four Corners region and Nevada. Aims to expand, start, or improve telehealth programs through training, grant support, and resource sharing. Mission and Goals: Enhance patient care and accessibility using telehealth. Overcome challenges and advocate for telehealth adoption as a standard care tool. Historical Collaboration: Participated in Four Corners Telehealth Consortium, connecting states in the region. Involved in telehealth and digital health initiatives since the mid-1990s, including partnerships in New Mexico. Future of Telehealth: Envisions telehealth as a standard tool for quality care rather than a distinct service. Strives for seamless integration of telemedicine and digital health in healthcare practices. Event Contribution: Supporting educational talks and roundtables to share knowledge and resources. Encourages attendees to adopt telemedicine and digital health practices to improve care delivery. Telehealth: Bridging Health Equity Gaps or Widening Disparities? Michael Holcomb, BS-MIS ( LinkedIn ) Associate Director for Information Technology, Arizona Telemedicine Program Interim Director, Southwest Telehealth Resource Center Carrie Foote, BS, BA ( LinkedIn ) Program Administrator, Southwest Telehealth Resource Center Video Key Points & Highlights Modalities: Synchronous care Asynchronous care Mobile health Remote patient monitoring Requirements: Service availability Broadband internet connection Patient/caregiver Literacy Telehealth compatible technology Patient assistance/accommodations Funding Sources Patient consent Privacy and HIPAA Benefits: Promotes equity by addressing barriers to healthcare access Dismantles geographic constraints Eliminates transportation obstacles Promotes ongoing care for chronic conditions/improves chronic disease management Provides access to specialists Increases access for underserved populations Addresses healthcare professional shortages and healthcare deserts Challenges: Digital divide Language/cultural barriers Digital and health literacy Differential adoption rates Technology comfort level Lack of private space Lack of accommodation for disabilities Telehealth as sole access point Economic barriers Policy barriers Lack of continuity of care Rates of use: High: 73% - young adults 18-24 69% - earn $100k/year 66% - private insurance 62% - white Low: 38% - no high school diploma 44% - older adults >65 51% - Latino and Asian 54% - black Disproportionally impacted by digital divide: Elderly Racial/ethnic minorities Disabled Low-income Rural Limited English proficiency Inherent biases in some technologies Solutions for equitable access: Provider education Assessing patient readiness Infrastructure expansion (broadband) Digital health literacy Telehealth access points Telehealth in libraries Partnerships and leadership Evidence-based solutions AI + Digital Innovation in Healthcare Elizabeth Krupinski, PhD (LinkedIn ) Professor & Vice-Chair, Research Dept. of Radiology & Imaging Sciences, Emory University Associate Director of Evaluation, Arizona Telemedicine Program Director, Southwest Telehealth Resource Center Video Key Points & Highlights Background: Expert in medical imaging, AI, and human-computer interaction Leadership roles in telemedicine and imaging societies AI in Healthcare: AI is transforming healthcare through predictive analytics, ambient clinical intelligence, and wearable technology. 64% of U.S. hospital systems already use AI, primarily for sepsis prediction, reducing hospital readmissions, and improving efficiency. Key AI Applications: Predictive Models: Identifying risks like sepsis and patient decompensation. Ambient Clinical Intelligence: Automatically documenting clinical interactions to save time and improve patient-provider communication. Wearables: Devices like sensors in clothing and rings to monitor health metrics and predict adverse events. Embodied AI: Robotics for tasks like patient transport, medication delivery, and remote communication. Challenges in AI Adoption: Bias: AI often reflects biases in training datasets, leading to inaccuracies in diverse populations. Transparency: Many AI tools lack the ability to explain their decisions, hindering clinical trust and utility. Regulation: Limited FDA oversight of AI tools creates potential risks in their clinical use. Data Quality: Poor data and limited external validation can reduce AI effectiveness. Deskilling: Over-reliance on AI could hinder skill development in healthcare professionals. Ethical and Practical Considerations: Addressing privacy concerns in ambient listening technologies. Balancing the use of AI with human judgment to prevent cognitive biases and over-reliance. Developing explainable AI to enhance clinical decision-making. Future Potential: AI-enabled tools for automating repetitive tasks, improving workflows, and enhancing diagnostics. Integration of advanced biometrics to detect conditions like depression, anxiety, or autism using subtle cues like voice or eye movement. Opportunities to improve healthcare equity by addressing systemic biases in healthcare algorithms. Medicare Telehealth: How to Plan Patient Care During Uncertainty Carol Yarbrough, MBA-TM (LinkedIn ) Business Operations Manager, Telehealth Resource Center, UCSF Medical Center Video Key Points & Highlights Background: Specialization in healthcare compliance, reimbursement, and telehealth policy. Offers guidance on billing, coding, and regulatory compliance for telehealth services. Medicare Telehealth Evolution: Telehealth policy began with Social Security Act (2001), limiting originating sites and eligible providers. During the COVID-19 public health emergency, telehealth services were expanded significantly. Policy Changes and Uncertainty: Public health emergency waivers allowing broad telehealth access are set to expire. Congress and CMS are deliberating future policies, with potential extensions being debated. DEA policies on telehealth prescriptions, especially controlled substances, remain unresolved. Current Telehealth Codes: Medicare supports 268 telehealth CPT codes; some are provisional and may be removed. Behavioral health services retain strong telehealth support, including Audio-Only services (with limitations). Indigenous Health Telehealth Initiative: New federal funding supports telehealth access for indigenous communities in pilot states (e.g., California, Oregon, New Mexico). Practice Management Insights: Clinics should prepare for potential policy changes by documenting telehealth utilization and exploring asynchronous care options. Consider workflow optimizations to balance telehealth and in-person care. Legislative Advocacy: Stakeholders are encouraged to engage with legislators to support permanent telehealth policies. Advocacy is particularly crucial for urban areas where telehealth services might be curtailed. Future Outlook: CMS might provide short-term extensions while working on long-term solutions. New opportunities include caregiver training via telehealth and innovative uses for asynchronous care. HCA/Turquoise Care Vision + Strategies for Expanding Remote/Access to Care Alexandria Castillo Smith, MPH, MSW ( LinkedIn ) Deputy Cabinet Secretary, NM Healthcare Authority Video Key Points & Highlights Overview of Turquoise Care (TC) Goals Goal 1 – Build a NM healthcare delivery system that is accessible for both preventive and emergency care that supports the whole person (PH, BH, SDOH). Goal 2 – Strengthen the NM healthcare delivery system through expansions and implementation of innovative payment reforms and VBC initiatives. Goal 3 – Identify groups that have been historically and intentionally disenfranchised and address health disparities through strategic program changes to enable an equitable chance at living healthy lives. TC Health Plans Blue Cross Blue Shield of NM Molina Healthcare Presbyterian Turquoise Care United Healthcare Community Plan New TC Benefits New Home Visiting Program for New Mothers Reimbursement for Community Health Workers Chiropractic Services Continuous coverage for children up to age 6 Changes to Telemedicine During Covid-19 Promoted access to video and phone telehealth services Expanded proportion of members in rural and urban areas that were able to access care HCA Approach to Telemedicine: TC Contract Requirements Quarterly Telemedicine Report to HCA from MCOs Audiovisual asynchronous, remote monitoring Training for providers of appropriate services for telemedicine Targets set to increase telemedicine usage by 20% or be penalized. NM Medicaid Telemedicine Services Telemedicine Must include audio and visual Be delivered real-time a the originating and distant site No restrictions on services that can be offered via telehealth If provider resides outside of NM they must be licensed in NM Telephone Able to reimburse for all telephonic visits covered during the Public Health Emergency After 12/31/2024 will follow the codes that are permitted by Medicare, primarily BH codes. Project ECHO Have hubs of virtual learning opportunities on a wide variety of topics for providers MCOs support Project ECHO and encourage utilization Collaborates with Indian Health Services Have a unique relationship with Medicaid Program MCOs identify members who would benefit from Project ECHO MCO Support for Advancing Telemedicine Providing access to high-speed internet for rural communities Bring in new providers that focus on telehealth services and specialties Scholarships to health professionals Grants to physician practices to keep providers in NM Tribal Communities’ Health Care Priorities Native American Technical Advisory Committee – 13 Tribes represented Goals include: Increase BH services for Native Americans Increase Medicaid reimbursable provider types and services for HIS and Tribal clinics Increase the number of long-term care options Increase NA enrollment in Medicaid Rebuilding Behavioral Health in NM Received CMS federal approval to begin to provide Medicaid coverage to those exiting incarceration up to 90-before release Raising BH Medicaid reimbursement rates up to 150% of Medicare rates 6 Certified Community BH Clinics (CCBHCs) slated to launch in 2025 Support for pregnant members with Substance Use Disorder Added 5 new BH Practices for enhanced rates, encouraging more providers to expand their services Rural Health Care Delivery Fund $80 Million in funding available to rural health care providers Expansion and delivery of new services in rural communities, including telehealth services NM Telehealth Alliance, NM State Telehealth Law, and Closing Remarks Stetson Berg, MHA ( LinkedIn ) Board Chair, New Mexico Telehealth Alliance Video Key Points & Highlights New Mexico Telehealth Alliance (NMTA): Established in late 1990s to advocate for and advance telehealth in New Mexico. Focuses on policy, legislation, and connecting stakeholders to solve telehealth challenges. Telehealth Law in New Mexico: Among the most progressive in the U.S., enabling telehealth billing parity for audio, video, asynchronous, and remote patient monitoring services. State law allows billing for phone visits, as clarified in 2022 "audio only" update. Applies to fully insured health plans under NM Office of Insurance and specific public health plans, but not Medicaid, Medicare, or self-insured plans. Legislation and Advocacy: NMTHA worked with legislators to craft state-friendly telemedicine policies before the pandemic. Advocating for expanded reimbursement models to ensure telemedicine services are financially sustainable for providers and facilities. Resources and Collaboration: Offers webinars, online resources, and direct problem-solving for billing, policy issues, and other telehealth barriers. Collaborates with federally funded organizations like Southwest Telehealth Resource Center for expertise and solutions. Reimbursement Challenges: Payment parity exists but often doesn't cover operational costs for telehealth services, especially in rural settings (e.g., f inancial strain on providers/facilities delivering telemedicine with insufficient reimbursement). Interstate Practice Issues: Licensure laws vary by state, complicating cross-border care for established patients. Efforts to create interstate compacts for streamlined licensure are ongoing but involve significant paperwork and limitations. Call for Feedback and Participation: NMTHA encourages stakeholders to share telehealth challenges and ideas to inform future legislative and operational improvements. Slides: Equity Slides: AI Slides: Medicare Kick-off, Welcome, Intros Equity Gaps Opening Remarks AI + Digital Innovation Medicare Telehealth HCA/Turquoise Care Slides: HCA Closing Remarks Slides: NMTHA