Event recording link: https://youtu.be/tf-wAYHk-Ns
Timestamps and Notes--a pdf of this document is available in the event's online resource module here: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
Recording made public July 11th, 2020, and is available here: https://youtu.be/tf-wAYHk-Ns
For all the event resources, go to the event’s online resource module: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
Time Stamps and Notes from the 6.20.2020 Telehealth Roundtable Event
Revised with the edited event recording
You can help offset the outgoing costs of this resource (video editing, transcript creation, etc.) in these ways:
· Buy access to the event's online resource module: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
· Encourage your organization to sponsor this resource (if this work aligns with their work)
· Support via the virtual coffee option
· Buy access to another resource via our website
o Support a community discussion
o Paths to Practice: Interview with Dr. Annie Budhathoki (Huntsman Cancer Institute, outpatient and inpatient integrative acupuncture and oncology in hospital-based practice)
Time Stamps and Short Notes for the Recording
Minute 2:10 review of agenda
Minute 3 – 5 Where to find extra content for this event
Minute 4:50 – 8:20
Review of what the Hospital Practice Handbook Project is
Minute 09:30 – 1140
Why this Event?
“Do not follow where the path may lead. Go instead where there is no path and leave a trail.” -Ralph Waldo Emerson
Minute 12:20 – 14:30
Introduction of Panelists
Paul Magee’s presentation
Start at Minute 14:30
Minute 17:20 – 17:50
Paul mentions the metrics his program is tracking
Minute 22:30 – 23:20
I mention Paul’s other video recorded in May 2020 on the “The Allina Inpatient Telehealth pivot”.
Find Paul’s video, full transcript and more at this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/17532348
John Burns’ presentation
Starts at 24:45
14 LAcs in the integrative medicine department
Telehealth for oncology patients receiving treatment at the infusion center(s)
Minute 31 -32
John discusses how the acupuncture team collaborated on the development of a training/competency program to deliver “TCM Acupuncturist Directed Therapeutic Strategies”.
Minute 32 -33
Setting up reimbursement for telehealth services by LAcs.
Coding, billing, reimbursement agreement with third party payors (3PP)
Getting LAcs the access to tech for virtual visits and the system’s EHR compatibility
For his full presentation, go to this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/17532347
End minute 34:00
Juli Olson’s presentation
Starts at minute 34:15
Currently, there are 71 LAcs in the VHA. Most hired within the last 2 years.
Minute 43:45 – 44:15
Slide example of acupressure visual handouts
Slide with lots of links to share with practitioners
For full presentation and notes, go to this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/18517573
End minute 44:50
Galina Roofener’s presentation
Starts at minute 45:00
Basic review of SOAP documentation in telehealth TCM visit
Minute 52:15 – 53:45
Obtaining and recording objective measures for a telehealth visit
Pulse rate and echocardiogram (EKG)
Minute 54:00 – 56:30
CHM and telehealth at a medical center
For Galina’s full presentation, go to this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/18499855
End at minute 57:35
Mori West’s presentation
Starts at minute 57:40
Telehealth virtual codes 99421 – 423 are time-based codes
Phone codes 99441-443 are time-based codes
Time is cumulative in a 7-day period
64:30 – 66 min
E/M codes for telehealth 99201, 99212, etc.
End at 70 minutes
Nancy Gahles’s presentation
Starts at 70 minutes
Public health initiatives and telehealth
Telehealth, a tool for public health
Over the counter (OTC)
Grants are available for implementing telehealth
Language in federal law—IHPC is working on this
79 – 81 minutes
ICE/NCCA accreditation of national certification. Why/reasons for this standard from a federal perspective
Example: NCCAOM is an LAc’s national certification exam. NCCAOM has the NCCA/ICE accreditation
CMS info and May 1st date
The IHPC caucus…
End at 84 minutes, 30 seconds
Starts at 84 minutes, 40 seconds
Questions for Nancy Gahles
Socratic discussion amongst panelists
Interim rules, working with the national association (ASA)
The Act of Congress
Bundled payment for opioid treatment plans
ASA Town Halls—6/24/2020 session on Medicare Megan mentioned.
minute 90—Question on % workload in telehealth
Paul, John, Juli, Galina
Minute 94 (aka 1 hour, 34 minutes)
1. Sustainability of the telehealth program…
a. What is the patient buy-in of your telehealth program?
b. How do you know it is sustainable?
c. What metrics are you tracking?
Paul, John, Juli, Galina
Minute 103 (aka 1 hour, 43 minutes)
—Telemetry, Telehealth, & LAcs
Galina is uploading EKG (echocardiogram)
Visual of heart rate, pulse quality
one lead EKG…Apple watch, Cardio Life electrodes
Juli, John, Paul
LAcs can see the data uploaded in the EHR by in-person tech or at-home blood pressure cuff and readings.
Coding and Billing Questions from other Panelists for Mori
John, Juli, Galina
Minute 114 (aka 1 hour, 54 minutes)
—Issues and Solutions, more
1. What was your biggest issue?
a. Did you overcome it?
b. If yes, how?
c. Any other outstanding issues?
2. Last note/lesson you want to end on.
Paul, John, Juli, Galina, Mori.
Ended at 128 minutes, 49 seconds (aka 2 hours, 8 minutes, 49 seconds)
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- Telehealth Roundtable for Hospital-based Acupuncture Programs--the Event (announcing)
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Related Playlists on our YouTube Channel
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