The Telehealth Roundtable for Hospital-based Programs Event Recording with Time Stamp Notations

keywords: telehealth, hospital-based acupuncture programs, remote work options for clinicians, policy and procedures, hospital-based acupuncture & telehealth programs, telehealth & Chinese Herbal Medicine (CHM), VA acupuncture telehealth program, inpatient telehealth acupuncture, new program creation, wisdom-sharing, billing & reimbursement, coding for hospital-based acupuncture work, hospital-based acupuncture program manager, hospital-based acupuncturist, hospital-based integrative health programs, telehealth programs and policy for hospital-based integrative health providers, pandemic prep & response for integrative health care providers

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 11^th, 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   The Issues in Hospital-based Practice Series

o   Paths to Practice: Interview with Dr. Annie Budhathoki (Huntsman Cancer Institute, outpatient and inpatient integrative acupuncture and oncology in hospital-based practice)

o   The Pain Scale, Using a Validated Tool in Your Clinical Practice

Thank you.

Time Stamps and Short Notes for the Recording

Introduction (Megan)

0:00 start

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 08:30

Why Telehealth?

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 11:20

Defining Telehealth

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

End 24:35

John Burns’ presentation

Starts at 24:45

14 LAcs in the integrative medicine department

Minute 30

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

Minute 44:20

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

Minute 51:43

Basic review of SOAP documentation in telehealth TCM visit

Minute 52:15 – 53:45

Obtaining and recording objective measures for a telehealth visit

Tongue photo

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

minute 60

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.

66-67 minutes

Modifiers

End at 70 minutes

Nancy Gahles’s presentation

Starts at 70 minutes

minute 73

Public health initiatives and telehealth

Telehealth, a tool for public health

Minute 75

Over the counter (OTC)

77 minutes

Grants are available for implementing telehealth

78 minutes

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

81 minutes

CMS info and May 1^st date

84 minutes

FQHCs mentioned

The IHPC caucus…

End at 84 minutes, 30 seconds

Panel Discussion

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.

https://www.asacu.org/2020/06/registration-june-24th-weekly-asa-nccaom-town-hall-meeting/

minute 90—Question on % workload in telehealth

Paul, John, Juli, Galina

Minute 94 (aka 1 hour, 34 minutes)

—Question on

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.

Minute 107

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)

Related blog articles

• What Could a Patient-Centered Integrative Health Telehealth Program Look Like?
• Phased Opening/Closure and Remote Work Options, including Telehealth, the Summer Community Survey
• Telehealth Roundtable for Hospital-based Acupuncture Programs--the Event (announcing)
• A Review of our Community Discussions on Pandemic Prep & Response

Related Playlists on our YouTube Channel

• Telehealth 
• Pandemic Prep & Response
• Lunchtime Listen Recommendations

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