telehealth1

(Originally Published by Open Minds on 6/28/15)

Trillium Family Services in Portland, Oregon is launching a telehealth pilot project to link rural low-income
children discharged from secure inpatient psychiatric settings to outpatient psychiatric care. The project will
provide psychiatric assessments, follow-up, and medication management. Trillium anticipates serving about
80 children annually, following discharge from Children in Secure Children’s Inpatient (SCIP) and Secure
Adolescent Inpatient (SAIP) programs. The telehealth psychiatry services will also be offered to about 300
children in rural school settings. The telehealth services can be delivered in a variety of home- and
community-based settings.

Funding for the project’s first year was awarded to Trillium by the Oregon Health Authority (OHA) Office of
Health Information Technology and the Oregon Office of Rural Health (ORH) on May 20, 2015. Trillium is
currently looking to secure additional funding to ensure that the services will continue after the pilot phase
ends on August 31, 2016. The long-term goal is to work with all payers to make the telehealth psychiatric
services available to all youth. For the pilot project, Trillium will track the percentage of warm hand-offs and
readmission rates of SCIP and SAIP clients receiving telemental services, and will compare the average length
of stay and clinical outcomes for secure inpatient residents with access to telemental services to those who did
not have access.

Trillium’s project was one of five selected following a competitive application process. Funding for the projects
is through Oregon’s $45 million federal SIM grant, which was awarded in April 2013. A portion of the SIM grant
is dedicated to supporting and accelerating statewide health information technology initiatives. In October
2014, OHA, in partnership with ORH, requested letters of intent from organizations interested in conducting
scalable telehealth pilot projects that improve care coordination; increase individuals’ access to their own
health data and engagement in their care; expand system capacity; and achieve efficiencies in health care
delivery. The state received 67 letters of intent, and of those, 13 applicants were invited to submit full
proposals. Projects will begin by in late May and early June. They will run through June of 2016. OHA and ORH
will share the results of these projects in early fall of 2016. The Oregon Health & Science University is managing
the grants.

The selected pilot projects each address unique populations and system challenges. Details about the other
four grantees and their projects are as follows:

Adventist Health Tillamook Medical Group will equip ambulances with high-speed data connectivity in to
support direct, real-time communication between hospital-based community paramedics with the Rural
Health Clinics (RHC) in the area. The goal is to reduce hospital readmissions related to gaps in a care
between the hospital and primary care or specialty management. The community paramedics will visit
patients identified as at-risk for hospital readmission due to lack of post-discharge follow with a primary
or specialty care provider and will be able to communicate directly with the RHC’s Care Coordinator, or
provider to help individuals adequately manage their health care follow up from home.

Capitol Dental Care will implement telehealth-connected oral health teams led by an Expanded Practice Dental Hygienist (EPDH) to reach children who have not been receiving dental care on a regular basis and to provide community-based dental diagnostic, prevention, and early intervention services. The project is focused on approximately 1,500 children in the Central School District of Polk County, which includes three elementary schools, a middle school, and a high school.

HIV Alliance will link pharmacists in rural eastern and southern Oregon with HIV specialists or primary
care providers through collaborative practice agreements and telehealth technology. The participating
pharmacists will be able to view and order labs for patients living with HIV/AIDS; assess a patient’s
current medication regimen;identify problems in the regimen;make changes to the regimen as needed
and in consultation with the HIV specialist; andprovide regular education, consultations and follow-up
monitoring with patients. The goal is to improve continuity of treatment and to reduce the incidence of
drug interactions and side effects.

The Oregon Health & Science University Layton Aging and Alzheimer’s Disease Center will create a
direct-to-home telemedicine program to: establish the reliability of standard measures of patient and
caregiver well-being when used with telemedicine, and establish the feasibility and usability of directto-
home video dementia care using telemedicine technology. This type of project was proposed in the
Oregon State Plan for Alzheimer’s Disease and Related Dementias in Oregon (SPADO) as a strategy for
increasing access to dementia care. An estimated 80,000 state residents have dementia.

For more information, contact:

Lana Shotwell, LPC, Vice President of Community Operations, Trillium Family Services, 3415 SE Powell
Boulevard, Portland, Oregon 97202; 503-813-7705; Fax: 503-813-7781; E-mail: LShotwell@TrilliumFamily.org

Kimberly Mounts, Communications Analyst, Office of Health Information Technology, Oregon Health Authority,
500 Summer Street, NE, E-20, Salem, Oregon 97301-1097; E-mail: mounts@state.or.us

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