Teleneurology Public Program case study
Value-Based Care Case Studies
Abstract
The ACCESS Telemedicine Program model connects patients presenting with neuro-emergencies in rural emergency rooms with neurologists and other neurological clinical experts from contracted academic medical systems, independent specialists, and a for-profit group of stroke neurologists from an adjoining state via telemedicine. The program has recruited, trained, and implemented the program at 22 hospitals in rural and underserved areas in New Mexico. The model has yielded high patient satisfaction, decreased time in specialty treatment, increased retention in local facilities while increasing income, membership and education opportunities for rural providers; however, the model has led to increased administrative burden related to credentialing.
Introduction
The AAN’s Care Delivery Subcommittee, under the guidance of the Medical Economics and Practice Committee, set out to better understand different care delivery models and their professional and personal advantages and disadvantages compared to traditional fee-for-service care delivery models and reimbursement. The Care Delivery Subcommittee worked with Andrew Hollander, PhD, MBA, PMP4, the program manager of New Mexico’s statewide ACCESS Telemedicine Program, and Tarun Girotra, MD5, a neurologist participating in the program, which is founded and administered by the University of New Mexico and made possible by a Center for Medicare & Medicaid Innovation (CMMI) grant, to provide insight into the public teleneurology model. Responses have been edited and condensed for clarity.
This case study examines telemedicine outside the context of the COVID-19 pandemic, which has greatly increased the use of telemedicine.
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