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Telepathology at the University of Minnesota Veterinary Diag
Transcript of Telepathology at the University of Minnesota Veterinary Diag
Dr. James E Collins, DVM, PhD, Diplomate ACVP
The VDL Welcomes You!
Take a journey with me through the labs before we start our expedition.
Choose the Right Telemedicine Partner
Design & Customizations
Features & Workflow
Outline Your Telemedicine Use Case
Factors to consider:
Type of telemedicine
Target client population for telemedicine
Rural or far away?
Companion animal, Livestock, Poultry
Exotic Animals, Wildlife, Aquaculture
Animal Medical Services
Lab results review?
Simple follow-ups or check-ins?
Create Your Implementation Plan
Gather your team
Learn the telemedicine policy for your state
Decide on your billing policy
Establish your telemedicine workflow
Create a timeline with concrete tasks
"Pet emergencies can happen at ANY time!"
Ability to contact “an expert veterinarian via phone, email or chat 24/7”
Help with behavioral problems
Ex: Cat no longer uses litter box
Ex: Introducing new animals
Various plans available
One call: $39.95
Six months unlimited: $89.95
One year unlimited: $149.95
The Veterinary Diagnostic Lab!
Polymerase Chain Reaction Lab
Electron Microscope Lab
College of Veterinary Medicine Research
“Board-certified veterinary radiologists available 24/7”
American College of Veterinary Radiology
“Provide fast, accurate radiology consultations”
“Routine turnaround time averages 3 hours”
“STAT radiology reports delivered within 30-60 minutes or less”
“Average 30 minute STAT turnaround time is 14 minutes”
“Interpret a full complement of imaging exams, including:”
“Obtaining a second opinion from a PetRay’s veterinary radiologist increases the” accuracy of the results and diagnosis.
©2013 PetRays, all rights reserved
Canine Nasal Carcinoma
Eko Digital Stethoscope
“Live stream sounds from the stethoscope to clinicians worldwide”
“Enable real-time telemedicine with no computer required”
Partnered with the Eko Stethoscope App
Simple attachment to stethoscope
Respiratory and Heart rhythms monitored
Send via email
Save in library as a reference
“FDA cleared and fully HIPAA compliant”
Set Up Your Workspace
Space should be:
Neat & organized
Informed client consent form
Telemedicine waiver/billing policy form
Tip/workflow sheets for staff
Client visit documentation
Create Any Needed
Get trained on
Involve all staff
Block off time in your calendar
Commit to it!
do a dry-run
Do a “family & friends” test run
From very first step to billing
Have staff review technical tips
Build and Launch Your
Letting clients know about telemedicine visits
Getting them set-up for a visit
Get clients on board!
Build and Launch Your
Decide on your strategies:
In-office brochures, posters, cards
Update your practice website
Phone message and staff scripts
Social Media Campaign
Direct mail campaign
Open House event
In-office materials & staff prompts are the minimum!
Update your website will
Gives patients an easy portal to the telemed platform
Email campaigns are a great
Affordable option to spread news
Easy and cheap
Simple letter shares the news
Tells clients how to get started with their first telemed appointment
Offer an incentive for the first appointment
Order Equipment & Get Set-up
Is the platform cloud-based or does the software need to be installed?
Help with installation
Secure data server space
Is your internet connection good enough?
3 mbps is minimum for good video quality
Build and Launch Your
Patient Marketing Plan
Points to include:
Benefits of telemedicine appointments to patients
What conditions/services appointments are for
Instructions on how to get started!
Evaluate & Expand
Build Your Internal Team
Staff in the purchase process
At least inform them once you buy
Practice managers & providers in workflow/billing/policy discussions
Any staff who will be involved in the telemedicine program
Get team buy-in
Call a meeting and share:
The use case
Learn the Telemedicine
Policy in Your State
What does your state law say about telemedicine?
Telemedicine parity laws
Client informed consent (telemedicine specific)
Prescriptions based on telemedicine appts
Using telemedicine with established vs. new patients
Location of the client during the telemedicine visit, and interstate licensing
How to research this for your state?
American Veterinary Medical Association (AVMA.org)
Minnesota Veterinary Medical Association (MVMA.org)
Minnesota Board of Veterinary Medicine https://mn.gov/boards/veterinary-medicine/
American Telemedicine Association State Policy Center (human patients)
Decide on your billing policy
Questions to ask yourself:
Will you charge clients for telemedicine appts?
Will you be doing a self-pay model or billing pet insurance?
How will you bill (in platform, in EMR, standard paper)?
How much will you charge patients?
Figure out how you’ll Provide
Have a technical troubleshooting/tip sheet for clients
Train staff to field basic technical questions
Ask if your vendor has an online support resource database
Patients can solve problems themselves
in case you get disconnected
Pick-up phone if audio isn’t working
Have vendor support team contact info
Have system in place to handle any off-hours issues
Tell your clients about your new telemedicine visit option.
Gross & microscopic pathology at a distance
Real-time dynamic systems
Static (eg. whole slide scanning)
21st century approach to veterinary pathology
Real-time web-based consultation and information sharing
Distance pathology training
Academic-public-private partnership opportunity
Active Learning Commons
Equipment & set-up needed
Services: Support & Implementation
Good support & implementation is
Things to Consider:
2. Features & Workflow
4. Support & Implementation Services
Telehealth Software Purchasing Guide
15 Barrington Place
Melville, NY 11747
Think about the on-going relationship!
Telepathology Addressing Needs Across University Missions
International Telepathology Partnership to Improve Pathology Training for Swine Diagnostics in China –IVCC 2014-15 partially supported the initiation of this program
Current Uses and Expansion
Swine pathology & diagnostic consultation with IVCC partners
Pathology cases reports (active learning classroom)
Connecting clinical path lab with others
UMN’s Cancer Center
Veterinary-Human pathology collaboration
VDL Telepathology Equipment:
Remote Medical Technologies
Micro Unit Host Interface
Allows for highly accurate color calibration
“Maintains image and scientific integrity of digital data”
Incorporates Computer Monitor and Microscope calibration.
Monitor: “Uses precision color sensor, ensuring consistent color profile on any computer display”
Images look exactly the same, whether seen on a laptop, desktop, or on a friend’s computer
Microscope: “Use brightfield calibration slide with microscope and Datacolor calibration system”
Establishes “a baseline color profile unique to the imaging system”
Utilized in TelePathology: Grossing and Microscopy
Ensures no specimen sample is discolored, allowing for more accurate analysis
Everyone in the scientific community can see same color images
U of MN is a
CENTER FOR EXCELLENCE
concerning ChromaCal technology usage
Define Your Telemedicine Goals
Better animal care
Higher customer satisfaction
Increase in revenue
Attract new patients
Make specific, measurable goals
# new patients in 90 days
$$$ in revenue from virtual visits
How will you use telemedicine?
Why do you want to add telehealth services?
What outcome do you want to achieve?
YOUR NEW TELEMEDICINE PROGRAM!
Did You Hit Your Goals?
At the 90-day mark, evaluate your program.
Have you hit your goals?
Do you need to change workflows?
Is it time to expand?
Have you asked for feedback from patients & providers?
Private sector – telepathology
fee for service
Teaching and training
partnerships (US and international)
USDA Plum Island Animal Disease Center (FADDL)
James E Collins, DVM, PhD, Diplomate ACVP
College of Veterinary Medicine
University of Minnesota
Saint Paul, MN 55108
612-625-8787 (main office)
MN VDL Telepathology Initiative
, Former VDL Director
, telepathology lead
, VDL Food Animal Pathologist
, VDL Pathologist
, Program Director, Chinese Partners
, training coordinator
, Chair of VPM
, Dean of CVM
iMedHD-Pro Grossing and Micro Systems
Web-based / Real-time