Telehealth Grantee Directory

Network Partners:

• Iowa Medicaid Enterprise
• Des Moines University
• Pharos Innovations
• Approximately 200-250 Iowa Medicaid members will be served through this project.

Project Purpose:

To implement a comprehensive population-based statewide chronic care program, targeting all Iowa Medicaid beneficiaries with a primary or secondary diagnosis of Congestive Heart Failure (CHF). Eligible members will be enrolled in a daily auto voice response system (AVR), which prompts self-reporting of concerning symptoms and weight gain. The goal is to identify and mitigate early warning signs of CHF exacerbations. Additional care management, as needed, will be provided through Iowa Medicaid Enterprise Care managers.

Outcomes Expected/Project Accomplishments:

• Clinical Improvement: Clinical parameters, (measure): Telehealth data management technology.
• Patient Satisfaction: Telephone surveys will be completed with all patients in the program.
• Patient Functionality: Will measure through Minnesota Living with Heart Failure survey.
• Health Care Utilization: Will evaluate all health claims data on participants, as well as a matched cohort.

Service Area:

It is anticipated that this project will serve Medicaid members in any one of the 99 counties in Iowa, in which they may reside.

Services Provided:

Intervention: AVR system as developed by Pharos Innovations, Inc. Care management and self-management education provided by Iowa Medicaid Enterprise Care Managers.

Equipment:

Telephones: Patient monitoring through the Pharos Tel-Assurance system. Scales, both regular and for those who weigh in excess of 325 pounds.

Transmission:

Plain Old Telephone Service (POTS).

Network Partners:

Mercy Medical Center - Des Moines, Mercy Medical Center - North Iowa, and 23 affiliate facilities in Algona, Ames, Audubon, Belmond, Bloomfield, Britt, Centerville, Charles City, Clarinda, Corydon, Cresco, Emmetsburg, Greenfield, Hampton, Iowa Falls, Leon, Manning, Marshalltown, Mount Ayr, Nevada, New Hampton and Osage, Iowa.

Project Purpose:

Enhance the quality and accessibility of health care services through updated equipment deployment, develop a support mechanism for Limited English Proficient (LEP) patients, and increase access for delivery of clinical services.

Outcomes Expected/Project Accomplishments:

Outcomes include an increase in current network utilization (clinical, educational and administrative); improved ability for facilities to address the language needs for LEP patient populations; increased awareness of telemedicine capabilities and opportunities for rural physicians and urban specialists. Monitor outcomes using the OAT GPRA Performance Measures.

Service Area:

The service area consists of 24 communities in North-Central, Central and South-Central Iowa, including: Adair, Audubon, Wright, Polk, Floyd, Davis, Decatur, Hardin, Franklin, Hancock, Kossuth, Carroll, Marshall, Story, Cerro Gordo, Appanoose, Chickasaw, Mitchell, Page, Palo Alto, Howard, Ringgold, and Wayne counties.

Services Provided:

Since 1995 - Clinical (Echocardiography, Dermatology, Mental Health, Nephrology); Educational (CEU/CME, health care management, community support groups, public health); Administrative. Tele-Interpretation for LEP patients.

Equipment:

8 Polycom Viewstation FX, 24 Polycom Viewstation EX, 7 PictureTel VTC units, POTS videoconferencing systems.

Transmission:

Dialable ISDN-PRI over statewide network. Point-to-point and multi-point conferences via dial-up service and state owned videoconference bridge. ISDN-BRI used in Des Moines local area.