Shalini: Telehealth solutions for Opioid Use Disorder

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Shalini: Telehealth solutions for Opioid Use Disorder by Mind Map: Shalini: Telehealth solutions for Opioid Use Disorder

1. Goal

1.1. Develop and deploy innovative Telehealth Solutions to Reduce Opioid Use Disorder

2. Telehealth Objectives (Innovation Plan)

2.1. Prevention

2.1.1. Provider training

2.1.1.1. Reduce Improper prescription

2.1.1.2. Increase OUD diagnoses

2.1.1.3. Promote alternate pain management

2.2. Treatment

2.2.1. Patient Outreach

2.2.1.1. Identify individuals in need

2.2.2. Increase Access

2.2.2.1. Overcome physical, financial and psychological barriers

2.2.3. Patient choice

2.2.3.1. Medication Assisted Treatment (MAT)

2.2.3.2. Behavioral health

2.2.3.3. Care Coordination

3. Minimally Viable Product

3.1. PROVIDER TRAINING

3.1.1. Peer-Peer Education

3.1.2. Alternative pain strategies

3.1.3. Specialist Support

3.1.4. Identify and Manage OUD patients

3.2. PATIENT OUTREACH

3.2.1. Care Management

3.2.2. Behavioral Health

3.3. OUD TREATMENT

3.3.1. Telehealth Visits

3.3.1.1. MAT

3.3.1.2. Behavioral health

3.4. INFORMATICS CORE

3.4.1. Prescription Analytics

3.4.2. Predictive Modeling

3.4.3. Patient OUD Risk score

3.4.4. Calculated Metrics

4. Tests/Metrics

4.1. Pre-Post Training Surveys

4.2. Needs Assessment: Focus groups and interviews

4.3. CME Credits

4.4. # Primary Care Providers trained

4.5. # Patients outreached, enrolled, educated, referred

4.6. Telehealth Satisfaction Surveys

5. Feedback/Changes

5.1. What data have you collected?

5.1.1. Brainstormed with Physicians

5.2. What is the Unique Feature?

5.2.1. Informatics Core Added

5.3. How will you finance?

5.3.1. Payer savings

5.3.1.1. Cost Reducticon

5.3.1.2. Utlization reduction

5.3.1.3. Health Outcomes

6. Target Population (Users)

6.1. Navajo youth of Arizona

6.1.1. High rate of Opioid Overdose death

6.1.2. Underserved rural population

6.1.3. Disproportionate socioeconomic issues

7. Care Setting (Buyers)

7.1. Public health outreach

7.1.1. Increase ease of access

7.1.1.1. Address underserved areas

7.1.2. Address stigma

7.1.2.1. Offer privacy of remote access

7.1.3. Alternates to Rehab

7.1.3.1. Comfort of home

7.2. Behavioral health intervention

7.2.1. Access to mental health provider

7.2.2. Crisis management

7.2.3. 24 hour hotline

7.3. Substance Use Provider

7.3.1. Online MAT authorization

7.3.2. Ease of scheduling and wait time

7.3.3. Leverage new telehealth policies

8. Stakeholders

8.1. Patients

8.1.1. Improved health outcomes

8.2. Providers

8.2.1. Expand coverage and access

8.3. Caregivers

8.3.1. Reduce burden

8.4. Payers

8.4.1. Health care payers

8.4.2. Grant agencies

8.5. Public Health agencies

8.5.1. Address Opioid epidemic

8.6. Tribal leadership

8.6.1. Enhanced healthcare quality of life

8.7. Policymakers

8.7.1. Payment policy to support innovation

9. References:

9.1. ASPE. (2019). Issue Brief: Using Telehealth to Support Opioid Use Disorder Treatment Retrieved from https://aspe.hhs.gov/system/files/pdf/260276/OUDTeleIB.pdf

9.2. Parkhurst, N. D., Burke, A., Montiel, A., Davis, J., & Ritchey, J. (2018). The Opioid Epidemic in Indian Country: What Tribal Leaders in Arizona Need to Know. White paper Retrieved from itcaonline.com/wp-content/uploads/2018/10/ITCA-TEC-Opioid-Report-2018.pdf

9.3. Ries, E. (2011). The Lean Startup: How Constant Innovation Creates Radically Successful Businesses. . London, England: Penguin Books Ltd.

9.4. SAMHSA. (2019). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health (HHS Publication No. PEP19-5068, NSDUH Series H-54). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.

9.5. De Witt Jansen, B., Brazil, K., Passmore, P., Buchanan, H., Maxwell, D., McIlfatrick, S. J., . . . Parsons, C. (2018). Evaluation of the impact of telementoring using ECHO© technology on healthcare professionals' knowledge and self-efficacy in assessing and managing pain for people with advanced dementia nearing the end of life. BMC health services research, 18(1), 228-228. doi:10.1186/s12913-018-3032-y

9.6. Elton, J., & O'Riordan, A. (2016). Healthcare Disrupted : Next Generation Business Models and Strategies. Hoboken, UNITED STATES: John Wiley & Sons, Incorporated.