Health Information Technology   Telehealth    Grants

Overview

The MHCC has awarded 14 telehealth grants to qualified organizations to implement innovative projects in the State that assess the effectiveness of telehealth in various care settings. Challenges and success from each project are used to inform future projects with the next to allow for a building on successes. Lessons learned from these projects will inform better practices and industry implementation efforts; potential policies to support the advancement of telehealth; and the design of larger telehealth programs and projects across the State. In order to qualify for an award, applicants must demonstrate use of a nationally certified electronic health record and the services of the State-Designated Health Information Exchange, the Chesapeake Regional Information System for our Patients (CRISP). Grantees are required to assess the impact of using telehealth against self-identified measures aligned with project goals. Projects are still underway, and more grants are being awarded.  

Long-Term Care/Hospital Telehealth Grants - Awarded October 2014

Three telehealth grants totaling $87,888 was awarded to general acute care hospitals partnering with long-term care facilities (grantees). A dollar for dollar match was required from each grantee. Grantees implemented telehealth to demonstrate its impact for improving transitions of care between hospitals and nursing homes. The projects were implemented in November 2014 and grant activities continued through October 2015.  

Atlantic General Hospital Corporation (AGH)

AGH used video consultations between the Emergency Department (ED) and Berlin Nursing and Rehabilitation Center (Worcester County) to reduce ED visits and hospital admission of patients residing in a LTC facility.

Dimensions Healthcare System (DHS)

DHS used mobile tablets to conduct video consultations with patients residing at two LTC facilities, Sanctuary of Holy Cross and Patuxent River Health and Rehabilitation Center, to reduce unnecessary hospital transfers.

University of Maryland Upper Chesapeake Health (UMUCH)

UMUCH used remote telehealth examinations and consultations between the hospital and a fully equipped exam room and lab located at the Bel Air facility of Lorien Health systems (Harford County), which provided EKG monitoring, sonogram capabilities, and multiple cameras for remote patient examination. 

Long Term Care and Hospital Telehealth Project Grants: Brief and Final Reports (April 2016)

This brief highlights lessons learned from these projects and key telehealth implementation considerations to be used by those interested in implementing similar telehealth projects.  This document includes an introductory brief by MHCC and project reports by each grantee detailing the outcomes of the projects implemented over 12 months beginning in October 2014.  The individual grantee reports include a description of technology infrastructure, implementation and assessment approach, project limitations and challenges, and plans for sustainability of these projects.

Remote Patient Monitoring Telehealth Technology Grants - Awarded June 2015

Telehealth grants totaling $80,000 were awarded to three organizations to demonstrate the impact of telehealth on care delivery in a primary care practice with school-aged children, residential care, and hospitals.  A 2:1 financial match was required from each grantee.  These telehealth projects launched in June 2015 and continued through November 2016. 

Crisfield Clinic (Crisfield) 

Crisfield, a rural family practice clinic in Somerset County, provided mobile devices for middle and high school aged patients to assist children in managing chronic conditions including asthma, diabetes, obesity, and behavioral health issues.  Crisfield Clinic utilized a Community Health Worker to facilitate care coordination. The project aimed to improve clinical data indicators, reduce lost school days, reduce emergency department visits, and improve patients’ perception of health. 

Lorien Health Systems (Lorien)

Lorien, a skilled nursing facility and residential service agency, used telehealth to address hospital prevention quality indicator (PQI) conditions, including uncontrolled diabetes, congestive heart failure, and hypertension among patients discharged from the skilled nursing facility to home.  The project utilized telemonitoring devices in patients’ home to provide 24/7 access to a care coordinator to improve care and avoid hospital admissions through its Lorien at Home program.   

Union Hospital of Cecil County (Union)

Union, a community hospital in Cecil County, provided chronic care patients with mobile tablets and peripheral devices that captured patients’ blood pressure, pulse, and weight, and provided patient education to facilitate patient monitoring.  The use of telehealth technology is intended to improve access to care, enable early provision of appropriate treatment, and reduce hospital encounters. 

Symposium

Grantees presented their work at the Telehealth Symposium: Remote Monitoring and Chronic Care Management of High Risk Patients on February 22, 2016. For more information visit the Telehealth Symposium page

Remote Patient Monitoring Telehealth Grants: Brief and Final Reports (March 2017) 

The brief outlines lessons learned from these projects and key telehealth implementation considerations to be used by those interested in implementing similar remote patient monitoring projects.  This document includes an introductory brief by MHCC and project reports by each grantees.  The individual grantee reports include a description of technology infrastructure, implementation and assessment approach, project limitations and challenges, and plans for sustainability of these projects. 

Practice Transformation Telehealth Technology Grants - Awarded November 2015

Telehealth grants totaling approximately $90,000 were awarded to three organizations to demonstrate the impact of using telehealth technology to improve the overall health of the population being served and the patient experience. A 2:1 financial match was required from each grantee. Grantees were required to implement the technology in a meaningful way, including developing clinical protocols to demonstrate improved outcomes. The telehealth projects launched in December 2015 and continued through May 2017. 

Associated Black Charities (ABC)

ABC of Dorchester County is a community association that assists minority and rural communities with navigating the health care system. ABC utilized mobile tablets to facilitate primary care and behavioral health video consultations with a licensed nurse care coordinator from Choptank Community Health System.   

Gerald Family Care (GFC)

GFC, a Patient-Centered Medical Home, used telehealth video consultations and image sharing services to connect patients at three family practice locations and Dimensions Health System specialists providing gastroenterology, orthopedics, neurology, and behavioral health services.  

Union Hospital of Cecil County (Union)

Union utilized mobile tablets and peripheral devices with chronic care patients to capture the patient’s blood pressure, pulse, weight and glucose levels to facilitate remote patient monitoring to support data sharing with primary care and ED providers.

Primary Care Telehealth Technology Grants - Awarded June 2016 

Two organizations were awarded grants to demonstrate the impact of using telehealth to support value-based care delivery in primary care settings.  The goal was to expand access to health services tailored to the needs of different communities and patient populations. Approximately $117,000 in grant funds were awarded for an 18-month period.  A 2:1 financial match was required from each grantee.

MedPeds, LLC 

MedPeds, a family medicine practice, utilized a mobile device application with patients to facilitate 24/7 video-based telemedicine with MedPeds providers, make appointments, and access electronic health records.  The project aimed to increase patient access to primary care providers and improve outcomes for diabetic patients. 

Gilchrist Greater Living (Gilchrist)

Gilchrist, a comprehensive primary care geriatric medical practice, provided senior patients with in-home telehealth monitoring devices to support case management and early intervention for chronically ill patients with the goal of reducing hospital admissions. 

Advancing Population Health and Primary Care Transformation via Telehealth:  A compilation of 2015 & 2016 Telehealth Grant Final Reports (March 2018) 

This report provides information on the project implementation, data collection, outcomes, challenges, solutions, lessons learned, and sustainability plans for the grantees’ of the advancing population health and primary care telehealth projects implemented in 2015 and 2016.  Lessons learned include: 1) successful telehealth requires practices to assess the need for telehealth, identify an appropriate modality, and ensure sufficient patient and provider willingness to engage in telehealth; 2) telehealth is generally an effective care delivery method where a multi-disciplinary team can deliver comprehensive patient care; and 3) telehealth reduced barriers to care for patients typically considered reluctant to adopt/accept telehealth services (e.g., the elderly and those with behavioral health conditions).

Population Health in Rural Communities Telehealth Technology Grant - Awarded in January 2017

One organization was awarded funding to demonstrate the impact of using telehealth to increase access to health care and improve population health in rural communities of the eastern shore. The grantee is responsible for identifying and tracking measurable clinical outcomes of the project that assess reductions in hospital encounters, improved access to care, and reduced costs. The award totaled $75,000 for an 18-month project and a 2:1 financial match and demonstrated sustainability of the project is required. The telehealth projects launched in January 2017 and will continue through July 2018. 

University of Maryland Shore Regional Health (UMSRH) 

UMSRH  is implementing telehealth to provide palliative care services to patients within University of Maryland Shore Medical Center at Chestertown (UMSMC-C) and Shore Nursing and Rehabilitation Center at Chestertown with the goal of increasing access to palliative care services and reducing hospital encounters. UMSRH will also implement telehealth to increase access to emergency department psychiatric services at both UMSMC-C and Shore Regional Emergency Center at Queen Anne’s and inpatient psychiatric consultations at UMSMC-C. 

Medication Management and Reconciliation Grant - Awarded April 2018 

The MHCC awarded a telehealth grant totaling approximately $150,000 to demonstrate the impact of using telehealth to optimize medication-related services in care delivery where the information would be available to treating provider through the State-Designated Health Information Exchange (HIE).  The project aims to improve the quality and completeness of medication lists for patients in rural Maryland with chronic obstructive pulmonary disease (COPD).  In addition, the project aims to improve medication adherence and patient self-management of their COPD, among other things.  The telehealth project will launch in April 2018 and continue through October 2019.

University of Maryland Quality Care Network (UMQCN) 

UMQCN is implementing telehealth to optimize medication reconciliation to improve health outcomes, improve the quality of primary care, and reduce in-patient and emergency room costs for patients in rural Maryland with chronic obstructive pulmonary disease (COPD).  UMQCN partnered with the e-Health Center at the University of Maryland School of Pharmacy, the University of Maryland Medical System Telemedicine Program (e-Care), and the University of Maryland Community Medical Group of the Eastern Shore for the project. 

Medication-Assisted Treatment for Opioid Use Disorders Supported by Mobile Devices Grant - Awarded in May 2018 

The MHCC awarded a telehealth grant totaling approximately $150,000 to increase access to medication-assisted treatment (MAT) to underserved Maryland residents with opioid dependence through telehealth interventions in an integrated care delivery approach.  The project aims to optimize MAT with buprenorphine to expand treatment services in to Montgomery County residents that have an opioid dependence.  In addition, the project aims to promote primary care providers becoming Drug Addiction Treatment Act of 2000 (DATA 2000) waiver practitioners in order to increase capacity and access.  The telehealth project will launch in May 2018 and continue through November 2019.  

Mosaic Community Services, Inc. (Mosaic)

Mosaic, a non-profit provider of community-based mental health and addicition services, will implement telehealth to expand access to MAT via telehealth in Montgomery County to increase addiction treatment in an underserved jurisdiction and establish telehealth capabilities and protocols for addiction treatment clients. Mosaic partnered with the Montgomery County Core Service Agency to assist on the project.

Contact information

For more information, contact Angela Evatt by phone 410-764-3574 or email at angela.evatt@maryland.gov


Last Updated: 5/21/2018