Health Information Technology   Telehealth    Grants

Overview

The MHCC has awarded five rounds of 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 round of projects are shared 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 were required to use 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.  

Round 1 - 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.

The Round 1 Grantees

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)

The MHCC awarded three telehealth grants to implement telehealth to improve transitions of care between hospitals and nursing homes. This document includes a brief by MHCC and project reports by grantees regarding the outcome of the projects implemented over 12 months beginning in October 2014.  The brief highlights lessons learned from these projects and key telehealth implementation considerations to be used by those interested in implementing similar telehealth projects.  The Long Term Care and Hospital Telehealth Project Grant reports include a description of technology infrastructure, implementation and assessment approach, project limitations and challenges, and plans for sustainability of these projects. 

Round 2 - Awarded June 2015

A second round of telehealth grants totaling $80,000 was 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. This round of telehealth projects launched in June 2015 and will continue through November 2016.

Crisfield Clinic (Crisfield)

Crisfield, a rural family practice clinic in Somerset County, is providing 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 utilizes a Community Health Worker to facilitate care coordination. The project aims 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, is using telehealth to address hospital prevention quality indicator (PQI) conditions, including uncontrolled diabetes, congestive heart failure, and hypertension among patients that are discharged from the skilled nursing facility to home. The project provides 24/7 access to a care coordinator and installs telemonitoring devices in patients’ home to improve care and avoid hospital admissions through its Lorien at Home program.  

Union Hospital of Cecil County (Union)

Union is providing chronic care patients with mobile tablets and peripheral devices to capture blood pressure, pulse, and weight and provide 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

Round 2 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 MHCC awarded three telehealth grants to demonstrate the impact of telehealth using remote patient monitoring devices to support chronic care management of high risk children, adults, and elderly patients.  This document includes a brief by MHCC and project reports by grantees:  Crisfield Clinic in Somerset County, Union Hospital of Cecil County, and Lorien Health Systems in Baltimore and Harford Counties.  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.  The individual reports include a description of technology infrastructure, implementation and assessment approach, project limitations and challenges, and plans for sustainability of these projects. 

Round 3 - Awarded November 2015

A third round of telehealth grants totaling approximately $90,000 was awarded to three organizations to demonstrate the impact of using telehealth technology to improving the overall health of the population being served and the patient experience. A 2:1 financial match was required from each grantee. Grantees are 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 will continue 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 is utilizing 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, is using telehealth video consultations and image sharing services. GFC uses telehealth 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 (UHCC)

UHCC, a community hospital located in Cecil County, is utilizing telehealth with chronic care patients. UHCC is utilizing mobile tablets and peripheral devices to capture blood pressure, pulse, weight and glucose levels to facilitate remote patient monitoring to support data sharing with primary care and ED providers.

Round 4 - Awarded June 2016

Two organizations were awarded a fourth round of grants to demonstrate the impact of using telehealth to support value-based care delivery in primary care settings.  The goal is 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 is required from each grantee. 

MedPeds, LLC

MedPeds, a family medicine practice, will be using a mobile device application with patients to facilitate 24/7 video-based telemedicine with MedPeds providers, make apointments, and access electronic health records with the goal of increasing patient access to primary care providers and improving outcomes for diabetic patients.

Gilchrist Greater Living (Gilchrist)

Gilchrist, a comprehensive primary care geriatric medical practice, will be providing 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.

Round 5 - Awarded in January 2017

The MHCC awarded a fifth round of telehealth grants, totaling approximately $75,000, 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. A 2:1 financial match and demonstrated sustainability of the project is required. The grantee is also required to use an electronic health record and the services of the State-Designated health information exchange, the Chesapeake Regional Information System for our Patients (CRISP). The telehealth projects launch in January 2017 and will continue through July 2018.

University of Maryland Shore Regional Health (UMSRH)

UMSRH will implement 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.

Contact information

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


Last Updated: 6/12/2017