MedTrans Options LLC -           Telemedicine Transforming Health Care Delivery
Welcome To MedTrans Options

You are invited to tour this website to explore and learn about  and why it is a powerful transforming agent for providing care delivery. 

Just click the buttons on the side of this page and you will then find some background material and many examples of our telemedicine equipment that assist both medical and mental , support pharmacies, and enable many more health care providers like dietitians, nutritionists, and therapists to offer their critical services to you without you traveling from your location.
 
At MedTrans Options, our goal is to help our clients utilize telemedicine technology to achieve for its residents entrusted by you for care in their facilities the best quality of life possible. We fully understand that one solution does not fit every situation so we take the time to listen and learn about each client's needs and preferences. This enables us to tailor a technology program that maximizes the client's investment and expandability.


Understandably, most seniors prefer to stay in the familiar comfort of their own homes. This is more doable than you may think. We believe with the rapid expansion of broadband technology across the country, affordable medical monitoring, management and coordination of medical care of everyone suffering from a chronic condition will be provided at the home where you live in your chosen community setting.  Telemedicine makes it possible for the medical care to come to you!


Over the past two years we have been busy on many fronts, from boardrooms to the campaign trails prodding, encouraging and exhorting politicians, clinicians, manufacturers, and even the public that a revolution is underway. Globally, health care is converging with technologies such as informatics, IT, telecommunications and the Internet. When you read this website you will agree the challenge we face is to fast-forward to where this trend of converging technologies is leading us. For the state and federal government, this means rethinking and re engineering how it plan, organize, budget and design programs that don't kill it off to maintain the status quo
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Innovation in health care technologies is bringing the point of care closer to home and is giving the patient more choice. This will only continue as greater availability and lower costs of high  communications expand connection choices for both providers and patients. We'll be able to reach farther and work faster than ever before - from rural areas of America, to urban distressed and health care neglected neighborhoods in our central cities now long abandoned by most all medical providers. Technology has evolved to the point now where it is possible for many healthcare providers to administer patient care in innovative ways that were previously unimaginable.
 
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In real-time, physicians in office practices, hospital discharge patient management, managed care health insurers in patient case team , home health providers, Patient-Centered Medical Home practices, and Accountable Care Organization can see, receive and interact with home remote patient data assessment care medical devices, and deploy devices to interactively examine patients and team consult with family and care givers of patients, fellow physicians, pharmacy, or with  allied health professionals for recommendations and coordinated delivery of optimum healthcare delivery.
 
Telemedicine and video provide many benefits to health care providers:
 
•Facilitates communication between physicians, patients, and other providers
 
• Can take on more patients without the need for additional physicians and auxiliary staff
 
• Drives new billing opportunities
 
• Reduces unnecessary office visits
 
• Reduces need for more office space and examination rooms
 
• Creates a cutting edge working environment that attracts top medical talent
 
Innovation is also driving down costs, improving productivity and providing greater flexibility. Telehome care is also reducing transportation costs and non-productive waiting times.  Right now homes have become providers of telemedicine, and MedTrans Options is rapidly creating individualized solutions for owners to seize the initiative by using this power to drive down its transport costs by keeping nursing home residents in the facility where such normally out of the facility medical consultations and exams can be done safely, efficiently, and more comfortable for the resident.
When the largest Ohio trade association representing nearly 500 skilled nursing homes asked us to give them a solution when Ohio stopped paying directly for its Medicaid nonemergency transport for outside facility medical examinations, we went to work to demonstrate how telemedicine can assist. 
Request our announcement of telemedicine consultations for Ohio's skilled nursing homes:
 
 
 
 
Call: (614) 638-8526

Read our Idea submitted to a national health care competition sharing our activities and view:


Delivering the Dream of Triple Aim to Safety Net and Special Populations 

The Triple Aim focuses "simultaneously on three goals for optimizing health system performance: improve the health of the defined population; enhance the patient health care experience (including quality, access and reliability); and reduce, or at least control, the per capita cost of care".[October 2007, Institute for Healthcare Improvement]. For the millions living and dying preventable deaths at the safety net, those permanently trapped in institutional care and can't crawl or limp to a fee for service usual place of care, or are among the millions suffering from mental illness, substance dependency, development disabilities, illiteracy, homeless, in the criminal justice system; bold mobile community telemedicine delivery innovations like ours is needed.

What is the name of your business organization and where is it headquartered?

Telemedicine Centers of Ohio is our name, and we are based in Columbus, Ohio

Impact: Describe the proven innovation, which you seek to scale up, and quantify its value proposition. How does your idea compare to standard practice or other current approaches? (200 words)

We created an affordable portable telemedicine terminal complete with encrypted HIPPA compliant connectivity, 2-way real time PHI data capture into EHR, plug&play USB ports for medical devices, can support remote monitoring telementry for acute intervention needed to reduce avoidable ER visits or rehospitalization. Standard practice for telemedicine has a patient on one end at a provider equipped setting and the provider on the other. The patient's must travel to the provider setting. This leaves out health care for millions. 

We believe real time telemedicine technology today should be taken to where the patients are, [living at home unable to travel, disabled, in correctional facilities, skilled nursing, assisted living, shelters, churches, schools, etc.]. Taking telemedicine to the last mile maximizes access, reduce care cost, offers timely services, and is patient-centered reaching the 340 million US population, where 60% have one chronic condition, and living in nearly 200 million occupied dwellings. There are not enough equipped provider settings to provide the Triple Aim.

If ACOs/PCMHs are to serve its functions supporting new pay for performance goals, patient participation in their care; bring the health provider to the patient! Use by Telemedicine Centers and home health companies under the ACA for patient team care is enhanced.

Evidence: What data do you have to illustrate that your solution works? (300 words) Pending Competition Submission October 3, 2014

We went into beta testing in 2011 with 4 prototypes on home visits by a home health company DON for home bound patients and institutional care residents. December 16, 2013 we did a trial event in a real time demonstration between a statewide health insurance company’s Oahu Hawaii corporate headquarters and leadership and our unit placed in a Maui medical doctor’s office for a telemedicine session for 90 minutes that could be billed to CMS Part B had a consenting patient been used. It works! 

The best documentation that our solution works is its market acceptance. From January 2014 we have been focusing on the introduction of our telemedicine technology unit into the safety net providers specifically prepared to expand their access to underserved neighborhoods and special populations that require intensive treatments and visits to the provider office, populations that have low healthcare and education literacy, suffering from mental disabilities, substance disorders, and where access to providers would be by armed escort and patient is shackled and cuffed. We have gathered strong provider interest and support addressing the safety net population that is high touch and difficult to serve inexpensively. 

We have a pending Pilot proposal for a Hawaii MCO going statewide in January 2015 to use our portable units to support PCMH and patient centered managed care services on each island rather than incur the cost of flights to care providers. We designed and support an Ohio community Health Center under construction that will provide integrated health services in a partnering with a community mental health center, under which our units can be placed inside area churches, day care centers, shelters, community correctional reentry facilities and support home/nursing facilities. We are negotiating our first of 18 CBCF contracts with the State of Ohio that can maximize ACA funding of existing state taxpayer paid health care funding.

Dissemination: Describe your scale up plan, why your product/service/business model lends itself to rapid dissemination and why you have the capabilities to execute on it. What barriers has your solution faced in implementation or in previous attempts to scale? What are the cost & revenue implications to an adopter of your innovation? (400 words)


We prioritize a target rich potential client base of providers seeking or desirous of reaching the costliest segment of the health care services expense population: those without a usual place of care PCP, ER high flyers, healthcare illiterate and the technology challenged poor elderly, homeless, mentally ill and those with dependency issues. The ACA law and Medicaid expansion for those states participating provided substantial funding at the safety net to reach this population representing more than 1/3rd of the US population [and that portion which costs the most to assess, treat and manage] requiring innovative disruptive technology. 

Our plan has us partnering with those safety net providers and MCOs that provide services to millions of citizens and insureds and recognize that there isn't enough hours, staff and or care providers to manage, monitor and see every patient requiring support in its offices. This alone is a $1.4 trillion dollar US spending between 2014 and 2022. 

The designed path to this huge market is narrow and isn't going to be concentrated in and out of the scarce provider's offices. Technology forecasts already show that the market for mobile and home health care solutions will reach several trillion in five years as the US tip its aged population over 50 years to the US majority. By providing telemedicine technology to targeted care providers, it's an extension of what we already do to expand that connectivity to a portable device that can be taken, used and left anywhere with patients and caregivers, or brought to any setting 24/7 when provider access is needed-- that lends itself to rapid dissemination. 

Barriers faced were considerable initially in integrating software, encryption, medical device interoperability and PHI capture in EHR, costs and operational use functionality so that it can be accessed by patients remotely and support multi video connect conferencing without reliance on any host's IT resources, and if such host site is used there are encryption and security features protecting PHI leakage or loss. Cost per unit on a monthly lease is under $150 a month, inclusive of IT connectivity if left behind, and at a negotiated daily rate for shorter term use. The unit can be provided by home health, MCOs, PCMHs, hospitals, CMHCs and FQHCs on leases approved on Medicaid DME schedules for similar type devices. If used in telemedicine sessions at a SNF, CMHCs, PCPs, FQHCs or contracted sites, costs can be billed at $24.60 each CPT code use.



How will it work?

Our idea creating a ubiquitous affordable portable telemedic technology unit is the logical migration for expanding the optimum access for a patient-centered utilization model. Telemedicine is not just for doctors treating its patients in offices, nor for institutional care providers talking to each other. 

Imagine the message implicit from those significantly increasing US homeowners spending billions for home owned and used stethoscopes, otoscopes, blood pressure, vital signs monitors and other medical assessment devices for self-monitoring and support their own care or a family member’s chronic conditions, disabilities and hospital discharges. The public is now clearly communicating that it is “patient-centered” and want to control and participate in managing their health care. For those millions trapped at the safety net without the financial ability to purchase such technology, there are safety net providers that can with proper alignment of incentives bring such portable affordable technology supported units into any patient setting.

We know this 320 million plus census US population can buy a home with such a built in potent telemedicine technology unit, or have it installed just like a cable television or home security feature, that can accept these medical diagnostic devices. Installation support anyone in that home anytime connectivity to health providers anywhere in a secured private session that includes ability to capture, store and disseminate PHI. 

Read the national newspapers and watch the news showing how inadequate health care delivery is in handling national disasters, fast spreading diseases where the public,even those with health insurance and a usual place of care—is publicly warned “not to go to a hospital ER, and do not go to the doctor office”. Little wonder this is the fastest growing sector of the health care industry, and accounts for the majority of new industry start up investments.

Why do you think it will succeed?

Technology ought not to be held captive to exploitative status quo business models by the provider infrastructure because comorbidities and other patient needs requiring coordination, management and monitoring are too often ignored or not able to access patients through other providers. Delivering medicine and health care was never intended to be solely placed in the hands of providers.

This is especially true with dental care, physical therapy, mental health and ASD care services that is not usually coordinated with the PCP, and because of the control where telemedicine can be provisioned, if at all. Patient access, by requiring the patient to travel to the doctor’s office on a schedule when the doctor is ready, is limited because of self-interest. This is sorta like hitching a horse & buggy to a NASCAR vehicle and never using the available power.

The Affordable Care Act health reform, if unleashed, can change the way delivery systems contract and pay for services, and can support rapid change that aims to improve care coordination, provide new service models, and expand access to care. Our idea will succeed because there will never be enough PCPs supporting the needed patient centered medical homes, low cost long term supported community independent living for the fragile and special demographics consuming the majority of the care cost expenses and those providers already overwhelmed that absolutely require daily medical monitoring, management and care coordination.

With the majority of newly insured not having a usual place of care, ERs still crowded and costly; improved access can only be provided by having the affordable technology capability to reach and support patients when, with whom and where they are free of multicultural concerns, including linguistic and major cultural hurdles. Unchain the technology! Use this technology to expand new partnering arrangements of teaming providers that expand access to care and achieve improved opportunity for incentive driven patient performance outcomes.

Idea submitted by:

William Johnson
September 18, 2014, 17:05PM

115 views, 3 comments, 5 applause

HARVARD TEAM COMMENT
Great ideas are all about collaborating with others. You can recognize contributions from community members by making them a Team Member. Your team members will receive extra DQ points as a result and be recognized as part of your entry.

COMMENTS
William Johnson
October 01, 2014, 23:35PM

I will add Healarium as part of my team because it fits well with our focus and infrastructure, but also with the others that added me to their ideas.

Garima Trivedi

Edited on September 25, 2014, 09:01AM

Dear Mr William,

True to its title, this is indeed like delivering a Dream,

This is a brilliant Idea and very innovative indeed. The most cost effective, safe and easily implementable idea. Its affordability and ease of implementation gives it a winning edge.
May this Idea gets its due credit. I wish you all the best.
Regards
Garima

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