Mhcc.maryland.gov



School-Based Telehealth Workgroup Information Gathering TablesDraft Version 2.0The Maryland Health Care Commission (MHCC) appreciates the contribution made by members of the School-Based Telehealth Workgroup (workgroup). The MHCC is in the information gathering stage and seeks workgroup member input to complete the tables on the topic categories below. This information will be used to guide future deliberations by the workgroup. We anticipate completing the tables over multiple meetings with the diverse perspectives of workgroup members. The items are organized by key categories based on discussions with the workgroup. Each item is also identified as either relevant to a school-based health center (SBHC), school health services (SHS), or special education services (SES). This document is for information gathering purposes only and should not be considered a comprehensive list of all topic categories of discussion. Certain bullet points identified in the grids are supported by literature while others are aspirational or anecdotal. Those that are literature-based should include an end note.InstructionsThe top row of each table identifies a topic/concept of discussion. Each table includes three quadrants: benefits, barriers/challenges, and solutions. Each quadrant is subdivided to include persons or entities (e.g., students, MSDE, schools or school districts, grant funds, private payors) that have a role in or may be impacted by the topic/concept of discussion. Other persons and entities may be added by the workgroup during discussions. We ask that workgroup participants list possible benefits, barriers/challenges, and solutions related to the topic/concept. Workgroup participants are not required to complete each quadrant for each table; we ask that participants identify benefits, barriers/challenges and solutions that are most relevant for them and are supported by literature, if possible. If the item is literature-based, please include an end note. DefinitionsBenefit: The value derived from producing or consuming a service Barrier/Challenge: A circumstance or obstacle (e.g. economic, political, institutional, environment, social, etc.) that hinders or prevents progress, including a difficult task or complex situation that must be overcome in order to implement a solutionSolution: An idea aimed at solving a problem or managing a difficult or complex situationKey CategoriesEngagement: Building awareness about the value of telehealth/teletherapy services Table SEQ Table \* ARABIC 1Building awareness about the value of SES teletherapy servicesBenefitsStudents1912620-1670051from 001from Parents/guardiansSchools or school districtsBarriers & CHALLENGESStudentsParents/guardiansSchools or school districts1772285-5988052from 002from SolutionsStudentsParents/guardians3829685-5187953rom 003rom Schools or school districtsTable SEQ Table \* ARABIC 2Building awareness about the value of SBHC telehealth servicesBenefitsStudentsParents/guardians1909445-4686301from 001from Schools or school districtsBarrierS & ChallengesStudents 1808480-1790702from 002from Parents/guardiansSchools or school districtsSolutions Students Parents/guardiansSchools or school districts3799205-6115053rom 003rom Financial and Sustainability: Funding to support telehealth/teletherapy service implementation and ongoing program maintenance Table SEQ Table \* ARABIC 3Establishing adequate funding sources to implement telehealth services - SBHCBenefitsState grantsSchool district funds1966595-4546601from 001from Barriers & CHALLENGESState grants1837055-1422402from 002from School district fundsSolutionsState grants3856355-1651003rom 003rom Schools or school districts fundsTable SEQ Table \* ARABIC 4Establishing adequate funding sources to implement teletherapy services - SESBenefitsState grants1943735-1422401from 001from Schools or school district fundsBarriers & ChallengesState grants1760855-2781302from 002from Schools or school district fundsSolutionsState grantsSchools or school districts funds3871595-3600453rom 003rom Table SEQ Table \* ARABIC 5Establishing adequate funding sources to implement telehealth services – SHS BenefitsState grantsSchools or school district funds1943735-5435601from 001from Barriers & CHALLENGESState grantsSchools or school district funds1760855-4000502from 002from SolutionsState grants3833495-1809753rom 003rom Schools or school districts fundsTable SEQ Table \* ARABIC 6Establishing a sustainable telehealth program - SBHCBenefitsState grants1943735-876301from 001from Schools or school districts fundsBarriers & CHALLENGESState grants1859915-3314702from 002from Schools or school districts fundsSolutionsState grants3825875-552453rom 003rom Schools or school districts fundsTable SEQ Table \* ARABIC 7Establishing a sustainable teletherapy program - SESBenefitsState grants1943735-2393951from 001from Schools or school districts fundsBarriers & CHALLENGES State grantsSchools or school districts funds1859915-4305302from 002from SolutionsState grants3825875-2076453rom 003rom Schools or school districts fundsTable SEQ Table \* ARABIC 8Establishing a sustainable telehealth program – SHS BenefitsState grants1814195-2171701from 001from Schools or school districts fundsBarriers & CHALLENGESState grants2012315-1574802from 002from Schools or school districts fundsSolutionsState grants3886835-2597153rom 003rom Schools or school districts fundsTable SEQ Table \* ARABIC 9Existing Medicaid and private payor telehealth reimbursement models - SBHCBenefitsMedicaid2012315-2387601from 001from Private payorsBarriers & ChallengesMedicaidPrivate payors1859915-3848102from 002from SolutionsMedicaid3932555-2070103rom 003rom Private payorsTable SEQ Table \* ARABIC 10Existing Medicaid and private payor teletherapy reimbursement models - SESBenefitsMedicaid2012315-1562101from 001from Private payorsBarriers & ChallengesMedicaid1776095-2247902from 002from Private payorsSolutions ToMedicaid3825875-2057403rom 003rom Private payorsCare Delivery/Coordination: Current activities aimed at the coordination of providers on the delivery of care Table SEQ Table \* ARABIC 11Ensuring the continuum of care/care coordination via telehealth - SBHCBenefitsStudentsParents/guardians1928495-2768601from 001from Primary care Specialty careSchools or school districtsBarriers & ChallengesStudentsParents/guardians1859915-2768602from 002from Primary care Specialty careSchools or school districtsSolutionsStudentsParents/guardiansPrimary care 3902075-5340353rom 003rom Specialty careSchools or school districtsTable SEQ Table \* ARABIC 12Ensuring the continuum of care/care coordination via teletherapy - SESBenefitsStudentsParents/guardiansPrimary care 2004695-3695701from 001from Specialty careSchools or school districtsBarriers & CHALLENGESStudents1837055127002from 002from Parents/guardiansPrimary care Specialty careSchools or school districtsSolutionsStudentsParents/guardians3810635-311153rom 003rom Primary care Specialty careSchools or school districtsTable SEQ Table \* ARABIC 13Ensuring the continuum of care/care coordination via telehealth - SHSBenefits Students1890395-406401from 001from Parents/guardiansPrimary care Specialty careSchools or school districtsBarriers & ChallengesStudentsParents/guardiansPrimary care 1920875-4699002from 002from Specialty careSchools or school districtsSolutions StudentsParents/guardians3871595-615953rom 003rom Primary care Specialty careSchools or school districtsOperations: The management and administration of people, processes, and procedures to deliver telehealth/teletherapy services Table SEQ Table \* ARABIC 14Technology (i.e., hardware and software) used in a telehealth encounter – SBHCBenefitsSchoolsProviders2058035-3244851from 001from StudentsParents/guardiansBarriers & ChallengesSchoolsProviders1814195-3244852from 002from StudentsParents/guardians SolutionsSchoolsProvidersStudents3886835-4343403rom 003rom Parents/guardians Table SEQ Table \* ARABIC 15Technology (i.e., hardware and software) used in a teletherapy encounter – SESBenefitsSchoolsProvidersStudents1958975-4838701from 001from Parents/guardiansBarriers & CHALLENGESSchools1844675-571502from 002from ProvidersStudentsParents/guardians SolutionsSchoolsProviders3886835-2565403rom 003rom StudentsParents/guardians Table SEQ Table \* ARABIC 16Technology (i.e., hardware and software) used in a telehealth encounter – SHSBenefitsSchools or school districtsProviders1928495-2781301from 001from StudentsParents/guardiansBarriers & CHALLENGESSchools or school districtsProviders1875155-1422402from 002from StudentsParents/guardiansSolutionsSchools or school districtsProvidersStudents3856355-4622803rom 003rom Parents/guardiansTable SEQ Table \* ARABIC 17Management and administration of telehealth services (e.g., training, procedures, processes, workflow, etc.) – SBHCBenefits Schools or school districts1974215-342901from 001from ProvidersStudentsParents/guardiansBarriers & CHALLENGESSchools or school districtsProviders1920875-1574802from 002from StudentsParents/guardiansSolutions Schools or school districts3909695-2476503rom 003rom ProvidersStudentsParents/guardiansTable SEQ Table \* ARABIC 18Management and administration of teletherapy services (e.g., training, procedures, processes, workflow, etc.) – SESBenefits Schools or school districtsProviders1943735-1866901from 001from StudentsParents/guardiansBarriers & CHALLENGES Schools or school districtsProviders1875155-1866902from 002from StudentsParents/guardiansSolutions Schools or school districts3902075-495303rom 003rom ProvidersStudentsParents/guardiansTable SEQ Table \* ARABIC 19Management and administration of telehealth services (e.g., training, procedures, processes, workflow, etc.) – SHSBenefits Schools or school districts1806575-571501from 001from ProvidersStudentsParents/guardiansBarriers & CHALLENGESSchools or school districtsProviders1936115-4826002from 002from StudentsParents/guardiansSolutions Schools or school districtsProviders3863975-1295403rom 003rom StudentsParents/guardiansTable SEQ Table \* ARABIC 20State SBHC application process for telehealthBenefitsMSDEMDH1875155-3009901from 001from Schools or school districtsBarriers & CHALLENGESMSDEMDH1898015-3009902from 002from Schools or school districtsSolutionsMSDE3863975-1009653rom 003rom MDHSchools or school districtsTable SEQ Table \* ARABIC 21State SBHC standards as it relates to telehealthBenefitsMSDEMDH1821815-3327401from 001from Schools or school districtsBarriers & CHALLENGESMSDEMDH1859915-4762502from 002from Schools or school districtsSolutionsMSDE3787775-463553rom 003rom MDHSchools or school districtsTable SEQ Table \* ARABIC 22State SBHC reporting requirements as it relates to telehealthBenefitsMSDEMDH1928495-2476501from 001from Schools or school districtsBarriers & CHALLENGESMSDEMDH1753235-2476502from 002from Schools or school districtsSolutionsMSDE3856355-1327153rom 003rom MDHSchools or school districts ................
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