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When It Comes to Patient Care                                        Cover Story: Miami Children’s Health

                            “Walk the Talk”                                       System and Tyto Care Expand

                                                                                  Telehealth Services
             Recently I was having                        center it is always
           lunch with a Healthcare                        amazing how wide the
           executive for whom,                            gap is between organi-  Continued from page 1
           over the years, I have                         zations where staff     and follow-up visits for post-operative  Martinez expects telehealth to become
           developed a great deal of                      members go out of       patients, patients with complex medical  more important in today's pediatric
           respect. Although we                           their way to make peo-  needs, and those who require care for  healthcare environment. One reason is
           only see each other                            ple feel welcome and    more acute conditions. Tyto Care can  that nationally, there is a shortage of
           every 4-6 months, I                            those who simply do     also be used to obtain an expert consult  pediatric specialists across the country.
           always appreciate his                          not. You can watch as   or second opinion and provide medical  “There's just not enough specialists
           insights on the industry,                      countless staff and     expertise to schools, remote clinics and  going around,” says Martinez. “There are
           especially as it relates to                    receptionists go about  other entities MCHS serves.         many pediatricians but very few pedi-
           patient care. At one of                        their work (or worse      One limitation of MCHS’ current tele-  atric specialists, especially in certain
           the facilities he visits,                      yet walk right by)      health system, MCH Anywhere, is that  fields such as cardiology, neurology, and
           there is a small Cuban     BY  JAY JUFFRE      without even a simple   the technology is very bulky and expen-  pulmonology. Those specialists are hard
           coffee shop near a                             acknowledgement they    sive to implement at home, according to  to find.”
           patient waiting area.                          are there. There is an  Edward Martinez, Senior Vice President  Through telehealth services, a patient
           Whenever he is there, he stops by to  old saying, ‘never prioritize tasks over  and Chief Information Officer of MCHS.  could have exposure to pediatric special-
           order a “Café Americano Decaf”     people’ and yet some in the medical  “It runs anywhere between $20,000 to  ists across the state—or even across the
           (Picture the person taking the order  community do it every day. When it  $40,000. So while it was very effective, it  country—and limit travel.
           doing a triple take as they try to recall  comes to patient care make sure your  was only available provider-to-provider  “A lot of parents will travel to our
           the location of the decaffeinated coffee  team always walks the talk, by taking  because of the costs.”    Miami facility from Palm Beach,
           …) Regardless, whenever he is there,  time to say a simple, “Hello”, “Good  Martinez adds, “But we wanted to  Jacksonville, Tallahassee, and Tampa Bay
           he takes the time to say hello to any  morning”, or “How are you today?”  bring this technology to home con-  because we have excellent specialists,”
           patients and their families who hap-  That simple gesture puts patients and  sumers. We believe that a telehealth con-  says Martinez. “That travel is an incon-
           pen to be sitting in the area. This guy  families at ease and will help build the  sult between a physician and a patient  venience to the parents, especially in our
           always walks the talk when it comes  culture where patient care is always in  can't just be about me talking to you and  initial visit because you're trying to
           to his expectations. Put simply, he gets  balance with quality and outcomes.  saying, ‘I have an earache or I have a  determine whether that child really
           it. The response from the folks sitting                                fever.’ There has to be a way for a clini-  needs to be at Miami Children's or they
           in the waiting areas is always well    Jay Juffre is Regional Vice President,  cian to actually determine what your  can be taken care of at home with a pedi-
           received. They all really appreciate  South East Region / National Service  conditions are. We can't just prescribe  atrician.”
           him going out of his way to say hello  Director, ImageFIRST. For more informa-  medication based on your symptoms.  In the past, with MCH Anywhere,
           and see how they are doing.                     tion on ImageFIRST, call  We have to diagnose the symptoms to  MCHS would use their telehealth plat-
             Quick gut check. How are you and                 1-800-932-7472 or   understand what it is.”             form that was already connected at the
           your team doing? Whenever I visit a            visit www.imagefirst.com.  Through MCH Anywhere, clinicians  closest provider facility, and consult and
           hospital, doctor’s office or surgery                                                                       diagnose the patient there. That limited
                                                                                  can diagnose symptoms—they are able  some of the travel. With the Tyto Care
                                                                                  to listen to a heartbeat or lungs, conduct  Home Monitoring Kit, patients won’t
                                                                                  an ultrasound, and provide other diag-  have to leave their home at all. By pro-
                                                                                  nostic technology services from any-  viding telehealth services, Martinez says
                                                                                  where in the world.                 that it can change the way the U.S. has
                                                                                    “But we couldn't do it at home because  looked at medicine for many years.
                                                                                  it was cost prohibitive,” says Martinez.  “The secret of medical care is good
                                                                                  “So we started looking at building our  health and preventive medicine is good
                                                                                  own product. We looked at where we  medicine,” says Martinez. “The Tyto
                                                                                  could find an engineering company that  Care Home Monitoring Kit is really the
                                                                                  would build what we were envisioning  beginning of a new era of devices for
                                                                                  and found that company in Tyto Care.  both home and the clinical space. It’s
                                                                                  We partnered with them to further   already FDA approved but this is only
                                                                                  develop their product and take it to  the tip of the iceberg. The home-sized
                                                                                  another level, which was live streaming  device will be affordable, provides quali-
                                                                                  video and audio.”                   ty, can be integrated into other existing
                                                                                    Through this partnership, MCHS and  telehealth programs, or stand alone.
                                                                                  Tyto Care will work together to integrate  Through telehealth, we can intervene
                                                                                  the live remote examination capabilities  before a child becomes super sick, and
                                                                                  of the Tyto Care platform with the health  keep them healthy, understanding that
                                                                                  system’s MCH Anywhere platform to   would reduce cost, improve quality, and
                                                                                  expand capabilities to deliver virtual  obviously make it better for everybody.”
                                                                                  medical   specialist  consultations.
                                                                                  Collaborating with Tyto Care now allows       For more information on Miami
                                                                                  MCHS physicians to provide ongoing             Children’s Health System, visit
                                                                                  care at the highest level, while giving  www.mch.com. For more information on
                                                                                  patients easier access and more conven-     Tyto Care, visit www.tytocare.com.
                                                                                  ience when it comes to their health from
                                                                                  their homes or elsewhere.


                                                                                       Delray Medical Center Performs

                                                                                              First Incisionless Surgery

                                                                                                   to T reat Heartburn


                                                                                    Surgery without an incision is now a possibility. The new Transoral Incisionless
                                                                                  Fundoplication procedure, or TIF , using the innovative EsophyX® device for the
                                                                                  treatment of gastroesophageal reflux disease (GERD) is now available at Delray
                                                                                  Medical Center.The TIF procedure is based on established principles of surgical repair
                                                                                  of the antireflux barrier, except that it is “surgery from within” performed transorally
                                                                                  (through the mouth). The procedure can reduce hiatal hernia and can re-establishe
                                                                                  the high pressure zone between the stomach and esophagus restoring the natural,
                                                                                  physiological anatomy to prevent gastroesophageal reflux. Because the procedure is
                                                                                  incisionless, there is reduced pain, reduced recovery and no visible scar.

         6                         June 2017                                                                 southfloridahospitalnews.com                                                                       South Florida Hospital News
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