Washington State Telemedicine Collaborative

Application to Serve on the Collaborative

Thank you for your interest in serving on the Telemedicine Collaborative as set up by Senate Bill 6519. The scope of the Collaborative’s work is as follows: “The Collaborative shall develop recommendations on improving reimbursement and access to services, including reviewing the originating site restrictions or additions proposed in this bill, provider to provider consultative models, and technologies and models of care not currently reimbursed. The Collaborative must identify telemedicine best practices, guidelines, billing requirements, and fraud prevention developed by recognized medical and telemedicine organizations. The Collaborative must also make recommendation on whether to create a technical assistance center in Washington to support providers in implementing or expanding services delivered through telemedicine.”

Membership on the Collaborative will be as follows:

  • Legislators (4) – 1 from each caucus
  • Representative of the academic community (1)
  • Hospitals (2) – 1 rural; 1 urban
  • Clinics (2) – 1 either RHC or FQHC (priority on rural); 1 large group clinic (50+ prescribing level providers)
  • Health care providers in primary care and specialty care (3) – 1 primary care provider; 1 specialty care provider; 1 mental health/psychiatric provider
  • Health insurance carriers (4) – at least 2 commercial, at least 1 MCO
  • Other interested parties (2) – TBD, as interested (post-acute care, business, patient, public, technical experts are possibilities)
  • Chair: Dr. John Scott, UW Medicine (Per SB 6519: “The collaborative shall be hosted by the University of Washington telehealth services.”)

Name:

Title/Position:

Organization:

Email: Telephone:

Please indicate which seat(s) you are applying for. If you could fill more than one seat, please rank in order of preference (1 = highest preference, 2 = second preference, etc.).

____ Representative of the academic community

____ Urban hospital

____ Rural hospital

____ RHC or FQHC

____ Large group clinic (50+ prescribing level providers)

____ Primary care provider

____ Specialty care provider (please indicate specialty: ______)

____ Mental health/psychiatric provider

____ MCO

____ Commercial insurance carrier

____ Other insurance carrier

____ Other interested party (please indicate category: ______)

Describe your interest in serving on the collaborative.

Describe your experience working with telemedicine.

Describe what you see as the most important goals of the collaborative, in the first year and over the course of three years.

Applications are due by 5:00 p.m. on May 15, 2016.

Please mail your application along with your resume or CV to:

Dr. John Scott, Professor

University of Washington School of Medicine

c/o Ian Goodhew, UW Medicine

Box 356350

Seattle, WA 98195

Or email your application along with your resume or CV to .

Applicants will be notified by June 1 of their selection.

Questions? Please contact:

  • Ian Goodhew, UW Medicine, r 206/543-7982
  • Katie Kolan, Washington State Medical Association, r 206/618-4821
  • Cassie Sauer, Washington State Hospital Association, r 206/216-2538
  • Sheela Tallman, Premera Blue Cross, or 425/918-6013