telehealth: today and tomorrow - some basics
TRANSCRIPT
TeleHealth: Today & Tomorrow
Some Basics You Should Know to Get the Most Out of the Upcoming Digital Health Innovation San Diego Event
June 8th, 2016 at 6pm@
Pillsbury Winthrop Shaw Pittman LLP12255 El Camino Real, Suite 300, San Diego, CA
www.digitalhealthinnovationsd.com
We’re no longer asking if TeleHealth has a place in
healthcare. Now we’re asking what that place is
Where TeleHealth Started
Initially used to extend needed care to rural communities. - Using technology like secure video conferencing, physicians and specialists
can provide their expertise to smaller, rural medical centers.
But more than real time TeleHealth includes- Remote Patient Monitoring- Store and Forward Technology - mHealth
Using TeleHealth in the Field
ETHAN (Emergency TeleHealth And Navigation)
- A Houston EMS emergency telehealth system
- Connects non-emergency patients with Doctors
- Allows EMS providers the ability to deliver more responsive care to patients
requiring more than a ride to the ED.
For the whole article: http://www.jems.com/articles/supplements/special-topics/ems-10-innovators-in-ems-2015/emergency-telehealth.html
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- 49 states now have some coverage for telehealth under Medicaid plans.
- Rhode Island is the only one with no coverage for low income beneficiaries.
- Expands telehealth from simply remote live video interactions to cover store and
forward tech and remote patient monitoring (especially important for chronic
care management)
- Starting to condone prescribing controlled substances
- Redefining the geographic borders for telehealth insurance coverage from ‘rural’
Legislation
Stroke Telehealth (Telestroke)Neurologists can remotely evaluate acute stroke victims in communities lacking advanced neurological expertise and resources.
- Make diagnoses & treatment recommendations to ER doctors at other sites.
- Communicate using digital video cameras, internet telecommunications, robotic telepresence, smartphones, tablets, etc.
TeleStroke Case Study The Medical University of South Carolina acted as the hub for the South Carolina Stroke Network which included 15 hospitals.
- Use REACH Health as their telestroke platform- Neurologists at the central hospital connect with providers in the satellite
hospitals to quickly and accurately diagnose a stroke- Using this system 90% of SC residents have access to stroke care within an hour- Has helped determine if patients are at risk of cerebral hemorrhage- Increased the administration of the clot-dissolving drug tissue Plasminogen
Activator (tPA) by remote clinicians to 35% of all ischemic stroke cases- The national average is on 10%
For the whole case study: http://reachhealth.com/customer-success/customer-telemedicine-networks/medical-university-of-south-carolina-telestroke-program-reach-musc/
Tele-ICU
AJCC (American Journal of Critical Care) study from January 2016 assessed the impact of Telemedicine on nursing care.
- Found that a majority of nurses in the ICU noticed improvements in productivity and collaboration.
- Remotely view patient vital signs, physiological status, and lab results and make care decisions based on these conditions.
- Also used for remote consultations.- The report found the biggest barriers were staff attitudes, audio/video problems,
and the belief that telemedicine interferes with care.
The Positive Results of TeleICU
UMass Memorial Medical Center (Worcester, Mass.)
- Statistics based on a 2014 case study- Reduced ICU mortality by 19.6%- Increased efficiency so much so the hospital could care for 11% more patients
annually- Reduced the average cost per case by over $5,000- The TeleICU system cost $7.1 million but that was recovered in less than a year
For the whole case study:http://www.beckershospitalreview.com/healthcare-information-technology/3-hospitals-that-have-seen-positive-results-from-tele-icu-programs.html
TeleHealth Fast Fact
- Teladoc hit its 1 Millionth visit
- It was the nation’s first and largest telehealth platform
- It connects a patient with a state-certified physician via video or phone
TeleHealth Fast FactFitbit Statistics Based on 2015 Data
19 Million Registered Users Number of Fitbit registered users
9.5 Million Number of Fitbit active users
34.2% Fitbit’s share of the wearable tech market
http://expandedramblings.com/index.php/fitbit-statistics/
Patient Generated Health Data (PGHD) PGHD supplements existing clinical data and provides information about a patient’s condition between visits.
- PGHD provides relevant information for preventative and chronic care management.
Can be generated through mobile and wearable tech.- Forbes predicts the wearable tech market to be worth $34 Billion by 2020.
Patient Generated Health Data (PGHD) Stats generated by the pew Research Center
- 60% of U.S. adults track their weight, diet, or exercise routine.
- 33% of U.S. track health indicators or symptoms, like blood sugar,
headaches, sleep patterns, heart rate.
- 12% of U.S. adults track a health indicator on behalf of someone they
care for.
https://www.healthport.com/docs/default-source/whitepapers/wp_patientgeneratedhealthdata_120415_web.pdf?sfvrsn=2
What’s on the horizon w/ PGHD
Accenture Federal Services just announced a 2-year consulting contract with the ONC.
- Will help the federal govt. create a framework for collecting/using PGD
- Create standards that would improve PGD interoperability
ePatients
Patients have access to more information now than ever before and they have started to play a more active role in their medical care.
- Use social media - Driving change in disease awareness, diagnosis, and treatment
- Use Patient driven research- Crowdsourcing solutions, awareness, and communication
What TeleHealth Means for Hospital Revenue
University of California Davis Children’s Hospital analyzed the billing information of 16 children’s hospitals that were using telemedicine.
- Statistics from a 2013 study published in the journal of Telemedicine and e-Health
Findings- Average increase in patient transfers by nearly 100%- Average annual revenue climbed from $2.4 million to $4 million
For the whole study: http://www.amdtelemedicine.com/telemedicine-
resources/documents/FinancialImpactofaPediatricTelemedPrograminacompetitivehospitalregion_2013.pdf
