Freelance MD: 2015 Physician Telemedicine Report

See the full report here or check out some excerpts below:

The 2015 Telemedicine Report: This report provides an overview of the current sentiment and opinion of telemedicine from the point of view of tens of thousands of clinicians and health care administrators all around the world. This report provides insights into providers’ opinions and the current level of opportunity for telemedicine to have an impact on the delivery of health care.

The Story: Telemedicine is in its infancy but poised to gain wider acceptance and usage as health care providers and markets realize its potential to both scale delivery of services and cut costs (efficiency) and drive greater revenue by removing friction from provider-patient interactions (scalability).

The current view of telemedicine is just beginning to become a topic of mainstream discussions and excitement is growing along with expectations.

There are indications that this is beginning to happen as insurance companies and others see this as a way to provide high-value services at a more reasonable cost while keeping patients healthy and without the need for more expensive intervention treatments. For example, Arches Health Plan recently announced that it will reimburse providers for home-based telemedicine interactions. As this becomes more commonplace the few remaining impediments to adoption will be removed and telemedicine will begin to ramp from the realm of innovators and early adopters and towards the majority of providers.

Market Opportunities

As with all emerging technologies telemedicine is going to disrupt some traditional models and put others out of business. Telemedicine is inherently more efficient, more predictable, and less costly than any current delivery of care. While it cannot replace actual interventional or hands-on care, it solves entire categories of wasteful informational visits and begins to provide a platform where every provider and patient has access to the very best information and care. Early adopters are already realizing this in as evidenced by adoption trends being more pronounced in cosmetic and concierge medicine (direct pay) than family and general practice (third party payer). Those providers who get out ahead of this macro-economic trend be best situated to capitalize on what will inevitably be a commercial marketplace with both winners and losers driven by the availability of big data and consumer choice.

See the full report here

Casa Dos Insights Use Case

PhD Researcher and Psychotherapist Cláudia Catão’s experience using the TruClinic platform in Brazil

PhD research subject: Effectiveness of Online Systematic Brief Psychodynamic Psychotherapy for Neurotic Disorders: Randomized Controlled Trial – Clinical Trial ID #NCT02257996

SAFETY and CONFIDENTIALITY 

  • I've noticed patients feel much safer talking about their problems when they know the platform is a secured environment. They feel comfortable enough to talk about anything, as if they are in a face-to-face session. 
  • I also feel my work is secure. I am able to do the necessary psychoanalytical interpretations and to investigate, alongside with the patient, intimate issues because I know that confidentiality between me and patients will be kept. Psychotherapy does not exist without confidentiality. TruClinic offers 5 levels of security. We feel very safe.

TRANSITIONAL DISTANCE ERASED

  • Due to the feeling of safety generated by the 5 levels of security on the platform, I quickly forget I am performing my work mediated by technology.
  • I easily forget the distance between us, and never feel like my quality of work has been compromised.

FASTER RESPONSE WHEN CHOOSING BETWEEN AUDIO OR VIDEO 

  • Considering the poor quality of Brazil’s internet connection, I love that the program decides quickly whether two-way video is an option. If the connection is slow it shows me an icon of a headset, which means that there is a patient there and their audio will be prioritized.
  • This is wonderful because as a professional, it is my responsibility to manage the difficulties of access. The patient never needs to feel anxious because he sees me and isn’t aware that the internet connection is slow and I can only hear him.
  • I love that I am the one dealing with the poor internet connection, not him. This is a wonderful new feature!

EASY ACCESS TO TruClinic

  • The ability to send my waiting room link to a patient’s e-mail with an access password is another great feature. Before, new patients would have to create an account and fill out a form in order to be able to register. This wasn't ideal because the patient is already anxious; he wants to talk to you about his problems, not fill out forms. Now I can quickly send the external access link and meet with my patients immediately.
  • The first contact happens through the link with the password. It is fast! The process is safer, but it has also more steps to be taken: I first invite the patient; then the patient accepts my invitation; only then I can schedule the session.
  • Once I send the link I am certain my patient will be in my waiting room when I get there because TruClinic is so easy to use. I never expect any difficulties for the patient. If the patient is going to be long-term, then at the end of a session I ask them to fill out the forms and create an account, but for an initial consultation, I love that I can be available to my patients quickly. 
  • Additionally, I can connect with the infrequent patients who just need to talk face-to-face. Brazilian law allows us to work with this type of patient via telemedicine. In this case, therapists and patients alike can use only the basic features they need, using TruClinic to get in and out of a session quickly and easily. It is simple for a patient who is not familiar with TruClinic to use the platform on occasion.  

CHAT: CORRECTS SETBACKS 

  • The new post-session chat is a great addition. Sometimes the patient is not able or doesn’t want to turn the camera on, but he is still able to talk to me through the chat.

SECURED E-MAILS

  • The e-mail is also a plus when it comes to clinical supervisions. Post-graduate students can submit their sessions through e-mail and it is a secure environment. I open it, correct it and send it back, without worry. Everything about that patient remains in a safe environment.

2014 Foley Telemedicine Survey - Executive Summary

Read the full copy of the 2014 Foley Telemedicine Survey - Executive Summary here or check out the excerpt below:

As health care executives transform operations to comply with the Affordable Care Act, they are gearing up for the next monumental shift in the industry: telemedicine.

Technology has influenced nearly every sector of the economy, and the health care industry is following suit. Among telemedicine’s many benefits are the potential to exponentially expand a provider’s geographic footprint, use doctors’ time more efficiently and dramatically reduce the barriers to patient interaction. 

Health care leaders tell us that their organizations are committed to continuing to implement telemedicine programs, even as they face challenges such as getting doctors to buy into the programs and insurers to pay for them. Why? For the majority of respondents, it’s simple — they believe telemedicine will help them keep patients healthier. 

This report is based on feedback from health care leaders, the majority of whom are C-level executives from for-profit and nonprofit care providers, including hospitals, home health organizations and physician group practices. We asked them to evaluate the prospects for improved patient care and streamlined operations through telemedicine advancements, as well as regulatory hurdles and obstacles to reimbursement. 

Executives Are Embracing Telemedicine

Telemedicine is not a distant possibility; it is here and in play now. The vast majority of leaders (90 percent) report that their organizations have already begun developing or implementing a telemedicine program. 

Most also say that offering meaningful telemedicine services will be critical to the future success of their organizations. 

  • Eighty-four (84) percent of respondents felt that the development of telemedicine services is either very important (52 percent) or important (32 percent) to their organizations. Virtually none said they considered the technology to be unimportant (3 percent). 
  • While just 6 percent of respondents categorized their telemedicine programs as “mature,” only 8 percent said they had none at all. The remainders of responses are clustered somewhere in the middle: 34 percent are under consideration or in development, 18 percent are in the optimization phase, and the remaining 36 percent are being piloted or implemented. 
  • A majority of respondents already offer remote monitoring (64 percent), store and forward technology (54 percent), and real-time interaction capabilities (52 percent). Additionally, 39 percent say they have services that qualify as mHealth — patient-driven apps and online portals.

Read the full copy of the 2014 Foley Telemedicine Survey - Executive Summary here