Category Archives: Telemedicine

Texas has been undergoing a series of revision of its telemedicine regulations. It is among the last states which have mandated that in-person relationships between the medics and the patients be enhanced before offering telehealth services. Several bills have been debated upon, all with an intention to harmonize these regulations.

For a long period, it has been a requirement that the physicians should meet their patients physically before administering any telemedicine services. While it appears safe, especially because the patients relate with their doctors face-to-face, it is also quite inconveniencing as it is not all that necessary.

The truth remains that the medical telemedicine services reach the patients as efficient as they would if the doctors met them in-person.

The battle against telemedicine rules in Texas kicked off in 2011. It began shortly after the state’s medical board warned the health practitioners of losing their licenses if they failed to establish the in-person appointments with their patients before making any other transaction like prescribing medicine online or over the phone.

Since then the board has been trying to amend the laws to enhance these restrictions. Despite the strict regulations, some telehealth companies objected to these rules saying that the board’s intention was to curtail their services.

Texas telemedicine advocates and medical groups have relentlessly held discussions with an attempt to lighten the weight of these rules. Among the many things they want to be implemented is the reduction of the strictness of the medical board regulations and the harmonization of the telemedicine prices.

They also seek to enforce a modernization of the state’s telemedicine services which they say that majority of them are outdated. With the implementation of their recommendations, telemedicine services will become much smoother for the physicians translating to more satisfied patients.

Many hospital councils in Texas are also in support of the bipartisan bill to eliminate the regulations saying that if implemented, it will be of great benefit to all Texas residents.

Telemedicine Gives Rural Hospitals 24 Hours Availability

Kings county memorial hospital was forced to reduce its emergency hours from 24 hours to operating from 8 am to 10 pm last year which did not go well with the residents. The officials are now considering the use of telemedicine technology in the hospital so as to keep the emergency department open for 24 hours a day. The hospital is a small community hospital with 30 beds. In July last year, the Montague town council supported a local business man’s idea about telemedicine.

Ray Brown told CBC News that the technology was already there and it is nothing they had to worry about since it had already proven its capabilities. The project was estimated to cost about $20,000 to $28,000.He termed the technology as the best available in the world. He compared the case of a person who falls ill at a space station and is immediately attended to through telemedicine and wished the same done for Montague.

The small hospitals in North America have been facing competition from the online telehealth platforms, retail health, and urgent care clinics. Some hospitals like St. Luke’s Cornwall Hospital and the Baptist Hospital in Orange, Calif shut down the emergency departments due to business decline since many patients now depend on telemedicine.

It is ironic how small hospitals are striving to get telemedicine programs in their hospitals to enable emergency activities to keep on for 24 hours and to enable their patients to get health care near their homes while large hospitals are doing it to boost their businesses and reduce stress in the emergency department.

Research by the University of Mississippi Medical Center showed that if small hospitals adopted this technology, they would save their staffing cost by a quarter and increase patients’ admission by 20% since they will now keep the patients they could have transferred to the large hospitals.

According to Montague Town Councilor, JIM Bagnall, telemedicine is not something new as it has been used in other parts of Canada and it would be a great opportunity for the residents of Prince Edwards Island.

Improved Education System with Telemedicine

Telemedicine, which is mostly used in prisons, nursing, and remote areas has become more beneficial even to school students. Sick students do not have to miss their classes like they did before whenever they got ill and had to be rushed to the doctor. The American Telemedicine Association revealed that at least 18 states had authorized reimbursement for Telemedicine services in schools and 28 of them requires private insurers for telemedicine appointments.

Last November, at Ducketts Lane Elementary School, a second grader student got ill and had trouble breathing. Veronica DeSimone who is the school nurse did some examinations on the girl and diagnosed that she was having an asthma attack.

Like the norm, the nurse could have administered some medication to the girl to save time, but the parents had not yet signed the authorization form and had not delivered the kid’s medication to school. Moreover, the child’s father was busy, and it could take time for him to get the girl from school. Also, the nurse could have called an ambulance to take the girl to the emergency room, but this would force her to miss the rest of the day’s classes.

Things got easier with the school’s telemedicine as the girl’s parent had authorized permission for participation in the telemedicine program. All the nurse had to do was to set up an online video and audio link to an emergency pediatrician from Howard County General Hospital, then examined the girl with a digital stethoscope and the pediatrician was able to listen to the girl’s lungs from her station. The doctor diagnosed the girl and directed the nurse on which medication to administer to her, and within 10 minutes, the girl was okay and back to class.

Educators and lawmakers in the country have said that telemedicine is a game changer in matters concerning the children’s health. It will help to keep them in school which will improve their education outcomes.

According to David Monroe, a medical director at Howard County General’s Children Center, telemedicine is more efficient than the face-to-face children examination. He said that the images provided by telemedicine equipment are better than those from conventional instruments.

Telemedicine has become vital for people who have diabetes. A study has shown that those patients who cannot get a chance to visit their doctors but use telemedicine still benefit and helps to improve blood glucose levels.

After a research was conducted, there was a suggestion for texts and portals to be improvised, expressly meant for patients with diabetes. They can be sent short text messages to motivate them and encourage them never to lose hope. This can bring in better and positive outcomes.

There was a random system review conducted by Marcello Tonelli, MD, SM, and his colleagues from the department of medicine at the University of Calgary, Canada, meant to determine the impact of telemedicine compared to the other health care methods in people who have diabetes.

With telemedicine, communication was done by text messages, images, and voice and by the clinical decision-support system but when it comes to health providers; contact was made only by voice, transmission of data and text messages. The care provider’s method was more efficient as it reduced HbA1c in less than three months.

In general, there were 23 studies conducted, that used instruments to give results on quality life. Some of the tools used included Diabetes Distress Scale, the Problem Areas in Diabetes, Diabetes Quality of life, social functioning, physical functioning, the European Quality of Life Survey with Five Dimensions and Hypoglycemia, which represented the percent of individuals affected.

According to the reports, the study that showed highest improvement was in the Problem Areas in Diabetes score with telehealth with a difference of 2.86 mean within 4-12 months. The worst performed study was in social functioning, physical functioning and European Quality of Life Survey with Five Dimensions.

No proof showed that telemedicine had an impact on hypoglycemia and severe hypoglycemia studies. The systematic review showed that this technology will have a significant impact and will act as a supplement to the usual clinical care control HbA1c. However, the method will be more efficient if more interacting tactics are used on patients such as portals and text messages as it can help them in self-management.

The Massachusetts Institute of Technology (MIT) and over the counter drug manufacturing giant GlaxoSmithKline Plc (GSK) recently launched an app to aid their researchers to monitor flu conditions and symptoms digitally. The new app, Flumoji, runs on an Android platform and is meant to track data from different individuals using crowdsourcing applications.

Consumers can then monitor their flu conditions relatively faster and share data with other app users including MIT and Glaxo researchers. The main aim of using the app is to try and identify flu outbreaks in a faster way than having to wait for reports from health practitioners who report to the Centers for Disease Control and Prevention (CDC) after testing numerous patients for flu-like symptoms. Patients can share updates with family and friends on Facebook.

Flumoji asks its users questions in the line of symptoms, mood, activity and how they feel. It then allows them to share data with each other and designated friends on Facebook. The data is later used to calculate for fluctuations and analyze if the symptoms may lead to the flu-like an outbreak in a particular region.

According to Glaxo’s spokeswoman, using real-time data from users is an efficient way of identifying flu outbreaks, and it is enough to carry out clinical trials and potential flu treatments.

Flumoji has close to 5000 downloads on the app store, and its reviews are calling for fixing of a few hitches such as battery and data consumption. The MIT connect science branch, however, reports to continually improving the quality of the app with every version it launches.

Glaxo also has a similar app for tracking cold and flu (available for download on weather.com and Theraflu.com) for iPhone, iPad and Android users. Unlike Flumoji, this app uses social media updates to notify the users of any impending flu and cold outbreaks. Users can use the app to read local and previously analyzed CDC flu data. Glaxo’s spokeswoman noted that the drug maker is looking to expand into digital healthcare.

The Excellus health insurance is expected to unveil digital doctor visits in different parts of the country. The insurance company which covers 1.5 million in New York expects 50,000 visits to the telehealth service scheduled to be launched soon. Excellus will introduce a telemedicine program come January which will entail MDLive Medical group services. The program will have 800 doctors.

Excellus is excited about the news and expects to receive many calls. If an individual has a minor medical condition, s/he is supposed to see the doctor, but if the doctor is not available, he can offer a telehealth service. Fortunately, if that is not available, other providers like MDLive can provide the telemedicine service successfully and prescribe medication where required.

The program is set for all insured members of Excellus and all plan members. The program will be beneficial to those people under Medicare Advantage too. This program offers consumers more medical choices. Telehealth payments will depend on the amount of every member’s coverage in Excellus. Some members will pay more than others based on whether they have coverage in the insurance company.

Although people need health-care from a doctor, they should also realize that technology is advancing and will have a great impact on the health-care system in New York. The system is affordable for all residents in New York. The program will reduce the many emergencies in hospitals since most of the emergency visits are common conditions such as ear problems, but with telehealth, the situation can be addressed before turning into an emergency.

This program will be introduced as a result of the information gathered after an internal pilot project showed that a lot of their employees were interested in the program. This program is a medical alternative, and it is expected to gain popularity in New York. It will allow people in rural areas to get the medical attention they deserve. It will also be of help to patients who cannot get time to see a doctor due to their occupation or family matters.

Telemedicine Is Expected to Continue Expanding in 2017

Improvements in telecommunications have enabled the recent rise of telemedicine, which is enabling users to access a surprising range of healthcare in a more convenient manner than otherwise possible. As a result, it shows no signs of slowing down for the foreseeable future.

Here are three of the reasons that telemedicine is expected to become a bigger and bigger part of the healthcare sector in 2017:

Rising Consumer Demand

There is enormous interest in telemedicine, which in turn, means plenty of opportunities for telemedicine providers. In part, this is because of consumers who want their healthcare in as convenient a manner as possible. However, it should also be noted that there are other entities out there that like telemedicine because it can provide a partial offset for the ever-rising costs of healthcare on a systematic basis.

Increasing Need For Cost Management

At the moment, it seems probable that the Affordable Healthcare Act will see changes that will result in more uninsured consumers as well as more consumers on health insurance policies with higher deductibles. As a result, it seems probable that consumers will have to put more care and consideration into managing the costs of their healthcare, which is likely to result in the increasing use of telemedicine.

After all, telemedicine can help said individuals get preventative care with minimal disruption to their normal routines, thus reducing their healthcare costs in the long run through two ways. First, prevention is always cheaper than treatment, and second, the sooner that a potential issue is detected, the cheaper it will be to treat.

MACRA

In October of 2016, legislation called MACRA was passed that will provide new opportunities for tech-based innovation in the healthcare system, with telemedicine being an excellent example of such innovations.

Further Considerations

These trends suggest that it is probable that telemedicine will continue to rise in 2017, but their exact impact will remain unpredictable for now. As a result, interested individuals should keep a watchful eye on the matter as it continues to develop.

A Duke University study will analyze the benefits of telehealth services for physical therapy patients.

A new study launched by Duke University will help to assess the benefits of telehealth services for physical therapy patients. The Clinical Research Institute is looking at the benefits of Virtual Exercise Rehabilitation In-home Therapy, or VERITAS. The program will focus on patients going through total knee replacements as the use virtual exercise rehabilitation (VERA) to assist with the healing process.

Evaluating physical therapy in the home

A critical part of rehabilitation after surgery is physical therapy. A control group will be used to evaluate the effectiveness of the telehealth program as it may help lower the costs of healthcare, reach more people in need of care in remote regions, and improve the quality of care. Patients may do better with a home-based program. While supervision will still be required as this is a new program that hasn’t been fully evaluated, it’s a good start.

According to CDC estimates, there are about 700,000 patients that have total knee replacements (TKR) every year. As more people are requiring knee replacements due to age, osteoporosis, and activity, there may be more than 3 million people that will require these procedures by the year 2030.

More Focused Care

These specific types of studies are important to healthcare providers as a procedure can cost about $33,000. A hands-on and focused treatment plan may also help patients recover faster as the telehealth and mHealth platforms will allow patients to have care in their own home. This may mean less travel time for patients, less waiting time, and reduced anxiety as the patient is in a home setting and not that of a hospital. It’s been noted that about 7 out of 10 patients don’t follow a physical therapy schedule in a clinical setting.

The VERITAS program will help physical therapists keep patients engaged as it uses Khan, an mHealth company. As patients work with therapists from the comfort of their homes, additional studies may be suggested in the future. These can help with stroke recovery patients and those going through prosthetic training. The study will use about 300 patients in the U.S. and the evaluations will include the associated costs, recovery time, clinical outcomes and types of health services used.

Parkinson’s disease is a gradual disease of the nervous system, which is noticeable by muscular rigidity, tremor, and imprecise movement. It mainly affects middle-aged as well as seniors. This disease has been on the rise in the United States of America, where about 1 million people are living with it with 60,000 other new cases that are reported annually.

It has been reported that about 40% of individuals suffering from this disease are not able to see a neurologist within the first four years of the diagnosis. This could be as result of the few numbers of professionals in this area. Some patients end up suffering limited mobility as the disease continues to advance and therefore limiting their chances of acquiring medical appointments. People with Parkinson’s disease also enjoy some benefits of seeing a specialist frequently just as other patients who battle chronic illness.

This is quite helpful and can prevent any chance of them developing a hip fracture and losing their independence.

The introduction and use of teleneurology have helped so many Parkinson’s disease patients to have regular access to specialty care. It is a technology that enables specialist to see patients at their residences or nurse-managed clinics in certain areas. The technology that operates similarly to Skype is also compliant with the Health Insurance Portability and Accountability Act (HIPAA).

A tremendous growth in the entire telehealth sector has been witnessed since the introduction of this new telemedicine method. More support has been shown by close to 30 states that have established laws asking private insurers to extend their cover policies to telehealth services too.

This telemedicine service has been used by professional neurologists to offer follow-up care to patients at various clinics in different locations. Another service that can be provided through this is concierge-type teleneurology where patients can pay with their money for a practical visit at their homes.

A large number of people have responded positively to this service that is now spreading worldwide. In the United States of America alone, some Parkinson’s disease patients that is higher than 1 million stands to benefit from this. This is a real improvement in the health sector and should be supported and encouraged.

Wasted time is a horrible thought for anyone. You never want to feel like your time has been wasted in any instance and that includes when you are getting medical care. On average Americans spend 19 minutes and 16 seconds to wait to see their doctor. Over the course of years this is extremely tiring and for a lot of Americans they’ve had enough of it.

An IT specialist in Everett, Washington, Elaine Farstad who works at Boeing for example figured out the wages that she makes on an hourly basis and sent her doctor a bill because of the time she had wasted on waiting. While there are some details that many agree on when it comes to the health care industry, there’s one thing for sure… your time is of value and you should never feel like it’s been wasted.

There are some strides that are taking place in the health care industry… they are attempting to reinforce the service quality that you receive along with the experience the patient has. Technology is now become a great factor in helping to make health care easier for people in a lot of different ways.

There have been a lot of great opportunities that have come along with the introduction of telehealth. When it comes to how patients receive care while they are still at work, in their home or even while they are at school, telehealth has played a major role. It doesn’t just lowering the amount of time you have to wait in the doctors office, but it also lowers the stress of trying to get to the office for your appointment and it even saves you money. Not only does it save the patient money, but it also saves the health care system money as well.

In the beginning the use of telehealth was seen by patients that were in rural areas. Now it has grown and patients that are considered to be city-dwellers are using it as well. The CEO of the American Telemedicine Association, Jonathan Linkous, says that about 15 million people in the United States received health care that included telehealth in 2014. That number has an expected growth of 20 million this year.