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Videocast with ATA: Mobile health predictions for 2014

A couple of weeks ago while I was in Washington for the U.S. News & World Report Hospital of Tomorrow conference, I stopped by the headquarters of the American Telemedicine Association to record a videocast with ATA CEO Jonathan Linkous. We discussed some of my predictions for 2014 in the fields of mobile health and telehealth:

  1. Imperative to cut costs will drive demand.
  2. More mental health services will be delivered remotely.
  3. Clarity from the FDA means more diagnostic apps and smartphone add-on devices.
  4. Patient engagement in Stage 2 Meaningful Use might finally make untethered PHRs and consumer-facing apps viable.
  5. Home monitoring and video chats will help prevent hospital readmissions.
  6. State licensing issues persist but some states are looking to adapt their rules to facilitate telemedicine.

I’m going to try to embed the video here. If not, here’s the ATA’s link.

 

November 15, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Transcript from Leslie Saxon’s appearance on CNN’s ‘The Next List’

LOS ANGELES—Yesterday, I covered the seventh annual Body Computing Conference at the University of Southern California, hosted by Dr. Leslie Saxon, chief of cardiovascular medicine at USC’s Keck School of Medicine. That got me thinking: Whatever happened to the video from Saxon’s appearance on CNN’s “The Next List” back in March?

I’m pretty sure CNN never actually posted the full video anywhere online, though the network did share a short teaser clip a couple days before the show, hosted by CNN Chief Medical Correspondent Dr. Sanjay Gupta, first aired. However, I did find a full, albeit unverified, transcript of the episode on CNN’s Web site if you care to imagine what the pictures might look like.

Several of the people who were on the show also appeared at USC yesterday, including AliveCor’s Dr. Dave Albert, Zephyr Technologies CEO Brian Russell, Misfit Wearables CEO Sonny Vu and product designer Stuart Karten, as, of course, did Saxon and her Oscar-winning film producer-brother, Ed. I’ll have more coverage Monday in MobiHealthNews.

In the meantime, here’s Friday’s news about AliveCor earning FDA 510(k) clearance for the universal, Android-compatible version of its smartphone ECG, the newly dubbed AliveCor Heart Monitor. I’ll see you next week at CHIME’s Fall CIO Forum in Scottsdale, Ariz.

October 5, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Follow-up from ATA Fall Forum

Last week, I joined Steve Dean of Falls Church, Va.-based Inova Health System’s Inova Telemedicine Program on stage at the American Telemedicine Association’s Fall Forum in Toronto for what turned out to be a very well-received session on mobile apps and devices finding their way into clinical workflows. It was either a Letterman-style top 10, or, as Dean described it, a Siskel and Ebert-style discussion and review of 10 popular and/or interesting apps.

In one example, Dean noted that Aetna’s iTriage consumer app had been downloaded more than 9.5 million times. One audience member questioned the relevance of that number, suggesting that many people download an app, try it once and decide not to use it again. She asked if we had any actual usership statistics. I said I would contact Aetna and find out, then post the answer here on this blog.

An Aetna spokeswoman didn’t have data on the number of iTriage users, but told me that iTriage has nearly 60 million user sessions per year. (For what it’s worth, the app also passed 10 million downloads last week, she added.)

Here are our slides from that presentation. We alternated, with Dean presenting AirStrip OB, AliveCor, Asthmapolis (which changed its name last week to Propeller Health), iTriage and Welldoc. I opened discussion on DrawMD, mym3, Walgreens, Fitbit and various apps from the VA and CMS. Download ATA Fall 2013 v3.pdf

I realize context might be missing from just looking at these slides, but the ATA tells me video will soon be available online through the ATA Learning Center. (For now, access is restricted to ATA members, but the site promises non-member access “soon.”)

 

September 18, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Patient engagement: Check me out in ‘US News’

I’ve just had my first story published in a major national magazine, or at least the online version of one, namely US News and World Report. It’s about patient engagement strategies for hospitals and medical practices in the context of EHRs, for the magazine’s “Hospital of Tomorrow” feature, and I’m getting good feedback so far. Needless to say, I’m pretty excited. Check it out here.

Also, I’ll be presenting on Tuesday at 11:30 a.m. EDT at the American Telemedicine Association’s Fall Forum in the non-American (but very North American) city of Toronto. It’s there because this year’s ATA president is Dr. Ed Brown, president of the Ontario Telemedicine Network, right there in the T.O.  Steve Dean of Falls Church, Va.-based Inova Health System’s Inova Telemedicine Program and I will be counting down a top 10 of mobile apps we deem to be prominent, successful or highly useful. (The description in the online program is wrong as of this writing.)

September 7, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Video: My interview with Hands On Telehealth

I recently was a guest on a vodcast with Nirav Desai, founder and CEO of telehealth consulting firm Hands On Telehealth, whom I met because I moderated a panel he was on at the American Telemedicine Association‘s annual conference in May. In a Skype interview that went up late Friday, we chatted for 45 minutes about telehealth, the broader  health IT landscape and how it all fits into U.S. healthcare reform.

I’m unable to embed the video on this page, so please visit the Hands On Telehealth page to watch the interview. (That’s a screen grab below.) The page contains a detailed description of the interview, much as I like to have for my own podcasts. Perhaps next time I’ll spend more time looking directly at the camera. :)

Hands On Telehealth screen grab

July 1, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Health Wonk Review: money talks, but IT helps

The latest edition of Health Wonk Review is hot off the digital presses, with Joe Paduda taking hosting duties on his Managed Care Matters blog. And managed care does matter in this trip around the health blogosphere, with most of the attention on healthcare costs and insurance coverage.

On the quality front, which is my primary interest these days, there is some interesting discussion about  whether the new Medicare hospital readmissions policy truly will produce better care or will prod some into providing the minimum level of service to readmitted patients.

(Frankly, hospitals have been overtreating for years. If a minimal level of service gets the job done for the patient, that’s a good thing. And the policy is supposed to cause hospitals to do the right thing in the first place, knowing that they will lose out later if they don’t. I’m all for that.)

My post on consumer ignorance of telemedicine is in there, as is a good one from Vince Kuraitis and Leslie Kelly Hall about the duty providers have to share information with patients. EHRs and wearable sensors also make this edition of HWR. Not bad from an IT perspective.

May 10, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

So many types of telehealth

Here’s a short video (720p HD) I put together from the just-concluded American Telemedicine Association’s annual conference in Austin, Texas. No wonder it’s so hard to get a real sense of the size of the telehealth and telemedicine market when there are so many components and so many different definitions. This is a row of banners outside the meeting rooms highlighting the various types, not to mention some of the ATA’s constituencies and important topics at the conference. I did the voice-over at 1:30 in the morning.

May 8, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Breaking down ignorance about telehealth

AUSTIN, Texas — I’m at my very first American Telemedicine Association annual conference, which starts later this afternoon. This morning, I gave a short presentation to the ATA’s Industry Council, made up of technology vendors, about trends in the telehealth industry.

My slides are here: ATA 2013 presentation.

I want to draw your attention in particular to slide 9, which is a letter to the editor of the Kearney (Neb.) Hub newspaper. Honestly, it’s one of the most ignorant, poorly argued pieces of garbage I’ve seen in a long time, and I can’t believe the editor actually accepted it and published it with such a weak argument. (Really, there’s “no scientific way to diagnose a patient with a mental illness,” but it’s OK to make a diagnosis in person?) Unfortunately, I can believe that someone would be so misinformed about telehealth and healthcare in general (“doctors are being paid millions to visit with patients for five minutes …”).

Thankfully, a commenter took the author, Kearney resident Kristyn Drahota, to task. I took her to task this morning, too. I hope you will join me in helping to combat such ignorance about telehealth.

 

May 5, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Patients with complex cases don’t want multiple provider portals, Rady CIO says

How about some real, original content for a change? Yeah, that’s why you started coming to my blog in the first place, isn’t it? You’re tired of nothing but video embeds from others and short, offbeat attempts at humor.

I recently interviewed Albert Oriol, CIO of Rady Children’s Hospital-San Diego, for a story that will appear elsewhere (read: a paying client) soon, but I had a lot of material I left out of that story. I get to use some of the rest here in a little experiment to see what it does to this site’s traffic.

Obviously, pediatric hospitals aren’t eligible for the Medicare side of meaningful use, which is why the threshold is lower for qualifying for Medicaid bonuses. Pediatricians and children’s hospitals only need to have 20 percent of their visits with Medicaid patients, compared to 3o percent for other providers. Rady meets that standard and already has attested to Stage 1.

Oriol, however, does not like the way the rules are written, calling some of them “well-intentioned mandates with unintended consequences.” For example, providers must offer portals for some of their patients – 10% in Stage 1, rising to 50% in Stage 2. But patients with complex conditions go to multiple providers, each of which may have unique portals. “It’s inconvenient for them to go to many different portals,” he says.

He also is frustrated with having to build reports knowing that many of the items will not apply to pediatric subspecialties. “It’s not the best use of resources,” Oriol says.

The two things at the top of mind for Oriol these days are telemedicine and advanced analytics. Rady is expanding its telemedicine program to support rural areas in Imperial County, a poor, isolated jurisdiction east of San Diego County along the Mexican border. He believes this will provide value and convenience to primary care physicians and patients alike.

On the analytics front, Rady is working on a demonstration project with California Children’s Services (CCS), a managed care program for children in the state’s MediCal system with certain diseases. “We’re going to bring in data from other providers,” Oriol says.

The hospital also is “taking a big step forward” in innovation and discovery by partnering with industry to research technology and the analytics of technology, according to Oriol.

 

April 28, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Chart: Current state telemedicine legislation

Here’s a handy chart from the American Telemedicine Association showing the current status of telemedicine legislation in all 50 states plus D.C. Specifically, it shows which states have already mandated private and Medicaid insurance coverage for telemedicine services, as well as which states are considering such a law. (Medicare policy of course is set at the federal level.) This information is current as of this month.

 

State telemedicine legislation

February 21, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.