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The Excalibur Healthcare Daily is Out!

 

Knocking Down Barriers to Telemedicine and Teleradiology

 

 

Briefing on State Medical Licensure Reform from Donald L Baker on Vimeo.

On January 31, ATA sponsored a briefing for members of Congress outlining issues related to the current system of licensing and regulating physicians in the United States. The briefing was the first time the issue had been addressed on Capitol Hill. Participating in the briefing were representatives from a number of institutions who shared their concerns and suggestions. The audience included key staff from both Senators and Representatives in Congress.

 

 

A related article entitled, U.S. bill aims to clear telehealth state licensing bottlenecks, by Erik L. Ridley, AuntMinnie staff writer futher explains the current situation:

 

All physicians must be licensed in any state in which they practice, a requirement that can be time-consuming and costly for those wanting to practice telemedicine and teleradiology. But a bill expected to be introduced in Congress this year aims to make it easier to use medical licenses across state lines.


In addition to creating a comprehensive and interoperable database of verified physician credentials, the legislation being developed by U.S. Sen. Tom Udall (D-NM) calls for the creation of a tandem state/national license that would allow physicians to provide telehealth services in states accepting the tandem license, according to Fern Goodhart, Udall's legislative assistant. "We're exploring how to build in streamlined or automatic license portability across state lines," she said. Goodhart further commented,"...this would allow less delay, less redundancy, less cost, more patient care, and greater data sharing."

 

To learn more about telemedicine credentialing, please visit Excalibur's Credentialing Policy Page.

 

 

UK Says Telehealth Strategy Will Improve Lives of 3 Million People

 

Doctor with tablet

Recent UK government strategy demonstrates the most receptive environment yet to help better patient case and service delivery using Telemedicine.

In December 2011, David Cameron launched the UK's Life Sciences Strategy. The strategy aims to draw in investment to support the discovery, development and delivery of medical innovations. In this strategy there is a commitment to accelerate the use of telehealth technologies thereby making home-based equipment that can send vital statistics of at-risk patients direct to clinicians a more available utility for clinicians and patients. The document outlined that the strategy will be in partnership with industry and plans ’to improve the lives of three million people over the next five years’. Such a result could position the UK at the forefront of global health care in this field.

The Department of Health (DH) published its headline findings from the Whole System Demonstrator (WSD) programme at the same time and conducted the largest trial of telehealth and telecare ever, with almost 6,000 participants. It was no surprise that these results would be positive, however what we now know is that if ‘delivered properly’ – telehealth could achieve significant reductions in the following areas:

- 20 per cent reduction in emergency hospital admissions

- 14 per cent reduction in elective admissions

- 14 per cent reduction in bed days

- 8 per cent reduction in tariff costs

Most strikingly, the evaluation demonstrated a 45 per cent reduction in mortality rates.

 The DH’s short report makes clear that the best results will happen only where telehealth is delivered properly.

Telehealth Trends in the News!

 
videoconferencing

 

Telehealth is on the rise and in the news! Check in with us frequently or subscribe to our blog to review current topics related to this growing trend in healthcare!

 

  • The market for remote monitoring technology, which will be used primarily for home health and disease management, will total nearly $300 million by 2015, according to research from Frost & Sullivan.Another study in the same article estimates that the number of patients worldwide using telehealth will more than double between now and 2016.

 

  • Telehealth reimbursement will grow, health leaders recently reported. According to a panel at the CES Digital Health Summit, discussing business models to support e-health, Federal Medicare program for seniors and disabled Americans currently does not reimburse for most telehealth, care coordination, and home monitoring services, but that could change soon. 

 

 

  • Trustees for the late Leona Helmsley are spending $100 million of her fortune to develop a telehealth network in seven Midwestern states.

 

  • Advocates for home care technology such as telehealth services, recently pushed for federal legislation that would increase adoption (and reimbursement) among Medicare patients.

 

  • A new study published in the Gerontologist, states that telehealth is associated with improvement in general health and reduced ED visits in COPD or HF patients.

 

Our blog is committed to providing updated information pertaining to this trend. Please click this link for a  Telehealth Awareness Seminar.

VHA’s Telehealth Program: A Prime Example of Telehealth Services

 

U.K. Report Praises U.S. Veteran Health Administration’s Telehealth Program, Asks Why Adoption Remains Slow Across U.S.

 

U.K. Report Praises U.S. Veteran Health Administrations Telehealth Program, Asks Why Adoption Remains Slow Across U.S.   VHA Veterans Health Administration U.K National Health Service telhealth data telemedicine telehealth NHS National Health Service mobile healthcare mobile health data mobile health mHealth healthcare information healthcare data health information health data Electronic Health Record EHR system EHR A new report out of the U.K is praising the telehealth program sponsored by the U.S. Veterans Health Administration (VHA) — which is the largest telehealth project in the world — while also asking the question of why telehealth hasn’t gained more momentum and adoption across the U.S. healthcare system.

The new report, published by the United Kingdom’s National Health Service (NHS), touts the VHA’s telehealth program as a prime example of how telehealth services should be rolled out on such a large scale. Patients enrolled in the program — most of whom have chronic conditions such as heart failure, COPD, hypertension, diabetes, and post-traumatic stress disorder — receive free telemonitoring equipment and attention from care coordinators who teach them how to manage their own care.

According to a study conducted in 2008, the VHA’s telehealth program reduced hospital bed days by 25% and hospital admissions by 19% for a cohort of 17,000 participating patients. A full 87% percent of the patients said they liked the program. Still, the success of the VHA’s program begs the question of why similar telehealth programs haven’t been instituted all across the country. The VHA actually began it’s program in the late 1990′s, and finalized the program between 2003 and 2007.

The U.K study notes that much of the VHA’s success is attributed to the integration of telehealth data with its electronic health record (EHR) system, and the availability of EHR data to all providers in the VHA system. ”This allows all validated telehealth data to be accessed through the patient record,” the report said. “Whilst this is a large amount of data, physicians find the information immediate and useful for determining patient treatment.”

 as reported in mHealthWatch

Telehealth video: Telehealth is vital when every second counts!

 

Darryl's Story: A Telestroke Tale from Learntelehealth.org on Vimeo.

Meet Darryl. Darryl is 64 years old, has two wonderful children, a loving wife and a beautiful home. Everything seems perfect until Darryl begins to show symptoms of a stroke. Watch “Darryl’s Story” and see how vital telehealth services are when every second counts.

Telehealth Benefits For Patients and Facilities:

  • Increases access to specialty care in regions where health care disparities arise.

  • The use of Telehealth increases patient retention improves acute to chronic disease management and reduces hospital readmissions.

  • Increases patient and family satisfaction.

  • Decreases patient travel expenses.

  • Enhances healthcare professional collaboration for improved  quality of care

  • Improves patient compliance.

  • Increases facility and community revenue.

  • Avoids facility transfer costs.

  • Improves QA metrics for Outcomes Measures.

  • Increased retention of bundled payments.


Telemedicine Tweets of the Week!

 
telemedicien servicesIt`s because of `telemedicine` that thousands of patients in far away areas get treatment from specialist doctors based in cities. - Photo by AP

We've compiled our top favorite Telehealth, Telemedicine, and Medical Imaging Tweets of the Week!

 

  •   $1 Drs 'Visit' by@HeathaT http://nyti.ms/zLcYGs Telemedicine centers allow pts to consult doctors via video chat

 

 

 

What is Nighthawk Radiology?

 

doc w xray resized 600

Nighthawk radiology or nighthawk teleradiology services are growing as hospitals struggle to meet an increasing demand for accurate diagnostic interpretations and a growing shortage of radiologists. Facilities often have unfilled vacancies and overworked staff, which make it a challenge to provide service to patients.

Nighthawk radiology services help solve this staffing problem with round-the-clock on-call teleradiology coverage. Nighthawk radiology services support hospitals during nightshifts. Often, nighthawk radiology services help staff the second and third shifts, and also cover weekend and vacation shifts.

Nighthawk teleradiology services support hospitals by examining medical scans, reviewing and interpreting the scans, and creating interpretive reports for the hospitals. This is all done remotely so the hospital only needs to send the scanned images without extra personnel.

Ever Wonder About the History of Medical Imaging? Watch This Video!

 

 

Watch this video courtesy of radRounds Radiology Network. Dr. Scott Klioze takes a look back at the history of Diagnostic Radiology and how modern technology has revolutionized the fields of medicine today.

Airport Medical Imaging Scanner- Cancer Risk for Frequent Fliers?

 

Watch For Frequent Fliers, How Big a Concern Is Backscatter Body Scan Radiation? on PBS. See more from PBS NewsHour.

Check out this video in which PBS NewsHour performs an in-depth documentary reviewing backscatter airport scanner technology regarding cancer risk. Both sides of the argument are presented with interviews from TSA officials, inventors of the technology, and scientists who question the safety of backscatter radiation in airport security screening. What are your thoughts on this use of medical imaging technology?
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