Filed under: Industry Standards, Telemedicine | Tags: acute stroke care, AcuteCare Telemedicine, american telemedicine association, Atlanta healthcare news, healthcare news, mhealth, modern medicine, neurology, payment parity, payment telelemdicine services, stroke care, Technology, telehealth, telemedicine, teleneurology, telestroke
Telemedicine is living up to its hype on revolutionizing the healthcare delivery model. With many of the most formidable barriers to increased expansion being overcome, virtual technology is quickly becoming a preferred method for patients when connecting with their care provider. New advances in hardware and software coupled with faster digital info structure, is driving more and more healthcare professionals to electronic communications. Patients are warming-up to using new devices to relay their blood pressure, heart rate and other vital signs to their doctors so they can manage chronic conditions in the comfort of their home.
Healthcare providers, payers and governmen supported healthcare programs are recognizing the potential cost savings of telemedicine technologies. However, payment policies for telehealth services, while expanding quickly, continue to be inconsistent and are discouraging the progress towards realizing the full potential of virtual healthcare. Providers are eager to embrace telehealth. A survey of more than 1,500 family physicians conducted for Anthem and the American Academy of Family Physicians (AAFP) found that “almost 90% of respondents would use telehealth to help treat their patients—if they were compensated for that care.” Richard Bakalar, MD, managing director at KPMG and a member of the firm’s Global Healthcare Center of Excellence says, “Healthcare providers need to figure out how to become more efficient and the technology behind telemedicine allows caregivers to connect with patients remotely, efficiently and effectively.”
Currently payments for telehealth services are as far flung as the 50 states landscape. New rules for Medicaid managed care and MACRA are becoming telehealth-friendly, but Medicare and Medicaid reimbursements are spotty, with Medicaid payment varying greatly from state to state. Today, 48 states and the District of Columbia provide some form of Medicaid payment for telehealth services, according to the National Conference of State Legislatures. Commercial insurers seem to be embracing telehealth but consistency of payment policy remains elusive. In just over half of the states and the District of Columbia, private insurers are answering the call of parity laws that require them to pay for telehealth services. Payment parity is important for providers because it protects them against arbitrary cuts in reimbursement for telehealth services as compared to services provided in-person.
While expansion of virtual technology continues to progress at a steady pace, solutions to resolving remaining barriers like payment for services, multistate licensing, credentialing, and regulation are evolving at a deliberate pace.
Filed under: Brain Health, Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke care, AcuteCare Telemedicine, american telemedicine association, atlanta healthcare, Atlanta healthcare news, atlanta neurology, Dr. Matthews Gwynn, healthcare industry, James Kiely, Keith Sanders, Lisa Johnston, modern medicine, neurologist, neurology, setting the standard, stroke care, Technology, telehealth, telemedicine, teleneurology, telestroke
ResearchMoz.us recently published the results of new market research study titled ‘Telehealth and Telemedicine Market in HealthCare Industry 2015-2020’ which projects the global telemedicine market to grow 18.5 (CAGR) percent through 2019. It is clear that the healthcare industry is experiencing considerable growth in the use of digital technologies across a wide range of healthcare specialties such as telehealth, telestroke, wireless health monitoring, wearable health devices, and EMR.
One of the earliest adopters of telemedicine continues to advance in popularity with hospitals who seek around-the-clock stroke and other urgent Neurological care. As the demand for Neurologists increases, there is a growing shortage of experienced physicians available to provide continuous coverage at many facilities throughout the United States. AcuteCare Telemedicine (ACT), the leading practice-based provider of telemedicine services located in Atlanta, GA was founded in 2009 to help hospitals overcome medical staff obstacles, ER diversion and help improve patient outcomes for stroke and other Neurological conditions. Since the fourth quarter of 2015, ACT has added numerous client hospitals to their expanding network and is responding to the increased demand for these services by adding qualified neurologists to their team.
“We are dedicated to preserving and strengthening our reputation as leaders in the field of telestroke care and continue to be fully committed to serve the needs of both our patients and client hospitals in a manner that is personal and highly professional,” says James M. Kiely, ACT Partner.
ACT is experiencing an impressive performance by demonstrating its values of integrity, transparency, accountability, collaboration and expertise. Matthews W. Gwynn, CEO, and ACT Partner comments, “We’ve set the standard of care for teleneurology and acute stroke care. We also believe in the importance of remaining technology agnostic and agile, permitting our client hospitals and enterprise-level systems to select the specific technology that best fits the needs of their respective facilities.”
The growing firm is also focused on results, continuously measuring performance across all of the healthcare organizations it serves to identify how to improve the process so as to positively impact patient outcomes. “We are one of the only telestroke providers publishing data centered on the success of our program,” says Lisa H. Johnston, ACT Partner. “We’re proud of setting a standard for other providers to follow.” The study, titled “Improving Telestroke Treatment Times in an Expanding Network of Hospitals”, was published by the Journal of Stroke & Cerebrovascular Diseases and authored by Keith A. Sanders, MD, James M. Kiely, MD, PhD, Matthews W. Gwynn, MD, Lisa H. Johnston, MD and Rahul Patel, BS. The results indicate that a practice-based telemedicine system can produce meaningful improvement in markers of telestroke efficiency in the face of rapid growth of a telestroke network.
“ACT has developed a model of telestroke care that many of our competitors aren’t able to replicate,” comments Dr. Keith Sanders, Partner, ACT. “Our results prove that our business is able to create telestroke programs that are not only effective but sustainable. As clinicians, we measure our success on consistently providing the highest level of stroke care.”
Filed under: Brain Health, Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke care, american telemedicine association, Atlanta healthcare news, atlanta neurology, Dr. Matthews Gwynn, healthcare news, James Kiely, Keith Sanders, measuring performance, mhealth, neurologist, neurology, stroke care, stroke prevention, Technology, telehealth, telemedicine, teleneurology, telestroke
Telestroke, the use of communication technology to remotely treat victims of acute stroke, continues to grow and has entered the mainstream of care in an ever evolving and increasingly disruptive healthcare delivery model. Like all medical innovations, telestroke must demonstrate successful outcomes to achieve sustained growth and acceptance. Merely asserting that telemedicine is faster, employs the latest technology, or promotes a better use of limited re-sources is laudable but insufficient.
AcuteCare Telemedicine (ACT), a leading practice-based provider of Telemedicine services for hospitals seeking around-the-clock stroke and other urgent Neurological care, understands the importance of evaluating and documenting telestroke performance. In their recently published study “Improving Telestroke Treatment Times in an Expanding Network of Hospitals” the authors reveal that a practice-based telemedicine system can produce meaningful improvement in markers of telestroke efficiency.
“Success in our business isn’t just about adding new healthcare organizations to our client portfolio,’ says Dr. Matthews Gwynn, co-author and ACT partner. “As clinicians, we measure our success on consistently providing the highest level of stroke care and improving patient outcomes. This study is representative of our ongoing commitment to serve as a leader in telestroke care, establishing a standard of care and a model that supports the positive growth of telestroke programs across the country.”
As virtual health initiatives continue to move forward, new and valuable trends and telehealth technology solutions will continue to emerge. Traditional methods of delivering medical care will be challenged and disrupted at medical facilities, physicians’ offices and hospitals. Dr. Keith Sanders, ACT Partner and co-author comments, “It is critical to prove that our business is able to create telestroke programs that are not only effective but sustainable.”
For more information on how AcuteCare Telemedicine can assist you with acute stroke care, contact us!
Filed under: Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke care, AcuteCare Telemedicine, AMA, american telemedicine association, atlanta healthcare, healthcare industry, healthcare news, James Kiely, legislation, medicare, medicare reimbursement, mhealth, stroke care, Technology, telehealth, telemedicine, teleneurology, telestroke
Senator Roger Wicker, R-Mississippi has introduced legislation that seeks to remove barriers to telehealth services in Medicare. Medicare fee for service (FFS) does currently provide reimbursement for telehealth services to patients at rural area health clinics, however, current law limits telehealth reimbursement to rural areas, disallows the storage of information to physicians via electronic medical records, email and other communications technology and doesn’t reimburse telehealth services provided by physical or occupational therapists or for physicians who treat patients within their own home.
The bill, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, attempts to broaden telehealth services across the country and offer an added opportunity to serve the needs of the elderly. The bill, which has broad bipartisan congressional support, would allow Medicare patients to use video conferencing, remote patient monitoring and technology to transfer patient data and will expand Medicare reimbursement of telehealth consultations and remote patient monitoring with fewer restrictions.
“This legislation has the potential to remove barriers to new healthcare delivery models that promote coordinated and patient-centered care. Importantly, the bill aims to maintain high standards whether a patient is seeing a physician in an office or via telemedicine,” said American Medical Association (AMA) President Steven Stack. “Telemedicine can strengthen the patient-physician relationship and improve access for patients with chronic conditions and limited access to quality care. The AMA’s guiding principles on telemedicine seek to foster innovation while promoting quality care.”
According to an analysis by the health-care consulting firm Avalere, expanded Telehealth services could save $1.8 billion dollars in medical cost over the next ten years by removing the current restrictions, and would make healthcare more available for patients who often struggle with access to the latest high quality care.
“We strongly believe in the importance of implementing processes and procedures for telemedicine. Our experience working with regional hospitals as well as enterprise level healthcare systems, has demonstrated that effectively executed telemedicine programs can drive significant value,” comments Dr. James Kiely, Partner, ACT. “In our most recent peer-reviewed article, we’ve proven that a telemedicine system can produce meaningful improvement in markers of telestroke efficiency in the face of rapid growth of a telestroke network.”
With a vastly aging population, Federal and State legislators must continue to make improvements in access to quality healthcare for Medicare patients even if it means establishing new legislation designed to govern telemedicine responsibly.
Filed under: Brain Health, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke care, AcuteCare Telemedicine, american telemedicine association, Atlanta healthcare news, atlanta neurology, Covenant Health Hospitals, healthcare, healthcare industry, healthcare news, hospitals, James Kiely, LeConte Medical Center, mhealth, modern medicine, neurologist, neurology, stroke, stroke care, stroke prevention, Technology, telehealth, telemedicine, teleneurology, telestroke, tPA
The issue of delivering consistent medical care across all geographic areas from large populated urban centers to the outlying rural communities has been a critical area of focus for healthcare organizations. Typically smaller, financially stressed rural hospitals and clinics suffer from limited access to medical specialists, particularly in emergency situations involving stroke and other neurological and coronary events. These medical emergencies demanded quick and immediate treatment to save the affected patient from significant disability or death.
In the three years since the first telestroke robot was installed at Covenant Health Hospitals in East Tennessee, doctors at LeConte Medical Center (LMC) have used the technology on a weekly basis. Using the latest in virtual presence technology the dedicated medical professionals at LMC can connect immediately with a team of neurological specialists at AcuteCare Telemedicine in Atlanta, GA. “It’s an amazing thing that we have this expertise in a small rural hospital,” said Steve Dronen, M.D., Emergency Room at LeConte Medical Center. While the hospital has a well demonstrated history of providing quality care to stroke patients, the extra advantage of having highly trained and experienced neurological specialist available for consultation around the clock, 24/7 assures LMC patients the highest level of stroke care available anywhere in the country.
Dr. James Kiely, a partner in Atlanta Neurology, P.C. and AcuteCare Telemedicine said, “As Medical Director of the Neurophysiology Departments at St. Joseph’s Hospital of Atlanta I was aware of how fortunate our patients were to have the most immediate lifesaving treatment for stroke 24 hours a day, seven days a week.” The most effective stroke care requires that it be delivered to the patient within the “golden window” of stroke onset. With stroke being the number four cause of death and a leading cause of disability in the United States, lack of access to neurologists who specialize in stroke care threatens to deprive many patients the best chance of recovery after a stroke. “AcuteCare Telemedicine was created”, Dr. Kiely says, “to impact the well-being of patients with severe neurological emergencies who otherwise wouldn’t have rapid access to vital expertise simply because of where they live.”
The other major benefit of the technology, described by Dr. S. Arthur Moore, Medical Director of Stroke Program at Covenant Health’s Fort Sanders Regional Medical Center, is how quickly the tele-robot allows doctors to make life-saving decisions. “We can now do something about it. It doesn’t matter if you are in rural East Tennessee or in Knoxville, we can provide the same care,” said Dr. Moore. Doctors only have a small window of time to make a treatment decision before the damage from stroke becomes permanent. The new technology is helping to accelerate the treatment process.
Filed under: Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: ACA, acute stroke care, AcuteCare Telemedicine, american telemedicine association, healthcare, healthcare news, neurology, rural hospitals, Technology, telehealth, telemedicine, teleneurology, telestroke, vitrtual healthcare solutions
No matter the location, rural communities across America have one thing in common. Residents tend to be older and sicker than their fellow, “urbanites”. The introduction of the Affordable Care Act (ACA), designed to provide millions of previously uninsured or underinsured patients access to health insurance, accompanied by Medicare reimbursement cuts and other regulations is beginning to negatively impact rural hospitals. The trend has many pondering; “If you decide to live in a rural community, are you deciding to have a worse outcome if you have a stroke?” asked Dr. Jeff Feit, vice president of population health at the Valley Health system.
To date, 51 rural hospitals have closed in the US since 2010, according to the North Carolina Rural Health Research Program at the University of North Carolina at Chapel Hill. Southern states have been disproportionately affected by the increase in closing of rural facilities. Texas has seen 10 rural hospitals close, while Alabama and Georgia have each lost five just in the past five years. The National Rural Health Association has identified 283 more rural hospitals in danger of going out of business. Many rural hospitals “have been struggling on the cusp for a long time,” said Mark Holmes, director of the North Carolina Rural Health Research Program. The future of many rural hospitals is threatened by the ongoing cuts to Medicare and the failure of more than 20 states to expand Medicaid.
Maggie Elehwany, vice president of government affairs for the National Rural Health Association, says significant Medicaid cuts in the past few years have been suffocating rural hospitals. “The greatest crisis right now is the hospital closure issue,” she said. In Kansas, The Kansas Hospital Association has repeatedly told its lawmakers that failure to expand Medicaid will have dire consequences, leading some rural hospitals to shut down. Terry Hill, a senior policy adviser at the National Rural Health Resource Center has predicted, “You’re going to see a predominance of closures in the next year or so in those states that have not expanded their Medicaid eligibility.” Congress is attempting to respond to the crisis by initiating several bills to help rural hospitals recover, but they are receiving little attention by the majority of lawmakers.
In the interim, an increasing number of rural hospitals are looking to virtual healthcare options to remain financially viable and operationally relevant in a new, emerging healthcare delivery model. Telemedicine can provide many of them the means for resuscitating a community’s hospital by connecting rural patients to primary care and medical specialists as well as remote monitoring of many chronic diseases.
Establishing virtual healthcare solutions requires investment, but the investment will pay significant dividends for patients, providers and hospitals by creating broader access to healthcare networks, experts and outlying resources. While some small hospitals are debating whether they can afford to implement telemedicine, others are debating if the hospital can afford not to make the investment.
Filed under: Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke, acute stroke care, AcuteCare Telemedicine, american telemedicine association, ATA Trade Show, ATATelemedicine Meeting, atlanta healthcare, Atlanta healthcare news, brain health, Dr. Matthews Gwynn, mhealth, modern medicine, neurology, stroke, stroke care, Technology, telehealth, telemedicine, teleneurology, telestroke
The American Telemedicine Association (ATA), the leading international resource and advocate promoting the use of advanced remote medical technologies, announces the dates for its annual meeting and exposition for 2016. For 20 years, the ATA has focused fully on telemedicine solutions to transform healthcare systems. The results of the ATA’s efforts have generated significant impact for overall quality of care, equity and healthcare affordability.
The 2016 American Telemedicine Association Meeting and Exposition is expected to host as many as 6,000 thousand attendees at the Minneapolis Convention Center in Minneapolis, MN. The four day event will get underway on May 14 and conclude on May 17, 2016. ATA 2016 is the largest trade show in the world for healthcare professionals and entrepreneurs in the telemedicine, telehealth and mHealth space. The event will showcase a wide range of educational seminars, speakers and products and services related to telemedicine industry from over 300 exhibitors.
“AcuteCare Telemedicine (ACT) looks forward to participating at the event in 2016,” comments Dr. Matthews Gwynn, Partner, ACT. “We applaud the efforts of the ATA in advancing telemedicine opportunities and providing a platform for practitioners to share insights, research, and best practices.”
Established in 1993, The American Telemedicine Association is a non-profit association of individuals, healthcare institutions, companies and other organizations with an interest in promoting professional, ethical and equitable improvement in health care delivery through telecommunications and information technology.
For more information on the event, click here.