MyOnCallDoc: Telemedicine - Telehealth Solutions
The Telemedicine People
Friday, September 9, 2016
Reduce Wait Times For Your Patients With Telemedicine
In today’s busy world, people feel like they don’t have time to be sick. So when they DO have an ache, pain, sprain, or sniffle, the modern consumer wants to see a doctor and get treatment, STAT. Plus, they want the service to fit their budget.
For those who live in urban areas, there are many outlets to choose from, including Urgent Care, the Emergency Room, and retail pharmacy clinics. In rural areas, there aren’t as many options, and it may require extensive travel to see a doctor. Thankfully, today there’s MyOnCallDoc to bring patients and doctors together over the Internet. Availability is 24/7/365, and studies have shown that 75% - 80% of ailments that people are seen in person for can easily be attended to with a virtual visit. Here are five reasons why adding MyOnCallDoc telemedicine software to your menu of services is not only good practice, but good business, too.
1. Reduced wait times for your patients with acute medical needs
Primary care providers can be notified of their patients’ virtual visits, and add the details to their patient’s medical record. But why let other doctors get paid to see YOUR patient, when you can easily establish a virtual visit with them on the MyOnCallDoc platform? Since you have already established a relationship with your patients, the risk of medical errors and adverse medication events is greatly reduced when you make telemedicine a part of your practice. The result is better continuity of care, and enhanced patient satisfaction.
2. Keep your patients in YOUR care
Patients are willing to pay to see a third party provider, instead of waiting two to four weeks to get an appointment in your office. This presents an opportunity cost for your practice. By offering the same convenience to your own body of patients, you keep their healthcare dollars as revenues for your practice. The MyOnCallDoc program is so affordable for patients, and if they want to see you virtually, you can oblige their request at no cost to you. In addition, many states reimburse for virtual visits, so you’ll achieve higher marks in quality reporting, and maximize your practice’s reimbursement.
3. Conduct follow-up appointments on a secure system with ease
Do you want to optimize your clinical workflows, and improve patient satisfaction? Then consider using telehealth as a solution for conducting follow-up visits with your patients. Being able to interact with you via videoconference improves efficiency for your patients and your staff. With so many remote tools to monitor patient’s vital signs and activities, they can easily share their health information with you in real time. You can reduce cancellations and no shows, too. Patients are more likely to keep their appointments if it’s convenient, especially if they know they can avoid the dreaded waiting room. Efficiency is multiplied with the MyOnCallDoc e-prescribing feature. Once the call is ended, the patient can go get their medications from their pharmacy.
4. Spend more quality time with each patient
In the traditional clinical workflow model, your patient waits in a room with other sick people. The nurse takes vital signs and history, and your patient is usually waiting for another 10, 15, or 20 minutes before they can see you. By the time you enter the room, you may have 5-7 minutes to spend with them, reviewing their history and physical, prescribing a treatment, and out the door you go. From the patient’s perspective, they feel like they just spent a lot of their valuable time and hard-earned money for a few minutes of your time. Patients may be left feeling at a loss given the time they sacrificed to conduct that visit. With My OnCall Doc, you can spend a full 15 minutes with your patient, and provide them with undivided attention, which serves to enhance your relationship with each other. Better patient-physician relationships also lead to better health outcomes.
5. Conduct live specialty consults
Why delay your patient’s care with a referral to a specialist? The MyOnCallDoc platform allows you to conduct a three-way videoconference between you, your patient, and a specialist in the same visit. This added convenience of providing the right doctor at the right time and in the right place dramatically reduces the time it takes for patients to get on the road to wellness. In addition, you and the specialist can communicate together about the patient’s plan of care and ensure medical contraindications are avoided.
These five reasons are just a snapshot of the value telemedicine in general, and MyOnCallDoc, specifically can offer to your practice. There are ways to increase revenue streams by offering workplace wellness programs to local employers, chronic disease management programs, and expansion of access to care for patients in rural locations. Stay tuned to our blog as we continue to share information about the benefits of telemedicine to the health care delivery system.
Heather Zumpano heather@telehealthsuppliers.com
About The Author
Heather is a patient advocate and telehealth ambassador, with a vision to make a positive social impact on health quality through technology. She’s an experienced clinician, and the Co-founder and Project Director of IMST Telehealth Consulting, LLC. Heather’s work in diverse clinical settings fostered a deep awareness of opportunities for improvement in health delivery systems. She has experience leading successful projects in business and health care. She enjoys business development, marketing, finance, research, and managing project teams. The company specializes in end-to-end telehealth program development, from assessment, to identifying a solution, and creating market awareness. IMST Telehealth Consulting, LLC helps its clients increase access to quality health care, reduce costs, and increase revenues. Heather holds a Bachelor of Science in Business Administration, with a concentration in Finance from the University South Florida, Tampa. She also earned a Master of Science in Health Informatics from Walden University, Minneapolis, MN. Heather is a member of the Florida Telehealth Work Group, the American Telemedicine Association, and the Pinellas County chapter of Better Living for seniors.
Thursday, August 25, 2016
Step into the Future: Increase Your Practice’s Revenue with Telemedicine
Why do many providers think an innovative way to deliver healthcare like telemedicine would align with outdated reimbursement models? Thinking out of the box in regards to getting paid for your telemedicine services is the winning mentality. Establishing these alternative revenue models and pursuing strategic partnerships are all major keys in creating telemedicine revenue. The concept of government funded fee-for-service payments (i.e. traditional reimbursement) is becoming an increasingly outdated and less than ideal payment model for 21st century healthcare. CMS is pushing for 50% of reimbursement by 2018 tied to alternative payment models (Accountable Care Organizations, bundled payment). The most successful telemedicine providers and companies understand the current healthcare payment landscape and shift their thinking from “reimbursement” to “revenue”. Though there are many creative revenue models, here we will cover three revenue models providers should consider offering as revenue streams.
Institution to Institution
Academic medical centers or even small physician groups can leverage their expertise and contract their specialty services to small rural hospitals or other institutions with specialist coverage need. These contracts can be structured to either provide peer to peer consults, direct patient care, or both. These entities could utilize a monthly rate, a hybrid payment, a special fee schedule menu or just a cafeteria list style of multi-specialty services. In the end, this is a professional services agreement and does not have any dependence on traditional Fee for Service reimbursement to drive revenue. Creating these relationships and servicing them well can become a revenue source for years to come.
Employer Workforce Offerings
Telemedicine Providers with a network of primary care providers can offer telemedicine services to an employer’s workforce via on-site kiosks or online apps. This was in the past an overlooked telemedicine setting but now gaining a lot of steam. This type of offering is becoming very attractive to self-insured employers because of the real ROI that can be realized. The benefits of reduced absenteeism, better workforce health, reduced direct care costs, and reduced overall workforce health costs are just some of the benefits. Showing a minimal 5% redirection of a workforce to use telemedicine first, instead of traditional office visits, ER or urgent care can mean big savings to employer’s bottom lines. The telemedicine provider could negotiate a variety of different compensation approaches with the employers. The compensation may be on a per-encounter fee or a base services rate, combined with a reduced per-encounter fee. Sometimes a fully capitated per employee per month payment may be negotiated. The different compensation methodologies will impact telemedicine utilization by the employers. All these factors should be considered and tailored specifically to the employer’s goals. The payments for the employee telemedicine services could be made by the employer’s self-funded plan, the employee’s third party administration, or even by the employees themselves as an out of pocket cost. The best way for telemedicine providers to obtain these types of contracts is outreach, engaging local employers on the benefits and cost savings of providing a telemedicine offering. These contracts should be the first step. Show them the benefits, the cost savings, the advantages of a healthier, present workforce, along with your dedication to making the program work. Almost always, this payment model is a new program being introduced. Take the time to educate the employer and the employees of the capabilities and limitations of the telemedicine offering. Taking these steps to encourage utilization will increase ROI in the long run.
International Arrangements
New technology has created an explosion in demand for international telemedicine, especially in fields such as radiology and pathology that lend themselves to virtual care. It's an area that has humanitarian interest and is also a growing business for the hospitals, AMCs or physician participating in it. Not only can physicians treat patients in remote or underserved regions, but they can also tap into a market of international patients who want access to specialty care in the U.S. without getting on an airplane. A country such as China, with increased middle-class purchasing power, means more patients have the opportunity to pursue treatment from Western medical centers. That means U.S. medical centers, particularly large academic institutions, are making a concerted effort to build their brands abroad. Payment can be better than reimbursement in the U.S., as patients are either self-pay or have government health plans. Physicians can also bypass the additional licensing and paperwork they would need if they were going to expand their practices in another state. Contractual per consult or basic monthly fee arrangements can be made to provide direct care, and/or even second opinions abroad.
Conclusion
Telemedicine is here to stay. Our aging population, increase in chronic diseases among the population, and physician shortages are the main drivers for consumer demand of virtual health services. The old Fee-for-Service model is going the way of the typewriter, and it’s critical to position yourself for the new age payment models, to avoid being left behind the pack. IN addition, the models discussed in this article shed new light on new, disruptive ways to get paid for delivering healthcare services without getting involved with insurance companies and their paternalistic controls over the way you practice medicine. In the end, patients will enjoy more convenient access to care and better health outcomes. Providers will enjoy more secure revenue streams, and job satisfaction. Those are the key ingredients for maximum patient-provider relationships that lead to long-term, sustainable health quality.
Written by Aneel Irfan, CTL, CTC
www.imsttelehealth.com
aneel@telehealthsuppliers.com
Thursday, July 7, 2016
Don't Melt...Beating the summer heat
With most of the United States engulfed in a heat wave and
summer in full swing, overexposure to sunlight can occur easily due to outdoor
activities. Overexposure is an underlying cause for harmful effects on the
skin, eyes, and immune system, not to mention skin cancer. Four out of five
skin cases of skin cancer can be prevented experts believe, as UV damage is
mostly avoidable.
Simple precautions can assist in protecting your body from
overexposure while outdoors. Shade, clothing and hats provide the best
protection and applying sunscreen to those parts of the body that remain
exposed. Keep these simple tips in mind, especially for those with children.
- Limit your time in the midday sun
- Watch for the UV Index
- Use shade wisely
- Wear protective clothing
- Use sunscreen
Understanding SPF
Sunscreens use the measurement Sun Protection Factor (SPF)
to convey the degree to which you will be protected from sunburn and UVB rays. SPF
is a measure of how long you can stay in the sun without burning. The average
light skinned person can stay in the sun about 15 minutes with no sun
protection before they start to suffer minor sunburn. The SPF number is then
multiplied by this number to determine how long the average person can stay
outside.
- SPF 15:15 minutes x 15 = 225 minutes before burning (3.75 hours)
- SPF 30:15 minutes x 30 = 450 minutes before burning (7.5 hours)
- SPF 50:15 minutes x 50 = 750 minutes before burning (12.5 hours)
- SPF 100:15 minutes x 100 = 1500 minutes before burning (25 hours)
A lower SPF may protect you for short periods in the sun,
but a sunscreen with higher SPF also filters more UVB rays from sunlight.
Another important factor to look for in sunscreens is a broad spectrum
sunscreen which protects against both UVA and UVB rays. UVA rays penetrate more
deeply and are associated with long term aging of skin. UVB rays cause the
immediate damage we know as sunburn.
- SPF 15 blocks about 93% of UVB rays
- SPF 30 blocks about 97% of UVB rays
- SPF 50 blocks about 98% of UVB rays
- SPF 100 blocks about 99% of UVB rays
Tuesday, May 31, 2016
Telepsychiarty: The Solution to Mental Healthcare Shortages?
Telepsychiatry is steadily growing into a robust industry. Telepsychiatry refers to a specific component of telemedicine which deals with the assessment and delivery of mental health care through telecommunications services, usually video conferencing. Insurance companies and medical providers are increasingly covering and providing psychiatry services for patients through telemedicine. Given the prevalence of Americans currently dealing with mental illness, this is a welcome development. The National Survey on Drug Use and Health reported that in 2014 18.1% of all US adults aged 18 or older had any mental illness (AMI) defined as:
·
A mental, behavioral, or emotional disorder
(excluding developmental and substance use disorders);
·
Diagnosable currently or within the past year;
and,
·
Of sufficient duration to meet diagnostic
criteria specified in the 4th edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-IV).
Treating individuals with mental illnesses requires an
enormous amount of medical resources and a dedicated number of mental health
professionals. Unfortunately, in the U.S., according to the Department of Health and Human Services,
there are over 4,000 mental health shortage areas. Essentially, in these
regions the ratio of psychiatrist to patient exceeds 1:30,000. “Applying this
formula, it would take approximately 2,800 additional psychiatrists to
eliminate the current mental health HPSA designations.” Unless we see a
dramatic increase of 2,800 psychiatrists tomorrow, most medical facilities and
practices are unequipped to deal with the shortage of mental health care
professionals. This is where telepsychiatry is beginning to play a crucial role
in expanding access to care and relieving pressure on overburdened systems.
Those seeking care for mental health illnesses might be
better positioned to receive care virtually, and emergency rooms can now offer
virtual psychiatry sessions reducing the burden on ER staff. The growing
telepsychiatry industry means broader access across the U.S., especially for
U.S. veterans. Of the 1.7 million veterans who served in Iraq and Afghanistan,
300,000 (20 percent) suffer from post-traumatic stress disorder or major
depression (RAND Center for Military Health Policy Research, Invisible Wounds
of War, 2008). Most Veterans will not seek treatment from VA system
psychiatrists or health professionals. MyOnCallDoc President and CEO, Craig
Zurman, created the international telemedicine services solution provider
MyOnCallDoc to help address this very need. While working with the U.S.
Department of Veterans Affairs, the need for a comprehensive, affordable, and
quality telepsychiatry program was overwhelmingly apparent. Now, MyOnCallDoc
features a robust network of providers able to offer psychiatry services at
affordable rates, bringing the care people need directly to their homes.
While telepsychiatry is a rapidly expanding industry, there are still challenges and barriers to its
implementation. Most insurance companies do not have regulations in place to
allow for telepsychiatry reimbursement. The number of insurance companies or
employer provided health programs that offer coverage for these services is
expanding, but not quickly enough. Other times, psychiatrists may only consult
with patients located in the state in which the psychiatrist is licensed due to
very specific licensing requirements. Training can also be an issue, simply
because a psychiatrist has access to the technology does not mean they have
been adequately trained to handle virtual sessions. Fortunately, the American Telemedicine Association has
put together guidelines
for video-based mental health services. The guidelines are comprehensive and
address technical, clinical, and administrative processes.
As long as psychiatrists remain open to offering psychiatry
sessions via telecommunications, patients are amenable to participating in
virtual sessions, and patient outcomes continue improving, telepsychiatry
stands to help provide broader access to mental health services for at-risk and
vulnerable populations and reduce health care costs in the long run.
For more information, please contact MyOnCallDoc to speak
with one of our psychiatrists today.
Monday, May 2, 2016
MyOnCallDoc GenderCare: Transforming Healthcare for Transgender and LGBT Communities
Recognizing the resounding barriers to health care for the
LGBT community, MyOnCallDoc and The World Professional Association for Transgender
Health (WPATH) are partnering together to establish a pilot program that
will allow doctors and psychiatrists who have received specific training to
address the needs of transgender individuals through telemedicine. When
MyOnCallDoc began investigating the current health care environment for
transgender individuals and those in the LGBT community, WPATH was the only
organization actively training health care professionals in the intricacies of
treating transgender patients. Through this partnership, MyOnCallDoc will be
introducing an entirely new focus program called GenderCare. The MyOnCallDoc GenderCare pilot
program will allow doctors from WPATH’s trained community to offer 24/7
telemedicine and telepsychiarty care to the LGBT and transgender communities.
The mission of the program is to expand access to quality, affordable care for
LGBT patients through telemedicine services. WPATH is also working with
insurance companies to increase the number of services that are covered for a
transgender patient.
MyOnCallDoc was founded on principals of inclusion and
providing broader access to high-quality, affordable health care services for
ALL individuals. These are the principles that continue to guide our
development of new projects and programs. Most recently, we have been researching
barriers to access for those within the transgender and LGBT communities.
Unfortunately, the realities surrounding discriminatory practices in health
care and with insurance companies for LGBT individuals can be disheartening. As
transgender individuals attempt to address their mental and physical needs,
they are often denied care and access to medical health professionals – even
for episodic conditions. Most individuals have stated they have refrained from
seeking care because of perceived discrimination or denial of care. The
National Transgender Discrimination Society reported that, “health outcomes
for all categories of respondents show the appalling effects of social and
economic marginalization, including much higher rates of HIV infection,
smoking, drug and alcohol use and suicide attempts than the general population.”
It was also reported that transgender people experience over 4 times the
national rate of HIV infection.
While the realities can be sobering, it is incredibly
important to celebrate the small steps in legislation and standards that have
been enacted recently that prohibit LGBT, gender non-conforming and DSD
individuals from being denied health care services and coverage. The Affordable Care
Act which “prohibits sex discrimination in hospitals and other health
programs or facilities receiving federal financial assistance as well as bias
based on race, national origin, age, and disability,” is a first rate example.
While this covers all health programs and facilities that receive federal
funding assistance, there are plenty of individuals seeking care within the
LGBT community that don’t have access to any of these programs. Additionally,
there are many organizations and companies working to transform the status quo
and expand health care access. WPATH is committed to transgender health and
formulating strategies and care that address the full spectrum of needs for
those with gender identity disorders. Their vision is to, “bring together
diverse professionals dedicated to developing best practices and supportive
policies worldwide that promote health, research, education, respect, dignity,
and equality for transgender, transsexual, and gender-variant people in all
cultural settings.” WPATH has already trained over 1300 medical health
providers and continues to offer a Transgender
Health Certification Course. Through WPATH’s commitment to elevating
transgender health care, thousands of individuals now have access to medical
resources, scientific research studies, organizations, a community of
like-minded individuals, and trained professional health care providers. If you
have questions about Gender Care or wish to be connected to a provider, don’t
hesitate to call MyOnCallDoc at 855-362-3278 or visit our website.
Organizations providing further information:
- National Center for Transgender Equality – “The National Center for Transgender Equality is the nation’s leading social justice advocacy organization winning life-saving change for transgender people.” http://www.transequality.org/know-your-rights/healthcare
- Lambda Legal – “Founded in 1973, Lambda Legal is the oldest and largest national legal organization whose mission is to achieve full recognition of the civil rights of lesbians, gay men, bisexuals, transgender people and those with HIV through impact litigation, education and public policy work.” http://www.lambdalegal.org/issues/health-care-fairness
Monday, April 11, 2016
Telemedicine and Employer Provided Health Plans
The
telemedicine industry is projected to generate over USD 48 billion by 2019
globally. This influx of investment means consumers are likely to witness an
increase of innovative businesses working in this sector, trends towards greater
availability of telemedicine programs on a national scale, and increased
healthcare cost savings for both employers and employees. Access to
telemedicine programs has the potential to impact employer provided healthcare
plans in a very positive way. In the past, healthcare plans that incorporated
telemedicine services were restricted by differing state legislation and
regulations making it hard for employers located in multiple states to choose a
telemedicine provider or service that followed each state regulation separately.
TELEMEDICINE PLAN BENEFITS
Lately,
most of the news surrounding the telemedicine industry pertains to how various
state legislatures have started to remove barriers to telehealth service
development and develop clearer cost and implementation regulations for the
industry. This is making it much easier for companies and employers to begin
realizing telemedicine services as part of their standard healthcare plans or
as an elective component of their traditional plans. Most recently, the state
legislature in Florida passed a bill expanding coverage for Medicaid telemedicine
services. The bill expands coverage for real-time, audio-visual interactive
telemedicine services. Previously, telemedicine was not covered for Medicaid
patients in Florida, but thanks to the efforts of the Telehealth Association of Florida and industry experts, the bill was
revised to incorporate broader coverage of telemedicine services.
Even
more importantly, as certain taxes and legislation that have the potential to
increase the financial burden of healthcare for employers come into play, an
established robust telemedicine program can help offset or reduce costs for
employers and employees. For example, the “Cadillac Tax” which will apply to tax years beginning on or
after January 1, 2018, imposes an excise tax of 40% on the cost of employer-sponsored health coverage that exceeds
certain annual thresholds. The tax is meant to help finance the Affordable Care
Act and decrease excessive healthcare spending by employers and employees.
However, this can be costly for employers with employees seeking care for
chronic conditions or working in high risk situations.
Taking
into account evidence of quantifiable healthcare savings for both employers and
employees, more convenient access to medical care and the looming “Cadillac
Tax”, more and more employers are including telehealth services as an integral
part of their employee healthcare models. According to Mercer’s 2015 National Survey of
Employer-Sponsored Health Plans, large companies with 500 or more employees
offering telemedicine services jumped from 18% to 30%. Essentially, employers
are witnessing the added benefits of including telehealth services for
employees including fewer instances of decreased production due to excess time
spent on doctor or hospital visits, greater employee management of personal
health, increased patient knowledge and clinical outcomes, and greater access
to qualified medical providers.
TELEMEDICINE IMPLEMENTATION
GUIDELINES
Implementation
of telemedicine services as an employee healthcare benefit should be part of a
comprehensive workplace health plan. Whether you want to offer employees
chronic care management, mental health consultation services, or replace the
need for urgent care visits, your telemedicine plan needs to take into account
the needs of your employees and function accordingly. Communication is also
essential to a successful implementation. If your employees don’t understand
the specifics of your new standard or elective telemedicine program, they won’t
be keen to utilize the service.
Examples of
how you can foster a culture of broad acceptance and usage within your company:
- Send regular communications about your telemedicine program
- Have plan experts available for questions and concerns
- Make the services available to all employees and family members
- Speak about your own personal experience using telemedicine
While the
telehealth services environment is rapidly expanding and states are removing
barriers to access and reimbursement for telemedicine services, we understand there
are still challenges to telemedicine program implementation for employers.
Employers must decide whether or not to make telemedicine part of their
standard healthcare plan or add it as an elective component of an existing
model, choose a qualified telemedicine provider, and account for healthcare IT
rules and regulations. As the evolving healthcare industry focuses on employer-sponsored
telehealth services, MyOnCallDoc is available to guide you through the process
of incorporating standard or elective telehealth models for telehealth and
decode state and federal legislation. Don’t hesitate to reach out to us with
questions, comments or requests for more information about how you can start
implementing your employer-sponsored telemedicine program today.
Wednesday, March 23, 2016
It’s Allergy Season – Are You Prepared?
It’s that
time of year when a significant percentage of the population is plagued with extremely
itchy and watery eyes, constant sneezing, and runny noses. You guessed it,
allergy season is just around the corner. As climate change continues to impact
temperatures and weather patterns around the world, researchers are noticing
different trends for allergy sufferers. In particular, the allergy season has
been arriving a few weeks earlier each year, according to the World Allergy Organization. This does not mean that allergy
season has also been ending earlier though. For allergy sufferers, this is far
from welcome news.
Air
pollution, pollen, mold, and poison ivy are more prevalent due to climate
change and warmer weather, which can increase risks for those with allergies.
Each year, the Asthma and Allergy Foundation of America, puts together a list
of the Spring Allergy Capitals in the US. The list takes into
account: the pollen score of each city, rates of allergy medication use by
residents, and availability of Board-certified allergists. In 2016, the AAFA
estimates that Jackson, MS will be the most challenging city to live in for
allergy sufferers. Also on the list are, Memphis, TN; Syracuse, NY; and
Louisville, KY.
Pollen
allergies pose physically challenging symptoms, as patients deal with added
sinus pressure, runny noses, itchy and watery eyes, headaches, shortness of
breath, repeated sneezing and excessive fatigue. Unfortunately, allergies can
also take an emotional toll by causing anxiety, depression, and frustration.
The allergy season is also sometimes associated with economic costs, as employees
take time off to deal with aggressive allergy symptoms. It’s no wonder why
those with allergies dread spring and the change of seasons.
Proper
diagnosis and treatment of allergy symptoms is paramount to the effective
management of allergy symptoms. However, for most Americans, proper management
of allergy symptoms can mean excessive time and valuable resources wasted
sitting at urgent care centers or in the doctor’s office. This allergy season,
we propose a different solution; telemedicine. Our providers are available 24
hours a day, 365 days a year. The MyOnCallDoc team wants to ensure you receive
timely, affordable allergy care this year. So, forget about hiring a
babysitter, taking time off from work, or sitting in traffic to begin your
treatment plan. Call our medical providers now and start experiencing allergy
relief today.
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