A group of physicians and researchers from Kaiser Permanente studied “a novel model of integrating telemedicine seamlessly with patients’ ongoing clinicians, EHRs, and delivery systems.” Their findings showed the feasibility and growing adoption of video visits integrated with ongoing clinical care.
Measuring clinical outcomes is not only useful to clinicians, but provides a way to monitor the impact of services providedto patients. Organizations in the following studies, using Care Innovations’ Remote Patient Management (RPM) system, saw vast improvement in their clinical outcomes.
Engagement and adherence to health programs for patients with chronic disease can prove challenging. These challenges can be overcome by implementing a remote care system with clinical check-ins, daily health measurements and education. To do so successfully, programs like Humana, implemented Care Innovations’ Remote Patient Management (RPM) system to create lifelong habits and to positively affect behavior change.
Remote Patient Management (RPM) not only improves clinical outcomes and engagement, but can also lead to an improved ROI. Patients with chronic disease, receiving remote at-home care, are less likely to utilize an emergency room and the inpatient care services of a hospital.
The most consistent benefit has been reported when telehealth is used for communication and counseling or remote monitoring in chronic conditions such as cardiovascular and respiratory disease, with improvements in outcomes such as mortality, quality of life, and reductions in hospital admissions. Given sufficient evidence of effectiveness for these topics, the focus of future research should shift to implementation and practice-based research.
Study shows that Medicare can save $45 per visit by replacing routine primary care visits with telehealth. Also finds very low likelihood of “induced utilization.”
The September 2014 issue of Telemedicine and E-Health features a systemic review by Dr. Rashid Bashshur and Dr. Gary Shannon from the University of Michigan and the University of Kentucky, respectively, of evidence from studies on the effects of telemedicine in the management of chronic diseases, specifically, congestive heart failure (CHF), stroke, and chronic obstructive pulmonary disease (COPD). The official e-publication date is June 26.
Krista Drobac, executive director of the Alliance for Connected Care, and Clif Gaus, president and chief executive officer of the National Association of Accountable Care Organizations (ACOs), explain the role of the Connected Care in value-based payment models, such as ACOs.
The February edition of Health Affairs featured a recent RAND Corporation (RAND) study that analyzed the impact of telehealth services on access to care. The study examined the experiences of more than 3,700 members of the California Public Employees’ Retirement System (CalPERS) using telehealth services provided by Teladoc from April 2012 to February 2013. As one of the largest telehealth providers in the United States, Teladoc offers patients 24/7 access to physicians via telephone or video consultations through the Internet. The authors of the RAND study found a number of potential benefits through the use Teladoc visits. Of note, “[a]cross the leading conditions, Teladoc visits were less likely than visits to the ED or physicians’ offices to result in a follow-up visit for a similar condition, in contrast to 13 percent of office visits and 20 percent of ED visits.”