Telehealth Innovation
Telehealth Innovation:Current Directions andFuture OpportunitiesDecember 2017Prepared in support of the Transatlantic Telehealth Research Network (TTRN) SummitBerkeley and Sacramento, California September 25-26, 2017
ORTUNITIESTABLE OF CONTENTSINTRODUCTION . 2BACKGROUND . 3CURRENT STATE OF INNOVATION WITHIN TELEHEALTH . 6Global Landscape . 6Commercial Development Parameters . 8Evidence Base . 11ISSUES FOR INDUSTRY CONSIDERATION . 13Innovation Practices . 13Telehealth Research . 15Market Development . 18CONCLUSION . 19ACKNOWLEDGEMENTS . 20BIBLIOGRAPHY . 21AuthorsAndrew Broderick, David Lindeman, Birthe Irene Dinesen, Kristian Kidholm, HelleSpindler, Sheryl L. Catz, Ginna BaikTransatlantic Telehealth Research NetworkThe Transatlantic Telehealth Research Network (TTRN) is an international collaborationof institutions dedicated to conducting cutting-edge, interdisciplinary research to advancetelehealth, focusing on developing innovative diagnostic, preventive care and treatmentmethods/technologies for patients utilizing problem-based, user-driven innovation.CDW HealthcareCDW Healthcare orchestrates technology solutions across the full continuum of care toenhance and elevate care experiences and outcomes. We empower patients andresidents with technology that enables them to stay more engaged with their healthcare,and helps improve their overall quality of care.Center for Information Technology Research in the Interest of Society andthe Banatao InstituteCITRIS and the Banatao Institute create information technology solutions for society’smost pressing challenges, leveraging the research strengths of University of Californiacampuses at Berkeley, Davis, Merced and Santa Cruz to shorten the pipeline betweenworld-class laboratory research and the development of applications, platforms,companies, and even new industries.
2TELEHEALTHINNOVATIONINTRODUCTIONTelehealth reflects a dynamic and evolving field of practice in terms ofapplications, settings, and users as a result of advances in underlying enablingtechnologies. Today, forces as diverse as large-scale humanitarian crises,national healthcare reforms, healthcare workforce shortages, and a growingburden of chronic disease underscore the growing importance of technologyenabled models of care delivery that can facilitate remote access to healthcareservices at scale. As a result, telehealth has become one of the fastest-growingservice areas in the healthcare sector, and a tipping point in its more widespreaddiffusion throughout the health system is believed to be at hand.Telehealth supports the delivery of healthcare, public health, and healtheducation services at a distance, as well as provides a collaboratory platform forsharing knowledge and expertise and engaging communities in participatoryresearch. Further, regardless of whether care services are delivered in-person orvirtually, there is broad agreement that telehealth should not be viewed asrepresenting a different type of healthcare. Instead, telehealth represents adifferent method of delivery for services that can be either similar in scope orsupplemental to those that are provided during in-person encounters. As a result,both should be held to the same quality and practice standards and not besubject to regulatory distinctions between them.For telehealth to realize its full potential to transform healthcare delivery at asystem level a complete redesign of the care delivery process from a physical tovirtual model is urgently called for. Although it is anticipated that telehealthapplications will continue to evolve as developments in enabling technologiestake place, key to the translation of telehealth innovations into practice at scaleand on a sustained basis is 1) the availability of use cases that clearly identify theproblem or need that is being addressed as well as benefits that may be realizedthrough telehealth, 2) a supportive enabling market infrastructure for promotingmarket adoption and diffusion, and 3) evidence of cost-effectiveness and bestpractices for informing successful implementation at scale.Telehealth represents both a model for care delivery and a business model formanaging care. Both need to be coupled for telehealth to work effectively inpractice. Doing so can promote successful adoption, implementation andintegration at scale. This review identified a lack of research evidence aroundbusiness cases, particularly those that focus on value creation or exploreopportunities for value co-production among all stakeholders as a key barrier toadoption at scale. Advancing research in areas of health service innovation andvalue creation will help to advance service business models that are critical forsustaining telehealth at scale.
TELEHEALTHINNOVATION3BACKGROUNDDefinitionThe lack of a standard nomenclature when referring to the delivery of care at adistance highlights the open and continuously evolving nature of the field oftelehealth. At its core telehealth refers to the use of information andtelecommunications technologies for facilitating the delivery of healthcare, publichealth, and health education services at a distance, across a variety of settings,and involving diverse users. Telehealth also supports the engagement ofcommunities in collaborative or community-based participatory research.12345678Today, telehealth encompasses four distinct service modalities:1. Store-and-Forward2. Live and Interactive Video3. Remote Patient Monitoring4. Patient Engagement Mobile AppsThese service modalities support the remote delivery of a broad range ofapplications, primarily in out-patient settings and often involving direct interactionbetween consumers and providers. However, instead of each modality relying onunique, distinct technology platforms, advances in areas such as mobilecommunications and cloud computing are increasingly rendering distinctionsbetween the service modalities obsolete in terms of the underlying technologyplatforms through which those interventions may be delivered and accessed.It is conceivable that in the not too distant future the prefix ‘tele’ will graduallyfade from use as the technology-enabled elements for the remote delivery ofhealth services become seamlessly integrated into healthcare delivery systemsto the extent that telehealth will become the standard for the way that healthcareservices are delivered and accessed. To realize that outcome will, however, relyon research to advance innovative service intervention designs and businessmodels, as well as practices that can support healthcare organizations with theadoption, implementation and spread of telehealth interventions at scale.
health, and health education services at a distance, across a variety of settings, and involving diverse users. Telehealth also supports the engagement of communities in collaborative or community-based participatory research.!.1!2!3!4!5!6! 7!8! Today, telehealth encompasses four distinct service modalities: 1. Store-and-Forward 2.
Managed Care Plan Provider Telehealth Resource Guide . I. Introduction to Telehealth . What is Telehealth? Telehealth, as defned in emergency rule 5160-1-21* of the Ohio Administrative Code (OAC), is the direct delivery of healthcare services to a patient via synchronous, interactive, real-time electronic communication comprising both
Province of BC Health Authorities Telehealth Clinical Guidelines 4 P a g e Version 9 (updated September 2014) Definitions Client: A potential or actual recipient of Telehealth services Provider: A healthcare professional offering Telehealth services Telehealth: The use of communications and information technology to deliver health and health care services and information over large and small .
Can Physical Therapists provide Telehealth (or telemedicine) services as part of a child's education? Yes. The Oregon Physical Therapist Board allows for telehealth delivery of services. The Board defines telehealth OAR 848-040-0100 as: (13) "Telehealth service" means a physical therapy intervention, including assessment or
telehealth services using Zoom with AccuCare under current federal guidelines as of 3/19/2020, and you should contact your local/state authority when it comes to telehealth and billing for telehealth. Zoom to AccuCare Workflow Implementing video conferencing to your clinical process to offer telehealth services can be simple. It does not
Focusing on telehealth as a case study in dis - . mobile health, remote monitoring, telecare, telehealth, telehealth nursing, telemedicine, telenursing, virtual nursing This technology uses remote monitoring, videoconferencing, and much more to extend the reach of nurses and improve care. . behalf of the European Society of Cardiology, con-
Analyze the telehealth market and discuss the changing landscape of telehealth including traditional and emerging market solutions Define the components of a telehealth strategy and business plan including staffing models, market analysis, technology solutions, 1,3,5 year . With a focus
See CCHP’s 50 State Telehealth Laws and Reimbursement Report and/or reference the appropriate State’s Medicaid program provider manual for detailed information regarding telehealth reimbursement. Telehealth Reimbursement Summary Chart Information current as of March 2016. Medicaid
Benefits and Challenges of Expanded Telehealth Use Hospitals reported that telehealth has become an important care delivery model during the COVID-19 pandemic. Administrators also reported some challenges in delivering care with telehealth. These challenges are that telehealth, by its very
