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2018 The Year “Telemedicine” Becomes “Medicine”
2018
The Year “Telemedicine” Becomes “Medicine”
Vidyo surveyed over 300 clinical and IT professionals with decision-making authority over telemedicine and telehealth investments and practices.
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The survey focused on the use, and planned use, of telemedicine and telehealth technologies by healthcare delivery organizations (HDOs).
Survey results illustrate clear insights for telehealth in 2018.
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2018 will be the year that “telemedicine” becomes “medicine.”
HDOs that expect to maximize positive patient outcomes must invest heavily in telemedicine, and more broadly in telehealth, and make it a fundamental part of delivering healthcare.
There simply won’t be any distinction between “telemedicine” and “medicine,” or “telehealth” and “healthcare” for that matter, in the minds of either HDOs or their patients.
Read on for further insights from the Vidyo telehealth survey . . .
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Telehealth has hit the mainstream
Telehealth drives positive patient outcomes and hard ROI for HDOs
Reluctant adopters are out of excuses
To launch or scale up telehealth usage, prioritize video
IT professionals can, and must be, strategic partners for clinicians
What to do next
Table of Contents:
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Telehealth has hit the mainstream
INSIGHT #1
1
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Most HDOs have made telehealth an important part of their strategy. It’s a top IT investment priority, alongside other mission-critical initiatives, and HDOs are allocating significant budget resources.
Over three-quarters of HDOs are using telehealth solutions or plan to use them in the near future.
Telehealth is one of the top four investment priorities for HDOs.
Two-thirds of HDOs are spending 20% or more of their total technology budget on telehealth solutions.
Be on the lookout for Vidyo-identified BEST PRACTICES throughout this eBook, also summarized at the end.
1 Telehealth has hit the mainstream
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Many HDOs have dedicated resources for telehealth. Most plan to increase their investment, including upgrading existing technologies.
About one-third of HDOs have a dedicated technical team, dedicated budget, and a five-year project plan.
Most HDOs have a telehealth roadmap.
Most HDOs expect to increase their telehealth budgets in the next one to three years.
Over one-quarter have a dedicated clinical team.
Over half of HDOs expect to upgrade their telehealth platform in 2018.
1 Telehealth has hit the mainstream
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Few HDOs are going it alone and trying to build their own telehealth solutions without help.
Most HDOs practicing telehealth partner with a technology provider on their telehealth platform, or plan to, rather than building it themselves.
1 Telehealth has hit the mainstream
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Telehealth drives positive patient outcomes and hard ROI for HDOs
INSIGHT #2
2
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HDOs prioritize improving patient outcomes above all else when considering IT investments - and such investments must make a big impact to be considered worthwhile.
Improving patient outcomes is the number one priority for HDOs for measuring ROI of IT investments.
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Most HDOs say telehealth needs to improve or significantly improve patient outcomes to be considered “worthwhile.”
2 Telehealth drives positive patient outcomes and hard ROI for HDOs
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2 Telehealth drives positive patient outcomes and hard ROI for HDOs
Most HDOs can measure the impact of IT investments. When they analyze telehealth, they’re seeing significant benefits.
Almost three-quarters of HDOs practicing telehealth can capture data and report on the effectiveness of telehealth technologies.
Almost two-thirds of HDOs using patient outcomes as an ROI metric reported a better-than-expected result from telehealth.
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2 Telehealth drives positive patient outcomes and hard ROI for HDOs
Hard ROI is the basis for a strong telehealth business case. This will convince healthcare CFOs that telehealth is good for both patients and the HDO’s bottom line.
Other top ROI priorities for IT investments:
Increased provider satisfaction(Increases clinician retention and makes recruitment easier)
58% of HDOs reported a better-than-expected result from telehealth.
Improved efficiency or timeliness of care delivery 51% of HDOs reported a better-
than-expected result from telehealth.
Increased cost savings to the practice/facility 47% of HDOs reported a better-
than-expected result from telehealth.
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Reluctant adopters are out of excuses
INSIGHT #3
3
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Launching or scaling up telehealth isn’t as daunting as it might seem. More HDOs anticipate issues than actually experience these issues.
More HDOs anticipated these top five issues than actually experienced them:
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3 Reluctant adopters are out of excuses
1.
2.
3.
4.
5.
Cost of implementation
Complexity of implementation and use
Reimbursement structure cost
Disadvantages compared to face-to-face interactions
Problems with lack of existing infrastructure
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3 Reluctant adopters are out of excuses
HDOs agree that patients are receptive to using telehealth, and telehealth technologies are easy to use for everyone.
Two-thirds of HDOs say patients are receptive to using telehealth.
Two-thirds of HDOs say telehealth technologies are easy for nurses and physicians to use.
Most HDOs say telehealth technologies are easy for patients to use.
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3 Reluctant adopters are out of excuses
The reasons patients like telehealth are becoming clear as more and more HDOs engage with patients in this way.
According to HDOs, the top four reasons patients are receptive to telehealth are:
Ease of use
Flexibility
Minimizing time off work
More hours of service availability
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To launch or scale up telehealth usage, prioritize video
INSIGHT #4
4
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4 To launch or scale up telehealth usage, prioritize video
Wondering how to get started accelerating telehealth? Prioritize video. Video creates significant value for the top telehealth uses.
Remote Patient Monitoring
VirtualInteraction
MobileHealth
Store andForward
Percentages of HDOs that are using video for telehealth or planning to use soon
78% 77% 77% 65%
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4 To launch or scale up telehealth usage, prioritize video
Top uses of remote patient monitoring have very high satisfaction rates and rely heavily on video as enablers.
satisfactionrate
Chronic health management
The importance of video in remote patient monitoring
Many questions arise when patients are trying to manage their current or chronic condition at home. Access to a clinician or provider via video allows patients to have simple questions answered in real-time, reducing the risk of small issues becoming major complications that lead to hospitalization. For example, clinicians can see and verify medications, assess wounds, and make plans with the patient, caregivers, and the extended care team. Best of all, it can all happen while the patient is comfortable in their own environment.
90%#1
satisfactionrate
High-risk patient management
85%#2
satisfactionrate
Acute care management 84%#3 Looking ahead. . . Those not yet using remote
patient monitoring (but planning to in the future) are interested in these uses and also preventive care management and personal-device data collection - their #2 planned use.
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4 To launch or scale up telehealth usage, prioritize video
Top uses of virtual interaction have high satisfaction rates and all of them involve the use of live video.
satisfactionrate
Virtual visits/consultations
The importance of video in virtual interactions
Video helps build personal connections or interactions between patients, families, and care team members. In contrast, relying only on the telephone means only having access to information than can be heard. Video allows clinicians to see those with whom they’re communicating. They can hear the message, but also pick up on visual cues of emotional state - skin color, pupil size, etc. More data improves the interaction and the clinician’s ability to assess the situation and, if necessary, intervene in real-time.
83%#1
satisfactionrate
Internal meetings 84%
#2
satisfactionrate
Real-time clinical diagnosis, treatment, care, or support
82%#3 Looking ahead. . . For those not yet using virtual interaction (but planning to), two other uses are of interest: patient education/support groups (medications, nutrition, grief management, etc.) and training/distance learning.
with patients and/or family members
between physicians/nurses or collaborative case study review
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4 To launch or scale up telehealth usage, prioritize video
The top mobile health use cases have high satisfaction rates and video can take mobile initiatives to the next level.
satisfactionrate
Patient portal
The importance of video in mobile health
Mobile video gives patients access to virtual care from any place, at any time. It meets patients where they are, and can improve patients’ willingness to seek help. Via mobile video, patients can receive messages that reinforce or supplement phone calls, texts, and emails - whether as reminders about an appointment, answers to pre-visit questions, or follow-up to ensure the condition is improving.
79%#1
satisfactionrate
Patient status monitoring 86%#2
satisfactionrate
Integration of personal fitness devices and information into medical record
85%#3 Looking ahead. . . Those not yet using mobile
health are interested in these uses and also in targeted text messages that promote healthy behavior based on patient medical history or stages of care (e.g., pregnancy, annual checkups) - their #3 planned use.
(Answer a patient’s health questions, share test results with a patient, schedule appointments, and issue reminders.)
(Pain scale, mood level, etc.)
(Fitbit, Apple devices, etc.)
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4 To launch or scale up telehealth usage, prioritize video
For the top uses of store-and-forward, satisfaction is high and recorded video plays an increasingly important role.
satisfactionrate
Digital images, X-rays, prerecorded videos or photos
The importance of video in store-and-forward
In addition to enabling some of the key uses of store-and-forward, such as pre-recorded video and training videos, video also allows real-time collaboration between care providers on complex cases and case study review. Examples include tumor boards, grand rounds, and mentoring of residents and interns.
76%#1
satisfactionrate
Transmission of recorded health history to a practitioner
80%#2
satisfactionrate
Sending training or presentation videos/materials 88%#3
Looking ahead. . . More of the same to come - these are also the top three planned uses for those not yet using store-and-forward.
(Vital signs, past history, medications, labs, etc.)
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4 To launch or scale up telehealth usage, prioritize video
Top telehealth uses play an important role across all stages of the healthcare continuum.
Home Post-acuteIn-patientSpecialist consult
Ambulatory
Chronic health management
High-risk patient management
Acute care management
Virtual visits/consultations
Internal meetings
Real-time clinical diagnosis, treatment, care, or support
Patient portal
Patient status monitoring
Integration of personal fitness devices and information into medical record
Digital images, X-rays, prerecorded videos or photos
Transmission of health history to a practitioner
Sending training or presentation videos/materials
High
Medium
Low
N/A
Patient Monitoring
Virtual Interactions
Mobile Health
Store and Forward
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IT professionals can, and must be, strategic partners for clinicians
INSIGHT #5
5
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5 IT professionals can, and must be, strategic partners for clinicians
For clinicians who want their HDOs to get started with or accelerate telehealth usage, IT professionals can be a strategic resource. IT professionals should actively seek to work closely with clinicians as they implement telehealth.
IT respondents are more likely than clinicians to report dedicated technical teams, dedicated budgets, dedicated clinical teams, and five-year project plans.
IT respondents are more likely than clinicians to say they can capture and report on telehealth results data.
IT respondents are more likely than clinicians to report their HDO is using each of the major telehealth modalities.
IT may know better what telehealth
resources are available and
what the plan is.
IT may know better how to measure telehealth
results.
IT may know better what’s
available in their facility.
IT respondents are more likely than clinicians to report that telehealth upgrades were coming.
IT and clinical respondents both say IT is more likely than clinicians to stay current with telehealth trends.
IT may know more about
planned improvements.
IT may be more up to date.
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What to do next?
Interested in these insights from the Vidyo survey? A little surprised? You may be wondering what to do next.
First, get serious about telehealth. If your HDO isn’t doing anything, get started. If you’re only dabbling, pick up the pace. You owe it to your patients - and they’ll be expecting telehealth to be part of healthcare delivery in 2018 and beyond.
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What to do next?
Next, follow the best practices identified in this eBook:
Interested inlearning more?
CONTACT VIDYO
Contact Vidyo to speak directly with one of our telehealth specialists.
• Ensure telehealth is a top clinical and IT priority for your HDO.
• Allocate 20% or more of your IT budget to telehealth.
• Create dedicated telehealth resources: budget, technical team, clinical team.
• Maintain a five-year telehealth roadmap.
• Partner with a trusted and experienced technology provider to deploy telehealth solutions.
• Use patient outcomes as the primary measure of telehealth impact and ROI.
• Prioritize video when launching or accelerating telehealth usage.
• Create a strategic partnership between IT and clinical teams.
