Healthcare Benchmarks and Metrics July 2013
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Telehealth in 2013: Videoconferencing, Virtual Visits and Smartphones Power
Population Health Management
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July 2013 • Telehealth & Telemedicine in 2013
Telehealth in 2013: Videoconferencing, Virtual Visits and Smartphones Power Population Health Management
Healthcare is leaning on videoconferencing more than ever to monitor discharged patients, conduct remote consultations and facilitate communication, according to responses to the Telehealth in 2013 Survey by the Healthcare Intelligence Network. Respondents reported videoconferencing as the number one technology being utilized, an increase from 41 percent in 2010 to 59 percent in 2013. More than 10 million Americans directly benefited from a telemedicine service during the past year, according to the American Telemedicine Association.
Respondents also reported a decrease in the use of land lines from 80 percent in 2010 to just 53 percent in 2013, while the use of smartphones rose from 30 to 40 percent in the same time period.
More reliance on mobile health is also reflected in responses to the survey, in which healthcare organizations reported wireless technology, data monitoring and the Worldwide Web among the top technologies used in telehealth programs, just as in 2010.
Another notable telehealth trend for 2013 is an increase in health activities monitored remotely. One hundred percent of respondents now monitor weight and vital signs, up from a respective 79 and 77 percent in 2010. The health conditions monitored remotely remain the same from 2010, the top three being heart failure, COPD and diabetes.
Also identified: slight decrease in use of e-mails, education and HRAs, but an uptick in the use of virtual visits (34 percent in 2010 to 46 percent in 2013).
Survey Highlights�� Telehealth
programs target all (42 percent), elderly or Medicare (27 percent) and chronically ill populations (24 percent).
Telehealth Use in Clinical Applications
HIN Telehealth Survey: July, 2013
For which clinical applications does your organization use telehealth?
© 2013
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July 2013 • Telehealth & Telemedicine in 2013
�� The survey identified the top sources of funding in place to support telehealth efforts as reimbursement from private payors, corporate support and reimbursement from public payors.
�� The greatest barriers or challenges to telehealth implementation are cost (26 percent) and reimbursement (22 percent).
�� Despite various barriers, 67 percent of respondents use telehealth for clinical or non-clinical purposes, and 26 percent plan to launch a telehealth service in the next 12 months.
Program Components�� For non-clinical applications, respondents reported using EHRs (61 percent), data
transfer to other providers (48 percent) and personal health records (41 percent).
�� Clinical application uses include new data on remote monitoring use (57 percent) and the continued use of telephonic advice lines (55 percent).
�� The use of primary care real-time remote diagnostics as a clinical application has been cut in half, from 50 percent in 2010 to 25 percent in 2013.
�� Demographically, the majority of respondents’ markets fall into urban (36 percent), followed by suburban (25 percent) and rural (23 percent) areas.
Results and ROI�� An increase in care of remote patients as a clinical metric result of telehealth
was reported by 85 percent of respondents. Patient compliance (77 percent) and medication adherence (70 percent) were also reported as increasing.
�� Telehealth’s impact on healthcare access continues to rise, from a 70 percent increase in 2010 to an 82 percent increase in 2013. Other utilization metrics impacted include an increase in efficiency and a decrease in readmissions and hospitalizations.
�� Although 56 percent of respondents claim it is too soon to measure ROI from telehealth, 26 percent report that it falls between 2:1 and 3:1.
�� More than one-third — 37 percent — of respondents’ states have not passed legislation regarding reimbursement for telehealth services.
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July 2013 • Telehealth & Telemedicine in 2013
www.hin.com | ©2013 Healthcare Intelligence Networkwww.hin.com | ©2013 Healthcare Intelligence Network
Successful Applications of Telehealth�� “Our telehealth program has resulted in a decrease in unnecessary medical visits
and an increase successful self-care.”
�� “Telehealth programs have been applied to monitoring and early intervention for heart failure patients.”
�� “Results from the Iowa Medicaid Diabetes Tel-Assurance® Program, ‘Keep It in Check,’ confirm that a population-based telehomecare program can significantly reduce the need for costly acute care services by involving patients in their self-care, improving care management and promoting healthy behaviors.”
�� “Using telepathology has improved patient health and many providers are referring patients to us in rural areas.”
�� “It has been used with software that creates a complete comprehensive medical history for every patient.”
About the Survey
The Telehealth in 2013 survey was administered in July 2013 via the Healthcare Intelligence Network Web site at http://www.hin.com. Respondents were invited to take the survey via e-mail, e-newsletter and social media reminders throughout the month. A total of 129 healthcare companies responded to the survey, which asked 25 questions on telehealth programs, with multiple responses possible on some questions. Some questions were open-ended, inviting write-in responses. Not all surveys were fully completed. Data is qualitative, and results were compiled by the Healthcare Intelligence Network.
Respondent Demographics
Responses to the July 2013 survey on Telehealth were submitted by 129 organizations. Of 73 respondents identifying their organization type, 15 percent were health plans, 12 percent were hospitals, 10 percent were employers, 7 percent were physician organizations, 7 percent were home health organizations, 4 percent were primary care physicians, 4 percent were disease management organizations, 3 percent were skilled nursing facilities/long-term care organizations, 1 percent were specialists and 37 percent categorized their organization type as ‘Other.’
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July 2013 • Telehealth & Telemedicine in 2013
Related Resource
Need more data from this survey? The Healthcare Intelligence Network has produced 2013 Healthcare Benchmarks: Telehealth and Telemedicine. This 60-page report, now in its third year, analyzes responses from 129 healthcare organizations to HIN’s third annual industry survey on Telehealth & Telemedicine conducted in July 2013. This expanded analysis is punctuated with more than 40 easy-to-follow graphs and tables. It documents trends and metrics on current and planned telehealth and telemedicine initiatives and includes a year-over-year comparison of telehealth trends from 2009 to present.
For more information on this 60-page report, please visit: http://store.hin.com/product.asp?itemid=4662
About the Healthcare Intelligence Network
The Healthcare Intelligence Network (HIN) is an electronic publishing company providing high-quality information on the business of healthcare. In one place, healthcare executives can receive exclusive, customized up-to-the minute information in five key areas: the healthcare and managed care industry, hospital and health system management, health law and regulation, behavioral healthcare and long-term care.
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