Executive Innovation Show Podcast
Telehealth Physical Therapy: The Future of PT Post COVID
https://onetouchtelehealth.com/post/telehealth-physical-therapy Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Telehealth. During this podcast, host Carrie Chitsey talks with Tim Spooner. Tim Spooner is a CEO and Physical Therapist, a self-insured owner of Spooner Physical Therapy with 22 locations, and founder of Spooner MSD Solutions. Tim is on the front lines fighting for employers to receive the best care, at the best price for their employees. As both a buyer and provider of healthcare, Tim is in a unique position to understand the obstacles many employers face when it comes to medical overspend. Listen to this episode of The Executive Innovation Show Podcast as we discuss: Overnight, healthcare executives had to detect and comprehend how to keep patients safe during this Coronavirus pandemic. From virtual payments to virtual care, the healthcare industry had to adapt. Tim Spooner describes their strategic moves across locations to keep patients out of the waiting room and ER. There are a lot of lessons learned from COVID and new gameplans to be strategized. In a post-COVID world, do we bring everything back within the four walls or do we continue with virtual care? Is telehealth for physical therapy here to stay? What does Tim Spooner think? Listen to his answer here. Are seniors able to adapt to telehealth? Carrie Chitsey and Tim Spooner provide examples of the positive outcomes they’ve seen within the senior community and virtual health. What is a musculoskeletal disorder and did you know that it affects four out of five people that are walking around every day? Tim Spooner details how they are working to care for patients before they need surgery. While MSD patients are normally perceived as seniors or blue-collar workers, this is not always the case. What shifts are being seen between the younger and older generations regarding treatment? 85% to 90% of musculoskeletal disorders can be treated with conservative care, but why aren’t they? At times, patients can delay treatment until it becomes worse - leading to the prescription of opioids and possibly addiction. Can we stop some of the trickle effects of opioid addiction with proactive physical therapy? As always we ask, what is keeping Tim Spooner up at night? Find out by listening to the podcast. Learn more about how Tim Spooner and Spooner Physical Therapy help people achieve health through movement here. Have you watched our recent webinar? One Touch Telehealth’s on-demand telehealth webinar, “COVID Telehealth Adoption: Why Simple Patient & Physician Experience is Critical” is now available here. https://www.onetouchtelehealth.com/covid-19-telehealth-webinar
Chronic Disease Management & Palliative Care: Virtual Care vs Hospice Care
https://onetouchtelehealth.com/post/chronic-disease-management Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Telehealth. During this podcast, host Carrie Chitsey talks with Dr. Tim Ihrig and Kim Kuebler. Timothy Ihrig, M.D., M.A. is Chief Medical Officer at Crossroads Hospice and Palliative Care. He is the founder and CEO of Ihrig MD & Associates. Dr. Kim Kuebler is the Founder and Director of the Multiple Chronic Conditions Resource Center, highlighted by the U.S. Dept of Health and Human Services for providing interdisciplinary resources to improve care for the largest and fastest-growing U.S. patient populations. Listen to this episode of The Executive Innovation Show Podcast as we discuss: Today we talk with two doctors who are on the front lines of palliative and hospice care, Dr. Tim Ihrig and Dr. Kim Kuebler. With more seniors looking to age at home, how has this changed the industry? Listen to this in-depth conversation about the future of palliative care and how virtual care is making a huge impact. Should we be thinking about the end of life palliative and hospice care as separate or the same? What’s the difference? Dr. Tim Ihrig states that while the reimbursement models for the two terms are different, caring for that patient is of utmost importance. He believes we just need to be focused on providing a high-quality end of life care. In today’s healthcare system, do patients really have a choice? Listen to Dr. Ihrig’s answer here, what he says might surprise you. “True informed consent, patient decision making is really, ‘Do you want to start chemotherapy on Tuesday or Thursday?’ Well, if you've got a widely metastatic pancreatic cancer… your median life expectancy is six to eight months, no matter what we do.” Are doctors being honest with patients when giving them their options after a potentially fatal diagnosis? Listen as Dr. Tim Ihrig of Crossroads Hospice and Palliative Care details his sentiments on “stealing hope” from patients. Are we selling false dreams to patients? Listen as Dr. Tim Ihrig and Carrie Chitsey talk about the difficulties patients can face when starting a treatment like dialysis. How can doctors do a better job of helping a patient receive a higher quality of life other than aggressive treatments that will hinder their ability to live? How can palliative care doctors be a good translator of the truth for end of life patients? What question should doctors be asking to make sure that the patient has a good quality of life? Is chemotherapy or other treatments always the right answer? Dr. Ihrig states that “We should stop focusing so much on that endpoint and shift it and say, how do you want to live?" With Baby Boomers aging at home and Gen Xers now serving as caregivers, Dr. Ihrig gives his advice on how to ask the right questions and have those hard conversations about death? How should they demand the truth about treatment? What advice does he have for healthcare executives? He expresses that we should be moving away from healthcare reform and talk about how we can reform care. Dr. Ihrig believes that it starts with honest conversations, empowering people to ask questions, shifting the narrative. Dr. Kim Kuebler has worked both on the chronic disease and pain management sides of healthcare. How does pain management fit in with palliative care? She breaks down some insightful statistic about chronic pain management across the country today: 3 out of 4 Medicare beneficiaries have 2 or more chronic conditions 80% of adults will have low back pain at some point in their life What is the difference between palliative care and hospice care? After three decades within palliative care, Dr. Kuebler explains how the two need to be separate. Listen to her take on why palliative should be preventive medicine here. Should palliative care start when the patient has been diagnosed with a chronic disease? In pain management, Dr. Kim Kuebler believes that even though her patients are necessarily dying, she still sees herself as a palliative care provider. Can technology help transform pain management programs in the future? How can primary care physicians implement remote monitoring plans with technology like telehealth that helps decrease overall health care costs and improve patient care? As more patients get access to their health information, how is the conversation changing with their doctors? Dr. Kim Kuebler breaks down how patients are becoming more informed in the information they receive about their health. She explains why it needs to be a team approach to take care of chronic care patients. As always, we ask these healthcare executives what is keeping them up at night. Listen to their answers here. Learn more about One Touch Telehealth and how telehealth can help providers improve access to care for patients with chronic conditions. Download our “What Is Telehealth?" White Paper to learn more.
Understanding Gen Z: Healthcare and Mental Health Preferences
https://oneotuchtelehealth.com/post/understanding-gen-z Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Telehealth. During this podcast, the host, Carrie Chitsey, has a round table with five Generation Z students from Anderson High School, here in Austin, Texas to hear directly from these Gen Z’s about all things healthcare! We dive deeper into their healthcare preferences for PCPs, how they like to be communicated with and more. Listen to “Understanding Gen Z: Healthcare Preferences (Part 3)” as we discuss the following: A lot is going on in healthcare right now. There has been a noticeable shift from going to your primary doctor with more urgent care and retail clinics popping up. You can even go to your local pharmacy to be seen for a cold, sinus issues, etc. And now with healthcare technology like telehealth being accepted by private insurance, the landscape has truly changed. What is Gen Z’s preference for seeing a doctor for minor ailments such as the cold or flu? Would they rather make an appointment with their local doctor and go to them? Or would they rather run into a retail clinic? Listen to their answers here. Are you losing patients to consumer-facing telehealth companies? Where does these Gen Zs' relationship stand with primary care physicians? Do they have one? We talk with these Austin, Texas Gen Zers and they discuss what they are looking for in a PCP. As digital natives, they are looking for technology ranging from online patient scheduling to telehealth. During the live in-person recording, we discuss the healthcare preferences of Gen Z when it comes to after-hours. If given the option, they would rather communicate via telehealth with their PCP then going to local retail clinics and third-party apps. What does Gen Z think about mental health? How should it be taught to students? Who should be the one guiding them on things like depression, anxiety, and dealing with suicidal thoughts? As a generation directly caught in the social media highlight reel era, how are they seeing mental health being handled? Are schools teaching mental health to Generation Z students in the right way? Listen as we discuss how they feel. “I feel like if the school were to [teach about mental health], they themselves need to get educated.” How can we bridge the mental health condition education gap? How can we understand Gen Z’s preferences for therapists? Is there too much of a stigma behind going to see a mental health professional? We get their sentiments on peer-to-peer video counseling. Dive deeper into their thought process when it comes to peer-to-peer video support. How would they like to start the communication channel? Listen as they describe their ability to identify bots for real people. That brings us to the end of this awesome three-part series, ``Understanding Gen Z.” Take a listen to both part one (Communication and Hiring) and part two (Banking)! Subscribe to the podcast now. https://onetouchtelehealth.com/what-is-telehealth-wp Download our playbook where we define "What is Telehealth?". We’ll cover use cases, benefits, top implementation areas and why Telehealth is NOT video conferencing. Learn why you need to implement to not lose any Gen Z patients. A special thanks to Anderson High School for allowing the students to participate.
Virtual Primary Care in Women's Health
https://onetouchtelehealth.com/post/virtual-primary-care-womens-health Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Telehealth. During this podcast, the host, Carrie Chitsey, talks with Dr. Sina Haeri and Dr. Annelise Swigert. Dr. Sina Haeri is board-certified in maternal-fetal medicine and obstetrics and gynecology and served as a surgeon in the U.S. Army. In addition to his work with Access Physicians, Haeri has served as a maternal-fetal medicine specialist and educator with Texas Children’s Hospital and Baylor College of Medicine. Dr. Annelise Skor Swigert is a board-certified Ob/Gyn who has been in private practice in MN for almost twenty years. Her clinical passion is obstetrics, and along with delivering babies, she has developed a collaborative midwife practice within her group and fought to guarantee patient access to prenatal genetic testing. Dr. Swigert is a leader, both locally and nationally, in women’s health care initiatives. She is currently the CEO of Premier Ob/Gyn of MN, a consortium of over 50 Ob/Gyn health care providers. Listen to “Virtual Primary Care in Women's Health” as we discuss the following: In this podcast, we talk about all things women’s health. What are these physicians seeing on the front lines in women’s health? Listen as Carrie Chitsey, Dr. Sina Haeri, and Dr. Annelise Swigert discuss how women’s health has changed over the past few years from communication preferences to certain generational changes. Dr. Sina Haeri talks about today’s generational patient. From being more “tech-savvy” and showing less loyalty to an OB/GYN to self-empowerment. Dr. Annelise Swigert is also seeing that Millennial patients are looking for technological advances from their healthcare providers. She details how customer experience plays a larger role in selection criteria for an OB/GYN and/or primary care provider than loyalty. We are seeing more mergers and consolidation with big health systems of local practices. What top things should local OB/GYNs be thinking about to stay competitive and deepen relationships within their local community? Dr. Swigert gives her advice on why physicians today must be innovative and strategic. Listen to hear new ways to get patients through the door. Dr. Sina Haeri has been using virtual care in women's health and telehealth for some time now. Listen as he talks about how telehealth can improve work/life balance inherently improving the physician experience and reducing burnout. How is AccessPhysicans reducing the maternal mortality rate in rural areas? Listen as Dr. Haeri explains how AccessPhysicians can cut down moms traveling out of rural areas to see a subspecialist to 3%. By improving access to care it will bring down maternal mortality. With the Millennial and Gen Z generations, are PCPs and OB/GYNs still as important as previous generations felt? The relationship with the physician will not be as solidified as in past generations. With these younger generations choosing to get a pap smear at Planned Parenthood, they are more inclined to be looking at ease of access and cost instead of the physician and patient relationship. With more companies popping up offering birth control and hormones through telehealth and digital means without going to see a doctor, this has caused a shift in preventive care. Is this a disservice to the patient? What do Dr. Sina Haeri and Dr. Annelise Swigert think? As Dr. Haeri highlights, telehealth is not meant for all appointment types and consultations. Listen as he and Dr. Swigert give insight on what they believe are good that can be done virtually in prenatal care, OBGYN and women’s health. From chronic disease management and contraceptive counseling hear other use cases these physicians feel that can be done virtually. Dr. Swigert details how telehealth can be huge for women’s mental health. With postpartum depression and the barriers to reach a doctor, virtual care should be a priority for your practice. Listen as Dr. Swigert explains why mental health for women’s health is so important. As always, we ask these doctor’s “What’s keeping them up at night?” Listen to their answers here. Want to learn more about AccessPhysicians? Click the link here. Dr. Swigert is a women's health visionary, connect with her on LinkedIn. Download our new white paper, "What is Telehealth?". Learn more about the benefits of telehealth, top implementation areas and how you can incorporate virtual primary care for women's health. https://onetouchtelehealth.com/what-is-telehealth-wp
Using AI in Healthcare for Sleep Apnea & Insomnia
Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Telehealth. During this podcast hear host, Carrie Chitsey, talk with Dr. Eugene Spiritus, Co-Founder & Chief Medical Officer of SleepWatch by BodyMatter. Dr. Eugene Spiritius is Co-Founder and Chief Medical Officer of SleepWatch by BodyMatter. He is a Pulmonary/ Critical Care specialist with over 20 years of practice. Recruited to serve as the first Chief Medical Officer at the University of California Irvine Medical Center he was responsible for Quality, Safety, Case Management, Infection Prevention, and Risk Management for 11 years. Listen to “Using AI in Healthcare for Sleep Apnea & Insomnia” as we discuss the following: Did you know that we spend over 30% of our lives sleeping!? Over 50-70 Million Americans have a sleep disorder, this is a huge issue that doesn’t get talked about as often. In “Using AI in Healthcare for Sleep Apnea & Insomnia”, we talk with Dr. Eugene Spiritus about how sleep disorders have gotten lost in the healthcare system and healthcare technology can address the gap for better patient outcomes. How did Dr. Spiritus become so passionate about sleeping issues in the US? Listen as we talk about his background as a practicing physician to now leading a technology company. He explains that as a physician you can help one by one and with technology help the masses. With consumer healthcare rising through wearables to help things like diet, exercise, and mindfulness in real time, now consumers want to learn about their sleep health. Did you know that most primary care physicians have not been trained to address or treat sleep? Sleep labs have only been available since the 60s and 70s. Our grandparents use to get a solid 8-9 hours of sleep per night. Why has sleep gotten lost in the healthcare system? We talk with Dr. Spiritus about why doctors are giving out more and more sleeping pills. Are they the real answer to patient care? Are sleeping pills actually addictive? Are we just benefiting drug developers? What’s the verdict? Dr. Spiritus gives us a breakdown of the side effects of sleeping pills and why they don’t really give you the sleep you need. At BodyMatter, they are using AI in healthcare to understand why people aren’t sleeping well and the patterns that led to this. With data being collected via Apple Watch, how does AI use these predictive analytics to give patients better insights into what is driving their good and bad sleep patterns? Listen as Dr. Spiritus dives deeper into the use of artificial intelligence for healthcare and how their sleeping app works. He describes how AI and machine learning is helping patients get more meaningful results. In consumer healthcare, where the public has access to data from artificial intelligence such as sleeping habits or even genomics, how does that affect the interactions with the physician? How do we train physicians to understand more about sleep and its effect on a patient’s health through data? As we see AI technology in healthcare in other areas, how can you use data and connect it to humans (doctors and healthcare professionals) via technology like telehealth? We ask an ironic question for today’s podcast topic, “What’s keeping Dr. Spiritus up at night?”. Hear his answers on the podcast. Are you looking for more information on your sleep health? Download the SleepWatch app! Interested in more AI in healthcare podcasts? Be sure to check out “Creating Engaging Mobile Apps to Drive Virtual Care”!
Nursing Staff Shortage: Nursing Your HR Headaches
Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Telehealth and Live Video Interviews. During this podcast hear host, Carrie Chitsey, talk with Troy Keach, Vice President of Chief Human Resource Officer of HumanGood, and Lorenzo Ciacci, Chief Technology Officer at NurseGrid.
Innovative Ways to Find & Acquire New Customers in Community Banking
Welcome to the Executive Innovation Show Podcast, brought to you by One Touch Video Banking and One Touch Video Chat. During this podcast hear host, Carrie Chitsey, talk with Brett Wyss (Integrity Bank & Trust) and Josh Pape (Citizens Bank of Edmond).
How Does Telemedicine Improve Quality of Care?
https://onetouchtelehealth.com/post/how-does-telemedicine-improve-quality-of-care How Does Telemedicine Improve Quality of Care? Welcome to this week’s healthcare Knowledge Knugget! As a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week and game-changing ideas, best practices and tips. During today’s topic, Carrie Chitsey talks about how telemedicine improves the quality of care for patients. Improve Access to Care for Chronic Care Patients As we look at a post COVID world, how has telehealth improved the quality of care for patients? With forced telehealth adoption of both patients and physicians, this has really shed a light on access to care for those who live in rural demographics, FQHCs, and population health who may have not had access to care previously. With COVID, and the effort to keep patients safe, this prompted Medicare and Medicaid to unlock codes and make care more accessible while keeping patients at home and safe. Improving Patient Quality of Care with Telehealth Now, you see specialty providers who have moved to 80 to 90% telemedicine. Telehealth has allowed physicians to continue care for existing patients and the most vulnerable. How do we keep patients out of the hospital and reduce hospital admissions during COVID? When you look at the quality of care for high risk patients that have chronic care, whether that’s cardiology, nephrology, pulmonology or even oncology, telehealth helps keep them at home. This has also led to more touch points with patients, whether in a dialysis center or cancer center. Physicians and providers who would normally only see these patients once a month or once a quarter are being more proactive. Proactive care for the patients population that have chronic conditions are now hearing more from their doctors during COVID. Save Patients and Providers Time With the average telemedicine program appointment being only 4 to 7 minutes, more touch points are now available. The average patient spends two hours and 15 minutes going to an in-person appointment, but only spends five minutes with the provider. With telemedicine, you are able to free up providers time. Instead of going room to room they are able to still provide patient care in real time. Building Proactive Relationships with Providers Lastly, when you look at populations who use the ER as their primary care such as population or Medicaid patients, telehealth allows them to establish a relationship with a primary care provider. So now, they can use telehealth and see their primary care provider with a more proactive approach instead of reactive. This not only improves quality of care but also reduces healthcare costs. You can see the benefits of telehealth services on many fronts from not only chronic care patients but also behavioral health, primary care and much more. Telemedicine paves the way for the improvement in quality of care across the industry. Watch the on-demand webinar "COVID Telehealth Adoption: Why Simple Patient & Physician Experience is Critical" and listen to the healthcare podcasts where we talk about all the use cases for telehealth. Subscribe to the podcast and rate us! Have a Knowledge Knugget idea? Reach out and submit today. http://onetouchtelehealth.com/covid-19-telehealth-webinar
Telemedicine Solution - Top 5 Patient Marketing Tips
https://www.onetouchtelehealth.com/post/telemedicine-solution-patient-marketing Welcome to today's Knowledge Knugget, as a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week, and game-changing ideas, best practices, and tips. During this week's segment, Justin Knott, President of Intrepy Marketing answers the question - how to market your telemedicine solution. How to Market Your Telemedicine Solution So you've picked a telemedicine software, which almost every practice has at this point. If you haven't, you need to get on that very quickly, so you can open your digital doors and start seeing patients again. As a healthcare marketing agency these tips have been really effective, helping practices adapt to the technology, increase patient retention, start seeing more patients, and scale their telemedicine visits. Tip #1 - Place an Announcement on Your Website It's super easy, but surprisingly people are just still not doing it is you got to get the information up on your practice website. Easy enough again, get it up on your website. So once you've chosen a telemedicine provider, you want to make sure that you have COVID related information that you can deliver to your patients on your website. Tip #2 - Communicate. Communicate. Communicate. Assume your patients know nothing. They don't know that you're open. They don't know how to do telemedicine because oftentimes that is true. So leverage your social media platforms to put out a series of posts about how you're handling COVID, the fact that you are offering telemedicine, and how they can book appointments. Tip # 3 - Online Appointment Booking Some EMRs out there offer it and you can iFrame it on your website. There's also a lot of HIPAA compliant online appointment booking, softwares that you can integrate. It's just going to make things a whole lot easier when people get on your website to go ahead and book an appointment and receive the information about telemedicine and see you. Tip #4 - Text Messaging to Reduce No Show Rates Next up, Justin Knott recommends that you have text messaging capabilities for a couple of different reasons. And again, your EMR may provide it. If not, I would recommend finding a solution for it. Tip #5 - Simplicity is Key! When looking for a telemedicine provider, make sure you have one that limits the amount of steps required to get them on there. The more likely it is for human error to be involved, which you really want to avoid. Otherwise you're spending more time tech in troubleshooting than you are actually on the point of care for your patients, which is what this is all about. Pro Tips Justin recommends making sure that you have some type of backup telemedicine option and FaceTime or Skype for business. Something like that can be a really easy backup in the event of latency or downtime because telemedicine platforms are being stretched a little bit more than they ever have to say the least. That's today's healthcare Knowledge Knugget, part of The Executive Innovation Show. Feel free to submit questions or be featured on the Knowledge Knugget. Subscribe to our YouTube, Vimeo, and the podcast channels to get your Knowledge Knugget on Thursdays. Watch the on demand webinar "COVID Telehealth Adoption: Why Simple Patient & Physician Experience is Critical" and listen to the healthcare podcasts where we talk about all the use cases for telehealth. https://www.onetouchtelehealth.com/covid-19-telehealth-webinar
Telemedicine Prenatal Care
https://onetouchtelehealth.com/post/telemedicine-prenatal-care Telemedicine Prenatal Care: Knowledge Knugget Welcome to this week’s healthcare Knowledge Knugget! As a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week and game-changing ideas, best practices and tips. Today’s topic comes from Dr. Valentine Ugwu. Today he is going to talk about specific use cases of how he’s using telemedicine in prenatal care and how other doctors, OB/GYNs, and primary care providers can be using telehealth to help improve access to patients. How can you use telehealth for your local demographics and provide more convenience to your patients? In Texas, there’s a lot of driving distances between towns. Dr. Ugwu provides a big need at the border and he is doing some great things. Dr. Valentine Ugwu is an OBGYN -Full Fellow of American College of OBGYN’s (ACOG) and a Board-Certified Primary Care Physician. Also, he has a Master’s in Business Administration (MBA). His health care experience spans about 23-years. He is the Chief Executive officer/Owner of VNC RealHealth, PLLC which has been in business over the last 2-3 years and has actively been involved in telehealth online health care awareness for that long. In addition, Dr. Ugwu provides OBGYN care to immigration facilities (Pearsall and Dilley) in Frio County, Texas as well as being the Medical Director of the Dimmit County, Texas Jail facility. Listen and or watch the Knowledge Knugget above as Dr. Valentine Ugwu answers the following questions discussing the benefits of telemedicine for prenatal care: How can telemedicine in prenatal care help rural areas to have more frequent visits with patients? Pregnancy should be a wonderful time for a mother and her unborn baby but can be challenging without the support and medical care needed as can be provided with prenatal care. This becomes even more of a concern with the limited access to care that comes with the rural areas. It is no news that since 2010 to date, approximately 1 in 5 hospitals in rural communities across the country have closed due to limited funding, migrating population to urban areas amongst other issues. To get the access they must travel long distances in most circumstances. These issues of course impact this important population ”pregnant women” gravely as they are starved of care and become open to dire complications as their only options are showing up in the emergency room where most physicians are not trained to offer care to them and the only option is to have them “flown“ out of the facility. Promoting telehealth will help ease these pressures as women can use their mobile devices to communicate with providers like myself for remote access to prenatal care. All that is needed is asking them the basic questions like if they have abdominal pain, vaginal discharge or leakage of fluid or bleeding and if they are feeling their baby's movements. Also teaching them to measure their weights, blood pressures, growth of their pregnancy with tape measurements, and listening to their baby’s heart using a device. Once the physician confirms that the answers are as expected, they can be reassured and advised on necessary precautions. appropriate for their stage of pregnancy, pending their next review. Of course, this is only applicable to pregnancies considered low risk (which is most pregnancies). High-risk pregnancies and low-risk pregnancies determined to have eventual concerns on virtual visits will warrant physical evaluations. You work servicing the border and surrounding areas as a physician, how much windshield time do you spend per week or month driving to locations? Given my passion for women’s health and rural medicine, I do work in the border environment and commit an average of 10-12 hours a week ensuring I travel to deliver care to my population. If an average telemedicine prenatal care appointment is 4 to 7 mins, describe the benefits as a physician being in one location seeing more patients. (Video relationship and patient convenience, not missing appointments, compliance). What is most beneficial in your mind? In my opinion patient inconvenience (Lack of transport to nearest facilities or finances) is one of the most challenging reasons for patient’s noncompliance with prenatal care. So, to be able to bridge this gap with Telehealth has unquantifiable benefits. It does also help the physician reduce burnout with travel and the hazards of long-distance traveling when not needed. That's today's healthcare Knowledge Knugget, part of The Executive Innovation Show. Feel free to submit questions or be featured on the Knowledge Knugget. Subscribe to our YouTube, Vimeo, and the podcast channels to get your Knowledge Knugget on Thursdays.
Telepharmacy and Telegenetics
https://onetouchtelehealth.com/post/telepharmacy-telegenetics Welcome to this week’s healthcare Knowledge Knugget! As a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week and game-changing ideas, best practices and tips. Today’s topic comes from Dr. Richard Harris. Dr. Richard Harris is the Founder of Great Health and Wellness, a personalized medicine company in Houston, Texas. He is both a physician and a pharmacist. Today he is going to talk about how you can extend telepharmacy into the home, the future role of the pharmacist and how to improve health through prescription adherence. Lastly, we’ll be talking about genetics testing. Is this telehealth service of telegenetics best staffed by physicians or by pharmacists? What role can pharmacists play in patients’ supplements and diet? Dr. Harris believes that pharmacists can play an extremely large role in this area and that will allow them to practice at the top of their license. Hear what else he has to say by listening. How can pharmacists extend the services to the home with telepharmacy? A big way the pharmacist can extend services to home with telepharmacy is adherence to medications and side effects. We know that in the real world there's about a 50 to 60% medication adherence rate, but we estimate that in order to be successful, therapy needs to be around 80% adherent. So pharmacists, by doing checkups in the home through telepharmacy could ensure adherence rates and better optimization and outcomes to therapy. Pharmacists can also do health coaching, where they're walking people through other things associated with that disease state and they can also provide direct patient care through telepharmacy. Whose role is it to help patients better understand genetic testing and patient outcomes? As an internal medicine physician, a lot of Dr. Harris’ colleagues are not very interested in this subject at all, which he feels is a shame because genetic testing, a new neutral genomic testing can really be a game-changer for someone's chronic conditions or for preventative states. He thinks the pharmacist can take a very proactive role in this area to offer these services in the clinic and be taught how to provide high-quality information about Nutrigenomix in genetic testing. And then at the same time recommend high-quality GMP supplements. He also states that pharmacists have a better understanding of general physiology because he has gone through both trainings as a pharmacist and a physician. That has been today's Knowledge Knugget with Dr. Richard Harris. I hope you found the information informative and helpful. You can follow him on Instagram and Twitter or his podcast, The Strive For Great Health. That's today's healthcare Knowledge Knugget, part of The Executive Innovation Show. Feel free to submit questions or be featured on the Knowledge Knugget. Subscribe to our YouTube, Vimeo, and the podcast channels to get your Knowledge Knugget on Thursdays. Download our playbook where we define "What is Telehealth?". We go over specialty areas such as telepharmacy and telegenetics. This playbook is packed with useful information for you to consume. Get it here. https://onetouchtelehealth.com/what-is-telehealth-wp https://onetouchtelehealth.com/podcasts
Telehealth in Orthopedics
https://onetouchtelehealth.com/post/telehealth-in-orthopedics Welcome to this week’s healthcare Knowledge Knugget! As a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week and game-changing ideas, best practices and tips. Today’s topic comes from Carol Ermis. Today, Carol is going to address three key topics. First, what are some good use cases for telehealth in orthopedics for new patient consults? She will also speak about rural access, driving distances, medical transport and how telehealth also makes sense for folks driving out of state for consults. The second topic/question she answers is, do telehealth consults require a physical exam? Hear what she has to say on post-surgery consults, wound care and some great things about reviewing films. Lastly, it’s a question we get all the time, what are common billable codes for ortho and what you should be doing with GT modifiers. Carol Ermis is the Revenue Cycle Director for Orthopaedic Specialist of Austin in Austin, Texas. She has worked in the field of medical billing and coding for 20 years with the last 14 years being dedicated to the revenue cycle of orthopedic surgery. What are the patient types that make the most sense to use telehealth for consultations in orthopedics? It makes sense to use telehealth for patients who live far away from the office and patients who live in rural areas where there's often a shortage of specialists. It may also make sense for patients who live out of the state or for patients who don't have transportation available to them to come to the office. It also is sometimes appropriate to use telehealth for patients who have been admitted to a medical facility. Patients who are in a nursing home or who have been admitted to the hospital and can't medically be safely or easily transported to the office. What appointment types in orthopedics do not require a physical exam and can they be converted to telehealth to free up waiting rooms? There are a couple of kinds of appointments that don't require a physical exam from an orthopedic surgeon that could be used for telehealth. Surgical follow-ups, wound checks that don't require a suture removal or staple removal can be done via telehealth. Also, appointments that are basically the doctor delivering diagnostic information to the patient. So if the patient has had an MRI or a CT scan done and the doctor has reviewed the films and is delivering information to the patient about their diagnosis, about their treatment options and answering the patient's questions. There are some patients who are ready to return to work or to sports really quickly after an injury or surgery and they don't want to take the time to travel to the doctor's office for a quick recheck. So adding telehealth, adding a video to a regular phone call means that the surgeon can feel satisfied that the patient has healed properly while still meeting the needs of the patient. What are the most common billable codes in orthopedics with the GT modifier for telehealth? Right now, most commercial payers will cover telemedicine visit services and they're advising healthcare providers to bill an evaluation and management code for telemedicine appointments. That's 99201 - 99205 which is your standard outpatient office visit codes for new or established patients. They're also going to be looking for a GT modifier to be appended to those codes to let them know that the visit took place virtually via telehealth rather than in person. Whatever kind of telemedicine service you're providing or whatever insurance you're working with, always call beforehand and confirm what their telehealth billing guidelines are. Ask which specific billing codes you should use and whether they recognize the GT modifier. If they have a published policy about their coverage of telemedicine, review it before you call and be armed with that information about their coverage policies when you contact them. That has been today's Knowledge Knugget with Carol Ermis. If you have any additional questions, you can find her on LinkedIn. That's today's healthcare Knowledge Knugget, part of The Executive Innovation Show. Feel free to submit questions or be featured on the Knowledge Knugget. Subscribe to our YouTube, Vimeo, and the podcast channels to get your Knowledge Knugget on Thursdays. https://onetouchtelehealth.com/what-is-telehealth-wp Download our playbook where we define "What is Telehealth?". We go over top implementation areas for telehealth such as post and pre-surgery consults in orthopedics. We also layout the top benefits of telehealth and even more use cases.
Teleoncology: How Telehealth is Being Used During COVID-19
https://onetouchtelehealth.com/post/teleoncology Welcome to this week’s healthcare Knowledge Knugget! As a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week, and game-changing ideas, best practices, and tips. During today’s topic, Dr. Shikha Jain, MD talks about how telehealth is being used in oncology during COVID-19. Dr. Shikha Jain, MD is an assistant professor of medicine in the Division of Hematology and Oncology and the physician director of social media and communication at the Rush University Cancer Center. Dr. Shikha Jain, MD goes through some great use cases that they're doing during COVID and really what is the future of telehealth for cancer care post-pandemic. As we look at this patient population who's highly prone with low immune systems, it really is critical to keep them at home. We should use telehealth as follow-ups to their chemo, to the radiation. Allowing the oncologist to be able to prioritize who they actually need to physically see and who they need to be touching base with. There are two sides to this. There's the preventative testing, which has been kind of put on hold during COVID. Then there are actual cancer patients who are going through the process of chemoradiation that oncologists really are keeping a very close eye on this patient population. How Has COVID-19 Impacted Cancer Care Across The Country? We have found that COVID-19 is a very easily transmissible disease, meaning it's very easy to pass between people, even in some people who don't have any symptoms. And so the challenge for Dr. Jain’s cancer patients has been how to continue their treatment without putting them at unnecessary risk. Providers are doing what they can without exposing them to potential patients who do have coronavirus. Practices across the country have done a variety of things in order to help prevent the spread and protect our patients. One thing that has been done pretty much globally at this point in the United States is telemedicine. So many patients who don't need to be physically seen are able to access their physicians and their care teams over the phone and through video visits. Telehealth has been found to be very effective because patients are able to have a clinic visit when they don't necessarily need to come in. This way they won't have to visit the hospital or the clinic and be unnecessarily exposed. Patients seem to enjoy this type of visit because they're able to do it from their own home. Has Cancer Care Become More Personalized? One thing that has happened with COVID-19 is cancer care has become even more personalized. we have found that the patients who really need to be seen are actually coming in to be seen. Those who may benefit from televisits will also be using the benefit of telehealth in the future. It is likely that telemedicine will continue to be incorporated in cancer care and that is hopefully one silver lining and one positive that comes out of this global pandemic. We will be able to incorporate these more convenient ways of seeing patients and providing patient care. Learn more about One Touch Telehealth and how telehealth can help providers improve quality care for oncology patients. Register for the “COVID Telehealth Adoption: Why Simple Patient & Physician Experience is Critical” webinar here. https://www.bigmarker.com/one-touch-video-chat/Telehealth-Adoption-Simplifying-the-Patient-Physician-Experience?utm_bmcr_source=vimeo
Telehealth Medicare Restrictions Lifted for Coronavirus
https://onetouchtelehealth.com/post/coronavirus-telehealth Welcome to this week’s healthcare Knowledge Knugget! As a part of “The Executive Innovation Show” podcast, we’re bringing you the hot topics, questions we receive each week and game-changing ideas, best practices and tips. Today’s topic is one you’ve seen all over the news, the coronavirus. We have gotten tons of requests and it has truly been a floodgate in the telehealth business since Trump’s 8.3 Billion bill that was passed on Friday. This bill lifts the previous telehealth restrictions in Medicare for the Coronavirus. Everyone is going full-court press and trying to figure out how to keep seniors at home and safe in lieu of coming into the ER, clinics and to doctor’s offices waiting rooms. In addition, practice groups are seeing increased cancellations of patients (well ones) who don’t want to come into the doctor’s offices in fear of getting sick from others. So what does that mean? As you know there have been a lot of positive changes for the telehealth reimbursement in 2019 with payer support. In addition, to Medicare Advantage that went into effect in January of 2020. But what does that mean with these new restrictions lifted? If you are a practice group, hospital, clinic and you’re serving senior patients in nursing homes, skilled nursing facilities, OR with chronic care conditions, you need to have a telehealth solution in place. By doing those routine appointments via telehealth, you are keeping these folks and others safe and at home. We have seen a huge surge since last Friday to early this week of what's been going on in the industry. Those who had plans to start telehealth have really escalated their plan. With the Coronavirus, we are seeing a lot of cancellations of regular appointments. People not wanting to come into doctor’s offices and be exposed to sick patients. As you’ve seen the hysteria, the kind of panic that has been with HIMSS being canceled in Orlando, Florida to South by Southwest here in Austin, Texas. In addition, people that don’t want to go into the ER or urgent care to try and limit their exposure. There's been a huge surge in consumer-facing telehealth and telehealth in general. Obviously, if someone has symptoms of the Coronavirus, you’re not going to be able to do those tests through telehealth but you can use telehealth to determine who needs to come in and who doesn’t. Looking at the appointment types that you have today, such as people who have had surgeries that need to do a post-surgical follow up that are high risk because of infection and wound care. If you are a practice, a hospital or clinic and telehealth has been on your roadmap, with these restrictions lifted, this has opened up the ability to reach this patient safely and at home. This also goes for pediatrics. As we look at the most affected populations being younger as well as older, telehealth has also seen a surge in pediatrics. Moms are not going to be wanting to bring their children in fear of getting exposed to sick children. The same holds true for OBGYN with expecting mothers, pregnant women who are very cautious. It’s not just the restriction on the Medicare side that you should be thinking about. You should also be thinking about the telehealth side from the commercial payers, the Medicaid side that already existed and how to service those patients. So if your business on the healthcare side is being affected by a surge of people coming in and having symptoms but also normal patient interactions, you need to think about how not to cancel those appointments. With hits to the stock market and other areas, you need to be swiftly thinking about how to implement telehealth. If you have any questions on what that means to your healthcare organization with those Medicare restrictions being lifted or the billable codes that are available today, we are here to help. Stay tuned to the Knowledge Knugget every Thursday as we provide more detail and answer the questions you may be having. We’ll continue to update on the Medicare restrictions lifted on our social channels so be sure to follow us on Twitter and LinkedIn. You’ve seen a lot of officials from the American Hospital Association, American Telehealth Association and as well as President Trump promoting telehealth. That's today's healthcare Knowledge Knugget, part of The Executive Innovation Show. Feel free to submit questions or be featured on the Knowledge Knugget. Subscribe to our YouTube, Vimeo, and the podcast channels to get your Knowledge Knugget on Thursdays. Download our playbook where we define "What is Telehealth?". We’ll cover use cases, benefits, top implementation areas and why Telehealth is NOT video conferencing. This white paper will be useful to you or someone on your team if you like others trying to figure out telehealth for the Coronavirus quickly. https://onetouchtelehealth.com/what-is-telehealth-wp
What is Telepsychiatry? Pre & Post COVID
https://onetouchtelehealth.com/post/what-is-telepsychiatry Welcome to today's special edition Knowledge Knugget during Mental Health Awareness Month. During this week's segment, Carrie Chitsey answers the questions, what is telepsychiatry and why is there a rising demand pre and post COVID. What is Telepsychiatry? Telepsychiatry is normally referred to when talking about the psychiatric assessment and/or evaluation of a patient via telehealth. This can be in the form of a psychiatrist to the patient, regardless of the location. It can also be referred to the psychiatry consultation in regards to medication management, either prescribing medication or ongoing the continuum of care. You may have also heard it being referred to as provider to provider. We are seeing more and more where you have a facility, primary care physician, or an ER doctor that is doing consultations with psychiatry or a telepsych consult. Where is The Need for Telepsychiatry? With the shortage of rural access to mental health, there's been an increase in the need for telepsychiatry in: Skilled Nursing Facilities Long-Term Care Senior Living Facilities Clinics Youth Mental Health Hospital Systems As we look at the demands and the increase of telepsychiatry a lot is going on within admission forms. Such as doing psychiatric care assessments and/or evaluations before the admissions and doing that remotely. For both rural and urban demographics there is a big shortage in psychiatry when we look at senior care, as well as schools trying to reduce ER admissions. Using Telepsych For Senior Care There are new regulations that have come out, that have been put on pause because of COVID-19. This will allow somebody going to an SNF on Medicare and Medicaid from a rehab facility to get the initial telepsych evaluation from a mental health specialist upon admission. Since SNF's are not staffed for that and don't have the resources, this will be an increasing need. We are also seeing the same thing for chronic care conditions, whether it's a renal patient, oncology - they are going to need these psych visits as well. So with an increasing senior population where you have a majority aging at home, or in home facilities, psychiatrists are going to need to be able to go wherever the patient is. And this can be done through telehealth. Youth Mental Health As we look at youth, child protective services, and the foster care system, there is a growing need for telepsychiatry. With this vulnerable population, psych evaluations need to be done in a very timely fashion, 24 to 48 hours. The problem that arises is that it is very hard to transport youth and get to them, they need to be with a case manager or social worker. So to be able to do that remotely for mental health needs during COVID, this has increased dramatically. What Are The Benefits of Telepsychiatry? Improve Access to Care For rural areas where time is a sensitivity and there's a shortage, it will allow mental health care to be done remotely. This could be psych evaluations, assessments, and/or appointments . This will also give the psychiatrist a broader reach. By cutting down driving time. This also improves access to care for seniors in SNFs where it is hard to get caregivers involved and also hard to transport. The ability to provide behavioral health care during these appointments without logistical headaches is important. Reduce Admissions to ER It is critical to have instant access to care to reduce the need for ER admissions. With the shortages right now in the US, being able to get HIPAA compliant evaluations done instantaneously through telepsychiatry will truly play a role in accomplishing that. Ongoing Continuum of Care When talking about medication management, ongoing care, and moving away from site evaluations to therapy and medication, telepsych can play a huge role in a patient's treatment plan. By being part of that continuum of care, this can reduce no show rates, readmission, and relapse rates. That's today's healthcare Knowledge Knugget, part of The Executive Innovation Show. Feel free to submit questions or be featured on the Knowledge Knugget. Subscribe to our YouTube, Vimeo, and the podcast channels to get your Knowledge Knugget on Thursdays. Download our latest mental health white paper "Telemental Health & The Impact on the Future of Behavioral Health" and listen to the healthcare podcasts where we talk about all the use cases for telehealth.
Coffee With Carrie
Top Practice Areas for Video Telemedicine
When prioritizing the top practice areas for video telemedicine you should consider both the operational efficiencies and revenue enhancements. Video telemedicine can help many practice areas for healthcare companies, addiction and mental health facilities and hospitals. Learn more @ https://www.onetouchtelehealth.com
Facility Telehealth vs Patient Telehealth
There is a misconception when a provider or healthcare facility hears the word telehealth. Some think that having a "facility telehealth" program where the patient has to be in the office "originating site", is the same as a "patient telehealth" program, where the patient can be anywhere and the provider can be anywhere. This video explains the differences in facility telehealth and patient telehealth programs. To learn more on patient experience, billable codes + latest webinar on Tips for Successful Telehealth Rollout go to https://www.onetouchtelehealth.com/webinars
Telehealth Standard of Care
The majority of provider groups and hospitals are struggling with video telehealth as thinking of it as a separate process, group of doctors and struggle to fit it into their existing process with patients. Providers should stop thinking of telehealth as a different standard of care, they should look at it as a different channel in which the patient wants to communicate for convenience. The same standard of care for an in-person visit should be adhered to for video telehealth. While the patient may be assisting you in some of the steps for diagnosis, the same standard of care applies. To learn more on patient experience, billable codes + latest webinar on Tips for Successful Telehealth Rollout go to https://www.onetouchtelehealth.com/webinars
Telehealth Billable Codes Breakdown
The telehealth billable codes for Medicare, Medicaid, and commercial insurance can be confusing and tricky. This video breaks down the main categories, states and what is coming with new federal legislative rules in Jan. 2019. https://www.onetouchtelehealth.com/infographics
Video Counseling for Addiction Centers
Video counseling for addiction centers provides an innovative way to proactively handle every step from the admission process to post recovery. This video outlines how to impact lives more emotionally and effectively with video counseling, video peer to peer support and video family support. With the opioid epidemic, there is no time than now. Learn more @ http://otvideochat.com/video-telehealth-ip-a
Video Counseling Saves Lives in Opioid Epidemic
The Opioid epidemic is affecting every county in the US. It's a community fight and video counseling can save lives. To learn more listen to this full podcast for creative and innovative ways to get started in peer to peer video counseling and video addiction.
6 Things to Consider in Selecting a Telemedicine Platform
When considering which telemedicine platform is right for your healthcare company there are 6 things you should consider in making a decision. Understanding the patient experience, total hardware and software costs and operational efficiencies is just a few things discussed in this video. Learn more @ https://www.onetouchtelehealth.com/
- Todd Unger, Chief Experience Officer & SVP of Physician Engagement | American Medical Association
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