Emerging Practices in Telehealth: Best Practices in a Rapidly Changing Field

Description

Emerging Practices in Telehealth: Best Practices in a Rapidly Changing Field is an introduction to telehealth basics, best practices and implementation methods. The book guides the reader from start to finish through the workflow implementation of telehealth technology, including EMRs, clinical workflows, RPM, billing systems, and patient experience. It also explores how telehealth can increase healthcare access and decrease disparities across the globe. Practicing clinicians, medical fellows, allied healthcare professionals, hospital administrators, and hospital IT professionals will all benefit from this practical guidebook. Cover Emerging Practices in Telehealth: Best Practices in a Rapidly Changing Field Copyright Foreword Contributors 1. The basics of telehealth Introduction Statistics Common approaches/types of telehealth Telemedicine versus telehealth The benefits of telehealth Choosing a vendor+platforms Setting up for telehealth Tips for success A short primer on basic billing for telehealth Welcome to telehealth References 2. Telehealth technology infrastructure and implementation strategies Introduction Universal technical infrastructure requirements of telehealth Access to broadband internet Disparities in broadband internet access Imaging technology (audio-video capabilities) Technical support staff Patients Clinicians Technical support staff Staff training Digital literacy Evaluating telehealth platforms Implementation strategies in areas without reliable broadband internet and low digital literacy Prioritize telephone encounters and consider low broadband options Implementation strategies for enterprise healthcare organizations Identify key stakeholders and develop a leadership team for strategy planning and implementation Pilot small but with scalability in mind Implementation strategies for individual or group clinician practices Take advantage of the ability to move quickly and rapidly identify the most reliable, cost-effective solution with least di ... Implementation strategies for virtual-only services Find a specialized area that is underserved by the current market and create a service for the user that provides exception ... Conclusion References 3. Telehealth implementation in clinical practice: integration into electronic medical records and clinical workflows Introduction Pre-implementation: implementing telehealth into clinical practice Integration into the EMR Clinical workflows: focusing on patient centered approach and best practices for telehealth visits Conclusion References 4. Billing basics and fundamentals Key stakeholder payors Medicare and Medicaid Private payors VA's Veterans Health Administration and Department of Defense (VHA &DOD) Providing health care for veterans Coding and billing (Fig. 4.1) Basic understanding coding systems Code modifiers Audio-only specific modifiers Telehealth place of service (POS) Communication technology-based (CTB) Telehealth pre-pandemic (Fig. 4.2) Medicare State Medicaid Private insurers and state telehealth coverage US Department of Veterans Affairs (VA) Pandemic Fig. 4.2 Medicare expansion of service Medicaid Private insurance US Department of Veterans Affairs (VA) So what happens after the end of the PHE? Fig. 4.2 References 5. Optimizing the patient experience for telehealth and remote patient monitoring programs: Best practices and requirements fo ... Introduction What are the requirements for a positive patient experience? Set clear goals for telehealth or remote patient monitoring programs Establish “what's in it for me” for patients Invest in patient and provider training Ensure 24/7 access to care Collect and give regular feedback Don't just treat. Identify gaps in care Triage patients based on real-time data Make technology useable Ensure connectivity Take a whole-person view Consumerize healthcare Measure patient experience and optimize Conclusion References 6. Legal considerations Legal and regulatory compliance in an era of rapid innovation Telehealth and the practice of medicine State licensing Standard of care Telehealth practice standards Remote prescribing of drugs and controlled substances Non-controlled substances Controlled substances Tort liability Malpractice insurance coverage The corporate practice of medicine The friendly PC model Fraud and abuse laws Federal State antikickback, fee splitting, and patient brokering laws Digital health technology Privacy and security Online services and federal communications commission rule Subscription fee models and insurance laws Hospital telehealth credentialing and privileging Telehealth payment policy and reimbursement Medicare coverage of telehealth services Remote patient monitoring Medicaid coverage of telehealth services Commercial health insurance coverage of telehealth services Telehealth commercial coverage laws Telehealth payment parity laws No surprises act and its impact on telemedicine Conclusion 7. Continuous cardiology: the intersection of telehealth and remote patient monitoring Introduction What is remote patient monitoring? How did we get here? The current RPM landscape in cardiology Heart failure Atrial fibrillation and other arrhythmias Hypertension Physical activity and cardiovascular disease prevention The medicare model for RPM How can we best combine telehealth and RPM? Current challenges and future directions An evolving regulatory landscape Safety and privacy challenges The promise of artificial intelligence Conclusion References 8. Creating the perfect telehealth product Introduction What is the perfect telehealth product? A brief history, challenges, and opportunities of telehealth products New product design and development Telehealth product building blocks and construction Heartbeat Health, a telehealth product case study Future directions of telehealth products Conclusion References 9. Increasing access and decreasing disparity with telehealth Introduction Improving internet access and connectivity to help decrease disparities in telehealth Training of providers and support staff to help increase digital literacy and improved access to telehealth Improving budgets to increase access to telehealth and decrease health care disparities Improved reimbursement to increase access to telehealth and decrease disparities Conclusion References 10. The international telemedicine experience: Russia “Doctor–doctor” telemedical interaction “Patient–doctor” type of telemedicine References 11. International telehealth implementation—the Indian experience, project CardioGram The Indian healthcare system National digital health mission Project CardioGram inception Evolution PHC characteristics Staff characteristics Patient characteristics Diagnostic capacity Medicines availability Staff Instruments Timings Workflow (the patient queue can proceed in the following order) Lessons from early implementation References 12. Global telehealth and digital health: how to support programs and infrastructure Key points Traditional healthcare models undergoing transformation Understand the healthcare ecosystem Who are the stakeholders and how might a potential digital health solution affect them? Public-public collaboration is growing and important Evaluate the politics and geopolitical context Healthcare across borders Evaluate the potential, specific role of digital health technology Use principles of design thinking to your advantage Choosing the right digital health technology Precision health and broader directions of digital health technology Evaluate the local development with an eye to scaling Putting it all together: launching the program Build stakeholder trust Create roadmaps of short-term, medium-term, and long-term ROI Implement with eye toward scrutiny of impact and demonstrating early wins to grow buy-in Maintenance, growth, and scaling the effort Conclusion References 13. The rise of AI in telehealth Artificial intelligence and its subtypes Telehealth and its subcategories Applications of AI in telehealth AI in telemedicine AI in remote patient monitoring AI in mobile health (mHealth) AI in store-and-forward: imaging and pathology Challenges of AI in tele-health and future directions References 14. Pearls of wisdom from the past 5years of working in telehealth Introduction Changes that paved the way for telehealth adoption Technical capabilities Recognition of telehealth as an element of clinical care New payment models Consumer demand The effects of COVID-19 on telehealth adoption Early stages of the pandemic Defining the role of telehealth beyond times of crisis Consideration 1. categorizing clinical interactions Consideration 2. ensuring telehealth makes financial sense Consideration 3. integrating telehealth into provider's workflow Consideration 4. improving technology accessibility for patients Consideration 5. ensuring telehealth care delivery advances health equity Emerging innovations in telehealth New technologies New modes of care delivery Conclusion References Index A B C D E F G H I L M N O P R S T U V W Z