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. 2 Vidyo, Inc.
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. 3 Vidyo, Inc.
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... 4 Vidyo, Inc.
Table of Contents: 6 10 14 18 25 27 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 5 Vidyo, Inc.
1 INSIGHT #1 Telehealth has hit the mainstream 6 Vidyo, Inc.
1 Telehealth has hit the mainstream 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. 7 Vidyo, Inc.
1 Telehealth has hit the mainstream 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. Over one-quarter have a dedicated clinical team. Most HDOs have a telehealth roadmap. Most HDOs expect to increase their telehealth budgets in the next one to three years. Over half of HDOs expect to upgrade their telehealth platform in 2018. 8 Vidyo, Inc.
1 Telehealth has hit the mainstream 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. 9 Vidyo, Inc.
2 INSIGHT #2 Telehealth drives positive patient outcomes and hard ROI for HDOs 10 Vidyo, Inc.
2 Telehealth drives positive patient outcomes and hard ROI for HDOs 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. Most HDOs say telehealth needs to improve or significantly improve patient outcomes to be considered worthwhile. 11 Vidyo, Inc.
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. 12 Vidyo, Inc.
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) Improved efficiency or timeliness of care delivery 58% 51% of HDOs reported a betterthan-expected result from telehealth. of HDOs reported a betterthan-expected result from telehealth. Increased cost savings to the practice/facility 47% of HDOs reported a betterthan-expected result from telehealth. 13 Vidyo, Inc.
3 INSIGHT #3 Reluctant adopters are out of excuses 14 Vidyo, Inc.
3 Reluctant adopters are out of excuses 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: 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 15 Vidyo, Inc.
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. 16 Vidyo, Inc.
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 17 Vidyo, Inc.
4 INSIGHT #4 To launch or scale up telehealth usage, prioritize video 18 Vidyo, Inc.
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 Virtual Interaction Mobile Health Store and Forward 78 % 77 % 77 % 65 % Percentages of HDOs that are using video for telehealth or planning to use soon 19 Vidyo, Inc.
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. #1 Chronic health management 90 % High-risk #2 patient management 85 % satisfaction rate satisfaction rate 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. satisfaction #3 rate Looking ahead... Those not yet using remote Acute care management 84 % 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. 20 Vidyo, Inc.
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. #1 #2 Virtual visits/ consultations with patients and/or family members Internal meetings between physicians/ nurses or collaborative case study review 83 % 84 % satisfaction rate satisfaction rate 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. #3 satisfaction 82 % Looking ahead... For those not yet using virtual rate Real-time clinical diagnosis, treatment, care, or support interaction (but planning to), two other uses are of interest: patient education/support groups (medications, nutrition, grief management, etc.) and training/distance learning. 21 Vidyo, Inc.
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. #1 Patient portal (Answer a patient s health questions, share test results with a patient, schedule appointments, and issue reminders.) 79 % #2 Patient status monitoring 86 % (Pain scale, mood level, etc.) satisfaction rate satisfaction rate 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. #3 Integration of personal fitness devices and information into medical record 85 % satisfaction rate 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. (Fitbit, Apple devices, etc.) 22 Vidyo, Inc.
4 To launch or scale up telehealth usage, prioritize video For the top uses of store-andforward, satisfaction is high and recorded video plays an increasingly important role. #1 #2 Digital images, X-rays, prerecorded videos or photos Transmission of recorded health history to a practitioner (Vital signs, past history, medications, labs, etc.) 76 % 80 % #3 Sending training or presentation 88 % videos/materials satisfaction rate satisfaction rate satisfaction rate The importance of video in store-and-forward In addition to enabling some of the key uses of store-and-forward, such as prerecorded 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. Looking ahead... More of the same to come - these are also the top three planned uses for those not yet using store-and-forward. 23 Vidyo, Inc.
4 To launch or scale up telehealth usage, prioritize video Top telehealth uses play an important role across all stages of the healthcare continuum. Patient Monitoring Virtual Interactions Mobile Health High Medium Low Home Ambulatory Specialist consult In-patient Post-acute Store and Forward N/A 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 24 Vidyo, Inc.
5 INSIGHT #5 IT professionals can, and must be, strategic partners for clinicians 25 Vidyo, Inc.
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 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 may know more about planned improvements. IT may be more up to date. 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 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. 26 Vidyo, Inc.
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. 27 Vidyo, Inc.
What to do next? Next, follow the best practices identified in this ebook: 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. Interested in learning more? Contact Vidyo to speak directly with one of our telehealth specialists. CONTACT VIDYO Create a strategic partnership between IT and clinical teams. 28 Vidyo, Inc.
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