Technology

No – not that first time! How was your very first telemedicine visit? Since the beginning of the COVID pandemic back in March a significant number of people have had their very first telemedicine visit. Surprisingly, even though I’ve been involved in telehealth for over 30 years, I actually fall into that group of “newbies”. I am very fortunate (knock on wood) to be overall quite healthy. My typical medical routine consists on an annual physical, annual mammogram and dental check-ups every 6 months for the most part. Breaking my leg skiing in 2019 – trust me – that surgery could not have been done remotely and the rehab really required all the cool tools and devices my physical therapist had on site.

Telecommuting, sometimes referred to as telework or working from home (WFH), got off to a slow start in the U.S. in the 1970s. With a viral pandemic forcing workers to consider the risk of infection from proximity to co-workers, nearly half of US workers have locked their office doors and headed for home. That’s more than twice as many as those telecommuting, at least occasionally, from 2017 through 2018, according to the Brookings Institution, a non-profit public -policy organization based in Washington, D.C.

There is no doubt that COVID-19 has disrupted our healthcare systems and the general population worldwide in a host of ways no one could have imagined just 6 months ago. On a regular basis, we hear on the news stories about how many cases there are, how many deaths, where to get tested, hot spots, how healthcare disparities contribute to certain populations being more vulnerable than others, and how we need to social distance, wash our hands and wear masks.

In May, the Navajo Nation surpassed New York and New Jersey for the highest per-capita infection rate of COVID-19 in the US. In an area where 30 to 40 percent of residents don’t have running water and families live together in multigenerational homes, containing the spread has been difficult. In addition, residents can’t stay at home and see a healthcare provider using telemedicine, as so many of us have been able to do during the Public Health Emergency, because there’s little to no cell service or internet availability. So anyone needing healthcare or showing symptoms of COVID-19 has to travel to one of the few healthcare facilities.

Starting off as a fellow with the Arizona Telemedicine Program this past June, it got me more and more interested in the specific jargon of telemedicine. At first I often used terms like “telehealth” and “telemedicine” interchangeably but as I got more heavily involved in the literature I realized they are two distinct terms. Telehealth is a more general term encompassing a larger umbrella of services, like hospital administration and training via technology; while telemedicine specifically refers to clinical services provided at a distance.

My introduction to telemedicine was in 8th grade, while I was taking a medical science course with Dr. Weinstein, to prove that the medical school curriculum could be integrated earlier into the American school system. I remember thinking, “Wow, this is one of the coolest applications of technology, why aren’t more people using it?” It wasn’t until my sophomore year at the UofA I reconnected with Dr. Weinstein and started to explore the answer to that question I asked many years ago. As I continued to work with Dr. Weinstein I began to realize the answer to that question was more nuanced than my 8th grade self would have thought. By analyzing the Arizona Telemedicine Council (ATC), which is a non-statutory advisory council to the Arizona Telemedicine Program (ATP), for a paper on the relationship between telemedicine and governance it shed light on the legal, financial, and practical barriers of telemedicine.

Online Course: “Developing Telemedicine Services”

Open Enrollment

The national award-winning Arizona Telemedicine Program (ATP), headquartered at the University of Arizona Health Sciences in Tucson, Arizona, will conduct a major, online training program regarding the COVID-19 pandemic for health-care providers, administrators, and educators, titled: “Developing Telemedicine Services,” on Monday, March 23, 2020. “Telemedicine is a key capability for healthcare providers and the community they serve to slow the spread of the COVID-19,” notes Ronald S. Weinstein, MD, a pioneer in telemedicine and founding director of the Arizona Telemedicine Program. The ATP has been producing in-person telemedicine and telehealth training programs for the past 20 years. Thousands of individuals, from hundreds of healthcare organizations, have attended these programs and given them high marks. “Now, in response to the COVID-19 pardemic, we are taking the course online for the first time.” He added, “Obviously, this will open the session to a far larger audience, filling an urgent need at this time.”

The Arizona Telemedicine Program (ATP) is excited to announce the launch of its new Southwest Telehealth Resource Center (SWTRC) website! We’ve been working hard to update it over the last couple of months. The new website offers updated content, loads quickly, has improved navigation, and features a mobile-device-friendly responsive design.

The healthcare industry seems to be booming by leaps and bounds – in good part due to Telemedicine app development. More and more organizations are seeking different ways, such as e-healthcare, to reduce costs and improve patient care. Being a subset of telehealth, telemedicine uses a broad range of modern technologies and specializes in providing medical services from a distance with the help of software and communication tools.

If I’ve said it once I’ve said it a million times – telehealth is not about the technology it’s about the people. However – the technology is always there and sometimes it’s worth taking a look at what people are using and what future technologies they might be interested in. Luckily the National Telehealth Technology Assessment Center (TTAC; http://www.telehealthtechnology.org/), a member of the National Consortium of Telehealth Resource Centers, does just that! They recently came out with their 2018 survey results and provided a comparison with 2014 survey results to assess trends and changes. The survey was sent to all 50 states and I don’t want to brag but will anyway – Arizona had the most respondents and Colorado and New Mexico were also in the top 10!