News & Events

Q&A update with New Mexico Telehealth Alliance

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The Southwest Telehealth Resource Center recently connected with Stetson Berg, chair of the New Mexico Telehealth Alliance, to ask about his organization’s priorities for 2023, and the future of telemedicine in New Mexico. Berg became active with the New Mexico Telehealth Alliance in 2019 when he became administrator of telemedicine for the University of New Mexico. In spring 2022, he became chair. The organization’s mission the past 20 years has focused on policy, creating and moving bills through the state legislature that helped ensure that telemedicine could be delivered in New Mexico from patient visit to remote monitoring. “Even phone calls are considered included under our bill that was passed back in 2019, even before the pandemic, and the first version of that was passed in 2013,” Berg said. “There's been a long history of advocacy with the New Mexico Telehealth Alliance.”

‘Stop Worrying’: Billing Specialist Offers Seven Elements for Effective Compliance Program

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Carol Yarbrough recognizes that compliance can be a scary avenue for many in the healthcare industry.

“When I was a compliance officer type person, people would avoid me on the street … they don't do that anymore,” Yarbrough joked during a recent webinar discussion on billing practices for hospital and clinic professionals.

Yarbrough, a specialist in federal and state regulatory billing and reimbursement guidelines, recently led the virtual webinar for the Southwest Telehealth Resource Center.

Recent Telehealth and Broadband Funding and Funding Opportunities for the Southwest Region

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Telehealth services depend on quality broadband network communications. Recent legislation, executive orders, and agency funding commitments and grants are set to make a significant impact in terms of expanding and improving telehealth services and broadband availability and reliability in the southwest region and nationally.

The National Nursing Shortage: Telehealth is Part of the Solution

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For many Americans, their first personal experience of being a hospital patient quickly becomes a crash course in the importance and value of having a skilled and dedicated bedside nurse. At a higher level, this points to the importance of a sufficient nursing staff which impacts the entire workflow of the hospital. Without sufficient bedside nurses, patients in the Emergency Room and Intensive Care Units cannot be moved to the floors, resulting in longer waiting times for care for those newly arriving. Beds that cannot be staffed are beds that do not exist for all practical purposes. Unfortunately, a shortage of nurses has long been a problem for hospitals across the United States. The coronavirus pandemic has brought this challenge to an entirely new level, resulting in a request by the American Nurses Association that the U.S. Department of Health and Human Services declare the current nursing staffing shortage a national crisis.

Maximizing Telemedicine Benefits

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The United States and the world have seen a dramatic increase in the use of telemedicine since the inception of the COVID-19 public health emergency due in most part to stay at home restrictions for both providers and patients. Prior to this, telemedicine was used in a wide variety of clinical and related patient care applications for at least 30 years, and had been seeing steady but not exponential growth. In many cases programs were initiated quite rapidly using readily available and often low-cost equipment and tools, unless there was already an existing program and platform in place. Further, the use of telemedicine was facilitated at the state and federal levels but widespread waivers and measures being put into place to reduce barriers that were previously in place such as changes in reimbursements, requirements regarding patient and provider locations, cross-state licensure and privacy/security requirements.

Telehealth Success: What Does THAT Mean? Perspective from Colorado

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How can we make sure telehealth processes are making a difference that matters? Having led virtual care for Kaiser Permanente Colorado, what matters most to me is that we are finding ways to make care less expensive and/or with better clinical outcomes.

We have some proof that telehealth improves clinical outcomes. Video visits significantly decrease no-shows for mental health care. Remote patient monitoring significantly increases patient engagement in managing chronic disease. Most trust that no-shows and patient engagement are good surrogates for improved outcomes. However, the evidence that telehealth processes lead to decreased cost and/or improved clinical outcomes is less clear.

How Was Your First Time?

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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.

Telemedicine Helps Hard-hit Navajo Nation Hospital Deal with the Pandemic

Chinle Service Unit ED using telemedicine tools for poorly visible negative pressure rooms.  Photos courtesy of Stephen Neal
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.

Telemedicine: A Whole other Wor(l)d

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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.