Providers

Last month, Psych Associates (Springfield, MO), where I practice, went to an “online office,” which meant every provider in our practice set up a virtual therapy room in their home. We’re all trained up on Telehealth, so ready, here we go! I’m a newbie to the world of virtual therapy so I really didn’t know what to expect, but I’m brave in my work, so I trusted that everything would work out fine. The threat of coming in contact with the deadly coronavirus Covid-19 was real, and of course we all wanted to stay well, and keep our clients well, so we acted quickly. Luckily, it was a smooth transition.

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.

2020 – the first year of the 2020s decade - wow! It’s got a lot going for it overall in terms of potential and good things to come – especially getting an extra day since MMXX is also a Leap Year. What does 2020 hold for telehealth? Hopefully lots of change (positive only) and progress for those already involved and those looking to get involved in this ever-evolving and growing platform for expanding and improving the delivery of healthcare services to everyone, everywhere, every time it’s needed. The Southwest Telehealth Resource Center cherishes and is looking forward to continuing our many partnerships from the 2010s decade and aims to develop even more throughout the Southwest region through our training, technical assistance and outreach offerings. We’ve collected some additional thoughts from our partners about what 2020 will bring to their telehealth adventures and would like to share them here.

Gone are the days when telehealth services were associated with clinical settings only. In the new era of health technology, sick kids can now take virtual trips to the doctor while they are at school!Even as recently as a decade ago, school nurses would offer Band-Aids, administer aspirin, and babysit sick children until their parents picked them up for a doctor’s visit. Now, as telemedicine makes its way into various institutions and even households, more and more locations are turning into health centers. School-based telehealth is a major milestone in particular because it streamlines two spheres at once: it enables better access to healthcare, and helps dodge the considerable dent that poor health puts into a child’s educational experience.

Successful meetings don’t just happen. There’s a lot of hard work that goes into the planning, organization and execution of these events. The National Telehealth Research Symposium 2019 that was recently held in Chicago is a perfect example of how organizations with common goals can collaborate to create a top-tier meeting (without any vendor support or involvement!) to promote research in connected health and telemedicine. The NTRS 2019 meeting was put together by SEARCH (the Society for Education and the Advancement of Research in Connected Health) and SPROUT (Supporting Pediatric Research on Outcomes and Utilization of Telehealth; a group within the American Academy of Pediatrics). SEARCH’s mission is to promote a platform for researchers, free from commercial bias, to prove the benefits of Connected Health via their annual symposium, with the goal of sharing research findings and to foster collaborations among researchers and organizations who wish to define, develop, and contribute to the field of connected health research. SPROUT’s mission is to promote, develop, and disseminate multicenter value-driven research on pediatric telehealth with the goals of identifying best practices for implementation of pediatric telehealth, determining the impact of telehealth on healthcare quality, and establishing a network of institutions to conduct collaborative research on pediatric telehealth.

There is no other area of my life that I am more passionate about than the accessibility of mental health providers.

Some of the people I love the most live with multiple behavioral health diagnoses and have had life-long battles with addiction. I’ve lost loved ones due to not getting the help they need. I’ve also been on the other end of the phone trying to get someone the help they need and received the frustrating response that appointments are booked out weeks, sometimes even months.

The 4^th Annual Telemedicine & Telehealth Service Provider Summit (SPS https://ttspsworld.com/), sponsored by the Arizona Telemedicine Program (ATP) and Southwest Telehealth Resource Center (SWTRC), was held October 8-9 in Glendale, AZ, and attracted an all-time high of nearly 400 attendees! SPS continues to be unique in its intent to bring together telemedicine service providers and users in a collaborative and interactive venue that provides the opportunity to learn from each other. SPS, as in past years, was organized and hosted by Drs. Dale Alverson, Elizabeth Krupinski, and Ronald Weinstein. The ATP team contributed innumerable hours (especially Nancy Rowe and Kris Erps), support, and enthusiasm to put the meeting on and deserves many kudos and thanks (Cassandra Coray, Ellen Dudzik, Kris Erps, Mike Holcomb, Angel Holtrust, Bob Kerr, Janet Major, Chris Martin, Karen Miller, Nancy Rowe, Tracy Skinner)!

In its spring 2018 update on state telehealth laws and reimbursement policies, the Center for Connected Health Policy reported a patient-friendly trend in telehealth and telemedicine delivery to home-bound patients.  Ten states have revised their policies to recognize a Medicaid patient’s home as an “originating site” – a policy change enacted to improve patients’ access to care.

The 10 states are Colorado, Delaware, Maryland, Michigan, Minnesota, Missouri, New York, Texas, Washington and Wyoming.

Imagine that you just delivered a baby three months early and are sitting in the neonatal intensive care unit (NICU) next to an plastic box (i.e. an incubator) supporting the child who was nestled safely within the womb just 12 hours ago. Tiny and translucent, your new hero is fighting for life with all 1 pound 4 ounces of his being. Though connected to machines to help him breathe, stay warm, and nourished, the alarms and noise of the monitors make you wonder what is going wrong.  Work that your body was doing 12 hours ago has now been completely handed off to a team of strangers, medical professionals that are kind and highly skilled, but are completely new to you.