Providers

The Southwest Telehealth Resource Center (SWTRC) and the Arizona Telemedicine Program (ATP) had the pleasure of working with the United Way of Weld County, CO to provide a webinar to their membership on November 6, 2020. “Effectively Engaging Families in Telehealth” was a very informative and addressed one of the most asked questions about telehealth, how does a provider build an intrapersonal relationship through a screen? Janet Major, Associate Director for Education & Facilities for SWTRC/ATP and Dr. Elizabeth Krupinski, Co-Director, STWRC addressed this question with the central message being that physicians and their support staff need to prepare for each telehealth visit. If a provider is prepared, the visit should go smoothly and an intrapersonal relationship can be established just like an in person visit.

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.

We pause each November to give thanks. This year, more than ever, it is important to give thanks. For many of us, we are thankful that everyone now knows what telemedicine is and are actively using it even though many of us have been supporting telemedicine and telehealth for well over 20 years. We asked a few friends and colleagues in the Southwest region “What are you thankful for?” and below are their responses. We hope that you too will be thankful. “I am extraordinarily thankful, now more than ever, for both my health and my financial stability. I am also thankful that there has been a burning platform for, and therefore a tremendously increased use of telehealth processes, by both clinicians and consumers. Finally, I am thankful to be able to significantly increase my contribution to the improvement of the US healthcare system as a result of the increased interest in telehealth processes.”

I have spent the last year training as an infectious diseases pharmacist at Banner University Medical Center-Tucson. A large part of this has been participating in weekly HIV office visits at the Petersen HIV Clinics with Stephen Klotz, MD, Larry York, PharmD, and our lead clinical coordinator, Cesar Egurrola. This multidisciplinary team approach allows the physician to guide the patient’s care, the HIV clinical pharmacist to manage the medication aspects, and the clinical coordinator to manage the behavioral and social needs.

COVID-19 and stay at home orders forced many practices, hospitals, urgent care, and clinics to turn their operations upside down overnight. Patients were canceling appointments left and right due to "the fear of the waiting room". Many primary care providers were seeing upwards of 80% cancellations.

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.