Bootstrapping Your Telehealth Program

Abstract

Telehealth is a proven modality to better patient care, reduce health care cost, and increase provider efficiency. This article outlines the necessary steps for starting a telehealth program at a medical center or practice. A review of the current literature and health care-related laws was undertaken to identify the necessary steps and considerations for starting a telehealth program. Bootstrapping a telehealth program starts with the creation of concept and identification of need. Generation of a hotbed of support, from providers and patients, is key in gaining executive interest and idea investment. Development of a defined plan of implementation with the utilization of already available technologic assets facilitates ease of execution. Creation of a televisit platform, a patient portal for enrollment, and dedicated provider time for televisits to occur are the next steps in plan realization. Measuring results of patient satisfaction, number of visits, cost reduction, and scheduled procedures are powerful tools in support of the multifaceted expansion of a telehealth program. The authors believe that telehealth programs are critical to advancing patient care, reduction of costs, and increased productivity in the future of medicine.

Keywords

telehealth - telemedicine - televisit - teleconsultation - teleservices

• References

• 1 Gardiner S, Hartzell TL. Telemedicine and plastic surgery: a review of its applications, limitations and legal pitfalls. J Plast Reconstr Aesthet Surg 2012; 65 (03) e47-e53
• 2 Stood A, Granick MS, Trial C. , et al. The Role of Telemedicine in Wound Care: A Review and Analysis of a Database of 5,795 Patients from a Mobile Wound-Healing Center. Languedoc-Roussillon, France: PRS; 2016
• 3 Paik AM, Granick MS, Scott S. Plastic surgery telehealth consultation expedites Emergency Department treatment. J Telemed Telecare 2017; 23 (02) 321-327
• 4 Vyas KS, Hambrick HR, Shakir A. , et al. A systematic review of the use of telemedicine in plastic and reconstructive surgery and dermatology. Ann Plast Surg 2017; 78 (06) 736-768
• 5 Wallace DL, Jones SM, Milroy C, Pickford MA. Telemedicine for acute plastic surgical trauma and burns. J Plast Reconstr Aesthet Surg 2008; 61 (01) 31-36
• 6 Saffle JR, Edelman L, Theurer L, Morris SE, Cochran A. Telemedicine evaluation of acute burns is accurate and cost-effective. J Trauma 2009; 67 (02) 358-365
• 7 Hsieh CH, Jeng SF, Chen CY. , et al. Teleconsultation with the mobile camera-phone in remote evaluation of replantation potential. J Trauma 2005; 58 (06) 1208-1212
• 8 Ashworth DR, Liggins S. Digital photography in the management of maxillofacial trauma. Br J Oral Maxillofac Surg 2004; 42 (03) 275-276
• 9 Varkey P, Tan NC, Girotto R, Tang WR, Liu YT, Chen HC. A picture speaks a thousand words: the use of digital photography and the Internet as a cost-effective tool in monitoring free flaps. Ann Plast Surg 2008; 60 (01) 45-48
• 10 States with Parity Laws for Private Insurance Coverage of Telemedicine. American Telemedicine Association. Available at: http://www.americantelemed.org/main/policy-page/state-policy-resource-center . Updated 2017 . Accessed November 7, 2017
• 11 Telehealth services. The Center for Medicare and Medicaid Services. Available at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/TelehealthSrvcsfctsht.pdf . Updated November 2016 . Accessed November 7, 2017
• 12 The Center for Connected Health Policy. The National Telehealth Policy Resource Center. Available at: http://www.cchpca.org/ Updated November 7, 2017. Accessed November 7, 2017
• 13 State Telehealth Laws and Medicaid Program Policies. Public Health Institute Center for Connected Health Policy. Available at: http://www.cchpca.org/sites/default/files/resources/50%20states%20summary%20infographic%20Oct%202017%20Final.pdf . Updated October 2017. Accessed November 7, 2017