Telehealth

After a spike in spring 2020 – especially in California, Massachusetts, Oregon, Hawaii and Vermont – patient utilization of video visits has dropped off, say analysts.

The COVID-19 pandemic acted as an accelerator of sorts for many experiments with virtual care implementations.    But, panelists pointed out during the American Telemedicine Association conference on Tuesday, it's important to take the lessons learned during the pandemic and incorporate them into future innovation efforts. "Before the COVID-19 pandemic, telehealth was seen by many as the future of healthcare," said Sen. Brian Schatz, D-Hawaii, during opening remarks.  "But today, it is healthcare," he continued. Schatz, who recently spoke with HIMSS TV about the importance of safeguarding telehealth in the long term, pointed to the CONNECT for Health Act as evidence of broad-based support for virtual care.    "For more than a decade, bipartisanship on healthcare has been very hard to come by," said Schatz. "But the single shining exception is telehealth."   "That's because telehealth works, and it's popular," he argued. Schatz urged attendees to continue pushing for access to virtual care. "We cannot and should not go back to the Stone Age of telehealth coverage," he said.   Indeed, if Congress does not act, advocates have repeatedly warned that Americans will face what they call a "telehealth cliff." Absent any change in law, "the vast majority of those waivers" put into place at the start of the public health emergency "are going to go away," said Amy Bassano, deputy director at the Center for Medicare and Medicaid Innovation at CMS, in a fireside chat following Schatz's remarks. At CMMI, she says, "we are thinking about everything we've learned to date, based upon our models we've tested [and] based on what's happened in the public health emergency ... and how can telehealth and these other services really be a tool to help achieve those savings." CMMI, she says, has the authority to test how different innovation models – including those that use telehealth – can increase efficacy.    "As we think about being patient-centered ... we think we can use our models to help ensure equity for the providers, for the patients – the folks in the models and the healthcare system at large," she said.   Given general concerns about telehealth and spending, she said, "We need to be in a place where we are not looking to just increase costs or add additional services for the sake of those services."    "They really need to be very focused on the outcomes and what we are trying to do," she continued.   If Bassano could "wave a magic wand" to set virtual care-related priorities in the near future, she said, "It really is continuing this movement [toward] value and recognizing that virtual care is a really important part of that."   'Regarding how the private sector could contribute to this effort, she said, companies could and should keep "building what people need" and creating tools that are compliant with other requirements. In short, she said, "Keep on going." The movement over the last decade alone, she said, has been amazing. "I can only imagine where we'll be ten years from now," she said. Kat Jercich is senior editor of Healthcare IT News. Twitter: @kjercich Email: kjercich@himss.org Healthcare IT News is a HIMSS Media publication.

The Michigan provider organization has been keeping COVID-19 patients at home – and recording a 95% satisfaction rate among patients in the program.

In a preview of his upcoming HIMSS21 session, the health system's chief medical information officer talks about the processes and technologies powering the health system's pandemic response.

Telehealth Connection TV: Nursing informatics professional Judy Murphy shares how virtual services can bolster preventive care.

From interoperability to telehealth and beyond, an upcoming HIMSS21 presentation will shed light on the regulations and penalties health IT stakeholders should be mindful of in the months ahead.

Top health officials from HHS and VA have signaled their ongoing support for telemedicine in the long term, but also want to ensure that "technology is being used properly."

Most pursued changes via administrative action, according to a new Commonwealth Fund report, which may not be a permanent solution after the COVID-19 public health emergency ends.

After agreeing to a "mutual separation," Rusty Frantz stepped down this week as president and chief executive officer, and also from the company's board.