Note: This is an authorized excerpt from 2015 Healthcare ......Telehealth & Telemedicine In this...

Note: This is an authorized excerpt from 2015 Healthcare Benchmarks: Telehealth & Telemedicine. To download the entire report, go to http://store.hin.com/product.asp?itemid=5032 or call 888-446-3530.

2015 Healthcare Benchmarks: Telehealth & Telemedicine In this fourth comprehensive survey, 116 healthcare organizations describe

initiatives in telehealth and telemedicine, including targeted populations,

program technologies, clinical applications, funding and reimbursement, and

top challenges.

“Our greatest success from telehealth is decreased medical emergency and

greater satisfaction of primary care and specialists and patients.”

> Home Health, suburban market

“[A future telehealth program enhancement will be] building a multi-specialty

telehealth provider network and platform.”

> Physician Organization, rural market

“Our greatest success from telehealth is medication adherence to reduce

admissions. We have achieved as much as 80 percent reduction in inpatient

days.”

> Care Coordination Service, urban market

“[We plan a future telehealth program on] remote patient monitoring for sub-

acute post-hospitalization and home healthcare.”

> Health Plan, urban market

“[A future telehealth program enhancement will be] self-management software,

to assist in managing one’s own condition.”

> Hospital/Health System, urban market

© 2015, Healthcare Intelligence Network — http://www.hin.com 2

2015 Healthcare Benchmarks: Telehealth & Telemedicine

This special report is based on results from the Healthcare Intelligence Network’s fourth comprehensive industry survey on telehealth and telemedicine conducted in March 2015.

Executive EditorMelanie MatthewsHIN executive vice president and chief operating officer

Project EditorPatricia Donovan

Contributing EditorCheryl Miller

Document DesignJane Salmon


Table of Contents

About the Healthcare Intelligence Network ............................................................. 6

Executive Summary ................................................................................................. 6

Survey Highlights ..................................................................................................... 7

Key Findings ............................................................................................................ 7

Program Components .............................................................................................. 7

Results and ROI ........................................................................................................8

Successful Telehealth Work Flows, Processes and Tools .........................................8

About the Survey .................................................................................................... 8

Respondent Demographics ...................................................................................... 9

Using This Report .................................................................................................... 9

Responses by Sector ...............................................................................................10

The Hospital/Health System Perspective ............................................................... 13

The Physician Organization Perspective ................................................................ 13

The Health Plan Perspective .................................................................................. 14

Year-Over-Year Survey Data .................................................................................... 15

Respondents in Their Own Words .......................................................................... 18

Successes Achieved with Telehealth and Telemedicine ........................................ 18

Planned Telehealth Program Enhancements ......................................................... 18

Details on Future Telehealth Initiatives ................................................................. 19

Conclusion .............................................................................................................. 21

Telehealth Collaborative: One-Stop Healthcare ..................................................... 21

Figure 1: All - Existing Telehealth or Telemedicine Program .................................. 23

Figure 2: All - Plans for Future Telehealth or Telemedicine Program .................... 23

Figure 3: All - Populations Targeted by Telehealth Program ..................................24

Figure 4: All - Health Conditions Targeted by Telehealth Program ........................24

Figure 5: All - Program Technologies ..................................................................... 25

Figure 6: All - Connected Devices .......................................................................... 25

Figure 7: All - Clinical Telehealth Applications .......................................................26

Figure 8: All - Patient Telehealth Services..............................................................26

Figure 9: All - Primary Telehealth Responsibility ................................................... 27

Figure 10: All - Supporting Funding ....................................................................... 27

Figure 11: All - 2015 Telehealth Billing ....................................................................28

Figure 12: All - Impact on Quality Metrics .............................................................28

Figure 13: All - Impact on Utilization Metrics .........................................................29

Figure 14: All - Telehealth ROI ................................................................................29

Figure 15: All - Future of Medicare and Telehealth ................................................30

Figure 16: All - Telehealth Barriers and Challenges ................................................30

Figure 17: All - Organization Type ........................................................................... 31

Figure 18: All - Market Demographics .................................................................... 31

Figure 19: All - State Telehealth Legislation ........................................................... 32

Figure 20: Hospital - Existing Telehealth or Telemedicine Program ...................... 32


Figure 21: Hospital - Plans for Future Telehealth or Telemedicine Program .............. 33

Figure 22: Hospital - Populations Targeted by Telehealth Program ........................... 33

Figure 23: Hospital - Health Conditions Targeted by Telehealth Program ................. 34

Figure 24: Hospital - Program Technologies .............................................................. 34

Figure 25: Hospital - Connected Devices ................................................................... 35

Figure 26: Hospital - Clinical Telehealth Applications ................................................ 35

Figure 27: Hospital - Patient Telehealth Services ....................................................... 36

Figure 28: Hospital - Primary Telehealth Responsibility ............................................ 36

Figure 29: Hospital - Supporting Funding .................................................................. 37

Figure 30: Hospital - 2015 Telehealth Billing .............................................................. 37

Figure 31: Hospital - Impact on Quality Metrics ........................................................ 38

Figure 32: Hospital - Impact on Utilization Metrics ................................................... 38

Figure 33: Hospital - Telehealth ROI .......................................................................... 39

Figure 34: Hospital - Future of Medicare and Telehealth .......................................... 39

Figure 35: Hospital - Telehealth Barriers and Challenges .......................................... 40

Figure 36: Hospital - Market Demographics .............................................................. 40

Figure 37: Hospital - State Telehealth Legislation ...................................................... 41

Figure 38: Physician Organizations: Existing Telehealth or Telemedicine Program ... 41

Figure 39: Physician Organizations: Populations Targeted by Telehealth Program ... 42

Figure 40: Physician Organizations: Conditions Targeted by Telehealth Program .... 42

Figure 41: Physician Organizations: Program Technologies ....................................... 43

Figure 42: Physician Organizations: Connected Devices ............................................ 43

Figure 43: Physician Organizations: Clinical Telehealth Applications ........................ 44

Figure 44: Physician Organizations: Patient Telehealth Services ............................... 44

Figure 45: Physician Organizations: Telehealth ROI ................................................... 45

Figure 46: Health Plans: Existing Telehealth or Telemedicine Program..................... 45

Figure 47: Health Plans: Populations Targeted by Telehealth Program ..................... 46

Figure 48: Health Plans: Conditions Targeted by Telehealth Program ..................... 46

Figure 49: Health Plans: Program Technologies ........................................................ 47

Figure 50: Health Plans: Connected Devices ............................................................. 47

Figure 51: Health Plans: Clinical Telehealth Applications ........................................... 48

Figure 52: Health Plans: Patient Telehealth Services ................................................. 48

Figure 53: Health Plans: Telehealth ROI ..................................................................... 49

Appendix A: 2015 Telehealth & Telemedicine Survey Tool ........................................... 50


63% of survey respondents

have a Telehealth & Telemedicine

program.

About the Healthcare Intelligence Network

The Healthcare Intelligence Network (HIN) is an electronic publishing company providing high-quality information on the business of healthcare. In one place, healthcare executives can receive exclusive, customized up-to-the-minute information in five key areas: the healthcare and managed care industry, hospital and health system management, health law and regulation, behavioral healthcare and long-term care.

Executive Summary

From early detection of impending heart failure from as far as 3,000 miles away, to the latest wearable health tracker strapped to a forearm or sitting in a pocket, telehealth is having a radical impact on the healthcare industry. The range of telehealth and telemedicine services has expanded in the two years since the Healthcare Intelligence Network (HIN) last conducted a telehealth survey, and while the majority of organizations had telehealth programs in place in both 2013 and 2015, of those that didn’t, nearly triple the respondents in 2015 (64 percent versus 26 percent) said they would launch a service in the next 12 months.

A close look at those future programs offers insight into a market predicted to rise to 7 million in 2018, according to IHS Technology. By bringing on board full panels of providers in primary and specialty care, telehealth services are being designed to tackle healthcare access challenges in the emergency room (ER), rural health clinics and post-discharge home care – the full continuum, in one respondent’s words. Planned enhancements to current telehealth programs include self-management software, the addition of a transitional care model, and the development of dermatology, behavioral health, dentistry, and high-risk population solutions.

But other metrics stayed the same: videoconferencing remained a leading technology in both 2013 (59 percent) and 2015 (48 percent), and congestive heart failure (53 percent in 2013, 57 percent in 2015) and diabetes (50 percent in 2013, 58 percent in 2015) continued to be the top conditions or concerns targeted by telehealth programs.

“Success achieved with

telehealth: Remote early detection of

impending heart failure admission from 3,000 miles

away.”


Diabetes is telehealth’s top targeted health condition, say 59 percent of respondents.

“Success achieved: Early recognition

of potentially life-threatening situations with

increase in safer deliveries for

mother and baby.”


Respondent Demographics

Responses to the March 2015 survey on telehealth and telemedicine were submitted by 116 organizations. Of 63 respondents identifying their organization type, 16 percent were hospitals, 11 percent were physician organizations, employers, and health plans, 6 percent were home healthcare, 5 percent were disease management, and 33 percent categorized their organization type as ‘Other.’

Using This Report

This benchmarking report is intended as a resource for healthcare organizations searching for comparable data and means to measure implementation and progress. It is also a helpful planning tool for organizations readying initiatives in this area.

The initial charts and graphs presented here represent results from all respondents; images in subsequent sections depict data from high-responding sectors. (Figure titles begin with the segment they represent; for example, All, Health Plans, Hospitals, etc.)

Often, one of the largest responding sectors is composed of respondents identifying their organization type as “Other.” In general, we do not depict results from this segment because it represents a wide range of organization types, including consultants and product vendors. However, you will always find a graph indicating the demographics of respondents.

Here are some additional tips for using this report:

9 See how you measure up: Scan this report for your sector, and compare your program to others. Note where you are leading and where you are behind.

9 Evaluate your efforts: Think about where you have been focusing your efforts in this area. Look for trends in the data in this report. Look for benchmarks set by your sector and others.

9 Set new goals: Use the data in this report to set new goals for your organization, or to raise the bar on existing efforts.

9 Use it as a reference book: Keep this report accessible so you can refer to it in your work. Use these data to support your efforts in this area.

If you have questions about the data in this report, or have feedback for our team, don’t hesitate to contact us at [email protected] or 732-449-4468.


Figure 35: Hospital - Telehealth Barriers and Challenges

Figure 36: Hospital - Market Demographics

Into which category does the majority of your market fall?

HIN Telehealth & Telemedicine SurveyMarch, 2015

30.0%

30.0%

40.0%

Urban

Rural

Suburban

Other (0%)

60.0%

10.0%0.0%Add text

10.0%

0.0%

20.0% Cost/reimbursement

Patient engagement

Connectivity (0%)

Staffing (0%)

MD resistance

Privacy (0%)

Security (0%)

C-suite resistance

Scalability (0%)

Other (0%)

What has been the greatest barrier or challenge to telehealth implementation?

HIN Telehealth & Telemedicine SurveyMarch, 2015

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