UC Davis: What is the future of telehealth? (part 1)

Numerous industry and economic changes are causing healthcare to incorporate telehealth and mobile health technologies. Thomas Nesbitt, MD MPH, at the University of California, Davis, spoke at our most recent monthly Health IT seminar covering the future of telehealth. He declared that the shortage of physicians, President Obama’s Affordable Care Act with its consequent increased demand for health services, and the Institute of Medicine’s focus on increasing healthcare quality.

We need more than just improvement...We need transformation.

As a result, there will be numerous transformations over the next few years: a focus on population health, treatment at home (versus institutions), integration of services, and increased usage of technology.

Areas where healthcare will transform in the next few years

What was most interesting during this seminar were the business-oriented questions folks asked. Why aren’t we seeing more innovations in the hospital? In the home?

Nesbitt reasons that a lot of innovations driven by private industry are tacked on to the current payment model of revenue per unit — say, per procedure, or per visit. But that will change.

Technology isn’t the barrier. In January 2014, this will accelerate, with incentives against readmissions for heart failure. We’re beginning to use technology in the home. We’re starting to do telestroke with hospitals paying a monthly fee. As we begin to become more captivated, it’ll be five years before you see this routinely used because there’s a lot of inertia to keep current payment model — pay by RVU versus payment by quality.”

And have healthcare providers been satisfied with telehealth technology at all? It’s a mixed bag.

In most places, it’s self-selection: [physicians] who want to do it [will adopt these technologies]. [If you wanted to do a study] you’d look to the VA, where people are forced to do it.”

Younger physicians also tend to like it, and also like the pure consultation model so that the primary care physician can take care of explaining the medications to the patient and taking the phone calls at night for emergencies, while the consultant [can move on to the next patient].”

Dr. Yellowlees noted that physicians aren’t as happy with telehealth technologies: “On the whole, provider satisfaction is significantly less than patient satisfaction.” Why?

  • More administrative hassle. Doing telehealth consultations requires faxing massive records over, b/c EMR interoperability is limited at the moment.
  • Some people really don’t like seeing themselves on TV in a picture-within-picture. This is partially ameliorated by training physicians & providers in media skills to teach them how to be good on television.

I’ll cover some of the future trends he speaks about in my next post, along with a tour of the UC Davis Medical Center’s newest Center for Health & Technology.

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Citigroup Smith Barney specialist Michael Rietbrock said a rise corporate transient desire over the summer possesses resulted in hotels realizing more profits through rate hikes than merely occupancy gains. On the group meetings side, higher-paying groups tend to be replacing lower-rated ones, explained JP Morgan Chase’s Harry Curtis. Deluxe and upper upscale lodges are the beneficiaries from the shift as are downward spiral versus suburban regions. Among hotel businesses, this mostly added benefits Marriott International, Hilton Hotels Corp. as well as Starwood Hotels & Resorts Globally, the multi-brand majors with which purchasers are most likely to negotiate chainwide offers. In rate dialogue, buyers also are prone to face more opposition in bargaining at the property level having airport hotels. A jump in corporate go has translated directly into more demand with these mostly midprice resorts, driving late-August revenue for every available room in place almost 10 percent at least a year ago.

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Meetings Tech Cos. PlanSoft, SeeUthere Merge

Meetings technological know-how firms SeeUthere Technologies plus PlanSoft Inc. last week joined into a new firm called OnVantage, headquartered around Santa Clara, Calif. The new organization is split into two sections. One, operating out of SeeUthere’s Santa Clara base, can focus on serving corporate clients. The other will certainly concentrate on the supplier market and operate beyond PlanSoft’s Twinsburg, Ohio, home. The all-stock transaction was priced as a merger regarding equals. SeeUthere CEO as well as president John Chang will serve as CEO. SeeUthere COO Stanley Chin will probably lead the corporate office.

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Global travel management corporation Radius last week stated it had selected Amadeus to give a common technology foundation for its Business Growth group. Member specialists, which in the United States include Northwestern Travel Management, Travel & Transport and TraveLeaders, “can right now compete for key corporate customers, around the world,” said Radius president and Top dog Tony Hughes. “Shared international business for Radius shareholders will have entry office booking software, the Radius Wheel quality-control (BTN, Aug. 16), mid-office and also reporting all located on a common GDS.” Gillian Gibson, vp of the Amadeus multinational shopper group, said the corporation customized certain applications “to be specific to be able to Radius’ processes” and that the platform could integrate mid-office technology via either TRX workout—currently used by Radius—or Amadeus’ private product, Global Greatest extent. TQ3 Navigant last month said it picked Global Max for more back-office consolidation, doubling the process of the current contract forwards and backwards companies and replacing Navigant acquisition Sato Travel to up to date version of Global Greatest extent.

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Runzheimer: 2005 Journey Expenses To Rise Ten Percent

Runzheimer International last month outlook overall travel bills will be up 10 percent in 2005, using air, lodging, mealtime and car fees all expected to maximize. The travel supervision consulting and benchmarking organization said overall oxygen spend will be upwards 5 percent. “We expect flights volume to rise through 10 percent, but the the prices impact of low-cost carrier fares as well as competitors between the major providers will result in only a Five percent expense increase ,Inch the firm expressed. Lodging is expected to determine the biggest hike as spend is expected for being 13 percent higher than this year, given expected higher prices plus much more occupancy. Meanwhile, the company said car rental commit will be up 6 percent and meals will spike by 10 %.

Demand Strengthens Hotels’ Hand During Negotiating Table

Citigroup Smith Barney analyst Michael Rietbrock said a rise in corporate transient requirement over the summer possesses resulted in hotels beginning to see more profits through rate hikes than merely occupancy gains. On the conferences side, higher-paying groups are generally replacing lower-rated ones, claimed JP Morgan Chase’s Harry Curtis. Deluxe plus upper upscale hotels are the beneficiaries of your shift as are economic downturn versus suburban areas. Among hotel firms, this mostly added benefits Marriott International, Hilton Hotels Corp. plus Starwood Hotels & Resorts Globally, the multi-brand majors with which consumers are most likely to negotiate chainwide deals. In rate negotiations on terms, buyers also are gonna face more opposition in bargaining within the property level together with airport hotels. The particular jump in corporate take a trip has translated into more demand from these mostly midprice resorts, driving late-August revenue a available room way up almost 10 percent at least a year ago.

CWT Rolls Out Global Reporting Tool, Thins Hierarchy

Carlson Wagonlit Travel is setting up its Discovery confirming tool so that by the beginning of next year it sports a common global credit reporting tool. Such world wide integration is a main focus of Hubert Joly, lead designer and CEO associated with Carlson Wagonlit Travel Worldwide since July. Late last month, Joly and Jack O’Neill, main operating officer to get North America, took for new duties following a resignation of Robin Schleien because president of Carlson Wagonlit Vacation North America. Schleien will serve as a consultant until this individual leaves at the end of October. “It was Robin’s decision for you to step down,” O’Neill said. “He got Carlson Wagonlit Vacation back from the brink. Personally, I visited CWT with the complete hope that we’d be partners.” Right now O’Neill is responsible for all You actually.S. and Canada customers and workforce. Joly, who plans to expend about half of his time in the United States, takes on the rest of Schleien’s duties. “With Robin’s flying, we have the opportunity to skinny out the organization and it lean,” O’Neill said, “while globalizing the company more, and pulling together the sensible embraced services.”

Meetings Tech Cos. PlanSoft, SeeUthere Merge

Meetings engineering firms SeeUthere Technologies and PlanSoft Inc. last week merged into a new enterprise called OnVantage, headquartered within Santa Clara, Calif. The new firm is split into two partitions. One, operating beyond SeeUthere’s Santa Clara base, will focus on serving management and business clients. The other can concentrate on the supplier marketplace and operate beyond PlanSoft’s Twinsburg, Ohio, home. The all-stock transaction was priced as a merger associated with equals. SeeUthere CEO as well as president John Alter will serve as Boss. SeeUthere COO Stanley Chin will lead the corporate split.

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