Advances in Virtual Care

Davidge: Telehealth vital long past pandemic

As published in the Boston Herald, Delaware Valley Journal, and Inside Sources

Given what we have all just gone through, (and are continuing to go through) with the global pandemic, does the question about whether we should be using or supporting telehealth services really need answering? To think in terms of having in-person only or office visits right now is so “last year” (or the year before). It’s retro thinking — the kind of thinking where a teacher would insist on sharp pencils, not tablets. Now that we know about the benefits of telehealth, there is no going back.

Let’s start with the financial aspects of telehealth. Systemically, telehealth can save patients dollars by providing a visit virtually, it can save doctors money, and it saves the overall health system money as well. But the financial benefits are only the tip of the iceberg.

For a large minority of patient/provider interactions, a virtual visit is quicker and more convenient. There is flexibility about when and where a patient can experience care by the physician. Because the patient doesn’t need to travel, there are no traffic jams, parking tickets or drive-time back and forth to the appointment. There are no childcare needs, sitting in a waiting room, reading dog-eared magazines, and staring nervously at other patients wondering what disease they might harbor and are spreading. There is also speed for patient care because physicians can be located anywhere and anytime to meet the needs of the patient.

For physicians, there is also the benefit of convenience — driving, waiting and scheduling — that patients experience. More patients can be seen in the same number of minutes that a physician is working, and, if needed, patients can be virtually transitioned to other providers as necessary or virtually provided support functions. Physicians can also add providers without adding offices and parking spaces. It levels the playing field allowing patients access to health care whether they are one or one hundred miles from a doctor or health-care facility.

For overall health systems, there are real savings of cost, capital investment and facility management. A single physician can be used more or less, as and when needed, and can provide service remotely less expensively than if they occupy 100 square feet, 70 hours a week. The cost of rent, heat, electricity and other utilities is significantly cut back when utilizing telehealth and organizations can flexibly (even instantly) structure service provision.

Telehealth is more convenient for the patient. More efficient for the provider. It saves money. It saves time. It is more flexible.

A telemedicine system is flexible and scalable (both up and down) — because organizations can’t easily add floors to an office suite or collapse them back again.

Wisely chosen telemedicine systems are a far better option. Their average cost — the platform service cost, if used at scale — is a few cents per minute of service. Making the right choice is critical — poorly chosen telemedicine systems can be mind-numbingly expensive, complicated and end up padlocking your hands and feet. But good choices will lead to good outcomes — for all parties, the patient, provider and system.

Procedures and in-patient care, of course, require physical facilities but even then many routine steps can be provided by retailers (vaccination, blood draw, swabs and tests) who are experienced in customer care and used to rapid throughput. Facilities that are left will be specialized and can be optimized for efficient throughput.

Virtual visits via telehealth provide the best of health with immediacy, convenience and expertise — without the “worst” of health — the inconvenience of appointments, waiting, traffic, gas money, time off work, etc. Let’s make sure we are always on the best side!

Matthew Davidge is CEO and founder of Bluestream Health/InsideSources.

About Bluestream Health

Bluestream Health is a leading telehealth enabler to healthcare providers and health systems. With over 500 health system facilities and 50,000 providers, Bluestream Health is delivering over four million video minutes and 100,000 on-demand virtual care visits each month with average wait times of 12 seconds. Our virtual care management platform provides clinics, health systems and payers with a simple and low-cost way to build, deploy, and manage complex video enabled clinical workflows.

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