DoseSpot Forecast: 3 Segments Positioned for Telehealth Growth

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It’s no surprise that technology should be considered a key player as we shift to value-based care. With smartphones, tablets and computers, health information is readily available for patients with a simple click of a button. Why should a consultation with a healthcare professional be any different?

Telehealth greatly increases the scope of the healthcare industry and is bound to open huge opportunities in increasing the quality of healthcare. The ultimate goal here, is to prevent hospital readmissions through better management of individuals with chronic conditions, while also reducing associated costs. By enabling remote patient monitoring and remote access to clinicians, market growth is inevitable as awareness and implementation of standards for reimbursement and adoptions of these care models expands.

While several reports claim that “technology gets in the way of the patient experience,” patients are in fact the ones demanding such access to care. This increase in patient demand for telehealth services has prompted many companies and healthcare organizations to think outside of the box and reevaluate the patient-centric model, while questioning what that care model really means to a patient.

Well, it’s simple. Patients want a customized, cost-effective and convenient healthcare experience to which telehealth can provide.

A recent report states that the global telehealth market was valued at $14.3 Billion in 2014 and is estimated to reach $36.3 Billion by 2020, growing at a CAGR of 14.30% from 2014 to 2020.

With these numbers in tow, we predict the most growth in three different segments:

Behavioral Health and Addiction

As mentioned in a previous post, telehealth has the ability to bridge the gaps in care of behavioral health patients and providers. Not only does it provide a convenient, more comfortable and less expensive medical consultation, but it broadens accessibility to patients whom may not have many options when seeking a behavioral health provider, especially in rural areas. Unfortunately, the lack of psychiatrists and addiction specialists across the nation, as well as the stigma often involved, are contributing to the mental health and addiction issues and creating barriers to appropriate care.

Patients will see their primary care physician and may not receive the exact treatment plan that they need; after all, primary care physicians do not specialize in behavioral health or addiction and often, these illnesses require a lot of time and patience to which the physician may not be able to accommodate. Telehealth will be able to connect patients in need with specialists regardless of their location who know how to treat these specific health issues.

This effective care model will not only lessen the hit on the nation’s bottom line as more and more individuals grapple with suicide, addiction, and other mental health issues, but also revolutionize the way people view the stigma involved and encourage patients to seek help as they are able to receive treatment from the comfort of their own home.

Geriatric Care

Geriatric patients stand to benefit tremendously as a digital health consumer. As mobility can be especially difficult for these patients, the ability to see a physician remotely removes one of the largest barriers to care. Furthermore, transporting patients of this age may potentially do more harm than good.

With telemedicine, providers can more quickly spot at-risk patients and provide interventions to avoid an otherwise unnecessary hospital admission. Similarly, nursing homes can partner with health systems to provide bedside care for their residents at a fraction of the price of an onsite physician.

These infrastructure synergies provide connectivity with electronic health records (EHRs) and create clear communication among hospitals, senior care facilities, referring physicians and patient families. They also provide the link to population based management databases and other health care analytic functions to measure value.

Surgery

Many surgical departments find telehealth to be a more convenient and cost-effective way for pre- and post- operative instructions for procedures of all magnitudes including wisdom teeth extraction, colonoscopies, stent placement and more.

With in-person visits and paper instructions, patients may misinterpret or even forget important information relative to their surgery. This includes what medications to stop taking and how to physically prepare for surgery, while providing a clear, direct line of answers for any questions a patient may have. With instructions digitally delivered prior to surgery, telehealth reduces patient no shows and saves valuable scheduled operating room time.

For post-op patients, providers can check the patient visually, ensuring that patients are following their treatment plans and making adjustments as needed. Through this continuous connection, providers are empowered to deliver the guidance that many patients need as they go through the healing process. These virtual check-ins ensure the patient is on the road to recovery, thus reducing readmission rates all without the patient ever having to leave their home.

Furthermore, telehealth can improve treatment and medication compliance, specifically with controlled substances, i.e. pain medication. Opioid addiction often begins at the hands of a prescriber and with the nation currently facing an opioid epidemic, marrying technology and follow-up appointments when prescribing these types of medications serves as the optimal solution for the safety of all involved.

Technology should no longer be viewed as a barrier to care, but rather embraced in order to improve the healthcare industry, including the improvement of interoperability as well as patient outcomes. Telehealth not only meets the ever increasing demands of patients, but it also assists in preventative care by creating greater access to such care, thus reducing down-the-road costs and burdensome associated with chronic disease. With many chronic diseases being completely preventable, the prevent vs. treat mantra should be sound in every healthcare professional’s mind, while realizing that telehealth is a seamless way of delivering healthcare for all involved.

There may currently be barriers in place regarding reimbursement from payers, but that’s sure to change as more and more payers jump on board for this new delivery model. After all, who’s to say telehealth won’t become the norm and be known as simply….health?

Sources: American Well; OpenPR; mHealth Intelligence; Healthcare IT News

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

Bridging the Gap Between Telehealth and Behavioral Health

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Improving the U.S. healthcare system requires the simultaneous pursuit of three ideals: improving the experience of care, improving the health of populations and reducing per capita costs of healthcare. “Value-based care” after all, does have its reasons behind the term. In keeping up with this new delivery model, it’s important to understand how behavioral health attributes to population health, its effects on the healthcare system and the nation’s bottom line. This is where technology can play a major role.

In a given year, nearly 44 million adults experience mental illness, with a quarter of them living with a substance use co-disorder. Increasing access to mental health professionals via technology is simply a smart solution as more and more individuals grapple with suicide, addiction, and other mental health issues. Unfortunately, the stigma often associated with mental illness is creating a barrier to treatment, but telehealth companies are realizing this enormous growth opportunity and are remaining at the forefront by providing a more convenient and less expensive medical consultation.

Click here to learn more about e-Prescribing and start saving time and money today!

Since counseling really only requires the ability for patients and providers to speak via video or phone, utilizing telehealth applications allows patients to receive treatment without judgement in the comfort of their own home. It creates a safe space for mental health dialogue, thus aiming to reduce hospital admissions and its associated costs. Therefore, behavioral health must embrace technology and its ability to bridge the gaps in care to the benefit of patients nationwide.

To expand upon the evolving increase in technological access to care, it’s important to note that less than 50% of Americans who are prescribed medications to treat mental health conditions take them as directed, if at all, according to industry reports. Marrying telehealth and efforts such as medication adherence programs can assist a patient’s road to recovery while reducing the $193.2 billion in lost earnings per year associated with serious mental illness in America.

Sources: Health Affairs; HealthcareDIVE; National Alliance on Mental Illness; Forbes

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

“Protecting the pill:” Johns Hopkins students develop tamper-proof, biometric pill bottle

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Over the past few years, prescription drug abuse has been a heated topic here in the U.S. among healthcare professionals and policymakers alike. Engineering students within Johns Hopkins University’s Whiting School of Engineering are taking strides to address continuously alarming drug abuse statistics with the creation of a novel, tamper-proof pill bottle.

As cited in HIStalk Connect’s article, the engineering students were called upon by the Johns Hopkins Bloomberg School of Public Health to undertake this special project. With more than 16,000 annual deaths attributed to prescription drug-related overdoses, the goal of Hopkins’ project was to develop a robust pill bottle that would help control the nation’s relatively unsecured supply of prescription narcotics. According to assistant professor at the Bloomberg School of Public Health, Kavi Bhalla, the overseeing team wanted “this personal pill ‘safe’ to have tamper resistance, personal identification capabilities and a locking mechanism that allows only a pharmacist to load the device with pills.”

The four engineering undergrads assigned to take on this project answered accordingly–by developing a 2.75 pound, nine-inch-tall, steel-constructed pill bottle that can withstand any hammer or drill activity. Additionally, fingerprint scanners are used to regulate dispensing and ensure that pills are only released to the patient a medication is prescribed to–at proper time intervals and in correct doses. After gaining positive feedback from both Bloomberg clinicians and pharmacists at the on-campus Rite Aid, Hopkins engineering students uncovered an important and overlooked design value: the ability to record medication adherence rates. If connected to a monitoring system, the tamper-proof pill bottle (again, equipped with fingerprint reading capabilities) could eventually be useful to payers and health systems working to reduce funds wasted on poor medication adherence.

For healthcare software companies looking to incorporate the ability to electronically prescribe controlled substances (EPCS), DoseSpot could be your solution of choice in just a few hours, days or weeks! Through our third party EPCS audit with Drummond Group Inc., a global software test and certification body that is approved by the Drug Enforcement Administration to audit EPCS software applications, DoseSpot is now able to deliver audited and trusted EPCS software applications to customers. For more information on DoseSpot’s EPCS software, please download our Integration Tool Kit here!

SOURCE: HIStalk

About DoseSpot 
DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

Retail and Refills: Patient Engagement Technologies on Horizon for Walmart and Target

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Recent digital health initiatives suggest that Walmart, Target and other retail giants are steadfastly marching into the healthcare setting with a focus on customer and employee health. With representatives attending Health 2.0’s WinterTech conference in San Francisco, both Walmart and Target have confirmed plans to provide more in-depth healthcare services including chronic disease management and guidance towards healthier lifestyles.

Last week, MedCity News connected with Walmart and Target spokespersons to learn more. Complete with clinics that serve both customers as well as employees, Target and Walmart will look to enhance healthcare efforts with technologies like mobile coaching apps and telemedicine platforms. For both Target and Walmart, much of this expansion will take place in the form of strategic partnerships with powerhouses like UnitedHealthcare and Kaiser Permanente. In developing its new pharmacy prescription app focused on medication adherence for employees and customers alike, Target partnered with Mscripts, a leader in mobile pharmacy solutions. Michael Laquere, a senior buyer for pharmacy at Target, pointed out that through this app Target hopes to “connect with pharmacies in a more virtual way.”

When taking information access into consideration, retailers could be sitting on a data gold mine. With customer buying patterns and health information at their disposal, retailers could potentially make suggestions to improve health or aid in chronic disease management. With the current privacy barriers and regulations in place, this possibility is far from a reality—however, the opportunity to improve consumer health is salient and two major retail players have taken the reigns. Who will be the next to join?

SOURCE: MedCityNews

To learn more about increasing retail presence in the healthcare industry, check out MedCity News’ full article here!

About DoseSpot 
DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

The Med Melee: Medication adherence in the U.S. and where it stands today

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“Take once a day with food. Take once every PM before bed with water—but make sure it’s on an empty stomach.” Instructions such as these are all too familiar to many Americans balancing multiple—and sometimes complex—medication regimens. Whether it be an infection-eradicating antibiotic or a more robust prescription for a chronic illness, most of us (at some point in time) have had to take some form of prescribed medication. But how well are we doing?

A recent article published in Forbes magazine addresses this exact question and the results are bewildering to say the least. According to the Centers for Disease Control and Prevention (CDC), 82% of all American adults take at least one prescription medication and 29% take five or more. Adherence to specific medication instructions is critical, yet there are 700,000 emergency department visits and 120,000 hospitalizations due to adverse drug events in the U.S. every year. It’s estimated that medication non-adherence leads to a U.S. death every 19 minutes and adverse drug events have led to over $3.5 billion spent annually on extra medical costs.

The numbers mentioned above confirm that medication adherence in the U.S. is not where it should be. Unfortunately, this problem is purported to get worse before it gets any better. The CDC estimates that the number of adverse drug events will continue to grow based on a number of factors, namely the development of new medications and the aging American population. With these variables in mind, the concept of medication therapy management (MTM) is more important than ever. MTM evaluates a patient’s prescriptions to identify and resolve issues such as drug interactions, inappropriate drugs or doses and whether a patient is taking the medications as prescribed.

The digital health space is making great headway in the realm of MTM with newly polished apps such as Medisafe and MyMedSchedule, which allow patients to receive personalized notifications from providers or caregivers as scheduled medication times approach. With memory issues, inadequate support and lack of education as potential inhibitors of medication adherence, automated alerting technologies, educational tools and an integrated network of care support are a logical next step to steer American medication adherence in a better direction.

Want more statistics on the current state of medication adherence in the U.S.? Check out the full Forbes article, “It’s 10 PM, Do You Know Where Your Meds Are?” here!

SOURCES: Forbes Magazine and Centers for Disease Control and Prevention

About DoseSpot 
DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

Keeping Up With the Healthcare Happenings

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With the 2014 calendar year coming to a close in just a few months (gasp!), HealthWorks Collective, an online health and editorial community, has released its list of health trends to keep an eye on through 2015. Think your predictions are spot on? Take a look below to see what’s on tap for the U.S. healthcare industry:

1. More providers will be hiring health coaches.
Chronic conditions in the U.S. continue to increase—so will employment. Health coaches fill a unique demand for managing chronic conditions, as they engage with patients one-on-one and keep clinical staff informed about financial or family concerns, marital problems, treatment plan adherence, etc.

2. Healthcare mobile apps on the rise.

With the release of Apple’s new Healthkit along with a slew of other mobile-friendly health apps, this trend is likely to continue for the foreseeable future. Patient-centered apps for monitoring aspects of health like calorie-counting and heart rate are gaining popularity at a quick pace and healthcare systems will continue developing and implementing apps to improve patient experience.

3. New care and payment models will expand.

Insurance companies, Medicare and Medicaid programs will continue to push for more relationships with accountable care organizations (ACOs). Different payment models will also be proposed—many healthcare professionals anticipate a trend towards “shared savings” incentives with physicians based on lowering cost and improving care quality.

4. Big Data will play a key role in patient care.

Electronic health records and other emerging technologies enable providers to automate processes and capture vital clinical data. These technologies, however, are limited in not being open to innovation. By the end of 2014, expect provider advocacy for making application interfaces open-source so they can be used to create new and exciting programs.

5. Healthcare comes to the home.

Technological advancements and increasing healthcare access will lead to more remote care services. This means that more patients can be monitored and coached to health at any time and place. “At-home healthcare” will increase patient quality of care, improve patient satisfaction, and reduce costs.

6. Increasing transparency.

Expect the level of transparency demanded from healthcare systems to increase, along with the production of tools to help inform patients. The price of treatments, procedures and clinicians along with performance metrics and hospital outcome reports will all be made available for patients to peruse at the click of a mouse.

7. Partnerships for care delivery will expand.

Healthcare partnerships will soon include community-based groups such as social service agencies, gyms and other non-healthcare service providers. As the industry strives to better address population health management, expect more unconventional approaches to healthcare such as church-based group care sessions, outdoor exercise at nature centers, reduced price health care transportation services, etc.

Source: HealthWorks Collective

For more information on the aforementioned trends, check out HealthWorks Collective’s full article here.

About DoseSpot

DoseSpot is a Surescriptsâ„¢ certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

Medication Adherence Apps Raise Healthcare Hopes

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Here at DoseSpot,

We’re all about changing the face of America’s prescription system. With our e-prescribing integration platforms, the goal is to make prescription writing and transmission more efficient and secure. Another technological tool making some innovative headway on the prescription front is the smartphone medication adherence app.

Medication non-adherence is a prevalent and costly problem that contributes to poor treatment outcomes and exhausts valuable healthcare resources. The 2013 National Report on Medication Adherence in America estimated that non-adherence is costing the U.S. health care system a whopping $290 billion annually! Interventions to mitigate non-adherence have been largely unsuccessful in the past, but a slew of easy-to-use apps are hoping to improve outcomes.

Using Apple, Android, or Blackberry smartphones, patients can download medication adherence apps such as (hyperlink) MyMedSchedule, MediSafe and RxmindMe, and set basic medication reminders, create schedules, track lab results and more. Former U.S. Surgeon General C. Everett Koop once said, “drugs don’t work in patients who don’t take them” and if medication adherence apps can reduce existing headache-inducing treatment blunders, U.S. healthcare providers may finally be able to breathe a much needed sigh of relief.

Sources: Medscape and National Community Pharmacists Association

For more information on medication adherence apps that are currently on the market, explore this helpful link from the American Pharmacists Association:

http://www.pharmacist.com/medication-adherence-there%E2%80%99s-app.

CHALLENGE: Calling all tech-powered women! Do you have what it takes to tackle the U.S. medication adherence issue? If so, check out the 2014 Surescripts Adherence Challenge. Applications are being accepted through July 22!

About DoseSpot

DoseSpot is a Surescripts™ certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

E-Prescribing 101

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Electronic prescribing is not just the ability to send prescriptions electronically to pharmacies. E-Prescribing can also increase care quality in a number of ways:

• E-prescribing makes sure that the prescriber is providing enough specific information for the pharmacist to fill the prescription, including the name of the drug, the dosage, its physical form, the route, and the physician’s instructions.
• Electronic prescribing software eliminates the time and effort of trying to understand the prescriber’s handwriting, as well as the chance of an error in that translation.
• E-prescribing significantly reduces the chance that the prescriber’s intentions are misinterpreted.
• E-prescribing is often used in conjuction with clinical decision support to ensure that any drug to drug interactions or drug to diagnosis issues are found and reported to the physician before the prescription order is completed.

Electronic prescribing is considered one of the most important areas of Healthcare IT, which is why Medicare created payment incentives for physicians who use a qualified e-prescribing system. In 2009, the incentives are an increase of 2% in revenue for each patient when e-prescribing is used. Due to the 2009 HITECH Act, electronic prescribing is required as part of any EMR (EHR) which qualifies for Medicare reimbursement in 2011.