Infectious disease expert and dermatologist Art Papier is CEO of VisualDx. In this podcast interview we discuss the pandemic, telehealth, and racial disparities.
Here’s what we covered:
(0:13) Comparing today’s crisis with 9/11 and anthrax attacks
(2:06) Lack of preparation for COVID-19
(3:43) The all hazard approach to bio-preparedness
(7:04) Why COVID-19 hit the US so hard
(8:19) How the pandemic will end
(10:04) Role of virtualization in diagnosis
(13:50) What changes with telehealth
(15:58) Future potential of telehealth
(18:45) Impact of telehealth on equity and disparities
(21:08) What the future holds
Patients have been receiving a megadose of virtual care since March. How’s it going and what will it mean long-term? Provider search and scheduling company, Kyruus asked 1000 patients for their opinions and published the findings.
Kyruus Chief Medical Officer, Dr. Erin Jospe and I had a chance to catch up on the report and speculate about its implications in this podcast.
Here’s what we discussed:
(0:15) Key findings and surprises
(1:54) Baby Boomers’ affinity for virtual care
(3:40) Paradox that Baby Boomers are big utilizers of virtual care but not so likely to switch doctors to get it
(6:21) Downsides and limitations of virtual care
(10:55) Impact of virtual care on disparities
(13:47) Potential to launch a virtual-first practice
Hospitals need to perform elective procedures to make money, but with the first wave of the pandemic still in process and a second wave possibly on its way, patients are in no rush to return. In this interview, eVideon CEO Jeff Fallon opines on what’s ahead.
Hospitals are currently preparing for a “second wave” of non-COVID-19 patients who were forced to delay care – but even though restrictions are easing, people may continue to stay away. How do you think this will impact hospitals? Patients?
Hospitals will surely welcome their revenues turning north towards normal as this begins. But it’s clear that many will still be concerned about the risk of infections. I read a new survey by the Society for Cardiovascular Angiography & Intervention, which showed that 61% of Americans over 30 years of age are more afraid of COVID-19 than a heart attack, and that 36% consider just going to a hospital risky behavior. With those kinds of stats in mind, hospitals are facing a new complexity in the level of trust with patients who so urgently need this delayed care. Patients will be looking for visible signs that the new normal for hospitals is tuned for their protection in a near post-pandemic reality. Things like ubiquitous PPE and hand sanitizer, hyper-clean environments, and use of new technologies that reduce risks of contagion will be vital evidence that gives confidence to the worried.
How can provider organizations persuade patients it is safe/important to start coming back in for elective procedures and routine treatments?
Many hospitals have developed tremendous marketing competencies and I expect they’ll do an amazing job in telling their communities about the important preparations they’ve made for this new normal. Those marketing messages are an essential start but even more important is the visible, tangible evidence of the commitment to safety when patients come back to the campus for care. They’ll surely tell two friends who tell two friends and so on as the slogan goes. Visible investments in new care tools like telehealth and virtual engagement solutions that enable excellent and thoughtful care from a healthy distance are examples of this. Touchless digital whiteboards that present vital information dynamically updated in the room is another.
What role will digital engagement platforms have in helping providers communicate effectively with patients returning for care?
The usual face-to-face communication comes with risks which have become front page news during recent months of this pandemic. Digital patient engagement platforms enable patient understanding of their clinical condition through delivery of personalized video education and now live face-to-face communication via video visits. Now more than ever the ability to effectively educate and communicate from a safe distance is vital for hospitals that seek to deliver higher quality, more satisfying care than ever before even in a post pandemic world. But the urgency for this reaches a new high as worried patients return to healthcare campuses for the vital and necessary care they have put off while remaining in place.
How will the bedside experience be different for patients post-pandemic? How can hospitals ensure the safety of patients and providers?
Virtualization of many common processes like patient meal ordering, nurse rounding, patient feedback, room controls like temperature and lighting are a necessity post-pandemic. The mandate for satisfaction and quality of care isn’t going away, so the hospitals that thrive post-pandemic will be those that excel at using these kinds of digital tools to maintain high performance while minimizing potential for exposure. Visitation policies might never be the same again. But the urgent need for us all to feel closer to those we love only increases when health and lives are at risk. So the need will remain very high for virtual visits between hospitalized patients and loved ones who can’t enter the hospital or even for doctors and nurses to stay at a safe distance while they consult with those hospitalized patients and their families who may be anywhere in the world.
How is eVideon helping hospitals improve patient engagement and education both inside and outside the hospital?
eVideon’s core value proposition for decades has been to enable nurses to better engage patients in their own care through strong interfaces to core healthcare IT tools like the EMR. This has always been about automatically prompting patients to complete personalized video education prescribed by the care team for that patient based upon admission details. This virtualization has always afforded the nursing staff high levels of efficiency, but the pandemic made very clear that with this efficiency comes a newly-important safe distance. But we’ve also just launched eVideon HELLO, a virtual visit tool that enables hospitals to provide low cost video visits for their patients without the need for app downloads or account setups which have too often turned the nursing staff into tech support for business conference calling apps. Finally, we brand HELLO for hospitals so the patients clearly know who is making this incredibly important patient experience tool available to them.
What are your recommendations for hospital executives who would like to support patients in managing their care during this time of crisis?
Go all-in on digital health tools that drive patient engagement. One doesn’t have to look past the front page of any newspaper, let alone the healthcare press to see that the businesses, (“brick and mortar” or otherwise) thriving through this pandemic are those leveraging strong digital strategies, and that will continue. And though the pandemic pushed digital/virtual to become a global business necessity, the delivery of care will not escape digital transformation after the virus abates. Hospitals that invest now in thoughtful digital health strategies will be best positioned to help nervous patients return for delayed care and they’ll be the providers of choice even beyond those who worry. Finally, new digital capabilities enable hospitals to meet more patients more efficiently wherever they are physically, emotionally or clinically; and that’s a smart digital strategy for today and forever.
A friend came home from a business trip to China on Friday. His kids (teens and tweens) were ready to hug and kiss him when he returned –as they usually do-, but when they heard his cough they fled to their rooms, slammed the doors and donned surgical masks.
Did dad bring the coronavirus home with him? Except for his wife, no one in his family was taking that chance.
Which got me thinking, what’s changed since the last epidemics of Ebola, avian flu and SARS…?
For one thing, cell phones and the Internet have become ubiquitous. Bad news travels fast, and there’s no keeping the kids in the dark.
On the other hand, maybe smartphones can help keep us safe. For example, I’m impressed by ResApp, an Australian company that helps doctors diagnose respiratory illnesses by analyzing the data in coughs. Is it asthma, COPD, pneumonia, or nothing serious? ResApp uses the smartphone to figure it out. (Here’s my interview with the company from 2016.)
The tool is designed to be used by healthcare professionals (probably to keep regulators from getting nervous about self-diagnosis) but it seems to me that patients could use the app themselves and just send the data over the web for confirmation, avoiding the possibility of infecting healthcare workers and other patients.
Kids are about to go back to school in Australia after summer vacation/fire season (remember they’re on the upside down part of the world), and everyone’s nervous that coronavirus will show up in the classroom.
I asked ResApp CEO Tony Keating CEO for his opinion. He said
The identification and isolation of patients with viruses such as this novel coronavirus is a critical public health step. Like SARS and MERS, 2019-nCoV causes pneumonia – an infection of one or both lungs, causing cough, difficulty breathing and/or fever. People with these symptoms can be identified (in places like airports), isolated, and sent for further molecular testing. However this screening is difficult, as not all patients with the virus may have a fever at the time and infrared thermometers are not 100% accurate. These symptoms are also indistinguishable from the usual winter illnesses such as influenza. New screening tests which are rapid, accurate and portable could improve screening, and potentially reduce the global spread of these viruses.
Sounds promising to me. Let’s hope these new solutions can come online soon.
Orion Health has been the Health Information Exchange (HIE) business around the world for more than 15 years. In this podcast, Chief Medical Officer Chris Hobson and I discuss the past, present and future of health IT.
(0:12) There are a lot of buzzwords in health IT: interoperability, population health, precision medicine. What is their relevance?
(3:07) What new buzzwords will we encounter as we head into the new decade?
(8:07) Health Information Exchanges have been around for 15 years. Have they succeeded? How will they evolve?
(12:05) You operate around the world. What are some differences and similarities you see with the US system? What can we learn from abroad?
(17:00) How do the priorities of payers and providers differ?
(20:16) What are the implications of new legislation focusing on interoperability? TEFCA? 21st Century Cures?