Journal of Urgent Care Medicine

Another Application for Telemedicine: Adolescent Concussions

Add adolescent concussion to the growing list of conditions for which telemedicine can be useful, in terms of effectiveness, cost, and satisfaction scores, according to data presented at the annual meeting of the American Association of Nurse Practitioners. Researchers employed a nurse practitioner-led, remote assessment of young athletes (13–18 years of age) with concussions, in conjunction with in-person athletic trainers. The most common positive feedback involved the accessibility of the program from any location, notably …

Now That We’re Used to Telemedicine, How About ‘Text-Med’?

The ink is barely dry on agreements allowing more telemedicine than ever before, but there are indications that some corners of the healthcare marketplace are already moving on toward The Next Big Thing: text-based medical encounters. A Denver-based startup called CirrusMD has pulled together $7 million in capital it plans to devote to expanding what’s thought to be the industry’s first “text-first” workflow. CirrusMD has cut its teeth on working with large health systems and …

More Opportunities in Telemedicine When Rural Hospitals Close

Urgent care operators who have been waiting for the elusive “right time” to start offering telemedicine might want to keep an eye out for hospital closures in their area—especially if those hospitals have been providing care where there aren’t many other options. A new study by the Texas A & M Rural and Community Health highlights telemedicine as a viable, and valuable, alternative for care when hospitals shutter their doors. The researchers even went so …

Texas is Finally on Board with Telemedicine

After stutters and starts, Texas became the last state in the U.S. to enact legislation allowing doctors to treat patients virtually. Proponents argue that it was sorely needed, as Texas ranks 46th in the country in the number of primary care physicians per capita—71.4 PCPs for every 100,000 residents, according to telehealth provider Teledoc; 35 counties don’t have a family physician at all. Teladoc actually started operating in Texas in 2005, but the state medical …

Healthcare Systems Shifting Capital Away from Hospitals to Ambulatory Care, Telemedicine

Tenet Healthcare Corp. is reducing capital spending for hospitals by $150 million in its 2017 budget in order to add urgent care centers in key markets, and to open freestanding emergency departments and microhospitals over the next 18–24 months. The idea is to shore up the facilities’ ability to meet growing volume in those settings. Kaiser Permanente is also building up its spending on emerging practice trends; in recognition of the fact that more than …

VA Telemedicine Plans Are at Odds with Some Licensing Laws

Despite being ahead of the curve on telemedicine, the Department of Veterans Affairs is finding its progress hindered by licensing laws in some states. The “problem” is that sometimes virtual visits take place between a provider who is on federal government property and a patient who isn’t; this is especially dicey if the provider isn’t licensed in the state the patient is in. The VA says federal legislation would clear the path for providers to …

Telemedicine is Taking Root in Urgent Care

Growing investment by service providers, occupational medicine companies, and entrepreneurs, along with wider acceptance by health plans, seems to confirm that telemedicine is no longer the Next Big Thing, but a newly essential service that urgent care operators need to consider offering. Most recently, U.S. HealthWorks announced that it’s launching a comprehensive telemedicine program called USHW CareConnectNOW, which will link patients to state-licensed medical providers 24 hours a day, 7 days a week. So far, …

Nearly Three Quarters of Clinicians Use Telehealth

Less than 3 years ago, barely more than half of healthcare providers used telemedicine and related services. Today, however, that proportion sits ag 71%, according to two new HIMSS Analytics studies that analyzed inpatient and outpatient telemedicine. The data indicate that “hub-and-spoke” models, in which the flow of care draws patients from lower acuity outpatient settings to larger, more comprehensive facilities, are the most popular, accounting for 59.6% of provider use. (These are more common …

Michigan Blues Start Pushing Telemedicine

Blue Cross Blue Shield (BCBS) of Michigan and Blue Care Network have apparently seen the light when it comes to the benefits of telemedicine. They’re working with physician groups on creating new financial incentives to expand member utilization. Seventeen groups, in fact, have already submitted telemedicine plans that could reap additional payments. Others are strategizing the best way to incorporate or expand telehealth offerings. BCBS says urgent care will figure prominently in its own efforts. …

Could Telehealth Be the Key to Urgent Care Realizing ‘Triple Aim?’

Urgent care has continued to grow based on its attributes of improving patients’ care experience at a lower cost than the emergency room, and by contributing to healthier populations—a triad of goals referred to as “triple aim.” Maintaining that growth may depend on outpacing other settings’ ability to change with the times. Twenty years since its inception—coinciding with urgent care’s own growth trajectory—telehealth may prove to be an invaluable tool in accomplishing that. One operator …