Embed Size (px)
Citation preview
© 2013, Healthcare Intelligence Network — http://www.hin.com
Note: This is an authorized excerpt from 2013 Healthcare Benchmarks: Telehealth & Telemedicine. To download the entire report, go to http://store.hin.com/product.asp?itemid=4662 or call 888-446-3530.
2013 Healthcare Benchmarks: Telehealth & Telemedicine 129 healthcare organizations describe how they’re applying telehealth,
including technologies in use, health conditions monitored remotely, the
greatest barriers to telehealth implementation, and much more.
“[In our future telehealth program,] we will be telemonitoring diabetic patients
at home.”
> Health plan
“We saw a decrease in 30-day rehospitalizations and an improvement in
patients’ outcomes and self-care [from using remote monitoring].”
> Home health
“The use of a scale and having a nurse and a pharmacist monitor heart failure
patients are [our most successful applications of telehealth].”
> Health plan
“[Our organization will take advantage of any telehealth provisions in the Patient
Protection and Affordability Act] by making applications for CMS Innovation
Center grant opportunities.”
> Non-profit consortium
© 2013, Healthcare Intelligence Network — http://www.hin.com 2
2013 Healthcare Benchmarks: Telehealth & Telemedicine
This special report is based on results from the Healthcare Intelligence Network’s third annual e-survey on Telehealth administered in June 2013.
Executive EditorMelanie MatthewsHIN executive vice president and chief operating officer
Project EditorsPatricia DonovanJessica Fornarotto
Document DesignJane Salmon
© 2013, Healthcare Intelligence Network — http://www.hin.com 3
Table of Contents
About the Healthcare Intelligence Network ............................................................. 7
Executive Summary ................................................................................................. 7
Survey Highlights .....................................................................................................8
Key Findings ............................................................................................................ 8
Program Components ..............................................................................................9
Results and ROI ........................................................................................................9
Successful Telehealth Applications ........................................................................ 10
Methodology ..........................................................................................................10
Respondent Demographics ......................................................................................11
Using This Report ....................................................................................................11
Responses by Sector ............................................................................................... 12
The “Other” Perspective ........................................................................................ 12
The Health Plan Perspective .................................................................................. 13
Year-Over-Year Survey Data ....................................................................................14
Respondents in Their Own Words .......................................................................... 15
Future Programs .....................................................................................................15
Results Achieved with Remote Monitoring ........................................................... 16
Taking Advantage of Telehealth Provisions in the ACA .......................................... 16
Most Successful Telehealth Applications ................................................................17
Conclusion .............................................................................................................. 18
Responses to Questions ......................................................................................... 18
Figure 1: All - Use Telehealth for Clinical or Non-clinical Purpose ......................... 19
Figure 2: All - Future Plans to Launch Telehealth Service ...................................... 19
Figure 3: All - Targeted Populations .......................................................................20
Figure 4: All - Targeted Conditions ........................................................................20
Figure 5: All - Technologies in Use ......................................................................... 21
Figure 6: All - Devices in Use ................................................................................. 21
Figure 7: All - What’s Available Via Telehealth ...................................................... 22
Figure 8: All - Telehealth for Non-clinical Applications .......................................... 22
Figure 9: All - Telehealth for Clinical Applications ................................................. 23
Figure 10: All - Health Conditions Monitored Remotely ........................................ 23
Figure 11: All - Health Activities Monitored Remotely ...........................................24
Figure 12: All - Funding Supporting Telehealth ......................................................24
Figure 13: All - Telehealth’s Impact on Clinical Metrics .......................................... 25
Figure 14: All - Telehealth’s Impact on Utilization Metrics .................................... 25
Figure 15: All - Telehealth ROI ................................................................................26
Figure 16: All - Greatest Barrier to Telehealth Implementation .............................26
Figure 17: All - Organization Type ........................................................................... 27
Figure 18: All - Market Segment............................................................................. 27
Figure 19: All - Legislation on Telehealth Reimbursement .....................................28
Figure 20: Other - Use Telehealth for Clinical or Non-clinical Purpose .................28
Figure 21: Other - Future Plans to Launch Telehealth Service ...............................29
Figure 22: Other - Targeted Populations ................................................................30
© 2013, Healthcare Intelligence Network — http://www.hin.com 4
Figure 23: Other - Targeted Conditions ................................................................. 31
Figure 24: Other - Technologies in Use .................................................................. 31
Figure 25: Other - Devices in Use .......................................................................... 32
Figure 26: Other - What’s Available Via Telehealth ............................................... 33
Figure 27: Other - Telehealth for Non-clinical Applications ................................... 33
Figure 28: Other - Telehealth for Clinical Applications ..........................................34
Figure 29: Other - Health Conditions Monitored Remotely ..................................34
Figure 30: Other - Health Activities Monitored Remotely..................................... 35
Figure 31: Other - Funding Supporting Telehealth .................................................36
Figure 32: Other - Telehealth’s Impact on Clinical Metrics .................................... 37
Figure 33: Other - Telehealth’s Impact on Utilization Metrics ...............................38
Figure 34: Other - Telehealth ROI ..........................................................................39
Figure 35: Other - Greatest Barrier to Telehealth Implementation ...................... 40
Figure 36: Other - Market Segment ....................................................................... 41
Figure 37: Other - Legislation on Telehealth Reimbursement ...............................42
Figure 38: Health Plan - Use Telehealth for Clinical or Non-clinical Purpose ........43
Figure 39: Health Plan - Future Plans to Launch Telehealth Service .....................44
Figure 40: Health Plan - Targeted Populations ......................................................45
Figure 41: Health Plan - Targeted Conditions .........................................................46
Figure 42: Health Plan - Technologies in Use ........................................................ 47
Figure 43: Health Plan - Devices in Use .................................................................48
Figure 44: Health Plan - What’s Available Via Telehealth ......................................49
Figure 45: Health Plan - Telehealth for Non-clinical Applications .........................50
Figure 46: Health Plan - Telehealth for Clinical Applications ..................................51
Figure 47: Health Plan - Health Conditions Monitored Remotely ......................... 52
Figure 48: Health Plan - Health Activities Monitored Remotely ........................... 53
Figure 49: Health Plan - Funding Supporting Telehealth ....................................... 53
Figure 50: Health Plan - Telehealth’s Impact on Clinical Metrics ..........................54
Figure 51: Health Plan - Telehealth’s Impact on Utilization Metrics ...................... 55
Figure 52: Health Plan - Telehealth ROI ................................................................. 56
Figure 53: Health Plan - Greatest Barrier to Telehealth Implementation .............. 57
Figure 54: Health Plan - Market Segment ............................................................. 58
Figure 55: Health Plan - Legislation on Telehealth Reimbursement ......................58
Appendix A: Telehealth in 2013 Survey Tool ............................................................ 59
About the Contributor ........................................................................................... 60
© 2013, Healthcare Intelligence Network — http://www.hin.com 5
67% of survey respondents
use telehealth
for clinical or non-clinical purposes.
About the Healthcare Intelligence Network
The Healthcare Intelligence Network (HIN) is an electronic publishing company providing high-quality information on the business of healthcare. In one place, healthcare executives can receive exclusive, customized up-to-the-minute information in five key areas: the healthcare and managed care industry, hospital and health system management, health law and regulation, behavioral healthcare and long-term care.
Executive Summary
Healthcare is leaning on videoconferencing more than ever to monitor discharged patients, conduct remote consultations and facilitate communication, according to responses to the Telehealth in 2013 Survey by the Healthcare Intelligence Network. Respondents reported videoconferencing as the number one technology being utilized, an increase from 41 percent in 2010 to 59 percent in 2013. More than 10 million Americans directly benefited from a telemedicine service during the past year, according to the American Telemedicine Association.
Respondents also reported a decrease in the use of land lines from 80 percent in 2010 to just 53 percent in 2013, while the use of smart phones rose from 30 to 40 percent in the same time period.
More reliance on mobile health is also reflected in responses to the survey, in which healthcare organizations reported wireless technology, data monitoring and the Worldwide Web among the top technologies used in telehealth programs, just as in 2010.
Another notable telehealth trend for 2013 is an increase in health activities monitored remotely. One hundred percent of respondents now monitor weight and vital signs, up from a respective 79 and 77 percent in 2010. The health conditions monitored remotely remain the same from 2010, the top three being heart failure, COPD and diabetes.
Also identified: slight decrease in use of e-mails, education and HRAs, but an uptick in the use of virtual visits (34 percent in 2010 to 46 percent in 2013).
Survey Highlights
9 Telehealth programs target all (42 percent), elderly or Medicare (27 percent) and chronically ill populations (24 percent).
9 The survey identified the top sources of funding in place to support telehealth efforts as reimbursement from private payors, corporate support
“We saw a decrease in unnecessary
medical visits and an increase
in successful self-care from our
telehealth use.”
© 2013, Healthcare Intelligence Network — http://www.hin.com 7
Congestive heart failure
is the top condition
targeted by telehealth programs, say 53% of
respondents.
“Daily assessments are available
via telehealth to patients and health
plan members.”
© 2013, Healthcare Intelligence Network — http://www.hin.com 10
Using This Report
This benchmarking report is intended as a resource for healthcare organizations searching for comparable data and means to measure implementation and progress. It is also a helpful planning tool for organizations readying initiatives in this area.
The initial charts and graphs presented represent results from all respondents; images in subsequent sections depict data from high-responding sectors. (Figure titles begin with the segment they represent; for example, All, Health Plans, Hospitals, etc.)
Often, one of the largest responding sectors is composed of respondents identifying their organization type as “Other.” In general, we do not depict results from this segment because it represents a wide range of organization types, including consultants and product vendors. However, you will always find a graph indicating the demographics of respondents.
Here are some additional tips for using this report:
9 See how you measure up: Scan this report for your sector, and see how your program compares to others. Note where you are leading and where you are behind.
9 Evaluate your efforts: Think about where you have been focusing your efforts in this area. Look for trends in the data in this report. Look for benchmarks set by your sector and others.
9 Set new goals: Use the data in this report to set new goals for your organization, or to raise the bar on existing efforts.
9 Use it as a reference book: Keep this report accessible so you can refer to it in your work. Use these data to support your efforts in this area.
If you have questions about the data in this report, or have feedback for our team, don’t hesitate to contact us at [email protected] or 732-449-4468.
© 2013, Healthcare Intelligence Network — http://www.hin.com 22
11.9%
11.9%
13.6%
15.3%
16.9%
23.7%
27.1%
42.4%
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%
Dual eligible
Other
Medicaid
Recently discharged
Rural
Chronically ill
Medicare
All
6.0%
28.0%
30.0%
40.0%
46.0%
50.0%
52.0%
56.0%
60.0%
60.0%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%
Other
E-prescribing
After-hours care
E-reminders
Virtual visits
Health coaching
HRAs
Education
Self-mgmt tools
Figure 3: All - Targeted Populations
HIN Telehealth SurveyJune, 2013© 2013
Figure 4: All - What’s Available Via Telehealth
HIN Telehealth SurveyJune, 2013
Which population is targeted by your telehealth program?
Which of the following are available via telehealth to patients and health plan members?
© 2013
