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How Care Delivery is expanding into a hybrid model and can be made more efficient and accessible through virtual care?

Howdy Everyone!

We are very excited to be part of HLTH 2021 at the Boston Convention Center this year. It was our first and we absolutely loved it. We met amazing innovators, makers and creators and we thrilled to cover some of the exciting digital health companies that we came across at the event.

Today we are covering the topic around “Care Delivery”, and how care delivery can be made more accessible, efficient and cost effective, by implementing virtual care correctly. For the folks entering this space recently, Virtual care doesn’t need any introduction due to the apparent need of this form of care due to pandemic.

Virtual Care Components

To build a Virtual care delivery network, one must consider following components –

1. A secured Application & Database Server typically hosted on HIPAA compliant healthcare cloud, with following capabilities -

1. An administrative interface that allows quick onboarding of clinics, pharmacies, different specialties, doctors, nurses, with the flexibility to manage their profiles; add and manage more users & roles, relevant for the organization you are onboarding

2. A HIPAA compliant infrastructure that must take care of physical, logical and technical safeguards of sensitive data “at rest or in transit” –

Access control for controlling unauthorized access
Implementation of Audit Trails that captures all user events. One also must carefully implement alerts & notifications that can identify security events. These security events along with the process that we implement
A way to handle PHI data with additional layer of security
Implementation of access controls on the cloud by leveraging some of the cloud native security services that are available these days
Setup of different coding standards like ICD 9/10, HCPCS/CPT codes, billing codes etc. Please note that the billing and coding rules change fast and hence the system must provide flexibility to update these codes and associated rules. Most of these rules due to Covid has seen frequent updates. In reality, these rules are also different and vary from payers like Medicare, Medicaid, Commercial and Exchange.
Careful consideration of different infrastructure components like elastic load balancers, firewalls, intelligent threat detections, configuration of various subnets, resiliency and disaster recovery, whitelisting of specific IPs for Admin control usage
A flexible rule management that can setup rule-based workflows considering different events.
Setup of payment services by configuring API keys from third party payment service providers. Ex. Stripe, PayPal etc.

2. A secured multi media server with the ability to stream and store data:

A typical media server that can be created by leveraging cloud native media services or using a third-party media server that can be hosted on cloud. Some typical components may involve -

Live encoders
Storage of multi-media files on S3 or blob
Creation of streaming endpoints Setup of CDN on cloud

3. A portal for patient, where patient can do following -

Search physicians
Schedule appointments
Pay for the tele health session
Provide information about their health problems
Initiate sessions
Live stream with Physicians
Send medical reports
View prescriptions
Order medicines online based on prescriptions
Keep a track of historical records
Manage reminders for them

4. A portal for doctors, where a doctor is able to perform atleast following –

See a list of patients
Pick patient and join live streaming session with a patient
Review patient info
Connect remotely to medical devices, that can transmit vital signs
Auto capture notes
Write prescriptions
Request Follow ups
Update his own calendars as available vs blocked
Refer to other specialist depending on the problem
Write Lab Orders

Moving into the future – Rise of Hybrid Model of Care

As we look at the future, traditional care delivery will move aggressively towards a hybrid home based care. An integrated hybrid care model will be on the rise, where a patient can now experience advanced care delivery straight from the comfort of his or her home.

Trend 1#:

Providers will leverage service companies, who will extend the ICUs at home. Right from continuous monitoring of patients, any nursing assistance, everything will be extended. Service providers will engage critical care therapists, experts & competent nurses at a lower price then hospital care.

Trend 2#:

Tele-Health networks will rapidly integrate into EHRs and bunch of other solutions within a provider network. This simply means, we are now talking about higher bandwidth, high volume of data storage, continuous connectivity and seamless experience for both providers and consumers of care, while handling telehealth needs. Companies will continue to integrate using different approaches like Native APIs, traditional HL7, or next gen FHIR APIs

Trend 3#:

More and more portable medical devices will form partnerships to be integrated with Tele-Health network. As Tele Health companies make into the mainstream of this new hybrid care model, lot of med device companies will evolve further to comply with the needs of these rapidly growing tele-health networks

Trend 4#:

Pick up of samples from home, will be a new normal, ensuring no travel for patients. Similarly, delivery of medicines straight to home, when a prescription is prescribed through the tele health interfaces, will see a surge. Integration with Revenue Cycle Management systems will ensure there is a seamless and touchless experience while submitting and managing claims

Trend 5#:

Clinical usage of wearables and data collected from wearables will also be leveraged, to make clinical decisions

Some of the interesting companies, product and their services:

Summus Global will have more than 1 million members will have access to their award-winning specialist care platform as of January 1, 2022. As a result of several exciting new partnerships and contracts with leading AMCs and employers, the Summus exclusive network of leading specialists and proprietary technology will help more than 1 million members and their families around the world.

GenieMD, provider of a HIPAA-compliant, cloud-based, mobile-first virtual care services platform, announces the adoption of their integrated Remote Patient Monitoring module by Tu Salud Virtual.

Tu Salud Virtual is reimagining the delivery of care in Puerto Rico by pioneering the integration of telemedicine services into their standard delivery of care model. Tu Salud Virtual leverages a white-labeled instance of GenieMD’s unified virtual care platform and is expanding its use by incorporating the Remote Patient Monitoring elements of the platform - scaling their virtual services across their community of care.

GenieMD, today also announced a national collaboration with Vytal, a healthcare technology company, for patients seeking a convenient way to engage with healthcare providers and order medication online.

OpticSurg Inc a NewYork based leading provider of an augmented reality software platform announces Vision Beyond for Telecollaboration between healthcare professionals transforming the future of work and collaboration in healthcare at Bedside (and in the operating room).

The Vision Beyond™ solution is an augmented reality-powered telecollaboration tool for enhanced provider-to-provider communication in healthcare and education application

Sumitomo Dainippon Pharma and BehaVR announce landmark deal for multiple virtual reality digital therapeutics

Wellinks Headquartered in New Haven Connecticut, has launched an integrated Virtual COPD Management solution.

Through this solution, Wellinks connects individuals and their caregivers through a suite of medical devices and intuitive software, enabling virtual COPD care management based on information that is real-time, accurate, and actionable

Babylon announces new collaboration with Microsoft to drive healthcare innovation and improve health access and affordability around the world.

The organizations will collaborate to explore opportunities to use their respective Artificial Intelligence, Machine Learning and Cloud Technologies in combination to accelerate the delivery of improved personalized care, and reduce the overall cost of care through integrated digital pathways.

Read the full article here

Bright.md, the leading asynchronous telehealth solution transforming the patient-provider experience, is excited to announce its newest digital product Navigate to guide patients to the optimal care option to meet their needs.

Navigate helps leading health systems attract patients, achieve positive outcomes, and save costs by guiding consumers to the right venue of care within their system, directly from their website or patient portal.

Read the full article here

Family Proud announced an application that allows communities to support patients and families from anywhere.

For patients and families, needing acute or ongoing community support, Family Proud is an app that makes it simple for anyone to give and receive support, anytime, anywhere. Unlike other platforms, Family Proud creates continuous loops of engagement in a dynamic digital community. Family Proud works with organizations that serve patients, families, and caregivers by providing insights and feedback on community needs and engagement.

To find out more go to familyproud.com

GeniusRx Launches GeniusClinic to Provide Telehealth Services to Meet Customer's Needs for Rapid, Remote Virtual Care

GeniusRx, a next-generation digital pharmacy focused on improving patient outcomes by disrupting the way prescription drugs are bought, sold, and delivered, announced the launch of GeniusClinic. GeniusClinic provides members with access to physicians in a transparent and affordable manner for new and refill prescriptions focused on non-acute and lifestyle conditions. Through GeniusClinic, members can be treated under 14+ different clinical protocols, including acne, allergies, asthma, digestive issues, erectile dysfunction, eyelash extensions, and many more.

Some more industry news beyond virtual care -

Curatio - the social health prescription expands partnerships with leading life sciences organizations including AstraZeneca, Janssen, Sanofi and Novartis

Using a unique, proprietary combination of AI, machine learning and matchmaking, Curatio connects patients to peer support, coaching, disease management programs, health literacy, live events, telehealth, medication and adherence tracking tools.

Lifelink Systems and Genentech to Collaborate on Advanced Conversational Patient Experience Platform

Mobile digital navigators to automate patient interactions in clinical trials, medication information, and inclusive research initiatives. Full copy here

Amino has extended its market-leading digital healthcare navigation product named Guidance to carriers and third-party administrators (TPAs) as a compliant solution for the No Surprises Act and Transparency in Coverage Regulations.

With this consumers will get a modern, streamlined shopping experience that makes it easy to evaluate their healthcare options across every factor that matters, not just cost, but also care quality, provider experience, convenience, and personal preferences, Amino Guidance goes well beyond minimum regulatory compliance and provides an intuitive, actionable healthcare navigation experience. With Amino Guidance, carriers and TPAs can drive increased engagement with digital member platforms, satisfy regulatory requirements without a huge internal development effort, and ultimately, help members find and choose higher quality, cost-effective providers and prescriptions covered by their plan.

VisualDx has launched a new API and has entered into a strategic collaboration with Janssen, one of the pharmaceutical companies of Johnson & Johnson as its pilot customer.

The new API grants provider organizations and health tech companies access to VisualDx’s leading clinical decision support software, which has been found to drive improved diagnostic accuracy and outcomes, especially for underrepresented populations. With the API, Janssen users can build differential diagnoses via VisualDx’s AI/ML solution, which is scientifically proven to analyze from light through dark skin images, with the same degree of accuracy.

This new collaboration will bring equitable AI to the point of care, helping to curb the racial and other forms of biases in clinical decision-making.

Read the full news here

Let us know your feedback what you think of this newsletter. If you have an interesting healthcare product or service making care affordable, accessible for all and want to share your digital health story with our community of 25K+ subscribers, please feel free to reach us at healthviva@taliun.com . As we cover more from Digital Health space in HLTH 2021 Boston, we will share some more exciting product and services launches in our future series.

Till then Adios!

HealthViva Team