A Virtual Care Blueprint: How Digital Health Technologies Can Improve Health Outcomes, Patient Experience, and Cost Effectiveness

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The Covid-19 pandemic prompted healthcare systems around the globe to quickly explore and subsequently adopt digital health technologies and virtual care models that had been slowly growing in mainstream acceptance throughout the decade prior. In particular, telemedicine use skyrocketed as healthcare organizations and governments needed to provide access to infection risk-free health services. Telemedicine has been around in its current form for nearly two decades but grew significantly in utilization after the rapid acceleration of internet and smartphone adoption in the 2010s, and again in 2020 due to Covid-19.

Beyond traditional audio-visual telemedicine modalities, newer, more advanced models of tech-enabled clinical services have begun to gain popularity. Fueled by ubiquitous modern telecommunication technologies (e.g., the Smartphone), a growing dissatisfaction with healthcare services among patients, and increasing chronic disease epidemics in developed countries, models like remote patient monitoring (RPM) and other hybrid virtual care models have entered the clinical toolbox. RPM-based care models can fill the gaps of transactional telemedicine in order to deliver longitudinal care appropriate for patients with chronic conditions. Despite the apparent recent acceleration of interest in and adoption of RPM-based virtual care models, substantial research exists on RPM covering patient reported outcomes, clinical effectiveness, and economic factors.

In A Virtual Care Blueprint: How Digital Health Technologies Can Improve Health Outcomes, Patient Experience, and Cost-Effectiveness, Robert L. Longyear III explores the science, frontline clinical perspectives, and potential impact of RPM-based virtual care programs. Seeking to provide evidence-based information on RPM and virtual care in a market flooded with marketing materials, Longyear provides healthcare leaders, clinicians, and policymakers a clear outline of these increasingly important care models for a modern healthcare delivery system.

Author(s): Robert Longyear
Publisher: Routledge
Year: 2021

Language: English
Pages: 208
City: London

Cover
Half Title
Title
Copyright
Dedication
Contents
Foreword
Preface
Acknowledgments
Author
Chapter 1 Introduction
Chapter 2 Digital Health—A New Industry
A Definitional Issue
Improving the Patient Experience: A Universal Experience
Digital Experiences and Consumer Desires
Chapter 3 The Smartphone and the Internet
Internet and Smartphones: A Global Perspective
The Internet: The US Perspective
Rural Areas
Older Adults
The Smartphone
Smartphones and the Internet: Population Segments
A Note About Equity and Disparities
Chapter 4 Refocusing Our Collective Efforts : Addressing Health Risk Factors
Chronic Illness Epidemiology
Addressing Factors That Lead to Chronic Disease
A NOD to Public Health and Social Investment at All Levels
Chapter 5 Bridging and Adjusting the Setting of Care
The Face-to-Face + Virtual Model
Post-Acute
Outpatient Chronic Care: Driving Connected Care Models
Brick-and-Mortar Barriers
Chapter 6 Telemedicine: The Genesis of Virtual Care
Scope of Care
Telemedicine Payment Policy
Chapter 7 Telemedicine: The Evidence
Telemedicine: The Evidence
Cost Considerations
Patient Satisfaction
Chapter 8 The Patient Relationship: The Softer Side of Virtual Care
Virtual Care: The Doctor–Patient Relationship
Telemental Health Services: An Example of Virtual Therapeutic Relationships
The Three Elements of Patient Engagement
Chapter 9 Data Collection in Healthcare: An Overview
The EHR
The EHR and Virtual Care
Patient-Generated Health Data (PGHD) and Wearables
Chapter 10 Wearables and Predictive Analytics
Chapter 11 Remote-Patient Monitoring
RPM: The Technical Definition
Chapter 12 RPM-Driven Virtual Care: Frontline Perspectives
Engaging Older Adults
RPM: Beyond Physiological Data Transmission
Chapter 13 Remote-Patient Monitoring Outcomes
An Evidence Overview
Do RPM-Based Virtual Care Programs Work?
Economic Outcomes
Patient Experience Outcomes
The AHRQ Systematic Review
Chapter 14 Digging Deeper: RPM Outcomes by Condition
Improving Physical Activity and Diet
Heart Disease and Diabetes: The Pioneer Conditions
A Diabetes Case Study
Heart Failure
Neurological Disorders
COPD
Asthma
Oncology
Pediatrics
Mental Health
Chronic Kidney Disease (CKD)
Emerging Areas of Study
Chapter 15 Payment and Policy
FFS Payment Models in Virtual Care
Value-Based Payment in Virtual Care
Case Study: ChenMed and Virtual Care During the COVID-19 Pandemic
Chapter 16 Digital Therapeutics
RPM versus Digital Therapeutics
Chapter 17 Furthering the Field and Adoption
Research Investments
Encouraging Experimentation Culture
Program and Terminology Definitions
Patient-Centeredness and Clinician Training
FWA
Entry to Curriculum
Drastic Change Claims
Chapter 18 Our Moral Responsibility and a Compass
A Compass
Chapter 19 Conclusion
Index