{"id":42129,"date":"2015-09-21T16:27:21","date_gmt":"2015-09-21T16:27:21","guid":{"rendered":"http:\/\/tele.healthcare\/new.php\/?p=2087"},"modified":"2015-09-21T16:27:21","modified_gmt":"2015-09-21T16:27:21","slug":"interoperability-telehealth-key-to-chronic-disease-management","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/interoperability-telehealth-key-to-chronic-disease-management\/","title":{"rendered":"Interoperability, Telehealth Key to Chronic Disease Management"},"content":{"rendered":"

Healthcare leaders give their feedback to the Senate Committee members on how to improve the care management of chronic high-risk patients. The feedback being constant by all and focusing on three key areas the healthcare industry must deploy in order to have comprehensive success: EMR interoperability, improvements in patient engagement and the use of telehealth technologies and services.<\/strong><\/p>\n

By Jennifer Bresnick on June 18, 2015<\/p>\n

The healthcare system must focus its efforts on improving health data interoperability, boosting patient engagement, and overhauling the nation\u2019s telehealth policies if providers are to succeed with chronic disease management and better population health, say the leaders of the College of Healthcare Information Management Executives (CHIME) in a letter to Congress<\/a>.<\/p>\n

\u201cA high degree of data fluidity\u201d across the care continuum will provide the foundation for a number of different important activities related to chronic disease management, including care coordination, home monitoring, and the integration of patient-generated health data into the comprehensive electronic health record.<\/p>\n

After a May 15th hearing<\/a> discussing methods for improving care for Medicare patients, the Senate Committee on Finance formed a bi-partisan working group to address the growing need for more robust and cost-effective<\/a> population health management for patients with chronic conditions such as diabetes, heart failure, hypertension, asthma, and COPD.<\/p>\n

The Committee also asked for suggestions on how the healthcare industry can strengthen its chronic disease management and preventative care strategies to meet the rapidly growing needs of this large patient cohort.<\/p>\n

\u201cStakeholder input is critical for the committee to work toward its goal of producing bipartisan legislation that can be introduced and marked up later this year. To aid the Finance Committee in bipartisan chronic care reform policy development, we request all interested public and private sector stakeholders submit their best ideas on ways to improve outcomes for Medicare patients with chronic conditions,\u201d wrote Committee Chairman Orrin Hatch (R-UT) and Ranking Member Ron Wyden (D-OR) in a letter to the healthcare industry.<\/p>\n

CHIME\u2019s response to the call for feedback highlights three major areas where the industry must focus its efforts if it is to make strides with chronic disease management: health data interoperability, patient engagement, and a heavier reliance on telehealth and remote monitoring throughout the care process.<\/p>\n

At the core of these efforts is the creation and maintenance of a longitudinal patient health record<\/a> that will aid care coordination across multiple settings, write Russell Branzell, CHCIO, LCHIME, President and CEO of CHIME and Charles E. Christian, CHCIO, LCHIME, FCHIME, FHIMSS, Chair of the CHIME Board of Trustees and Vice President of Technology and Engagement at the Indiana Health Information Exchange.<\/p>\n

\u201cThe concept of a longitudinal healthcare record should reflect the patient\u2019s experience across episodes of care, payers, geographic locations and stages of life,\u201d Branzell and Christian said. \u201cIt should consist of provider-, payer- and patient-generated data, and be accessible to all members of an individual\u2019s care team, including the patient, in a single location, an invaluable resource in care coordination.\u201d<\/p>\n

\u201cFoundational to coordinated care is the need to accurately match patients with their healthcare data across providers, systems and states,\u201d the letter continues.\u00a0 The industry must embrace the idea of a widely-heldpatient identification process<\/a>, such as a national patient identifier<\/a>, to ensure that matching and synthesis of data across different healthcare systems is conducted in a secure, accurate, and meaningful way.<\/p>\n

\u201cA longitudinal healthcare record, supported by widely adopted standards, also should improve a patient\u2019s ability to manage consent privileges and diminish privacy concerns<\/a> related to the digitization of personal health information (PHI),\u201d the authors add.<\/p>\n

As well as considering the use of a national patient identification system, the healthcare industry must retool its approach to telehealth, starting by addressing the convoluted patchwork of state and regional regulations that make it difficult for providers to deliver remote care.<\/p>\n

\u201cHospitals and health systems are embracing the use of telehealth technologies because they offer benefits including the ability to perform high-tech monitoring without requiring patients to leave their homes, which can be less expensive and more convenient for patients,\u201d CHIME says.<\/p>\n

\u201cYet whether public and private payers cover telehealth services and adequately reimburse hospitals and other health care providers for providing those services, is a complex and evolving issue and, as a result, a possible barrier to standardizing the provision of these valuable services.\u201d<\/p>\n

CHIME asks Congressional leaders to take an active part in revising regulations that restrict the delivery of telehealth services according to geographical boundaries.\u00a0 While parity laws<\/a> that require private payers to cover remote care services are reaching a growing number of communities, licensing concerns and sluggish Medicare payment approval<\/a>are restricting the way providers can extend chronic disease management services to rural populations, homebound patients, and those who find it difficult to travel to a care location on a regular basis.<\/p>\n

Telehealth can also be an important strategy for improving patient engagement<\/a>, Branzell and Christian continue.\u00a0 \u201cOne of the most common limitations of physical presence healthcare is time,\u201d the letter says. \u201cProviders\u2019 time limitations have been well documented, while patients\u2019 time pressures can lead to forgotten questions and concerns.\u201d<\/p>\n

The use of asynchronous telehealth communications, which allow patients and providers to communicate at their leisure, might help to make the care experience more satisfactory and comprehensive for patients who feel flustered by the clinical environment.\u00a0 This may lead to more meaningful contact<\/a> with the healthcare system for those patients with ongoing chronic care needs, CHIME predicts.<\/p>\n

Remote monitoring can provide another strong link<\/a> between patients and their providers, the letter continues, and may become increasingly vital to the care process as healthcare\u2019s Internet of Things becomes a daily reality<\/a>for more and more patients.<\/p>\n

\u201cThe adoption of remote monitoring technologies has increased, especially as the market for fitness trackers and wearable devices continues to thrive,\u201d say Christian and Branzell. \u201cProviders are increasingly prescribing remote monitoring in the care plans of both patients with acute and chronic conditions. Thus, the need to address the technical complexities is even more important.\u201d<\/p>\n

Congress should develop and promote policies that encourage the high level of health data interoperability and adoption of data standards that are necessary to provide a foundation for the big data analytics that will make remote monitoring worthwhile for chronic disease management, CHIME concludes.\u00a0 The Committee should also seek ways to continue integrating meaningful use and other current initiatives into the ongoing process of regulating and fostering population health management across the evolving continuum of care.<\/p>\n","protected":false},"excerpt":{"rendered":"

Healthcare leaders give their feedback to the Senate Committee members on how to improve the […]<\/p>\n","protected":false},"author":3,"featured_media":2128,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,73,159],"tags":[313,450,539],"class_list":["post-42129","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-chronic-disease","category-telehealth","tag-chronic-disease","tag-mtelehealth","tag-telehealth"],"acf":[],"yoast_head":"\nInteroperability, Telehealth Key to Chronic Disease Management · Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"Healthcare leaders give their feedback to the Senate Committee members on how to improve the care management of chronic high-risk patients. 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