A judge in the U.S. District Court for Arizona has ordered Raytheon Missile Systems of Tucson, AZ, a division of Raytheon Company of Waltham, MA, must reinstate healthcare benefits to those employees who opted for early retirement. This restores benefits to approximately 1,000 retirees, and calls for compensation for premiums they have paid since their coverage ceased in 2004.
Royal Philips Electronics has launched a handheld ultrasound system for cardiologists to obtain diagnostic data bedside. Philips representatives said the CX50 CompactXtreme features its PureWave transducer, which can improve penetration in difficult-to-image patients. It also features Philips XRES adaptive image processing for reduced speckle and haze inherent with ultrasound imaging. The Philips CX50 CompactXtreme also supports adult transthoracic and transesophageal cardiology applications, the representatives said.
Although hospitals spend millions of dollars on the most advanced imaging devices and robotic surgeons, patients who don't need specialized care will never see that equipment. For common procedures, patients are more likely to need help with the daily challenges of hospital stays, such as taking medication, treating wounds, and going to the bathroom. To accommodate the typical patient, some hospitals are adopting relatively simple, but practical high-tech solutions to everyday problems.
Massachusetts Gov. Deval Patrick has signed into law a bill that will require hospitals and community health centers to use interoperable electronic health records systems if they seek to obtain or renew licenses to operate in 2015 or afterward. The law outlines a goal of "full implementation of electronic health records systems and the statewide interoperable electronic health records network by January 1, 2015." It also sets up a mechanism for creating a statewide health information network. The law, however, stops short of requiring doctors in private practice to use health IT.
Beginning in January 2009, the Bush administration will expand access to online records in Arizona and Utah as part of an ongoing effort to encourage greater use of health information technology. The records will contain up to two years of information from Medicare's records, with patients having the ability to add to their records and share them with physicians, pharmacists, and other healthcare providers. Advocates believe personal health records and electronic medical records, along with other utilities like electronic prescriptions, can reduce medical errors, improve efficiency, and lower costs in the healthcare system.
There has been a lot of news recently about the increased use (and future growth) of telemedicine. One report predicts the market for telemedicine devices and services will reach nearly $2 billion in less than five years. "New wired and wireless broadband networks are saving time and costs in the medical environment. They allow specialists to remotely triage, diagnose, and monitor medical cases by viewing data and images conveyed wirelessly to their locations. They also enable specialists to access medical records and medical reference material that are germane to a specific patient's case," say analysts at market research firm Pike & Fischer.
Researchers at the University of Missouri estimate that the U.S. could save $1.5 billion in healthcare costs if health plans encouraged patients with chronic diseases to engage in frequent telemedicine visits with their doctors.
In yet another study, researchers at the University of California San Diego Medical Center found that stroke patients in remote locations receive more accurate treatments through the use of telemedicine consultations than with telephone consultations. In this case, researchers define a telemedicine consultation as including real-time two-way audio, video, and digital imaging. In fact, they say correct treatment decisions were made in 98% of telemedicine consultations compared to 82% of telephone consultations.
Despite all of the reported benefits associated with practicing telemedicine, there are still major obstacles that have prevented adoption of this technology. Lack of reimbursement, the high cost of purchasing and installing the equipment, and confusion surrounding the legality of providing patient care across state lines are among the most commonly cited reasons healthcare providers say they have chosen not to invest in the technology.
Karen Rheuban, MD, president-elect of the American Telemedicine Association recently cited funding as one of the greatest barriers affecting the dissemination of telemedicine when she appeared before the House Agriculture Subcommittee on Specialty Crops, Rural Development, and Foreign Agriculture. In her testimony, Rheuban urged Congress to commit to a greater level of funding support. "Current Medicare reimbursement policies and uncoordinated agency definitions of rurality" have kept providers from adopting this technology at a greater rate, she says.
Even though providers continue to push for increased funding, the government doesn't seem to be in any rush to give it to them. In its response to requests that that Diabetes Self-Management Training and critical care services be added to the list of Medicare telehealth services, the Centers for Medicare and Medicaid Services recently recommended against adding those services to the telehealth list, saying "We have no evidence suggesting that the use of telehealth could be a reasonable surrogate for the face-to-face delivery of this type of care."
Still, the industry did receive a bit of good news in late June when the House of Representatives passed legislation expanding the list of Medicare telehealth originating sites, adding hospital-based renal dialysis centers, skilled nursing facilities, and community mental health centers to the list of sites that are eligible for reimbursement. Advances in broadband technology have also increased the scope of providers who can afford to practice telemedicine. With a high-speed Internet connection and a computer, even the most rural hospital operating on a shoestring budget can have access to specialists that were previously unavailable to them.
The reports predicting that the practice of telemedicine will save the healthcare industry billions of dollars while vastly improving the quality of patient care may eventually prove to be prophetic. Before that happens, however, most experts agree there is going to have to be broader financial support from payers in both the private and public sectors.
Kathryn Mackenzie is technology editor of HealthLeaders magazine. She can be reached at kmackenzie@healthleadersmedia.com.
Note: You can sign up to receive HealthLeaders Media IT, a free weekly e-newsletter that features news, commentary and trends about healthcare technology.