Trends in Retail Health Clinics and telemedicine
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Trends in Retail Health Clinics  and telemedicine
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EMRs Should Include Telemedicine Capabilities

EMRs Should Include Telemedicine Capabilities | Trends in Retail Health Clinics  and telemedicine |
But the more time patients spend getting their treatment from digital doctors on a screen, the more important the mass of medical data generated becomes.

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New Legislation Helps Remove Telemedicine Barriers

New Legislation Helps Remove Telemedicine Barriers | Trends in Retail Health Clinics  and telemedicine |

There is no doubt that the practice of medicine has changed in many ways over the years.  Local physician practices that used to serve those within their community, now own or work for medical entities offering services across state lines and physicians practice in multiple states, both via telemedicine and in person. 

Legislation in this country has largely not kept up with the times, but it is expected that we will soon see many legal changes to catch up with the increasingly national practice of medicine. 

One of the major hurdles that has delayed the growth of telemedicine and the expansion of healthcare providers is the control of every state over licensure of physicians within their own borders.  This means that physicians must be licensed in every state in which they desire to practice medicine. 

Although there are some general exceptions among certain states that allow reciprocity (and many states allow for second opinions and special consultations), most states consider a physician to be practicing medicine without a license if he provides services to an in-state patient without a license (whether via telemedicine or in the state where the patient is located).    

For example, if a patient is in Illinois and obtains a diagnosis and prescribed treatment from a physician licensed only in California, then absent an applicable exception, that physician has practiced medicine in Illinois without a license.  The same would be true if the physician came to Illinois to see the patient in person.

In the fall of 2014, the Federation of State Medical Boards finally came out with the Interstate Medical Licensure Compact, which is intended to streamline the process of physicians obtaining licenses outside their own state.  With this legislation, more states will join in the effort to allow physicians to engage in medicine freely across borders.   

Under the proposed legislation, a physician would generally follow these steps to gain licensure in multiple states:

1. The physician files an application with the state in which she is are primarily located.  This is known as the “Principle Board.”  This does not have to be, but would generally be the board in the physician’s state of residence. 

2. The Principle Board would then decide whether to recommend that the physician be issued an expedited license with another state.  This recommendation would be made to the “Interstate Commission.”  This is the body that has been charged with administering the Compact. 

3. Once a physician is recommended to the Interstate Commission, that physician would then complete a registration process and pay the applicable fees to practice in each state for which he is applying.  The normal license fees would still apply for every state in which the application is being made. 

4. Each of the “State Member Boards” will share information related to any complaints and actions concerning a physician’s professional performance in another state.  Although states already share in this manner, information will likely be shared more quickly under the compact.  Similarly, future actions taken against a physician in one state will cause similar action to be taken by the other states, most likely in a more expedited manner. 

5. Physicians will still need to comply with the medical practice requirements of every state in which they obtain a license.  In no way does the Compact alter a state’s jurisdiction over medicine in any state. 

The compact makes a lot of sense for licensees who know how cumbersome the process is to apply for multiple licenses.  Through the compact, a single set of verified documents will be shared with multiple states, rather than repeating the same process multiple times.  This saves time and money and opens up new market for physicians (and companies) who were deterred by the licensure process. The compact will hopefully also speed up the growth of telemedicine and mhealth throughout the country.

While there are many details still to be worked out about how the compact will work, it does seem to be a step in the right direction in keeping up with the current state of medicine.

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Telemedicine market could grow by $5 billion in next five years

Telemedicine market could grow by $5 billion in next five years | Trends in Retail Health Clinics  and telemedicine |

By the year 2020, the patient monitoring market in the U.S. is expected to grow by about $5 billion--mostly because of the expansion of telemedicine use, according to a reportby iData Research.

The report also looks at the impact vital sign monitors, fetal and neonatal monitors, cardiac output monitoring devices and blood pressure monitors will have on the market, among others. In addition, the telehealth market in the U.S. is projected to grow in double digits in the next five years, according to an announcement on the report, with telehealth for disease conditions management set to make up more than half of that market. 

Public and private organizations will also help telemedicine grow as they budget more funds for the technology in the ensuing years, according to the announcement.  

Another industry report also says major growth in telemedicine is on its way, predicting the market will double in the next four years, FierceHealthIT previously reported. The market will see growth at 18.88 percent CAGR, from 2014 to 2019, according to

Other factors moving telemedicine forward are changes in reimbursement and healthcare policies, which will increase physician confidence in spending money on the technology. according to the iData report.

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Wearable Technology And Digital Healthcare Strategies Should Shift Focus To Chronic Medical Illness

Wearable Technology And Digital Healthcare Strategies Should Shift Focus To Chronic Medical Illness | Trends in Retail Health Clinics  and telemedicine |

As we marvel at the gadgets that companies such as Nike, Fitbit, Jawbone and Apple have recently produced and brought to market--gadgets that can record our heart rate, calories expended, and steps taken—one can only think of how this technology could likely be used on a greater scale to help those who truly need it the most: people with chronic medical illnesses such as emphysema, diabetes, or congestive heart failure.

Via ET Russell
Emma Sands's curator insight, December 4, 2014 2:55 AM

The current target for wearables is the same as for gyms and sports clubs -  this leads to stats as commented in the article: "Less than half of people who own a wearable use it on a daily basis". Currently wearables are being treated as "add-on" to a healthy lifestyle, but form no real part of it. We need them to become "add-ins" (to coin a phrase), an integral part of health management within the home - the active-patient paradigm.

David Greene's curator insight, December 5, 2014 12:33 PM

With the advent of all this wonderful technology we can't lose sight of initiating the care without assessing the patient's desire to participate...  Becoming partners in care seems to be the most effective way to help the chronically ill...

Linds's curator insight, December 30, 2014 7:25 PM

Those of us with chronic illnesses already have many medical gadgets, including portable heart rate monitors and EKGs, and simple blood pressure monitors.

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How Technology is Driving the Next Wave of Telemedicine

How Technology is Driving the Next Wave of Telemedicine | Trends in Retail Health Clinics  and telemedicine |

The growth in business cases for new models of healthcare delivery and integration of digital health technology is reaching the point of convergence — creating powerful synergies where there was once only data silos and skepticism.

We have not quite achieved this synergy yet, but opportunities emerging in 2015 will move the industry much closer to the long-awaited initiatives in connected, value-based care.

Individuals are constantly hyper-connected to a variety of technology networks and devices. Wearables will continue to enter the market, but their features and focus will go well beyond fitness. Even the devices entering the market now are more sophisticated than ever before. Some are now equipped with tools like muscle activity tracking, EEG, breath monitoring, and UV light measurement.

It will be fascinating to watch how consumer electronics, wearables, and clinical devices continue to merge and take new forms. Some particularly interesting examples will be in the categories of digital tattoos, implantable devices, and smart lenses.

As the adoption of wearables continues to grow, we will continue to see more value placed on accessing digital health data by healthcare and wellness organizations. This will be especially important as healthcare shifts towards value-based models of care. The need to gain access to the actionable data on connected devices will only grow as innovation creates more complex technologies in the market.

This is the year the promise of telehealth will be realized. It is projected that by 2018, 65 percent of interactions with health organizations will take place via mobile devices. Those statistics speak to the need of satisfying the growing demands being placed on providers, along with the growing discernment among patients when it comes to selecting affordable and convenient medical services. The continued adoption of telehealth will extend the point of care for providers and provide ubiquitous access to medical professionals for patients.

A number of entities are already putting this into practice: Walgreens, in partnership with MDLIVE, recently expanded their mobile platform to offer virtual doctors visits for acutely-ill patients; Google is testing a HIPAA-compliant medicine platform for video chats with doctors; and, digital urgent care solutions, like Doctor on Demand, are growing in popularity due to their convenience and low cost.

Telemedicine will not only extend the point of care, but will also be critical in better combatting chronic disease. Managing chronic health conditions will become the focus of many healthcare providers, as models of reimbursement and population health management (PHM) continue to replace fee-for-service models. One issue with chronic disease management is that it is difficult to monitor at-risk patients outside of the hospital. This is where telemedicine comes in.

Prescribed devices and applications to better handle chronic conditions will increase in pervasiveness. This idea of prescribing mobile health to better manage disease states translates to a host of chronic conditions – obesity, diabetes, heart disease, arthritis, cancer.

For example, our client UCSF uses devices like step trackers, sleep trackers, scales and blood pressure monitors to track patients at-risk for heart disease or cardiac readmissions. Another client, UNC is creating a Gastro-Intestinal tracking application (GI Buddy) that leverages fitness devices and scales to monitor Chron’s disease. There are thousands of studies pioneering innovations to improve the efficiency and effectiveness of healthcare. And, they are making serious strides.

The automatic transmission of pertinent patient data from these mobile health technologies is propelling forward capabilities for cost-effective, efficient and successful remote patient monitoring, population management and patient engagement programs.

However, as telehealth and telemedicine capabilities continue to develop, the major hurdle for most providers is integrating and the mobile health data collected outside of the hospital back into the clinical story for use in the provision of care. In a value-based healthcare system, the key to better outcomes lies in data, and specifically, obtaining access to data generated outside of the provider setting.

Platform services will continue to be vital partnerships as healthcare systems are expected to quickly execute on all these initiatives simultaneously and successfully. Bottom line:  The industry is transforming, and if you have not started talking about how to connect to those external data sources, then you need to start.

These emerging trends will continue to bind the landscapes of technology, healthcare, and business. The road set upon long ago by medical professionals and legislators is finally coming to fruition. The walls of interoperability are beginning to come down, investments are growing, partnerships are forming, and consumers are starting to take notice. We are moving towards a digital health revolution. We have the opportunity, the responsibility, and the honor, to align healthcare and technology innovation to exponentially improve our care system. It is a tall task, but we are off to a promising start.

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Future Of TeleMedicine: Will Robot Chips Live In Our Bodies

Future Of TeleMedicine: Will Robot Chips Live In Our Bodies | Trends in Retail Health Clinics  and telemedicine |
2040 will herald the decade of thought activation and mind control, and the work colleague we chat to at the watercooler might be a hologram. These were two predictions made by MYOB’s chief technology officer, Simon Raik-Allen, as part of ...

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Mentoring, Telemedicine Offer Paths to Better Rural Health Care Access

Technology is being used in creative ways to expand patients' access to health care in rural areas. But now, training and payment systems need to catch up.

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Could The Future Of Health Care Mean No Waits In Hospitals?

Could The Future Of Health Care Mean No Waits In Hospitals? | Trends in Retail Health Clinics  and telemedicine |

As medical treatment is impacted by technology, consumerization, and the mobile revolution, we may see a world where your doctor already knows why you’re sick and can treat you over the phone--leaving the hospitals for the true emergencies.


Editor’s Note: This post is part of Co.Exist’s Futurist Forum, a series of articles by some of the world’s leading futurists about what the world will look like in the near and distant future, and how you can improve how you navigate future scenarios...

Via ET Russell, eMedToday
eMedToday's insight:

There is massive away from the hospital to the home and treatment outside the hospital like retail health clinics

ET Russell's curator insight, August 2, 2013 3:03 AM

Dr. Nick van Terheyden, is CMIO at Nuance offers his thoughts on the hospital of the future and the top three transformations that will drive the next generation of patient-centric care.

1- Technology that works for physicians vs against them.

2. The consumerisation of health care

3. Fewer patients waiting in the hospital


Includes reference to [An avatar-based telehealth platform that enables continuity of care for chronic diseases, leading to improved patient outcomes and reduced costs.]

eMedToday's curator insight, August 2, 2013 9:06 PM

Key point


Part of this movement to shift responsibility to the patient means hospitals, which have for years measured financial success based on the number of filled beds, will have to adjust to a new health care system that values empty beds and healthier patients.