Literature Review

Employing telehealth to ease the hospice transition for kids with cancer mHelathIntelligence, by Anuja Vaidya; 4/23/24 ... In a study published in the Journal of Pain and Symptom Management last month, Children's Healthcare of Atlanta researchers detailed a telehealth-based intervention the hospital has employed to ease the transition to hospice for young cancer patients and their families. ... The intervention includes a series of coordinated telehealth visits during the first month of hospice enrollment for children or young adults, 29 or younger, with cancer. ... Hospice nurses participating in the pilot received a tablet equipped with mobile WiFi cellular service that they would take to the family's home, which enabled the [hospital/pediatric specialty] nurses and families to join the call. ... The most important finding of the study was that coordinated telehealth visits between the hospital, hospice, and the families during the first month of hospice enrollment were feasible and acceptable to all participants.

Outlook dims for resolution of eased telehealth payments and rules McKnights Senior Living, by John O'Connor; 4/16/24 The general consensus was clear during a recent House hearing aimed at addressing the temporary easing of policies and payments: Telehealth as a concept is here to stay. But as a year-end deadline to either reinforce or discard numerous COVID-era stopgap measures approaches, resolution is hardly in reach.

Telehealth access threatened as internet subsidies near endModern Healthcare, by Sarah Jane Tribble, KFF News; 4/4/24 More than 23 million low-income households — urban, suburban, rural, and tribal — are enrolled in the federal discount program Congress created in 2021 to bridge the nation’s digital connectivity gap. The program has provided $30 monthly subsidies for internet bills or $75 discounts in tribal and high-cost areas. But the program is expected to run out of money in April or May, according to the Federal Communications Commission. In January, FCC Chairwoman Jessica Rosenworcel asked Congress to allocate $6 billion to keep the program running until the end of 2024. 

A pilot of a Telehealth-Hospice transition intervention for children and young adults with cancer Journal of Pain and Symptom Management; by Nicholas P DeGroote, Ebonee Harris, Anna Lange, Karen Wasilewski-Masker, James L Klosky, Joanne Wolfe, Dio Kavalieratos, Katharine E Brock; 3/31/24, online ahead of printConclusions: Participants found coordinated telehealth visits to be feasible, acceptable, and satisfactory. Telehealth may be utilized as an acceptable alternative to clinic visits and fosters hospital-hospice collaboration.

HHS Secretary Becerra: We’re with you on telehealth flexibilities Hospice News, by Jim Parker; 3/21/24 Telehealth flexibilities must become permanent U.S. Health and Human Services (HHS) Secretary Xavier Becerra indicated in a congressional hearing [Wed]. At the end of this year, telehealth flexibilities implemented during the pandemic are slated to expire. In a hearing before the U.S. House Ways and Means Committee Becerra said that HHS was willing to make them permanent. However, he said this would require closer collaboration with state governments. “We’re with you. We can’t allow those flexibilities to expire, and we need to work closer with our state partners, because much of the flexibility that comes from telehealth means being able to go over state lines,” Becerra said.

Pressing questions about rural telehealth access and investments put innovation in dangerMcKnights Long-Term Care News, by Kimberly Marselas; 1/22/24Proven healthcare technologies can help improve patient care and boost staff confidence, but in many rural areas, one major impediment remains: lack of high-speed internet.

Virtual care works best when patients see their own family doctor, study findsNews Release; 12/27/23Toronto, ON—Compared to patients who had a virtual visit with their own family doctor, those who received virtual care from a doctor outside of their family care team were 66 percent more likely to visit the emergency department within seven days, according to new research. The study, led by researchers at the University Health Network, Unity Health Toronto, and ICES, also showed that patients receiving virtual care outside of an existing family doctor-patient relationship were 25 percent more likely to have an in-person visit and 88 percent more likely to have another virtual visit within seven days.

Why health systems are dropping their IT teamsModern HealthcareDecember 7, 2023The digital transformation is underway at health systems but it increasingly doesn’t involve in-house IT departments. Health systems are transitioning their analytics and tech employees to managed service companies as they look to scale virtual care, artificial intelligence and analytics initiatives. By moving the work out-of-house and the employees with it, a process called rebadging, health systems struggling with razor-thin margins say they can deploy IT projects more efficiently while saving on costs. ... In November, consulting firm Guidehouse surveyed health system CEOs and chief financial officers about their top three IT investment priorities in 2024. A third of respondents said they have expanded relationships with IT outsourcing partners ... But there are downsides to the strategy. The transition of employees can be bumpy. Also, by offloading IT employees, the quality of work can be worse when the outside company doesn’t understand the system as well.