How cloud-based video is disrupting healthcare delivery

Telemedicine has been a market with a bright future for a long time but there are barriers to adoption due to cost, ease-of-use and reimbursement. Christopher Herot, CEO of SBR Health, is an innovator in the telemedicine space, who saw these barriers as opportunities for disruption, and is making it easy to get started and scale e-Visit programs to deliver care more effectively, and with greater operational efficiency. SBR Health’s automated call and skills routing management solutions allow healthcare providers to increase patient accessto care, reduce costs and readmission rates and extend service reach by delivering care virtually through video visits. In this interview, Chris describes how cloud-based video solutions are revolutionizing healthcare delivery by seamlessly integrating into clinical workflows to connect patients with doctors, specialists and membersof the care team in real-time, at any location and using any device.

Q: What role does video play in patient engagement, and how is it being used today?

People have known that patient engagement is key if you want to bend the cost curve in healthcare. The US spends twice as much as the most developed nations in the world on healthcare per capita, and we rank 18th in terms of life expectancy so clearly something’s wrong.

Until recently, there weren’t a lot of breakthrough ideas. One area that holds a lot of promise is applying things we’ve learned with online games and other interactive tools. We’ve learned what motivates people and that there’s no substitution for face-to-face interaction. What’s driving healthcare, more specifically health IT, these days is convenience and usability. With the widespread adoption of easy-to-use and low-cost video communications tools like Skype and Vidyo for both business and personal use, consumers are learning that real-time, interactive face-to-face communication is a very easy to use and efficient way to communicate and asking “why can’t I do that with my healthcare provider?”

Q: There’s a lot of excitement around the telemedicine bill referred to as the ‘Telehealth Promotion Act’ that proposes expanding reimbursement for telehealth services for federal programs and creates a federal standard for medical licensure in telehealth. How will this impact healthcare as we know it?

It’s time. There have been a lot of needless barricades in terms of using communication technology as a tool for conducting doctor patient visits but that’s only the tip of the iceberg. The real growth is going to come from transforming healthcare, not just automating, and doing away with the reimbursement, licensing and credentialing issues impacting telemedicine. Our theory is we can have a big impact on outcomes by not just automating traditional on-site visits but allowing people to interact in a more comfortable, frequent and less burdensome manner for both patients and providers.

Q: What have been the major barriers in using telemedicine, and do you think these can be resolved in 2013?

In the past, it’s been the reimbursement and regulatory issues. As far as technology, it’s been a cost barrier. Until late, there hasn’t been widespread consumer acceptance of face-to-face video communications. But now you have a whole generation of consumers raised on technology, and a generation of parents using technology to check on their kids.

Telemedicine has shown a lot of promise but as it’s required expensive equipment and highly trained people, progress has been slow. The future, call it telemedicine or something else, is letting patients and doctors connect with each other, regardless of location or device.

Q: The bill also includes incentives for hospitals to lower readmissions with telemedicine. What impact is SBR having on reducing readmissions? Are there any success stories you can share or relate to?

There was a recent meta-analysis done that looked at the impact of remote monitoring on the health outcomes of patients with chronic heart disease. By acquiring and transmitting real-time patient data to the care team, and creating opportunities for timely intervention, the remote monitoring programs were found to help reduce hospital readmissions and mortality rates, and also improve patients’ quality of life. The analysis demonstrated a high degree of variability with some interventions resulting in better health outcomes than others, so it’s too early to tell what the gold standard for clinical intervention is.

We’re just now at the point where we’re assessing the rate and process, and enthusiasm for adoption. What we do know is that both doctors and patients are looking forward to being able to more readily use these types of interventions.

Q: Do you anticipate more insurers will cover telemedicine in 2013? What is the argument for relaxing reimbursement constraints?

In my conversation with payers, they’re waiting for the data that indicates that they’ll save money or get better outcomes and not just a way for docs to get paid for something they used to do for free. More insurers are willing to pay on an ad hoc basis or to experiment. Everyone is waiting to see for the definitive results.

Q: Progress is slow but steady. As you’re on the forefront of change, what are your hopes and predictions for how telemedicine, particularly virtual visit programs, will help to advance and redefine care delivery today?

If you want to buy an airplane ticket, do your banking or find someone to marry you can use your cellphone, laptop, tablet, etc. The only thing you can’t easily do is use these same technologies to talk to your doctor. What I’m hearing from consumers all the time is that there’s a pent-up demand for bringing medicine into that same on-demand, low latency universe that we take for granted in every other part of your life. What’s been pleasantly surprising for us is a lot of the doctors are looking for ways to be more connected with their patients, and they really do care about providing a good experience for them. Contrary to how people look at doctors, there’s a feeling that medicine has become really impersonal, and what I’m happy to find is that doctors really want to do something about it.

Technology may allow us to deliver a more personal healthcare experience that will both make us feel better and get better.

Q: What is the easiest way to start using telemedicine, and what can I expect in return?

The implications for healthcare by incorporating video into the care delivery workflow are huge. By moving away from the expensive, hardware-based telemedicine systems to cloud-based video solutions that can be customized and require minimal change management, hospitals and healthcare systems are able to improve access to clinical resources, serve hard to reach patients, control costs, and improve patients’ health outcomes and overall experience. The world of healthcare is dynamic, and SBR Health is solving the problem of integrating telemedicine, specifically video, into clinical workflows to revolutionize care delivery to be more efficient and effective.


The Maribel Foundation: LA Children’s Hospital and Telemedicine

Some may know her for her memorable characterization of Selena, others may remember her vast and ever changing music career, and most are just getting acquainted with Jennifer Lopez in the latest season of American Idol, but no matter how you know her, Jennifer Lopez, better known as J.Lo, is doing something worth remembering. Partnering up with her sister, Lynda, the pair founded the Maribel Foundation, their mission:

That’s why Lynda and I are working to create the Maribel Foundation. Our goal is to dramatically increase the availability of quality health care and health education for women and children, regardless of their ability to pay.

While this goal is no small task, they’ve taken it a step further and announced to launch a Telemedicine campaign, mainly in Los Angeles’ Children’s Hospital.

Jennifer and Lynda Lopez at the Telemedicine Launch in San Juan

Information from their Website:

The Foundation will work to expand the number of telemedicine clinics both domestically and abroad, increasing access to top quality pediatric care for the most serious cases. Telemedicine is a remarkable new healthcare delivery system that uses telecommunications technology to conduct medical diagnoses, consultations, treatments, transfers of data, education of physicians, and dissemination of public health alerts and/or emergency updates.

Simply stated, this technology allows patients located all over the world to receive access to care by the physicians at one of America’s top pediatric hospitals, the Childrens Hospital Los Angeles.

Patients living in under-served and under-privileged areas, two groups that are especially vulnerable to inadequate healthcare, can greatly benefit from telemedicine.

Some of the potential benefits of telemedicine are as follows:

Access: Telemedicine can allow children with serious childhood diseases in other areas of the world to be examined, diagnosed, and/or treated by the top pediatric oncologists, hematologists, and pediatricians at the Childrens Hospital Los Angeles. Doctors can virtually give patient care to children in different parts of the world.
Quality: Telemedicine permits consultations to take place among the referring physician, the consulting physician, the patient, and the patient’s family through interactive video and medical equipment and instruments, with the added benefit of having critical patient information available on-line. Additionally, the physicians or other personnel at remote or under-served locations can be educated before or during the consultations with specialty physicians and other experts, increasing their ability to treat other similar cases in the future.
Cost: The travel cost of the patients for specialty care, the travel cost of the health care professionals for continuing education or consultation, the personnel / equipment cost for not having to keep specialty care facility in rural or under-served hospitals, and other costs can be either eliminated or reduced.
To learn more about their campaign, watch the video here: Maribel Foundation