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Tag: health care delivery

William C. Torrey, MD, Named Chair of the Department of Psychiatry

Article Excerpt: William C. (Will) Torrey, MD, has been named chair of the Department of Psychiatry for Dartmouth Health and the Geisel School of Medicine at Dartmouth, a role he has held on an interim basis since 2020. This appointment comes in the midst of a national and regional mental health and addiction care crisis. Torrey’s wide-ranging experience in addressing psychiatric population health needs through advocacy, clinical programming, educational initiatives, and research combined with his drive for improvement will advance Dartmouth Health and the Geisel School of Medicine at Dartmouth’s positions as leaders in education, care delivery, and research in the field of psychiatry.

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Article Source: Dartmouth Geisel School of Medicine News


Telehealth Is Here to Stay: How Technology Has Become a Staple for Physicians and Is Serving Unmet Health Care Needs

Article Excerpt: While the pandemic was the impetus for greater utilization of telehealth across the health care continuum, it’s safe to say that due to the convenience and benefits it offers to patients and providers, telehealth is here to stay. Before COVID-19, telehealth visits only accounted for 4% of total appointments, according to our recent research, which evaluated telehealth usage across 93.7 million patients in our athenaOne network. In the first half of 2022 when many patients returned to receiving in-person care, virtual visits still accounted for 8.9% of total appointments – a relatively minor decrease from the 12.1% we saw at the pandemic’s height. In addition to large-scale utilization, it is also evident that telehealth is being leveraged for a wide range of use cases. The network research, in addition to a survey we commissioned through Dynata of 2,000 U.S. patients, both found interesting patterns in usage for behavioral health, chronic care, as well as differences in adoption across race and gender. Despite differences in adoption and utilization, one thing is clear: Telehealth will remain a pivotal component of health care delivery now and in the years to come.

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Article Source: Medical Economics


The Future of Remote Medicine: The AMA Presents a Framework for Measuring Telehealth Quality

Article Excerpt: Under the simultaneous pressures of a pandemic-driven explosion in the use of telehealth, a growing emphasis on value-based care, and the current state of medical technology, the healthcare industry is undergoing what appear to be fundamental changes as a consequence of the high and irreversible growth of telehealth… In December 2022, the American Medical Association (AMA), in partnership with Manatt Health, released the “Return on Health” report that develops a framework to more precisely and holistically measure the value of telehealth through detailed case studies. This initiative also focuses on the challenges and opportunities for virtual care.(1) The adoption of the latest technology is essential to the expansion of telehealth beyond routine patient care.

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Article Source: Imaging Technology News


Register for Dartmouth Accelerator for Digital Health

Article Excerpt: DIADH, a partnership between the Center for Technology and Behavioral Health and the Magnuson Center for Entrepreneurship will help translate digital therapeutics and digital health innovations developed at Dartmouth into the marketplace. Registration to participate in DIADH is now open at Dartmouth students, staff and faculty working to bring novel digital therapeutics and digital health tools to market will soon have a new resource available to them: the Dartmouth Innovation Accelerator for Digital Health (DIADH). The Accelerator was announced last week at “Clinically Validated Digital Therapeutics: Paths to Deployment,” an international summit hosted in Hanover by the Center for Technology and Behavioral Health (CTBH), an NIH-recognized National Center of Excellence within the Geisel School of Medicine at Dartmouth, and the Magnuson Center for Entrepreneurship at Dartmouth. The Summit brought together players from across the healthcare industry — including providers, payers, researchers, developers, regulators, and investors — for the first time to discuss the future of digital therapeutics and digital health. This is an area of healthcare that encompasses any software used to prevent, treat, or manage a medical disorder or disease. In addition, several Dartmouth faculty members who are affiliated with CTBH described the exciting work that is being at Dartmouth to bring world-class science to this important new area of healthcare. “There was a focus on problem solving and removing barriers in the industry so that we can accelerate the impact of digital health tools on people’s lives,” says Lisa A. Marsch, Ph.D., Director of CTBH.

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Article Source: Vox Daily


Challenges and opportunities of telehealth digital equity to manage HIV and comorbidities for older persons living with HIV in New York State

Baim-Lance A, Angulo M, Chiasson MA, Lekas HM, Villarreal J, Cantos A, Kerr C, Nagaraja A, Yin MT, Gordon P. Challenges and opportunities of telehealth digital equity to manage HIV and comorbidities for older persons living with HIV in New York State. BMC Health Serv Res 22, 609 (2022).

This study used mixed methods to investigate access, use and quality of HIV and other telehealth services for older people living with HIV (PLWH) during the initial wave of the COVID-19 pandemic. Participants over 50 years of age and receiving HIV care in an urban academic medical center in New York City or in a rural federally qualified health center were enrolled (total N=80). The study administered a survey of closed and open-ended questions (in English or Spanish) in-person or via telephone. The survey assessed physical and mental health history and current health status, COVID-19 history, management of HIV and comorbidities during COVID-19, social support during COVID-19, and socio-demographics. Results found that telehealth access and use were impacted by several factors, including access to devices, connectivity, technology literacy, and privacy concerns. Seventy-four percent of participants had at least one telehealth visit for an HIV or specialty visit. Most (70%) participants who had at least one telehealth visit perceived it as worse than in-person. Specifically, participants felt the telehealth appointments were less interpersonal, prone to technical issues, and resulted in poorer outcomes (i.e., lack of receiving referrals and follow up care management). Reported barriers to telehealth included limited access to and reliability of technology, low technology literacy, and discomfort sharing with providers virtually. These findings inform the need for development of digital health interventions that are acceptable and feasible for older PLWH.


HIMSSCast: Using EHRs to Confront the Opioid Crisis

Article Excerpt: Electronic health records systems are at the core of health IT. They are essential tools in the delivery of healthcare. Further, they can be used to help solve complex healthcare problems. This HIMSSCast podcast focuses on how EHRs can be used to fight the opioid crisis in the United States. The guest is David Bucciferro, vice chair of the Electronic Health Record Association. He also is co-chair of the EHRA’s Opioid Crisis Task Force and a special advisor to Foothold Technology.

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Article Source: Healthcare IT News


Willingness to pay for a telemedicine delivered healthy lifestyle programme

Rauch VK, Roderka M, Weintraub AB, Curtis K, Kotz DF, Rothstein RI, Batsis JA. Willingness to pay for a telemedicine-delivered healthy lifestyle programme. Journal of Telemedicine and Telecare. 2022;28(7):517-523. doi:10.1177/1357633X20943337

This study explored how willing rural adults were to pay for a remote weight-management program. Researchers conducted a single arm pilot study with 27 adult patients recruited from a medical weight and wellness center. Participants received a 16-week intervention focused on healthy behavior changes, including mindfulness, movement, problem-solving, and nutrition. In the program, a health coach, registered dietician, and nurse exercise specialist delivered weekly 30-minute one-on-one telehealth visits with participants. Researchers collected willingness-to-pay in a two-item survey at baseline and week 16 that asked: 1) at what point they would trade in person visits for telehealth based on commute time to reach the medical center, and 2) whether they would be willing to engage in a telehealth visit with an upfront cost for services. Participants who commute 30-45 minutes reported the highest willingness to trade in-person visits with telemedicine out of all groups. There was a significant increase in participants who would be willing to pay $30 or less for telemedicine from baseline (58%) to 16-week follow-up (69%). There was no significant difference over time in participants’ willingness to pay for telemedicine based on commute times. In qualitative interviews with participants, a majority found the program helpful. Participants also reported the intervention helped reduce travel time and expenses and increased flexibility for families and work. Results demonstrated that in rural areas, a digital weight management program could be acceptable and cost-effective. Research with a larger sample size and longer duration is needed to more accurately gauge patients’ willingness-to-pay for remote program delivery.


Implementation of collaborative care for depressive disorder treatment among accountable care organizations

Newton H, Busch SH, Brunette M, Maust DT, O’Malley J, Meara ER. Implementation of collaborative care for depressive disorder treatment among accountable care organizations. Medicine 2021;100:27(e26539).

Collaborative care is a cost-effective model of primary care that combines care management, consulting behavioral health clinicians and registries to target mental health treatment. A study was conducted to determine the prevalence of collaborative care implementation in accountable care organizations (ACOs) and identify characteristics in ACOs associated with implementation. Researchers examined the association between implementation of collaborative care components and ACO characteristics. Four hundred five total respondents completed questions on collaborative care implementation in the 2017-2018 National Survey of ACOs. Only seventeen percent of ACOs implemented all collaborative care components. The most common components were care managers (71% of ACOs) and consulting mental health clinicians (58%). The least frequently implemented component was using patient registries to track and target mental health treatment (only 26%). The findings also showed ACOs responsible for mental healthcare quality measures were significantly more likely to implement collaborative care. This study demonstrates most ACOs do not have full implementation of behavioral health collaborative care. Payers interested in incentivizing integrated mental health care should address barriers to collaborative care implementation.


Game-Based Therapies and The Attraction of Engaging Patients

Article Excerpt: The appeal of developing game-based therapeutics shares many similarities with digital therapeutics in general. Broadly, this means that they can offer great convenience to patients, be more likely to improve adherence, allow for direct feedback to healthcare professionals, and allow patients to be in control of their own health. An added benefit for game-based therapies is that part of the goal in the development process is for the tools to be entertaining, which means that not only can the therapies provide health benefits, but they can also become a welcome part of an individual’s health regime.

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Article Source: Pharmaphorum