HOWARD:
ALWAYS INVESTIGATING THIS WEEK
BROKE DOWN
THE NUMBERS ON A GROWING DOCTOR
SHORTAGE STATEWIDE.
TELEMEDICINE -- SEEING YOUR
DOCTOR VIA COMPUTER OR CELL
PHONE -- PROMISES TO
CURE PART OF THE PROBLEM, BUT IS
NOT
WITHOUT DRAWBACKS.
GINA MANGIERI CONTINUES HER
INVESTIGATING.
GINA ON CAM:
As we started DIGGING INTO
solutions TO THE
DOCTOR SHORTAGE , one of the big
ideas that keeps coming up is
telemedicine. A way to help one
doctor see
many more patients than he or
she might be able to in the
office. While it holds a lot of
promise, there are many
steps before consumers, doctors,
even policies are
SET UP to make telemedicine all
it can be.
for more and more patients, when
they hear the doctor
will see you now, it might be on
a phone in the palm of
their hand
01;05;37;37 telemedicine has
medicine for decades 01;05;46;57
it's really actually the PRESENT
OF
MEDICINE
whether its urgent care
assessments, or emergency
stroke intervention from Queen's
based physicians,
providing care and consultation
by network,
camera and screen is helping
workforce reach more patients.
Neurologists at Queen's serve a
total of nine hospitals
on a stroke telehealth system.
01;03;56;30 they actually
activate the hospital before
the patient arrives. the
hospital pages us and we log
on to the camera
01;04;03;33 and when it works
well we actually see
the patient roll into the door
examining them immediately
01;04;17;24 GINA how can you
possibly know to the
same level of detail that
somebody by the bedside
would? you can do a lot more
than you might think by
telemedicine, especially for
stroke, because some of the
signs that we see of stroke
relate to being weak or
having problems with
coordination
the state's largest health
insurer pioneered care over the
air in hawaii and even
nationwide, as main
telehealth vendor american
well's first client, maybe a
little ahead of its time back
then.
01;03;37;45 more and more AS
MILLENIALS ARE
PATIENTS AND MILLENIALS ARE
DOCTORS the concept
of using technology to fulfill
all of your consumer needs
whether it's shopping or
medicine or whatever is just
more and more acceptable and is
actually more natural
that's music to the ears of big
telemedicine supporters
like the state health
department's chief of
planning and policy.
"if i could wish for one thing
it would be an entire population
of folks who would walk into
their doctor and say doctor why
can't I see you on my iphone an
create that patient
demand"
easier said than done. Some
patients JUST want face to
face visits. Physicians have to
grapple with costs, privacy
and security issues, and their
own preferences for bedside
care.
01;27;18;23 about 15 percent of
PROVIDERS have
reported they have had a
teleheatlh experience, now that
needs to be 75, 85, 100 percent
close to that
There are concerns about cost
from all sides -- doctors,
insurers and patients. Hawaii
doctors by state law now
have to be paid the same for a
telehealth call as an in-
office visit; sometimes mainland
doctors will do it for
less.
01;08;17;41 GINA how do you keep
equity and parity in RATE when
there are doctors who may be
crossing state
lines even thought it's a state
line over the internet?
01;08;26;10 that's a complicated
question
because the model that we pay
DO have doctors in other places
on the mainland
01;09;40;10 affordability is a
really big issue, we need to
look at all the different ways
doctors crossing virtual borders
happens in the other
direction too, hawaii doctors
serving patients OUTSIDE of
the islands
01;28;28;12 when it's night time
here it's early morning in
minnesota and she is able to do
some early morning
consultations for patients there
supplementing her
income 35
another telemedicine shortfall
-- it can't be used for
everything... YET
01;11;54;40 wearables, robots,
artifcial intelligence,
big data, all of those things
are gong to come together
and work, and the reason it's
going to work is because the
young people as they age in,
that's what they're going to
expect, what they're going to
want
THE STATE IS WORKING ON A
FOR TELEMEDICINE DUE BY THE END
OF THIS
YEAR. A TELEHEALH COUNCIL WILL
BE CONVENING WORKING GROUPS FOR
ALL THE
STAKEHOLDERS, MEANT TO SHRINK
THE HURDLES
AND DRAWBACKS OF TELEMEDICINE
AND HELP
DOCTORS "SEE' MORE PATIENTS.
GINA MANGIERI KHON2 NEWS.