Top 5 health conditions for telemedicine treatment

Providers of cellular and satellite networking services for connecting telehealth and other non-phone wireless devices are approached every day with new use case scenarios about how telemedicine can provide novel value. Those applications are growing rapidly in the market.

[See also: Telehealth pilot helps patients with kidney disease]

Healthcare IT News spoke with Alex Brisbourne, president and COO of KORE Telematics, a wireless network provider focused on the M2M communications market, regarding these evolving telemedicine opportunities. Brisbourne presented the top five health conditions ripe for treatment -- or already being treated -- via telemedicine.

1. Active heart monitoring

For at-risk patients, wireless heart monitoring devices have already proven to reduce hospitalization through early detection of heart failure. In addition, these devices are able to limit the time that physicians spend looking at data that is not pertinent, Brisbourne says, since they only send notifications with information that is outside an acceptable range.

[See also: Global market for telehealth tech on upswing]

2. Blood pressure

Wireless sensor nodes have become cost-effective, compact and energy efficient, which allows for continuous cycle reporting and electronic dispatch in urgent situations. It is important, however, to distinguish in this category between "critical monitoring" and "convenience monitoring." The former is able to account for stress, eating habits and other external triggers more completely and pinpoint life-or-death issues. The latter includes iPhone Apps for the merely curious consumer.

3. Diabetes

Wireless glucose monitoring devices can send alerts to patients and doctors when values move outside an acceptable range. These devices can also monitor for dietary intake that would affect a patient's course of action.

4. Prescription compliance

Patient health risks -- and the risk of hospital admission -- are greatly reduced by eliminating medication misses. But there's also a need to ensure that people take entire drug courses and eliminate the potential for re-prescribing, says Brisbourne. Billions of dollars each year reach their expiration date in patients' medicine cabinets, he notes. Additional intangible benefits include fewer provider phone calls, and even shorter wait times in provider offices by eliminating visits from improper prescription utilization.

5. Sleep apnea

Previous
1

Showing 3 Comments

Roger Downey say: Telehealth, maybe - not Telemedicine

As usual, we have a difference of opinion as to terminology. Specifically, in the United States, "telehealth" is the term for the monitoring systems that provide practitioners with patient data. "Telemedicine," on the other hand, typically means a live, real-time encounter between a caregiver and patient via videoconferencing. Often the term telehealth is applied in the broader sense to encompass technologies associated with remote patient care of which telemedicine is a distinct part.
So, no offense, Steff, but the better title of this article would be "The Top 5 Health Conditions for Telehealth Treatment."
In the future, if you focus on the top 5 health conditions for telemedicine, I would suggest they are: telestroke, telecardiology, teledermatology, teletrauma, and teleprimary care. These involve live telemedical visits with PCPs and/or specialists.

Ossi Tiihonen say: Some experiences

I have been in telemedicine field for ten years now in Finland. We have done a lot of practical work with different kind of solutions and conditions. At present we serve app 180 medical units with three services: 24 h holter monitoring, 24 h blood pressure monitoring and sleep apnea monitoring. We have also tried some other services.

My comments with the above list:
1. Active heart monitoring is rather interesting but it comes attached with some liability issues. If it would be an extra solution plus to existing methods it would sound more interesting for a service provider. If active monitoring is considered to be continuous then we immediately face the fact that we have to reserve some expert to monitor the data. Requires some volume. In Finland at least we have found difficult to find anyone who would pay for this.
2. In bp monitoring my personal opinion is that single metering is best in emergency situations and personal use is not very useful since it has big source of errors. Instead 24 monitoring (ABPM) is very useful in telemedicine - 2/3 of our statements include medication change suggestion.
3. I think that a patient should understand his diabetes condition so well that no telemedicine service is needed and he should not rely on outside help. In general we should separate urgent and non-urgent care when talking about telemedicine. In some cases using telemedicine can lead to delayed care.
4. We actually tried service for polymedicated patients in Finland but got nobody to pay for it. I agree that this is something that can be handled with telemedicine. We should just find a suitable process and someone to pay for it. So far we have decided to concentrate into other things.
5. Why should an individual has to take a CPAP machine if he has no sleep apnea? Limited polysomnography in patients own home is not expensive at least with our service and it is available in GP offices.

Ossi Tiihonen
Founder
Remote Analysis Ltd. www.remoteanalysis.net
RemoteA Ltd. www.remotea.com

Monika Wahi say: Great uses of telemedicine!

Those are all great uses of telemedicine! I just attended the World Congress Leadership Summit on Telemedicine and saw a presentation on how Texas is already doing telemedicine to see Medicaid burn patients for follow-up. Even though the fancy devices represent great advances, like the glucose monitoring device you mention, simple Skype-like video can save rural patients hours of travel to facilities for follow-up visits, and also save Medicaid lots of money. http://www.examiner.com/article/telehealth-saves-medicaid-money-helps-bu...