What can health systems do embrace virtual care

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Deloitte Consulting s Virtual Health practice helps clients assess the transformative opportuni. ties that can be possible through the use of virtual health determine which capabilities would. best serve their customer or patient populations and align potential solutions to their strategic. imperatives Our work helps health care organizations build a scalable virtual health program that. fits their needs deploy strategic capabilities and align capabilities to care delivery pathways Our. practice brings insights from leaders across the industry with experience in strategy operations. human capital and technology and a foundation in clinical and operational experience. Deloitte 2018 Survey of US Physicians,Executive summary 2. Introduction 4, Physicians and consumers see virtual care benefits. but usage is low 6,Barriers to adoption 10,Virtual care is a must have for physicians 12. Conclusion 17,Endnotes 18, What can health systems do to encourage physicians to embrace virtual care. Executive summary, ith changing health care reimbursement models growing consumer.
demand and advances in digital technologies virtual care is a must have for. health systems But how can hospitals and health systems gain physician buy. in It might be easier than you think, IRTUAL CARE PROGRAMS will likely become much lower 14 percent of physicians have video. increasingly important to health systems that visit capability today and only 18 percent of the rest. want to retain and attract customers con plan to add this capability in the next year or two. sumers employers and health insurers who will What explains physicians low interest in virtual. likely demand more connected coordinated and care technologies. convenient care No longer a futuristic idea virtual Lack of reimbursement complex licensing re. care has the potential to transform care delivery quirements 1 and the high cost of the technologies2. by meeting consumers where they are through have contributed to slow adoption Reliability and. multiple channels security are also issues We found that physicians. The Deloitte 2018 Surveys of US Health Care are concerned about medical errors 36 percent. Consumers and Physicians have found that con and data security and privacy 33 percent. sumers and physicians agree on the benefits of That said the market increasingly supports new. virtual care Consumers point to convenience and care models Our view is that with the changing re. access 64 percent as important benefits Physi imbursement models growing consumer demand. cians agree that virtual care supports the goals of and advances in digital technologies virtual care is a. patient centricity The top three benefits from phy must have for health systems and they will now need. sicians perspective are to help physicians adopt virtual care capabilities. Virtual care typically requires an enterprise, Improved patient access to care 66 percent approach as part of organizations overall strategy. Answers to several questions can help organiza, Improved patient satisfaction 52 percent tions articulate their goals and priorities and think. through potential challenges,Staying connected with patients and their care. givers 45 percent What issues can virtual care programs solve that. traditional operations cannot,However despite seeing eye to eye on the ben.
efits consumers and physicians diverge in their What value do these programs generate and. intent to use virtual care While only 23 percent how do they affect existing brick and mortar. of consumers have had video visits 57 percent of revenue. those who have not used them yet are willing to try. them in the future The interest from physicians is What assets are needed. Deloitte 2018 Survey of US Physicians, Which patient populations should be targeted available to them large proportions of physicians. 58 69 percent expect to increase their use, What are traditional and nontraditional com As organizations move from planning to ex. petitors doing around virtual health ecution we offer a few tactical considerations in. the following areas for helping physicians adopt, Health systems should act decisively to ac virtual care. celerate the adoption of virtual care overcoming, physicians reluctance Despite the current low Workforce readiness and engagement. rates of both adoption and plans for adoption in, our study results answers to other survey questions Technology infrastructure and interoperability.
suggest that gaining frontline physician buy in may. not be as hard as it appears Physicians with experi Operations and workflow integration. ence of virtual care technologies tend to feel good. about them For each of the seven technologies Care model design. What can health systems do to encourage physicians to embrace virtual care. Introduction, IRTUAL CARE IS not new A subset of virtual traditional medical technology suppliers reducing. care telemedicine and telehealth refers barriers to entry for physicians and health systems. to the use of telecommunication devices to The regulatory environment too appears to grow. transmit medical and health information 3 Virtual supportive of virtual care States increasingly have. care is the integration of telehealth into mainstream laws requiring insurance coverage of telehealth ser. care delivery to complement or even substitute tra vices and many states have passed payment parity. ditional care delivery It involves the convergence laws requiring the same level of reimbursement for. of digital media health technology and mobile telehealth visits as for in person visits 5. devices and leverages additional modalities such To understand physician perspectives and ex. as text messaging digital voice assistants and deci perience with virtual care the Deloitte Center for. sion support tools powered by artificial intelligence Health Solutions surveyed physicians about the. and augmented virtual reality to create a contin following. uous connection between patients physicians and, other caregivers Current use of and future plans for virtual. Many believe that widespread adoption of care technologies. virtual care might not be possible until value based. payment models take hold 4 By improving care Benefits and challenges around virtual care. coordination and prevention virtual care may de technologies. crease the use of expensive emergency department, and hospital services a financial benefit under Potential uses of specific virtual care technologies. value based payment models but not under fee, for service The results show that consumers and physicians. We expect the changing reimbursement envi both agree on the value of virtual care but while. ronment along with a few other emerging trends to consumers are eager to adopt it many physicians. facilitate the adoption of virtual care as a common have reservations At the same time our results in. practice For instance growth in consumer demand dicate that getting the buy in from physicians may. for virtual care is expected to continue with younger not be difficult given the fact that most physicians. generations driving expectations of easier access who have used virtual care tools feel good about. through technology To add to this the cost and them And a changing reimbursement landscape. complexity of virtual care technologies are likely to and advancing technology are also likely to compel. decline as consumer technology companies such as wider adoption of virtual care. Apple Amazon and Google begin to compete with,Deloitte 2018 Survey of US Physicians.
ABOUT THE STUDY, The 2018 Deloitte Survey of US Physicians is a national survey of 624 US primary care and specialty. physicians The survey is representative of the American Medical Association Masterfile with respect. to years in practice gender geography practice type and specialty so as to reflect the national. distribution of US physicians, The survey asked physicians about seven virtual care technologies. Email patient portal consultations with patients, Virtual video visits defined as live physician visits conducted via video technology. Remote patient monitoring at home, Remote patient monitoring at other facilities such as ICUs intensive care units or SNFs skilled. nursing facilities, Remote care management and coaching defined as regular contact with patients by phone or.
video technologies to discuss health status and lifestyle behaviors. Integration of data from patient wearables into patients medical records wearables data might. include fitness sleep quality basic heart rate activity and other consumer health tracking devices. Physician to physician electronic consultations defined as virtual communication tools or portals. for physicians to consult with each other about a patient. What can health systems do to encourage physicians to embrace virtual care. Physicians and consumers,see virtual care benefits. but usage is low, Virtual care can improve Forty four percent of surveyed physicians have. patient experience not implemented any of the seven virtual care. technologies presented in the survey The tech, Our survey results show that nine in 10 physi nology implemented most so far is email patient. cians see the benefits of virtual care especially with portal consultations 38 percent followed by. regard to patient experience Access to care patient physician to physician electronic consultations 17. satisfaction and improved communication with the percent and virtual video visits 14 percent For. care team are the main benefits see figure 1 the remaining four of the seven technologies in the. Many consumers echo these views Multiple survey remote care management and coaching. studies show improved access to care and high sat remote patient monitoring at home remote patient. isfaction among consumers receiving virtual care 6 monitoring at other facilities and integration of. In the Deloitte 2018 Survey of US Health Care Con wearables reported adoption is in single digits. sumers 64 percent of consumers cite convenience Another finding from our survey is that primary. and access as important benefits It is also apparent care physicians are likelier to have implemented. that consumers not only use virtual care more than virtual care technologies than specialists For. physicians offer it they are also more interested instance 48 percent of primary care physicians. in using it in the future 23 percent of consumers implemented portals vs 34 percent of specialists. have used video visits and 57 percent,of consumers who have not done so yet. are willing to try them out in the future,Consumers from younger generations.
Forty four percent of surveyed, are likelier than older ones to use and physicians have not implemented. any of the seven virtual care,be interested in virtual care 42 percent. of millennials have had video visits,and 68 percent of those who have not. say they would do so in the future,technologies presented in the. However physician 17 percent implemented video visits vs 13 percent. adoption of virtual care of specialists 11 percent implemented remote care. management and coaching vs 6 percent of special,technologies is low.
ists and 9 percent have integrated wearables data, Despite the benefits of virtual care technolo vs 3 percent of specialists. gies current levels of implementation are low,Deloitte 2018 Survey of US Physicians. Top three bene ts of virtual care relate to patient experience. Survey question What are some of the bene ts of virtual care technologies. Improved patient Improved patient Staying connected. access to care satisfaction with patients and,their caregivers. Other bene ts, 42 outcomes and quality of care 32 Potential to improve work ow. Improved care coordination, 42 e ectiveness of care 28 peers and other clinicians.
Potential to improve cost Staying connected with my. 41 clinician s schedule 11 I don t see any bene ts. Increased exibility to,9 10 PHYSICIANS SEE BENEFITS OF. VIRTUAL CARE TECHNOLOGIES,Base 624 all physicians,Source Deloitte 2018 Survey of US Physicians. When it comes to usage email patient portal Physicians employed or affiliated with hospi. consultations are used most often Among physicians tals or health systems 62 percent are more likely. who have implemented portals 64 percent use them than independent physicians 49 percent to have. regularly once a week or more see figure 2 Portal implemented at least one of the seven virtual. use is higher among primary care physicians 74 care technologies according to the survey results. percent than among specialists 57 percent Two in Several factors may explain this difference capital. five physicians 43 percent with access to electronic requirements different strategic priorities and a. consultations with colleagues use them at least once greater proportion of independents being exempt. a week whereas just a third 32 percent regularly from Meaningful Use requirements. use the video visit technology available to them, What can health systems do to encourage physicians to embrace virtual care. Email patient portals are the most frequently used technologies. followed by electronic physician to physician consultations. Survey question For the telemedicine and virtual care technologies available. at your organization how frequently do you use them. Every day Every week, Email patient portal Physician to physician Virtual video visits. ties that can be possible through the use of virtual health determine which capabilities would best serve their customer or patient populations and align potential solutions to their strategic imperatives Our work helps health care organizations build a scalable virtual health program that fits their needs deploy strategic capabilities and align capabilities to care delivery pathways Our

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