onecare vermont telehealth survey...2020/06/18  · telehealth survey onecarevt.org 3 92% of...

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OneCare Vermont Telehealth Survey

March 2020

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Responses received from all Vermont Health Service Areaso 55% of responses from

Burlington Health Service Area (HSA)

o At least 5% of responses were from each of the other HSAs

No significant variations throughout the network

OneCare Telehealth Survey

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92% of respondents utilized audio/video services in the past 60 days

80.9% of respondents utilized audio only (telephone) services

Many audio/video platforms: Zoom = 73.6% FaceTime = 27.7% Doximity = 22.8%

Experience with facilitators for telehealth visits: Patient’s family members/friends/neighbors 73% Skilled Nursing Facility staff 24.2% Community Health Worker 16.7% Congregate Housing Staff 11.3%

Would practice benefit from telehealth connectivity equipment packages? Yes 54.5% No 11.4% Undecided 33.5%

Should telephone-only services continue to be reimbursed post COVID-19? Yes 82.8% No 7.1 % Undecided 10.5%

Telehealth Survey Highlights

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Barriers for Providers Lack of staff time/ability to coach patients 55.7% Reimbursement concerns 51.3% No video platform 39.8% Workflow design 39.7% Billing/Coding issues 39.2% Training of office staff 30.4%

Telehealth Survey Highlights: Barriers

Barriers for Patients Lack of technical understanding/support/comfort 86% No broadband service 75.5% Financial barriers (smart phone, computer, tablet) 59.6% No cell service 59.4% Perception that telehealth is not as high quality 36.5% No interest 27.9% Privacy concerns 18% Lack of deaf/hearing impaired services access 15.5% Lack of interpreters for non-English speakers 11.1%

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Telehealth Survey Themes

Majority of all providers support continuation of reimbursement for telephone-only visits for those unable to engage in video visits

Important option for those lacking transportation or living hours away from medical services

Some patients prefer telemedicine services to in-person visits; others declined these visits

Providers noted reduction in cancellation and no-show rates and promising us of this option during winter storms

Providers identified many intended post-COVID-19 telehealth uses

Covid-19 has dramatically advanced the use of telehealth services

Providers and patients found Telehealth essential during COVID-19 pandemic

There are significant barriers to utilization

Reimbursement and coding -additional burden on clinical offices

Work particularly well for Behavioral Health visits

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Post COVID-19 Telehealth Services Identified

Chronic condition management (68.5%)

Medication management (67.6%)

Non-urgent acute (sick) visits (44.4%)

Behavioral health (43.5%) Screening services, (Depression

screening 38%) Adult Well Visits (26.7%) Adolescent care (10.5%) Medicare Annual Wellness Visits

(24.1%) Well child visits (8.6%)

Consultation with Specialists Wound Care Endocrine follow up visits Assessing need for ED or clinic

visit Post-op visits Obstetric visits

gestational diabetes preconception counseling contraceptive counseling

Stable MAT patients Care of Vermonters who are

out of state Smoking cessation counseling

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OneCare Vermont Support of Telemedicine

Support of expanded statewide broadband/cell connection policy initiatives – Dept. of Public Service

Cooperation with VPQHC Statewide Telehealth Workgroupo Grant funding applications – video and peripheral

device equipment and broadband service expense

o Explore payer funded initiatives

o Data literacy education efforts

Input to Department of Financial Regulation policy on post-pandemic telemedicine benefits & reimbursement

Explore models for use of facilitators of telemedicine interaction

Explore methods for clinical and social determinant prioritization of patient engagement

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What types of telehealth services have you provided (or your patients received) in the past 60 days? (check all that apply)

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If you selected audio/visual above, which platforms have you utilized? (select all that apply)

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What barriers to telemedicine have you noted from the provider of care perspective? (check all that apply)

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What barriers to telemedicine do you perceive from the patient perspective? (check all that apply)

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Have you designated a specific point person in your office to educate and support patients in telemedicine?

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Do you have a process for obtaining feedback from patients about their satisfaction/experience using telehealth services?

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What types of facilitators of telemedicine interactions have you utilized? (check all that apply)

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Rate your future willingness to use the types of facilitators in question 7? (1-5 low to high willingness)

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Would your practice benefit from having telehealth connectivity equipment packages (cell/broadband-enabled smartphone with camera or computer tablet with camera) that could be loaned to your patients for upcoming telemedicine visits?

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How interested would you be in participating in such a program if funding for such equipment was identified? (1-5 low to high interest)

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Are there other internet access opportunities in your community for those without broadband access in their home?

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Would an education session on telehealth be helpful to you?

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What time of day is your preference for a one hour education session?

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In your opinion, should telephone only services continue to be reimbursed at parity or near parity with video and in-person visits after the COVID-19 public health emergency?

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What telehealth services do you plan to provide after the COVID-19 public health emergency? (select all that apply)

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Which of the following do you identify as your Health Service Area?

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Please identify your clinical role.