Telehealth is the use of electronic communication tools to deliver healthcare remotely. Also known as telemedicine, it lets providers consult with patients virtually, monitor their health between visits, and gather patient data through tools like online cognitive testing rather than bringing patients repeatedly into the office.
Not only do telehealth services make workflows more efficient for providers, but they also make healthcare more accessible to patients who have barriers to transportation. Along with this, they offer a flexible element to healthcare delivery, especially for routine assessments or follow-ups from medical testing.
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Telehealth has shifted from a pandemic-era stopgap to a mainstay of modern care delivery, expanding access for patients while making care more efficient.
Telehealth refers to the use of electronic communication tools in order to provide remote healthcare to patients. Also known as telemedicine, it allows providers to virtually consult with patients, remotely monitor their health, and easily schedule follow-up appointments.
Over the years, the use of telehealth tools has evolved from a temporary necessity to a long-term benefit for patients and providers. Currently, 74% of physicians work in healthcare practices that use telehealth tools, according to the American Medical Association. Telehealth implementation has also doubled the average monthly visits for providers and produced shorter appointment times, cutting average appointment length by 60%.
There are many benefits to implementing telehealth services into your practice, including better patient care, improved access to care, and reduced costs, among others. Studies have demonstrated that remote patient care offers numerous benefits and features that are transforming the landscape of healthcare delivery, including:
Clinicians use a number of secure telehealth tools that comply with the Health Insurance Portability and Accountability Act (HIPAA) to conduct appointments, administer assessments, and complete administrative work. This can include both tools to communicate with patients and tools to assess their health.
Communication tools allow healthcare providers and patients to connect outside of the office setting, which both provides a more accessible patient experience and reduces the need for unnecessary in-person visits. In Canada alone, a Canadian analysis estimates that telehealth services save its citizens 8.8 million hours that would have been spent on travel and wait times.
Many of these tools facilitate real-time, secure video calls between patients and healthcare providers, allowing for virtual consultations and follow-ups, and include the following:
Along with this, asynchronous communication tools allow patients to send non-urgent updates or ask questions at their convenience. With the right telehealth platform, patients should be able to send photos or videos prior to appointments for their provider to review.
This telehealth technology often requires customers to have computers, smartphones, or tablets. Currently, 68% of adults over 65 report using the internet at least a few times a month, and in the past three years, older adult internet use has risen from 35% to 50% for adults over 75. When adopting telehealth communication tools into your practice, it may be helpful to have an FAQ page or contact person for patient education purposes.
Remote monitoring allows continuous tracking of a patient's health data, helping healthcare providers detect potential issues early and reduce hospital visits. These tools are valuable for patients with chronic health conditions that need ongoing monitoring.
For example, if a patient has diabetes but is also dealing with cognitive impairment, including continuous glucose monitoring in a cognitive care plan can ensure their health data makes its way to clinicians.
Here are examples of common remote patient monitoring devices:
Many mobile health devices are now small and inexpensive enough for participants to bring home if they don't already have a consumer version available. More advanced remote patient monitoring devices have features that can send results directly to clinicians.
A patient portal provides a secure online platform where patients can access information and communications regarding their appointments, tests, and care history.
Patients can use a patient portal to do the following:
Most patient portals have mobile apps as well as webpages for patients who don't have smartphones. These portals can be helpful for patients who struggle with conditions such as ADHD, and might need week-of and day-of reminders of their appointment times.
Research on patient portals shows they improve patient-provider relationships, increase patient awareness of their personal health, and increase patient compliance with treatment.
When it comes to tracking mild cognitive impairment (MCI) and dementia, neuropsychological testing can take months to get an appointment for and then up to 8 hours to complete. With Alzheimer's Disease International projecting dementia rates to reach 78 million people worldwide in the next five years, catching symptoms early is essential for positive health outcomes.
Fortunately, there are telehealth tools available that can complete cognitive screens from home. These remote, digital cognitive assessments (like those from Creyos) include:
The Creyos platform includes these remote assessments and can catch early signs of dementia as well as common comorbid disorders. Contact us today to learn more about what we have to offer your practice.
Telehealth also extends to mental health services and can include remote counseling sessions, psychotherapy, and psychiatric consultations. Trusted teletherapy platforms connect patients with mental health professionals, providing support for issues like anxiety, depression, and stress management, all from the comfort of home. For patients who are in urgent need of help, crisis lines can offer acute support and determine if immediate intervention is required.
Research suggests that telehealth services have the same quality of health outcomes as in-person therapeutic treatment, so patients don't have to sacrifice high-quality care for convenience.
This element of telemedicine can be combined with other telehealth tools. For example, providers can administer online mental health screens such as the Generalized Anxiety Disorder Questionnaire (GAD-7), have health conversations over the phone, and provide additional resources through a patient portal.
Telemedicine platforms often include features for electronic prescribing, allowing healthcare providers to send prescriptions directly to pharmacies. This streamlines the prescription process, reduces the risk of human error that comes with paper prescriptions, and improves medication management for patients.
If your practice already has the necessary hardware and established workflows for telemedicine, you may just need to add some telehealth software. Fortunately, most of this software only requires basic technology and a strong internet connection.
Telehealth implementation has been trending upward for the past few years, and as a result, there are a wide range of technological tools for practitioners to consider. The best telehealth tools should be secure, reliable, cost-efficient (or even revenue-generating), and easy to use for both providers and patients. Depending on your practice's specific needs, there are multiple types of tools that might be useful, including:
Videoconferencing is often the starting point for telehealth services, and in some practices, it is all that is necessary to reach patients. While phone appointments are helpful for some patients, videoconferencing lets healthcare providers have face-to-face consultations remotely, making it a more personal and effective way to assess and treat patients.
| Tool | What it offers |
|---|---|
| GoToHealthcare | A secure, HIPAA-compliant telehealth platform providing video conferencing and cloud phone systems for healthcare providers, including GoTo Meeting for video consultations and GoTo Connect for customizable phone systems. |
| Zoom for Healthcare | HIPAA-compliant video conferencing designed specifically for healthcare providers. It integrates with electronic medical records (EMRs), supports collaboration between practitioners, and works with medical devices for telehealth visits. |
| Doxy.me | A web-based telehealth platform that includes videoconferencing, chat, a waiting room, custom branding, analytics, and other features useful for implementing telehealth in a clinic. |
Remote patient monitoring devices and platforms allow for providers to monitor patient data in real-time from the comfort of their homes. These telehealth tools help promote early intervention if health issues are flagged, reducing the need for emergency care.
| Tool | What it offers |
|---|---|
| Coachcare | A virtual health and remote patient monitoring platform providing devices that monitor patients at home, focused on increasing revenue and lowering the cost of care with features that facilitate reimbursement from insurance. |
| Vivify Pathways | Built to make disease management and post-acute care programs more effective, Pathways pulls data from patients wherever they are through mobile devices or remote monitoring kits. |
| Consumer health technologies | Many patients now use wearable devices like the Apple Watch and Fitbit to monitor their health. These devices connect to their own health platforms and can export data on activity, heart health, menstrual cycles, mindfulness, and more, which can be shared with healthcare providers. This is a good option if purchasing telemedicine equipment doesn't feel right for your practice. |
Patient portals enhance the patient experience by providing easy access to health information, promoting better management of care, and improving communication between patients and their healthcare team. Health system portal adoption research shows that 90% of healthcare systems now offer patient portals that allow access to patients' electronic health records.
Here are our top three choices for HIPAA-compliant patient portals:
| Tool | What it offers |
|---|---|
| MyChart by Epic | A patient portal that allows patients to access medical records, schedule appointments, review billing information, view lab results, request refills, and message providers. It offers real-time updates on hospital admissions and specialist referrals, making it ideal for those within those systems. |
| MDLive | Experienced board-certified clinicians can connect with patients using MDLive, which covers a variety of specialties but is especially known for mental healthcare. Healthcare providers can set their own hours and are offered competitive compensation. |
| FollowMyHealth | A versatile patient portal compatible with a variety of healthcare providers. It allows patients to access records, schedule and fill out forms before appointments, refill prescriptions, and message doctors. Its main strength is supporting multiple providers in one platform, and it also offers family access for caregivers. |
EHR integrations enable seamless communication between healthcare providers and patients' personal health records by connecting various telehealth platforms with existing electronic health record (EHR) systems. This integration makes it easier to manage and update patients' medical history and improve care coordination.
| Platform | What it offers |
|---|---|
| Athenahealth | A cloud-based EHR system that integrates telehealth features to help providers conduct video consultations, schedule virtual visits, and manage patient records. It combines telehealth with patient scheduling, clinical documentation, and billing, making it ideal for small to medium-sized practices. |
| Epic | One of the most popular EHR platforms, holding the largest market share among vendors of EHR software. Epic acts as a central infrastructure to support clinical workflows, care coordination, and comprehensive patient records for large healthcare organizations, making it easier to manage complex, system-wide care delivery. |
| Tebra | Previously Kareo, Tebra is an EHR and practice management platform tailored for small practices that offers telehealth video consultations, secure messaging, and appointment scheduling. Known for its ease of use and affordability, this platform provides a straightforward solution for telehealth and billing. |
| Veradigm | Previously Allscripts, Veradigm provides a comprehensive EHR with integrated telehealth services, including video visits and remote patient monitoring. It excels in interoperability, integrating with a variety of third-party telehealth platforms and healthcare systems to meet diverse practice needs. |
Looking for a way to deliver cognitive and mental healthcare without the constraints of in-person appointments? Creyos offers secure, HIPAA-compliant cognitive assessment tools that integrate seamlessly with telehealth services. These screens can be conducted through telehealth or during in-person visits, depending on the patient's preference.
Our scientifically backed online cognitive tasks:
The two-task Creyos digital cognitive screener is a remote, fast, and effective way to screen for cognitive impairment, including mild cognitive impairment and dementia. According to the two-task screener validation study, Creyos can detect cognitive impairment linked to Alzheimer's disease with 100% sensitivity after a short, six-minute screen, without the need for clinical supervision, making it ideal for use in telehealth settings.
Along with these tasks, Creyos also offers behavioral health assessments for conditions including ADHD, depression, substance misuse, and more. Together, these features catch comorbidities and enable providers to conduct efficient, patient-friendly assessments without the burden of travel.
In 2021, approximately 22% of American adult patients used telemedicine according to a national telemedicine survey, and current trends show that it isn't going away. From virtual consultations to remote monitoring, these tools are valuable resources for creating a more connected, efficient, and patient-centric healthcare ecosystem.
As you explore the different telehealth tools on the market, consider what best suits your clinic's unique needs and patient populations. By including telehealth services in your practice, you can increase your patients' quality of care, as well as attract new patients to your clinic.
Reviewed by Mike Battista, Director of Science & Research at Creyos
Mike Battista specializes in brain health, cognition, and neuropsychological testing. He received his PhD in personality and measurement psychology at Western University in 2010 and has been doing fun and useful stuff in the intersection between science and technology ever since.