April 2017

Here's a quick look at some of what's happening at NETRC this month:

  • The Northeast Regional Telehealth Conference  is coming up fast (May 23-24) ! If you are planning to attend, be sure to book your room at Hotel UMass as soon as possible (use promo code NET17C). Our current room block expires this Friday (4/28) and the hotel may sell out entirely in the next few weeks.
  • Team members Danielle Louder and Terry Rabinowitz have just returned from ATA 2017. Among many highlights, Dr. Rabinowitz led a workshop on how to get published in peer-reviewed journals. We are also thrilled to congratulate this year's NETRC Conference Keynote Speaker, Elizabeth Krupinski, for receiving the ATA President's Award for Individual Leadership!
  • Earlier this month, we presented at the New England Genetics Collaborative Annual Meeting. Participants included regional leaders in clinical genetics and counseling, many of which provide vital planning, diagnostic, and treatment services for expecting mothers, infants, and children.
  • We continue to watch for new funding opportunities that may be of interest to you. The most notable RFA that has been released in the past month may be from the New York State Department of Health to expand Project ECHO. We are also eagerly awaiting the release of the USDA Distant Learning and Telemedicine Grant, possibly sometime this week.
  • NETRC is hosting this month's National Telehealth Webinar, highlighting our student consultants from the Boston University School of Public Health and Henry M. Goldman School of Dental Medicine and their project to develop communication strategies to engage healthcare providers in telehealth. Read this article about their work and be sure to join tomorrow's webinar to learn all about their recommendations.
  • Finally, we're working on several exciting projects this month before our conference. Stay tuned for updated reimbursement fact sheets and an announcement about the new Northeast Telehealth Leadership Forum to support collaborative problem solving across the region.
As always, please do not hesitate to reach out with any questions or requests for resources.


The NETRC Team
Northeast Regional Telehealth Conference

Have you registered for the Northeast Regional Telehealth Conference on May 23-24? Don't miss our premier telehealth networking event.  Highlights include:
  • Five in-depth pre-conference workshops on May 23, including:
    • Essentials of Telebehavioral Health
    • Legal and Regulatory Issues in Telehealth: Offering Services in the Northeast and Beyond
    • Applications in Store and Forward Telehealth
    • Telehealth Technology Lab 
    • Successful Telehealth Business Models for the Health System, Hospital, or Clinic 
  • Up to four hours of dedicated networking, including an evening reception on May 23.
  • Eight breakout sessions highlighting regional programs on May 24, including:
    • Infusing Telehealth Technology into Academic Healthcare Curricula
    • Strategic Approaches to Integrating Telehealth: A Health System Perspective
    • A Community Hospital's Journey into DTC Virtual Care
    • 12 Essential Steps to Building a Telemedicine Program
    • Aging in Place with Community-Based Remote Monitoring Programs
    • Critical Access to Critical Care: Utilizing Connected Care Partnerships to Support Rural Healthcare Teams
    • The Day Your Non-Acute Care is Virtually Augmented
    • Increasing Access: Leveraging Telemental Health to Reach Unique Populations 
  • One exhibit hall on May 24 featuring telehealth hardware, software, service providers, consulting services, and more.
Registration rates range from $50 - $250.
Questions about the Conference? Email netrc@mcdph.org

National Telehealth Webinar Series
Engaging Providers with Telehealth Technology:
Training Modules and Communication Strategies

TOMORROW, April 27, 2017 at 3:00pm EDT

Student Consultants from Boston University School of Public Health and Henry M. Goldman School of Dental Medicine will present a brief needs assessment and literature review on the use of telehealth by patients living in rural areas of Massachusetts. The team will discuss a training intervention developed to facilitate provider use of telehealth and ideas for communication strategies to engage providers. Attendees will be encouraged to add to the conversation during the webinar and share their experiences.

State Telehealth Laws and Medicaid Program Policies

The Center for Connected Health Policy (our National Telehealth Policy Resource Center) has released the 5th edition of the 50 State Telehealth Laws and Reimbursement Policies Report! Significant findings include:
  • Forty-eight states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service. This has remained constant since CCHP's August 2016 edition of this report.
  • Thirteen states provide reimbursement for store-and-forward. One state, Nevada, has been added since August 2016.
  • Twenty-two state Medicaid programs provide reimbursement for remote patient monitoring (RPM). Most states with RPM policies restrict reimbursement to home health agencies and limit it to patients with specific clinical conditions.
  • Six states currently have some form of a geographic restriction similar to the Medicare program.
  • The practice of limiting the type of facility that can serve as an originating site decreased slightly since August 2016 to twenty-three states (down from twenty-five).  
  • Thirty-one state Medicaid programs offer a transmission or facility fee when telehealth is used.  This number is up one since CCHP's August 2016 update.
  • The number of states with private payer laws has remained constant since August 2016, with thirty-five jurisdictions having laws addressing private payer reimbursement for telehealth.
Check out the  infographic, share the  fact sheet, or read the full report.
Select Telehealth News
Telehealth Policy News

Federal Telemedicine News, April 26, 2017
Senator Sue Serinor sponsored a bill in March to add senior living facilities to the list of Medicaid eligible originating sites...

mHealth Intelligence, April 25, 2017
Health plans will negotiate policies with providers that include coverage for digital health services if they can be convinced that the service improves clinical outcomes and reduces wasteful spending...

FierceHealthcare, April 24, 2017
Medicaid regulations in all but two states offer reimbursement for some form of telemedicine, but those policies vary widely from state to state, often limiting the services available to patients...

mHealth Intelligence, April 17, 2017
The GAO Report finds that telehealth and remote patient monitoring aren't being used much by Medicare, Medicaid, VA, or DOD...

mHealth Intelligence, April 7, 2017
Members of the  Interstate Medical Licensure Compact  are now accepting applications from physicians interested in practicing telehealth across state lines...

FierceHealthcare, March 29, 2017
Telehealth could save hospitals in rural parts of the country an average of $81,000 annually, including reduced travel costs for patients and boosting revenues for other healthcare providers...

mHealth Intelligence, March 24, 2017
The Agency for Healthcare Research and Quality (AHRQ) is looking for more evidence that telehealth can help in the management of patients with acute and chronic conditions...

Health Care Law Today, March 27, 2017
CMS i ntroduced  a new educational initiative to raise awareness of the benefits of  Chronic Care Management  services...

Kennebec Journal, March 9, 2017
Senator Geoff Gratwick has proposed a bill to eliminate incongruent reimbursement practices and ensure that reimbursement rates for services provided via telehealth and services provided via in-person visits are comparable...
News on the Practice of Telemedicine

FierceHealthcare, April 25, 2017
As more healthcare providers are launching telehealth programs, hospital executives and vendors have a few words of wisdom - namely, exercise patience...

mobihealthnews, April 24, 2017
NewYork-Presbyterian has revealed a pair of new telemedicine options for psychiatric and express care services that build out its existing NYP OnDemand telehealth suite...

National Law Review, April 17, 2017
Healthcare providers who prescribe controlled substances via telemedicine must carefully review the Ryan Haight Online Pharmacy Consumer Protection Act to ensure compliance...

mHealth Intelligence, April 10, 2017
Eighty-three percent of healthcare organizations responding to a  ATA poll said they are highly likely to invest in telehealth with operational efficiency and convenience in mind...

FierceHealthcare, March 29, 2017
A New York City hospital sees a surprisingly bright future for telehealth services in a previously unexplored location: the emergency room...

The Evening Tribune, March 29, 2017
Steuben County Office for the Aging has teamed up with a non-profit partner to offer seniors alternatives to moving into nursing facilities...

WTNH, March 20, 2017
Doctors from across the country are benefiting from innovative patient-centered care approach at Community Health Center...

Recent Telehealth Resources

Andrews SM, Sperber NR, Gierisch JM, et al.  Patient perceptions of a comprehensive telemedicine intervention to address persistent poorly controlled diabetes.  Patient Pref. Adher. 11: 469-478, 2017 htm
Armstrong KA, Coyte PC, Brown M, Beber B, Semple JL.  Effect of home monitoring via mobile app on the number of in-person visits following ambulatory surgery: a randomized clinical trial.  JAMA Surg. [epub ahead of print], March 2017 htm
Bashi N, Karunanithi M, Fatehi F, Ding H, Walters D.  Remote monitoring of patients with heart failure: an overview of systematic reviews. J. Med. Internet Res. 19(1):e18, 2017 htm
Bonoto BC, de Araújo VE, Godói IP, et al   Efficacy of mobile apps to support the care of patients with diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials. JMIR Mhealth Uhealth. 5(3):e4, 2017 htm

Center for Connected Health Policy. State Telehealth Laws and Reimbursement Policies. April 2017 PDF

Edirippulige S, Armfield NR.  Education and training to support the use of clinical telehealth: A review of the literature.  J. Telemed. Telecare 23(2):273-282, 2017 htm
Gordon AS, Adamson WC, DeVries AR.  Virtual visits for acute, nonurgent care: a claims analysis of episode-level utilization.  J. Med. Internet Res. 19(2):e35, 2017 htm

NTCA-The Rural Broadband Association. Anticipating Economic Returns of Rural Telehealth. March 2017 PDF
Salisbury C, O'Cathain A, Thomas C, et al.  An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk.  National Institute for Health Research (UK) Journals Library, January 2017 htm
Satou GM, Rheuban K, Alverson D, et al. Telemedicine in pediatric cardiology: A scientific statement from the American Heart Association.  Circulation [epub ahead of print], February 2017 htm

U.S. Government Accountability Office. Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs. April 2017 htm 

Young JD, Badowski ME.  Telehealth: increasing access to high quality care by expanding the role of technology in correctional medicine.  J. Clin. Med. 6(2): E20, 2017  htm