Telemedicine and beyond

Abstract

There is a resurgence of interest in telemedicine fueled by technology advancements and impending changes in reimbursement. Understanding various types of telemedicine helps separate hype from fact. This paper discusses the various forms of telemedicine; reviews telemedicine policy and regulatory status with emphasis in our [Missouri and Kansas] region; lists legislative, interstate licensing and reimbursement initiatives; and discusses future telemedicine trends with special attention to mobile devices.

Figure 1

World Market for Telehealth

Figures 2 & 3

Composite Maps provide an at-a-glance view of how each state’s overall environment for telemedicine coverage (Top - Figure 2) and how they compare with regard to physician licensure (Bottom - Figure 3).

Figure 4

Side-by-side American Telemedicine Report Cards for Missouri and Kansas for Physician Practice Standards, Licensure, Coverage and Reimbursement.

Figures 5 & 6

Top, typical self-contained telemedicine cart similar to those provided by IMED II and bottom, Clinical Assist™.

Figure 7

A composite screen capture of just one of many apps using only the built in camera and flash to relatively accurately measure pulses and though even the user’s oxygen levels.

Figure 8

Apple’s latest iOS 8 operating system contains HealthKit, an application framework, and Health App, an application enabling other apps and hardware developers to distribute data with Apple’s programs and each other.