Telehealth Community

During the COVID-19 health crisis and beyond many need access to guidance on telehealth, including clinical, legal, and technical expertise, as well as advice from peers. Participation in this community is free.

Welcome to the Telehealth Community

CSI Solutions and its partners have launched this community to enable rapid access to telehealth information and resources. Join the conversation to learn and contribute to this important work.

Meet Our Community Facilitators

Roger Chaufournier, MHSA
CEO of CSI Solutions

Kathy Reims, MD, FAAFP
CMO of CSI Solutions

Christian Milaster, MS
Founder and President
Ingenium Digital Health

Peter Caplan, MPCD, MS
Telehealth Strategy & Implementation Advisor Ingenium Digital Health Advisors


Join the Telehealth Forums to share insights and questions. Once you login, you can choose the Subscriptions option to receive email notifications of new posts.

Participation is free. We will not share your contact information with vendors or other third parties. Some products and services recommended by peers may have associated costs.

Upcoming Telehealth Webinars

September 17, 2020 2PM ET – Telehealth Use Cases for Acute and Post-Acute Care

Virtual Inpatient Care, Remote Patient Monitoring and other valuable use cases.
In this webinar, Christian Milaster and Erkan Hassan, will provide a comprehensive overview of healthcare’s most common uses of telehealth for acute care in the hospital and emergency room and post-acute care at home, nursing homes and hospice, including remote patient monitoring (RPM).

Christian Milaster is the Founder & President at Ingenium Digital Health Advisors and Co-Founder of the Telehealth Community. Erkan Hassan, PharmD, is the Acute & Critical Care Advisor at Ingenium Digital Health Advisors and Principal at Transformational Views Consulting.

Previous Telehealth Webinars

August 20, 2020 – Measuring Telehealth Success

View Webinar Recording  View Webinar Slides

July 23, 2020 – Hybrid Care Delivery: The Best of Both Worlds

View Webinar Recording  View Webinar Slides

July 9, 2020 – Optimizing Your Telehealth Services The 6 Hallmarks of Excellent Telehealth Services

View Webinar Recording  View Webinar Slides

Selected Recent Telehealth Resources

This 60-minute HIMMS webcast explores how Northwell Health is leveraging multiple technology platforms in new ways during the COVID-19 health crisis.
Published on: 2020-07-14
Optimizing telehealth
Published on: 2020-07-14
The following sample scripts can help your front desk team manage the process of helping patients handling the shift to telehealth appointments.
Published on: 2020-07-14
This updated site provides AMA updates and a link to AMA's Steps Forward Module on Telemedicine.
Published on: 2020-07-14

Telehealth Updates

Ingenium Digital Health Advisors Optimizing Care Delivery

  • 5 Telehealth Metrics Healthcare Leaders Need to Pay Attention to
    by Christian Milaster on October 27, 2020 at 6:55 am

    With telehealth having been launched virtually overnight in most healthcare organizations, many leaders are pretty much in the dark when it comes to their insights into the performance of their organization’s telehealth services. Without “knowing how it’s going”, healthcare organizations risk alienating clinicians, limiting patients’ access to care, and hurting their bottom line. In [...] The post 5 Telehealth Metrics Healthcare Leaders Need to Pay Attention to appeared first on Ingenium Digital Health Advisors.

  • Is Virtual Care Worsening Outcomes?
    by Christian Milaster on October 20, 2020 at 9:18 am

    The Covid-19 health crisis accelerated the wide-spread adoption of virtual care to quickly get care to the patients while keeping physicians, staff and patients safe. But after many months of some patients being seen “virtual only”, the question is asked: Is virtual care worsening outcomes? A Simple 4-step Care Process I’ve been working in [...] The post Is Virtual Care Worsening Outcomes? appeared first on Ingenium Digital Health Advisors.

  • No Virtual Care Waiting Rooms, Please!
    by Christian Milaster on October 13, 2020 at 6:08 am

    As we are getting more and more familiar with the new virtual care paradigm, the “new normal” seems to slowly now also embrace the widespread abomination of traditional care: Making Patients Wait. Thus my plea is: No Virtual Care Waiting Rooms, please! Virtual Care Waiting Rooms are Necessary! Now, don’t get me wrong — [...] The post No Virtual Care Waiting Rooms, Please! appeared first on Ingenium Digital Health Advisors.

Telehealth Forums

Please or Register to create posts and topics.

Telehealth and the Black Swan

A "Black Swan", a theory developed by Nassim Nicholas Taleb, is the occurrence of a highly unlikely event that creates major effects.

While the Covid-19 pandemic has long been expected by researchers and (some) politicians, the impact and implications beyond the obvious was something that very few (if any) predicted.

Shortage of webcams (and 400% price hikes)?
The meteoric adoption of telehealth?
A disruption in the traditional healthcare model?

In hindsight, these seem obvious (except probably the last one).

But lamenting the lack of foresight is pointless.

The more important question now is: what does this mean to the established, traditional, conservative, change-averse healthcare delivery community? The physician practices, the health systems, the academic medical centers?

As we've learned over the past 10-15 years, the reign of the omnipotent, white-coated physician ended with the advent of Dr. Google and community-advice sourcing through Facebook. The formerly patient patients emerged as Modern Healthcare Consumers.

As we will learn now, the reign of the brick and mortar model ("we'll serve you when and where we want") is ending, too. Now that patients got a taste for the "delivery of care at a distance" (a.k.a. telehealth) and now that those physicians who embraced the change realize how much of medicine can be practiced well at a distance (a.k.a. telemedicine), the long-hailed future of healthcare is here to stay.

I pose the following predictions and welcome a spirited discussion not just by my fellow moderators but by anyone feeling compelled to share their agreement or disagreement.

1. Healthcare delivery will become increasingly fragmented as healthcare consumers chose convenience and good customer service from telehealth service providers not integrated with their established primary care or specialists over the local or regional health providers.

2. With $50B of venture capital invested in Digital Health Innovation over the past 10 years, this is that startup industry's shining moment and many market-ready solutions that were looking for market acceptance will leap to the front and change the healthcare landscape forever.

3. The physician practices and health systems that will thrive over the next 3 years are those, who can shift their culture from change aversion to a systematic, rapid doption of digital health innovation into their healthcare delivery workflows (a program that I offer is "accelerate innovation adoption").

Dr. Klasko, the CEO of Jefferson Health said on Becker's Healthcare that this is Healthcare's Amazon moment. Amazon was not about books and this is not about video chatting with your doctor.

What are your thoughts?

Christian:  Your provocation is welcomed.

In terms of your first prediction I have heard fear expressed about pay as you go commercial tele-visits that could fragment care. I do think that is a risk, but I believe it will be mitigated by the primary care system quickly adapting if reimbursement continues to support telehealth as a vehicle to improve access.

Those who purposefully designed their telehealth model before COVID were able to mitigate the impact on decreased volumes by serving their patients through telehealth.  When I visited  Dr. Doug Eby at South Central Foundation in Alaska late last fall and prior to COVID, he reported they were already at 80-85% of patient contact through electronic engagement of some form.

An equal provocation is what is the future of in-hospital care when much could be provided in the home with the right combination of technology, on-site personnel and remote monitoring?  Will the future model be primary care providers caring for the patient at work, in the community or at home backed up by intensivist and hospitalists?  The eICU is clearly an example.

Thank you Roger. To your last point, I agree that over time we will be seeing shorter and shorter hospital stays in exchange for an environment that is much more conducive to healing - through contacts with kids, pets and your spouse.

The eICU model works because there are onsite resources that provide the majority of the care, whereas access to critical care expertise is immediate. Likewise, a home nurse can provide much of the needed care, not necessarily 24 x 7, augmented by home-hospitalists.

I'll invite Erkan to join our discussion, too, maybe in a separate topic.

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