Telehealth Post-Pandemic: Industry-wide Issues and How to Fix It

Discover why current telehealth solutions fall short and how open-source, integrated approaches can revolutionize virtual healthcare delivery post-pandemic.

The COVID-19 pandemic catapulted telehealth from a niche service to a mainstream healthcare delivery method almost overnight. While this rapid adoption undoubtedly saved lives and maintained continuity of care during unprecedented times, it also exposed glaring inadequacies in our approach to virtual healthcare. As we move beyond the pandemic, it's crucial to reassess our telehealth strategies and address the fundamental issues that are holding back its true potential.

The Current State of Telehealth: A Patchwork of Solutions

When the pandemic hit, healthcare providers scrambled to implement telehealth solutions, often cobbling together existing technologies or hastily adopting standalone platforms. While these stop-gap measures served their immediate purpose, they've left us with a fragmented telehealth landscape that falls short in several critical areas.

Many current telehealth implementations are little more than video calls tacked onto existing healthcare processes. This approach fails to leverage the full potential of digital health technologies and often creates more problems than it solves. Let's delve into the key issues plaguing today's telehealth solutions and explore how innovative, open-source approaches like Ottehr are paving the way for a more integrated and effective telehealth future.

1. Lack of Automation: The Efficiency Bottleneck

One of the most significant drawbacks of current telehealth systems is the lack of automation. Many providers are still relying on manual processes for scheduling, sending reminders, and collecting pre-visit information. This not only creates additional work for staff but also increases the likelihood of errors and missed appointments.

Moreover, the limited use of AI for triage and initial assessments means that providers are often spending valuable time on tasks that could be automated, reducing the overall efficiency of telehealth visits.

By integrating telehealth directly with the FHIR Service, Ottehr allows for automated creation of FHIR Encounter resources for each video meeting. This automation extends to scheduling, appointment linking, and reason coding, streamlining the entire pre-visit process.

2. Poor Interoperability: The Data Divide

Many telehealth platforms operate in isolation from main EHR systems, creating a significant data divide. Providers often struggle to access comprehensive patient histories during virtual visits, leading to incomplete assessments and potential oversights. Furthermore, the challenge of integrating telehealth data with in-person visit records creates a fragmented view of patient care.

As a FHIR-native platform, Ottehr ensures seamless interoperability. The telehealth module is not a bolt-on solution but an integral part of the EHR system, allowing for fluid data exchange and a unified patient record across all care settings.

3. Insufficient EHR Integration: The Workflow Disruption

The lack of deep integration between telehealth platforms and EHRs leads to disjointed workflows. Providers often need to juggle multiple interfaces, logging in and out of different systems to access the tools they need. This not only wastes time but also increases the risk of errors and oversights.

Alternatively, your telehealth solution should be built as a core component of its EHR platform. This means providers have access to all EHR tools and modules during virtual visits, enabling them to seamlessly switch between telehealth and in-person documentation within a single interface.

4. Inadequate Patient Engagement Features: The Communication Gap

Many current telehealth solutions offer limited options for patient engagement. They often lack capabilities for asynchronous communication, integrated remote monitoring, or user-friendly mobile experiences. This can lead to reduced patient satisfaction and engagement, ultimately impacting the effectiveness of virtual care.

By offering a cross-platform solution, Ottehr enables patients to join video calls from mobile applications while providers use desktop interfaces. This flexibility, combined with integrated chat features and the ability to link appointments and medical concerns directly to telehealth encounters, enhances patient engagement and care continuity.

5. Security and Privacy Concerns: The Trust Factor

The rapid adoption of telehealth during the pandemic led some providers to use non-HIPAA compliant video platforms, raising serious privacy and security concerns. Even with more secure solutions, challenges remain in areas such as remote patient identity verification and data protection.

As a HIPAA-compliant telemedicine platform, Ottehr prioritizes security and privacy. Its open-source nature allows for transparent security audits and rapid addressing of any vulnerabilities, fostering trust among both providers and patients.

The Way Forward: Integrated, Open-Source Telehealth Solutions

To truly realize the potential of telehealth, we need to move beyond the current patchwork of solutions towards more integrated, open-source approaches. Platforms like Ottehr are leading this charge by offering modular, production-ready EHR components that include robust telehealth capabilities.

Key features of an ideal telehealth solution include:

  1. Seamless EHR integration: Telehealth should be a native part of the EHR, not a separate system.
  2. Automated workflows: From scheduling to documentation, automation should streamline processes.
  3. Multi-modal communication: Solutions should support video, chat, and asynchronous communication.
  4. Built-in remote monitoring capabilities: Integration with wearables and home health devices is crucial.
  5. Enhanced security features: HIPAA compliance should be a given, with additional measures for data protection and patient verification.

Ottehr embodies these principles, offering a telehealth solution that can be deeply integrated with its FHIR-based EHR system. By allowing healthcare organizations to build cross-platform video calls into their applications and linking these directly to FHIR resources, Ottehr creates a seamless, efficient, and secure telehealth experience. 

Challenges and Considerations

While the benefits of integrated, open-source telehealth solutions are clear, implementation is not without challenges. Regulatory hurdles, the need for comprehensive staff training, and initial implementation costs can be significant barriers. However, the long-term benefits in terms of improved care quality, increased efficiency, and enhanced patient satisfaction far outweigh these initial hurdles.

Moreover, the open-source nature of solutions like Ottehr allows for community-driven development and customization, enabling healthcare organizations to tailor the system to their specific needs while benefiting from ongoing improvements and innovations.

Embracing the Future of Telehealth

As we have moved beyond the pandemic, it's clear that telehealth will remain a crucial component of healthcare delivery. However, to truly harness its potential, we must address the shortcomings of current implementations. By embracing integrated, open-source solutions like Ottehr, healthcare organizations can overcome the challenges of fragmented systems, poor interoperability, and inadequate patient engagement.

The future of telehealth lies not in standalone video call platforms, but in deeply integrated, secure, and flexible systems that seamlessly blend virtual and in-person care. It's time for healthcare providers to reevaluate their telehealth strategies and consider open-source, modular solutions that can grow and adapt with their needs.

By doing so, we can create a telehealth ecosystem that truly enhances patient care, improves provider efficiency, and paves the way for more innovative and effective healthcare delivery models. The technology is here – it's up to us to implement it wisely and reap the full benefits of what telehealth can offer.

FAQs

1. Why did telehealth adoption skyrocket during the COVID-19 pandemic?
Telehealth became a vital solution during the pandemic to minimize in-person visits, maintain social distancing, and ensure care continuity. It allowed healthcare providers to offer consultations and care remotely, ensuring patients could still receive treatment without risking exposure to the virus.

2. What are the main problems with current telehealth solutions?
Many current telehealth platforms are standalone solutions or hastily integrated into existing systems. This has led to several issues, including:

  • Lack of automation, which creates inefficiencies.
  • Poor interoperability with EHR systems, resulting in fragmented patient records.
  • Disjointed workflows for providers.
  • Limited patient engagement features.
  • Security concerns, especially regarding HIPAA compliance and data protection.

3. How does automation improve telehealth services?
Automation can streamline telehealth processes, such as appointment scheduling, sending reminders, and triaging patients. It reduces the burden on administrative staff and healthcare providers by automating repetitive tasks, minimizing human error, and improving appointment management.

4. What is the importance of interoperability in telehealth?
Interoperability ensures that telehealth platforms can communicate seamlessly with EHR systems, allowing for comprehensive patient records to be available during virtual visits. This helps providers make better-informed decisions, as they have access to complete medical histories, lab results, and other critical data in real-time.

To learn more about Ottehr’s modular and production-ready open-source telehealth platform, schedule a call or visit the Github repository to fork today.