{"id":7621,"date":"2023-01-16T20:30:42","date_gmt":"2023-01-17T01:30:42","guid":{"rendered":"https:\/\/gotelehealth.org\/ata-2023\/?p=7621"},"modified":"2024-01-12T12:46:43","modified_gmt":"2024-01-12T17:46:43","slug":"telemedicine-is-the-prescription-for-what-ails-rural-healthcare","status":"publish","type":"post","link":"https:\/\/gotelehealth.org\/ata-2023\/2023\/01\/16\/telemedicine-is-the-prescription-for-what-ails-rural-healthcare\/","title":{"rendered":"BLOG: Telemedicine is the Prescription for What Ails Rural Healthcare"},"content":{"rendered":"<p><em><strong>By Chris Gallagher, MD, Chief Executive Officer, Access TeleCare<\/strong><\/em><\/p>\n<p><span style=\"font-weight: 400\">In Texas alone, <\/span><span style=\"font-weight: 400\">nearly one out of every 10 hospitals are at risk of closure, twice as many as before the start of the COVID-19 pandemic, and most of those at risk are in rural communities, according to a <\/span><a href=\"https:\/\/www.tha.org\/Documents\/Nov22\/Texas-Hospital-Association-Financial-Impact-Report-11.1.22.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Kaufman Hall report<\/span><\/a><span style=\"font-weight: 400\"> published in October 2022. Rural Texas hospitals have a 26% risk of closure, compared with a 5% risk for urban facilities.<\/span><\/p>\n<p><span style=\"font-weight: 400\">And Texas isn\u2019t unique. More than 135 rural hospitals across the country closed between 2010 and 2021, with a record 19 in 2020, according to the <\/span><a href=\"https:\/\/www.aha.org\/2022-09-07-rural-hospital-closures-threaten-access\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">American Hospital Association<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">These closures don\u2019t have to become commonplace.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The pressures on rural hospitals are certainly immense, and their financial vulnerabilities are significant. But telemedicine can help. Telemedicine isn\u2019t a panacea, but it can be an effective treatment for what ails rural health care.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Specialty telemedicine done right can give rural hospitals an almost immediate tool to retain more patients, reduce transfers, increase case mix index, decrease length of stay, strengthen patient loyalty, enhance clinician satisfaction and recruitment, and deliver high-quality outcomes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The result is that rural hospitals can not only keep their doors open, but they can also truly compete with larger tertiary facilities, expand their services, serve more patients, maintain services that typically lose money, such as labor and delivery, and ultimately more meaningfully contribute to their community\u2019s vitality and economic well-being.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">My team has partnered with (and I choose the phrase \u201cpartner with\u201d purposefully) a rural hospital in East Texas for almost a decade to help solve challenges that afflict nearly all rural hospitals: patient outmigration to larger urban hospitals, inability to recruit specialty physicians, clinician burnout, and financial losses.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Since our partnership began in 2013, we have built and sustained <\/span><i><span style=\"font-weight: 400\">five<\/span><\/i><span style=\"font-weight: 400\"> specialty telemedicine service lines. When local patients need care for a neurological condition, such as a stroke, this hospital can provide it. When local patients need care for kidney failure, this hospital can provide it. When local patients need ICU-level care for severe COVID-19, this hospital can provide it. And the same is true for patients with COPD needing pulmonary care and those with complex or antibiotic-resistant infections needing specialty infectious disease care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">These services all are delivered via telemedicine. The physicians providing the care are in other Texas cities, in California, in New York, anywhere in the United States. When they come on the screen, however, it is as if they are in the room with the patient and the nurse.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This hospital began its telemedicine journey with telemedicine intensivists to cover its ICU at night. With the success of this service line, the hospital looked at its outmigration and financial data and identified neurology as the next area of opportunity. Today, the hospital is a designated stroke center, all with teleNeurology coverage. As the on-site nurses, physicians, and other clinicians became more familiar and accustomed to working with the telemedicine physicians, the hospital identified other opportunities for additional growth, including infectious disease, nephrology, and 24\/7 hospitalist services.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This hospital is thriving. It has bucked the trend of rural hospital financial losses, service line shutdowns, and closures.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">When a community loses its rural hospital, it doesn\u2019t just lose accessible emergency, primary, and specialty health care. It loses an employer and economic engine. It loses a philanthropist and community advocate. It loses something that makes the community attractive to businesses looking to relocate or start up.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We can\u2019t change rural communities\u2019 demographics, and policy change often occurs slowly. Rural hospitals and their communities can\u2019t wait. Specialty, inpatient telemedicine is available today for any rural hospital to avoid becoming another closure statistic and to continue serving its community today, tomorrow, and well into the future.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Learn more about specialty telemedicine in rural hospital settings by visiting the Access TeleCare Team at ATA2023, Booth #414.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Chris Gallagher, MD, is a board-certified cardiologist and serves as Chief Executive Officer of Access TeleCare, the largest national provider of acute care telemedicine.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Chris Gallagher, MD, Chief Executive Officer, Access TeleCare In Texas alone, nearly one out of every 10 hospitals are at risk of closure, twice as many as before the start of the COVID-19 pandemic, and most of those at risk are in rural communities, according to a Kaufman Hall report published in October 2022.<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[110],"tags":[],"class_list":["post-7621","post","type-post","status-publish","format-standard","hentry","category-blogs"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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