HIPAA Communication News

KLAS Research: Clinical Communication Platforms Improve Efficiency in Healthcare

The recently published 2021 KLAS Clinical Communication Platform Report has confirmed clinical communication platforms improve efficiency in healthcare, streamline communication across most areas of hospitals, and lead to concrete outcomes, with improvements to clinical communication the biggest benefit.

KLAS Research is a Utah-based company that provides data and insights into health information technology (HIT) that helps healthcare organizations identify HIT solutions that will provide important benefits and a good ROI. KLAS collects data on HIT solutions, including from healthcare industry reports, websites, and feedback from healthcare professionals that are using HIT in the workplace. KLAS analyzes the data, identifies key trends and insights, and produces reports on the findings of its research. The researchers also work with leadership teams at vendors to help them improve their HIT solutions based on user feedback to help them deliver better outcomes.

For its latest Clinical Communication Platform Report, KLAS researchers profiled some of the most innovative and cutting-edge vendors in the field whose solutions are delivering invaluable benefits in healthcare and users of clinical communication platforms were surveyed and asked for their feedback on the solutions they have adopted.

TigerConnect, the leading clinical communication platform provider in the United States, was recognized as having the largest base of acute care customers and for the value its clinical communication platform delivered. Feedback from healthcare professionals that use the platform confirmed it has led to improved efficiency for clinical support staff and improved nurse satisfaction and patient satisfaction and care through timely, efficient communication.

The top outcomes healthcare delivery organizations have achieved by implementing the TigerConnect platform are improved clinician response times, increased transparency into patient teams and schedules, and increased clinician workflow satisfaction with fewer call interruptions and much easier access to communication. TigerConnect customers confirmed the solution has helped improve patient team collaboration in terms of patient transport, bed management and environmental services, increased access to and the secure sharing of patient data, more efficient clinics and outpatient care, and a reduction in readmissions, fewer errors, and a faster crash team response.

“Our administration uses TigerConnect’s solution. If people ask for TigerConnect accounts, we can give them accounts. I don’t know how we would have been able to get through the COVID-19 pandemic without this solution,” said one TigerConnect user.

The solution was highly praised for ease of use coupled with enterprise contracting, which allows simple rollouts by many different user groups to achieve organization-wide efficient communication.

“One outcome that we have achieved with TigerConnect’s solution has been improved communication between our nurses, providers and administration. We can just text someone in administration rather than having to know their personal phone number.,” said one TigerConnect user. “The value of adding two-way asynchronous communication in our clinical areas has been huge. They can always put themselves on ‘do not disturb’ if they don’t want people to text them. When nurses or providers are actively engaged with patients, they can get the information they need with the system, and then return that information.”

This year has seen TigerConnect roll out significant feature enhancements based on customer feedback, and the company has also made key acquisitions of on-call physician scheduling and advanced middleware solutions, deepening the capabilities of its platform considerably.

“2021 has proven a tipping point as healthcare systems evolve their requirements from secure messaging to the most contextual, advanced clinical collaboration experiences. Clinicians are demanding an all-in-one mobile collaboration experience that helps them raise the standard of care and improve patient outcomes,” said Will O’Connor, MD, TigerConnect Chief Medical Information Officer. “The KLAS report validates TigerConnect in our vision to make hospitals and care delivery more agile.”

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Webinar Today: Jumpstart Your Physician Scheduling for 2022

On Tuesday September 28, 2021, TigerConnect is hosting a webinar to demonstrate how healthcare providers can simplify the process of physician scheduling by using an automated, easily accessible, mobile-friendly physician scheduling solution.

Healthcare providers that have yet to fully automate physician scheduling typically rely on spreadsheets, printed sheets, and whiteboards for communicating physician schedules. Physician scheduling is therefore inefficient. It can be time consuming to find out about on-duty physicians and difficult to ensure fairness with on-call assignments and time-off requests.

During the webinar, attendees will learn about the TigerConnect Physician Scheduling solution and will discover how it can be used to streamline workflows, enable better coordination among care teams, and prevent burnout. The solution can be used to create rules-based daily to yearly on-call schedules, with the process typically taking around an hour. Schedules, tally reports and time-off approvals can be instantly communicated to staff members’ smartphones.

Webinar Details

Tuesday, September 28 at 1:00 p.m. ET / 10:00 a.m. PT

Hosted by:
Justin Wampach, TigerConnect Vice President, Scheduling
Angela Romero, TigerConnect Director, Professional Services

Register for the Webinar Here

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TigerConnect Announces Expansion of Clinical Communication and Collaboration Product Suite

Healthcare providers have a wide range of incredibly advanced care tools at their disposal; however, many hospitals and clinics are still reliant on antiquated, unconnected communication systems. There have been major advances in communications technology in recent years which have been successfully implemented in many industry sectors to improve communication, collaboration, efficiency, and productivity, yet these have taken time to be introduced in the highly regulated healthcare industry. To this day, healthcare providers are still reliant on pagers, faxes, landline telephones, and white boards. These unconnected communication systems are inefficient and hamper healthcare workflows and ultimately significantly add to the cost of healthcare provision.

Over the past decade, new tools have come to market to replace these outdated and unconnected communication systems. Secure text messaging platforms have been developed for use in healthcare that greatly improve communication efficiently, while incorporating all the necessary safeguards to ensure the confidentiality, integrity, and availability of electronic protected health information to meet the requirements of HIPAA. Secure text messaging solutions for healthcare have evolved into comprehensive clinical communication and collaboration (CC&C) systems that integrate with a wide range of other systems, including EHRs, to meet the emerging needs that tomorrow’s network of interconnected healthcare organizations demands.

TigerConnect is the most adopted platform for advanced care team collaboration and clinical integrations in the United States and includes a suite of tools for improving efficiency throughout the healthcare continuum. This week, TigerConnect has announced it has significantly expanded and enhanced the TigerConnect portfolio to further improve efficiency, quality, outcomes, and the overall patient and provider experience.

“The newly enhanced TigerConnect portfolio empowers healthcare organizations of all sizes to solve complex workflows and communications scenarios from end to end, beginning with a significantly enhanced care collaboration platform,” explained TigerConnect “From there, enhancement technologies include simpler, more compassionate patient and family engagement options. Plus, improved alert and event notification and scheduling solutions help ensure hospitals already stretched thin with clinical staffing shortages do not compromise patient care and safety.”

The TigerConnect portfolio of HITRUST CSF-certified, HIPAA-compliant solutions includes TigerConnect Clinical Collaboration Platform, TigerConnect Alarm Management and Event Notifications, TigerConnect Patient Engagement, and TigerConnect Physician Scheduling.

At the heart of the suite is the CC&C platform that enables instant, secure communication between patients and clinicians, real-time delivery of results to caregivers, communication between teams, and more via text, voice, and video. The platform empowers staff to securely identify and communicate with colleagues across shifts, improving communication efficiency. Additionally, unanswered messages are automatically escalated, thus saving steps, accelerating care, and improving a wide range of organizational outcomes.

TigerConnect has expanded its middleware capabilities with Alarm Management and Event Notifications, which allow nurse teams to consume, prioritize and route contextualized alerts and alarm notifications from any nurse station, physiologic monitor, smart bed, or EHR vendor. “This improvement dramatically reduces unnecessary clinical interruptions, alarm fatigue, and sentinel events by separating the signal from the noise, helping to keep already lean nursing teams productive and less prone to burnout,” explained TigerConnect.

TigerConnect has also enhanced its platform for better patient engagement, which helps busy healthcare professionals bypass traditional outreach challenges, giving fast, easy, and direct access to patients and their families. The platform can be used to send appointment reminders, collect intake documents before a visit, provide patients families with updates during a procedure, conduct remote wound care follow-ups, and drive post-visit care plan adherence, with the solution providing itself to be invaluable for delivering telehealth services during the pandemic.

Through TigerConnect Physician Scheduling, the on-call and resident scheduling process has been automated, streamlined, and fused with clinical communications to ensure care teams know which doctor or physician’s assistant to contact at all times without having to consult printed schedules or whiteboards, and also share key details within a team of collaborators. This recently added feature ultimately streamlines time-off requests, shift swaps, and calendar access on a smartphone or desktop.

“Much as enterprise collaboration platforms have fundamentally transformed how businesses collaborate around people, data and integrations, TigerConnect is now revolutionizing healthcare collaboration,” said Brad Brooks, CEO and co-founder, TigerConnect. “Care organizations can communicate and collaborate securely and safely, while absolutely protecting patient privacy in the cloud. This revolution is just beginning as more healthcare data and integrations move to the cloud, and we are proud to be leading the way with platforms and solutions that will enable people and automate workflows.”

The post TigerConnect Announces Expansion of Clinical Communication and Collaboration Product Suite appeared first on HIPAA Journal.

Critical Alert Acquisition Adds New Capabilities to TigerConnect CC&C Platform

TigerConnect is about to add a range of new capabilities to its clinical communication and collaboration platform following the acquisition of the healthcare middleware provider Critical Alert. This is the second major acquisition by the Santa Monica, CA-based HIPAA-compliant text messaging platform provider in 2020, following the acquisition of Call Scheduler in the fall.

Critical Alert is a cloud-native and mobile-first provider of enterprise-grade middleware for hospitals and health systems. The middleware products are used by hospitals to combine nurse call, alarm and event management, medical device interoperability, and clinical workflow analytics. In addition to the suite of middleware products, Critical Alert provides traditional nurse call hardware to more than 200 hospitals throughout North America.

The acquisition will see the suite of middleware products incorporated into the TigerConnect platform which will add a host of new capabilities and power a wide range of alert types and alarm management enhancements. The integration of the middleware is expected to be completed in Q1, 2021.

Critical Alert middleware seamlessly integrates clinical systems to transmit alarms, events, and values and provides virtualized nurse call that includes contextual patient data to allow nurses to prioritize requests. Through centralized answering of nurse call alerts and the management of workflows and assignments, noise and clinical interruptions are reduced and responsiveness is improved.

Real-time Location Systems (RTLS) integrations help to improve caregiver effectiveness and streamline workflows and enable real-time tracking of staff location and time spent on tasks. These integrations provide insights into resource planning, workflow effectiveness, and ongoing process improvement initiatives.

The integration of Critical Alert with TigerConnect will allow easy integrations with smart bed alarms for effective fall prevention and improved patient safety. If the safe bed configuration is compromised, alerts will be sent immediately to mobile devices allowing nurses to quickly respond.

Through an integration with the TigerFlow care team collaboration solution, alerts will be intelligently routed to the right caregivers, suppressing unnecessary noise and improving efficiency. The context provided with these alerts helps nurses to prioritize effectively. Critical Alert also brings advanced analytics that provide insights into patient behavior and help with the optimization of staff workload.

The incorporation of Critical Alert middleware into the TigerConnect platform provides greater value to customers and helps to ease the burden on nurses at a time when nurse burnout is incredibly common. The improvements that can be made to efficiency and effectiveness are likely to make a huge difference in hospitals, especially given the current chronic nurse shortages.

“We see the Critical Alert acquisition as highly strategic and a natural evolution of our already-robust collaboration platform,” said Brad Brooks, CEO and co-founder of TigerConnect. “For the hundreds of thousands of nurses that currently use TigerConnect, these new capabilities will deliver real-time, contextual information to their mobile device or desktop to allow them to work smarter, prioritize responses, and efficiently coordinate care, all within the same reliable TigerConnect platform they use every day for enterprise messaging.”

The acquisition will see Critical Alert CEO John Elms join the TigerConnect team as Chief Product Officer/ Elms will play a key role in integrating the two companies’ technologies and will guide future product offerings. The VP of Sales for Critical Alert, Wil Lukens, will also join the TigerConnect team and will assume the role of General Manager of Critical Alert’s traditional Nurse Call hardware unit, which will continue to operate under the same name as a standalone business unit.

“The timing of the deal and the fit of these two companies aligned perfectly,” said John Elms, CEO of Critical Alert. “Two best-in-class, highly complementary solutions coming together to solve some of the chronic challenges—alarm fatigue, response prioritization, resource optimization—that have driven nurse teams to the brink. Together, these unified technologies will make care professionals’ lives easier, not harder, and I couldn’t be more excited to lead the TigerConnect product organization into this next chapter.”

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Webinar Today: How HIPAA-Compliant Messaging Transforms Healthcare

Data show 70% of delays in providing treatment to patients is due to miscommunication, so resolving the problems that result in miscommunication in healthcare is key to improving quality of care, clinical outcomes, and the patient experience.

One of the biggest contributory factors to miscommunication is the use of outdated communications systems, which has long been a problem in healthcare. Fortunately, there is a solution that has been shown to greatly improve communication efficiency and reduce the potential for errors and miscommunication – a secure texting platform.

To find out more about secure, HIPAA-compliant messaging and how it can make care teams immediately more efficient and effective, we invite you to join this upcoming webinar.

During the webinar you will discover how this single change can lead to major improvements in collaboration, save valuable time, decrease costs, and lead to happier staff and patients.

The webinar is being hosted by TigerConnect, the leading secure healthcare messaging provider, and will take place on Wednesday, December 9 at 10 a.m. PT / 1 p.m. ET.

Webinar Details:

How HIPAA-Compliant Messaging Transforms Healthcare

Date/Time: Wednesday, December 9 – 10 a.m. PT / 12 p.m. CT / 1 p.m. ET

Hosted by:
Julie Grenuk, Nurse Executive, TigerConnect
Tommy Wright, Director of Product Marketing, TigerConnect

Register Here

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TigerConnect Survey Confirms Widespread Support for Telehealth Among Providers and Patients

The coronavirus pandemic has resulted in a major increase in healthcare providers offering telehealth services to patients. Virtual visits are being offered to reduce the number of patients visiting hospitals and physician offices to limit transmission of the virus to ensure patient safety. The increase in use is out of necessity, but new research confirms telehealth services are popular with providers and patients alike.

TigerConnect, the provider of the most widely adopted communication platform in healthcare, recently commissioned a comprehensive Harris Poll survey to explore attitudes to telehealth among patients and healthcare providers. The survey was conducted on 2,039 U.S. adults aged 18 or older between July 23-27, 2020 and 500 healthcare clinicians between June and July 2020.

88% of healthcare providers who were already offering telehealth services to patients saw an increase in the use of telehealth services due to the coronavirus pandemic, with 71% of providers saying there was a large increase in use. It is understandable that so many providers and patients have embraced telehealth in order to reduce infection risk and prevent transmission of the virus, but even when the pandemic is over it is likely that use of telehealth services will continue at the same or even an increased level. Over two thirds of providers (71%) believe use of telehealth services will continue at the same or even a higher level when the pandemic is over.

There is also strong support for telehealth services among patients. 87% of patients who tried telehealth said they were satisfied with the experience, with 7 out of 10 patients saying it is important for providers to offer telehealth services to patients. Many patients appear to prefer virtual visits to in-person visits. Only 40% of patients said they prefer to meet their providers face to face.

Patients may be apprehensive about trying telehealth, but once they have their first virtual visit they are keen to go virtual again. Patients who have had one telehealth or video consultation in the past year were twice as likely to express a strong preference for a virtual visit over an in-person visit.

When patients were asked if there was anything about telehealth they did not like, almost half of patients could not think of a single criticism about their experience. The main advantages of telehealth among patients were convenience (50%), allowing appointments to be kept that may otherwise have been cancelled (36%), and the ease at which health check-ups could be scheduled (34%). 52% of patients said they believe telehealth was a safe alternative to an in-person office visit.

Boomers (Over 55s) and Gen Z (Under 24s) were the age groups least satisfied with telehealth. The most common complaint among Boomers was excessive complexity, while the most common complaint with Gen Z users was a lack of features, showing there is clearly further scope for refinement.

The survey on clinicians revealed there is a majorly fragmented market, with 140 different telehealth solutions in use. 14% of respondents said they are currently using multiple telehealth solutions. That may well change after the pandemic is over and the notice of enforcement discretion of the HHS’ Office for Civil Rights expires. The notice of enforcement discretion for telehealth services temporarily allowed telehealth solutions to be used that may not be fully compliant with HIPAA requirements.

65% of respondents said they were happy with their current telehealth solutions and almost 90% of users of the TigerConnect platform said they were happy with the TigerConnect platform.

The survey also revealed there is strong bipartisan support for telehealth, with 77% of Democrats and 66% of Republicans believing healthcare providers should offer telehealth services to patients. There are still some challenges to overcome to ensure that telehealth services are accessible to all. 53% of surveyed patients living in urban areas had utilized telehealth services compared to just 31% of patients in rural areas, which suggests there may be issues with broadband availability and cellular reception in rural areas which is limiting uptake.

“The people have spoken: telehealth is here to stay,” said TigerConnect CEO Brad Brooks. “The overnight move to telehealth is one of the fastest cultural shifts in healthcare in decades, and this research reveals it has already transformed the habits of millions of Americans who can now access great healthcare as easily as they can catch a ride to the airport. It’s up to our industry to seize this moment and ensure that it’s as easy as possible for anyone to access or administer world-class healthcare anywhere and anytime to improve health outcomes for all Americans.”

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TigerSchedule Automated On-Call Physician Scheduling Added to TigerConnect CC&C Platform

TigerConnect has announced it has acquired Adjuvant’s Call Scheduler solution, which has now been incorporated into the TigerConnect clinical communication and collaboration (CC&C) platform as TigerSchedule™.

The Call Scheduler solution adds innovative on-call physician scheduling capabilities to the TigerConnect platform, allowing users to automate on-call and work assignments, improve efficiency, and bolster collaboration across complex healthcare teams. Close collaboration between clinicians is vital in healthcare and has become even more so during the COVID-19 era, as has the need to improve efficiency and cut costs with the revenue challenges caused by the pandemic.

TigerSchedule™ is a rules-based automated physician scheduling solution which has been made available as a standalone solution and also part of the TigerConnect Platform. The Adjuvant-developed solution already has an extensive user base in the United States, having been adopted by a wide range of healthcare organizations from care centers including Huntsville Memorial Hospital and Community Hospital of the Monterey Peninsula and medical clinics including Cardiac Specialists and Baptist Neurology.

The TigerSchedule™ solution offers healthcare providers several key benefits.

  • TigerSchedule™ adds new scheduling management capabilities to the TigerConnect platform.
  • The solution ensures fairness within the schedule, protects healthcare providers from being over-assigned, and ensures sufficient time between shifts to help prevent burnout.
  • Automated notifications are intelligently routed to the on-call schedule due to sickness, vacations, and patient cancellations.
  • Empowers providers to request the location and shift times they want and supports their preferences for text message notifications.
  • Simplifies shift swaps and changes and reduces the workload for managers.
  • A single view of all staff enables faster team collaboration and better resource optimization.
  • Rules-based automation and integration with EHRs improves scheduling and workflows.

“Reaching the right care team member quickly and efficiently is essential to providing excellent patient care. When you add the pressures of COVID-19 to the already existing whirlwind of paper schedules and unexpected shift changes, the challenge for caregivers is overwhelming. It can even be the difference between life and death,” said TigerConnect co-founder and CEO Brad Brooks. “TigerConnect with TigerSchedule™ helps healthcare systems streamline care delivery, improve outcomes, and enhance the patient experience while boosting the bottom line. It’s particularly valuable to healthcare organizations today, as they seek to reduce costs and improve patient and care team satisfaction.”

The acquisition of Call Scheduler will see President Justin Wampach join the TigerConnect team as Vice President, Scheduling Division, with the entire Call Scheduler workforce also joining TigerConnect.

“When Brad approached me and pitched the idea of being acquired, I admit we were flattered. I always felt our long-term strategy would involve us becoming a module within a broader product offering. We quickly realized that our offerings complemented each other well and it became obvious that joining forces would benefit our customers,” said Call Scheduler President, Justin Wampach.

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OCR Warns of Postal Phishing Scam Targeting HIPAA Compliance Officers

The Department of Health and Human Services’ Office for Civil Rights is warning healthcare organizations about a phishing scam being conducted by mail that has been designed to scare compliance officers into visiting a website or taking immediate action with respect to a HIPAA risk assessment.

Postcards have been sent to several healthcare organizations that masquerade as an official communication from the Office for Civil Rights. The postcards are addressed to the HIPAA compliance officer and state a mandatory HIPAA compliance risk assessment must be performed. The postcards warn that “HIPAA violations cost your practice. The federal fines for noncompliance are based on perceived negligence found within your organization at the time of the HIPAA violation.” The postcards remind the recipient that “fines can range from $100 to $50,000 per violation (or per record), with a maximum penalty of $1.5 million per year for each violation.”

The postcards claim to have been sent by the Secretary of Compliance of the HIPAA Compliance Division – a position that does not exist – and have a Washington D.C. return address. The link that compliance officers are requested to visit markets consulting services and is a non-governmental site.

OCR has advised all covered entities to alert their workforce about the misleading communication, which appears to have been sent by a private company. OCR stressed that this is not a communication sent by the HHS or OCR.

OCR advises HIPAA covered entities and business associates to take steps to verify the legitimacy of any communication that claims to be from the HHS or OCR, and explained that any written communications from OCR will include the following address:

Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

Any request to make contact via email will provide an email address for contact that has an @hhs.gov suffix.

The impersonation of federal law enforcement is a crime and any suspected cases should be reported to the Federal Bureau of Investigation.

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President Trump Signs Executive Order Calling for Expansion of Telehealth Services

On Monday, August 3, 2020, President Trump signed an executive order to expand access to telehealth services for the 57 million Americans living in under-served rural areas.  The Executive Order on Improving Rural and Telehealth Access will ensure that the expansion of telehealth services due to the COVID-19 pandemic will continue after the nationwide public health emergency is declared over.

In 2019, Medicare started paying for virtual check-ins with doctors to determine whether an in-person visit was required, but the pandemic saw access to virtual visits expanded significantly in an effort to help prevent the spread of COVID-19. Geographic restrictions were lifted, and telehealth services were made available to Medicare beneficiaries across the country. The Centers for Medicare and Medicaid Services (CMS) also added a further 135 medical services to the list of services that are covered by Medicare if provided virtually.

Figures from the CMS show that virtual visits via phone or video increased to nearly 1.7 million in the last week in April, compared to just 14,000 visits before COVID-19. From mid-March, when the telehealth restrictions were relaxed, to mid-July, 10.1 million Medicare beneficiaries received a Medicare telehealth virtual visit. While there was a fall in the number of virtual visits in May once in-person visits resumed, the number of patients opting for virtual visits remained high, indicating patients are happy with medical services being provided virtually.

Americans living in rural locations are more likely to die from the five leading causes of death in the United States than individuals living in urban areas, and the gap has widened between 2010 and 2017. “Prior to the pandemic, telehealth was fine, but it wasn’t anything raging, and I guess one of the only good things that we’ve gotten out of this horrible situation is that telehealth has been increased,” said President Trump. “It is the purpose of this order to increase access to, improve the quality of, and improve the financial economics of rural healthcare, including by increasing access to high-quality care through telehealth.”

President Trump also called for officials to develop a plan within 30 days to increase investment in the communication infrastructure to improve healthcare in rural areas and within 30 days, the Secretary of the HHS will announce a new model to test new payment mechanisms to ensure that healthcare providers in rural areas can provide the necessary level of and quality of care to patients. Under the new model, healthcare providers in rural areas will be given more flexibility from current Medicare rules, and the model will establish predictable financial payments and encourage the transition to high-quality, value-based care. A report will also be submitted by the HHS Secretary on policy initiatives to increase rural access to healthcare through the removal of regulatory burdens which limit the availability of clinicians, prevent disease and mortality through rural-specific initiatives to improve health outcomes, reduce maternal mortality, and improve mental health in rural communities.

Shortly after the Executive Order was signed, the CMS announced it is proposing changes that will expand telehealth services for Medicare beneficiaries permanently, consistent with the Executive Order. The proposed CMS rule also includes a multi-year program that aims to reduce the burden on clinicians as part of its Patients Over Paperwork initiative and will ensure that there will be appropriate reimbursement for the time clinicians spend with patients. The CMS is also proposing that some of the additional medical services covered under Medicare during the public health emergency will also continue to be paid for by Medicare if provided virtually, including virtual visits for certain evaluation and management services and some services for patients with cognitive impairments.

The CMS is seeking public input on which services should continue to be covered by Medicare once the public health emergency is declared over. The CMS also wants to temporarily continue telehealth services for emergency department visits to give the industry time to assess whether they should also be made permanent. Comments on the proposed changes are being accepted until October 5, 2020.

“Telemedicine can never fully replace in-person care, but it can complement and enhance in-person care by furnishing one more powerful clinical tool to increase access and choices for Americas seniors,” said CMS Administrator Seema Verma. “The Trump Administration’s unprecedented expansion of telemedicine during the pandemic represents a revolution in healthcare delivery, one to which the healthcare system has adapted quickly and effectively. Never one merely to tinker around the edges when it comes to patient-centered care, President Trump will not let this opportunity slip through our fingers.”

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