| Ignore the nay-sayers in this thread. I doubt the ones commenting have spent many days personally observing or personally doing the problem scenario you are solving for. This is spectacular for telemedicine in the post-covid regulation environment. The new model is an onsite medical assistant taking patient vitals and setting up the Zoom, the patient then talks to an APRN (Advanced Practice Registered Nurse) in the patient's field (e.g. subacute care, gerontology, etc.). The APRNs spend 30 minutes reading the file, tele-consult with a patient for a half hour. Medicare pays for the half hour. Then the APRN has to spend ~60 minutes turning that session into the EHR notes. Many just don't, they make an ultra short note, and hope Medicare doesn't challenge it. Patient loses. If too strapped for time, they also may not pre-read, because they only get paid for the video conf time. Patient loses. Downside I see with this is the APRNs doing telemedicine are making about 1/4 of the rate they should be, and can't afford an expensive tool. The telehealth provider is not going to pay for it, they get paid for the 1/2 hour, the wasted time is not out of their pocket, so they won't spend to make it up. This is going to be on the nurse, who likely can't afford it. On the plus side: time saved with this tool would go directly to ability to pre-read, or ability to see a patient an hour instead of one per two or three hours. It would also permit a higher caliber of expertise nurse to do tele-medicine visits in off days, because the time saved could bring comp back more in line with the expertise. Go for it! |