Meaningful use

A national framework for integrated telemedicine

Alexander Vo, Jay Shore, Maryann Waugh, Charles R. Doarn, Jeffrey Richardson, Owen Hathaway, Ed Bostick, Samantha Lippolis, Marshall Thomas

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: The Centers for Medicare and Medicaid Services has incentivized electronic health records (EHRs) implementation through meaningful use (MU) to improve healthcare quality and efficacy. Telemedicine is a key tool that has shown its ability to facilitate MU through technological innovation with cost savings and has shown promise in the area of integrated behavioral healthcare. The purpose of this article is to propose a model of MU to frame the incentivized implementation of an integrated telemedicine (ITM)-specific model to effect system-level change. Materials and Methods: We reviewed the background, principles, and a justification for the ITM Model including cost issues, the development and structure of MU in the context of EHRs, the benefits of integrated behavioral healthcare and telemedicine, and the case for their combined implementation in the form of ITM. Results: The model proposed, the ITM Incentive Program, parallels the current MU program and is composed of three stages. Stage 1 focuses on incentivizing current and new Medicaid providers to adapt, implement, and upgrade technology needed to conduct virtual meetings with patients and other healthcare professionals. Stage 2 is a tiered incentive system with process-focused and track metrics related to increasing the number of consultations with patients. In Stage 3, providers are encouraged to continue use of ITM by meeting thresholds for several objectives focused on clinical outcomes. Recommendations for implementing this model within a payment waiver system are discussed. Conclusions: The ITM Model offers a needed union of integrated care and telemedicine through the combination of technology, business, and clinical processes. The success of MU as a tiered incentive program for EHRs, as well as the precedent of using waiver opportunities for incentive funding repayments, sets forth a strategic framework to successful implementation of ITM to address cost issues and improve quality and access to care in the healthcare system.

Original languageEnglish (US)
Pages (from-to)355-363
Number of pages9
JournalTelemedicine and e-Health
Volume21
Issue number5
DOIs
StatePublished - May 1 2015
Externally publishedYes

Fingerprint

Telemedicine
Motivation
Electronic Health Records
Delivery of Health Care
Inventions
Technology
Costs and Cost Analysis
Centers for Medicare and Medicaid Services (U.S.)
Aptitude
Cost Savings
Quality of Health Care
Medicaid
Insurance Benefits
Referral and Consultation

Keywords

  • health policy
  • meaningful use
  • telehealth
  • telemedicine

ASJC Scopus subject areas

  • Medicine(all)
  • Health Informatics
  • Health Information Management

Cite this

Vo, A., Shore, J., Waugh, M., Doarn, C. R., Richardson, J., Hathaway, O., ... Thomas, M. (2015). Meaningful use: A national framework for integrated telemedicine. Telemedicine and e-Health, 21(5), 355-363. https://doi.org/10.1089/tmj.2014.0142

Meaningful use : A national framework for integrated telemedicine. / Vo, Alexander; Shore, Jay; Waugh, Maryann; Doarn, Charles R.; Richardson, Jeffrey; Hathaway, Owen; Bostick, Ed; Lippolis, Samantha; Thomas, Marshall.

In: Telemedicine and e-Health, Vol. 21, No. 5, 01.05.2015, p. 355-363.

Research output: Contribution to journalArticle

Vo, A, Shore, J, Waugh, M, Doarn, CR, Richardson, J, Hathaway, O, Bostick, E, Lippolis, S & Thomas, M 2015, 'Meaningful use: A national framework for integrated telemedicine', Telemedicine and e-Health, vol. 21, no. 5, pp. 355-363. https://doi.org/10.1089/tmj.2014.0142
Vo A, Shore J, Waugh M, Doarn CR, Richardson J, Hathaway O et al. Meaningful use: A national framework for integrated telemedicine. Telemedicine and e-Health. 2015 May 1;21(5):355-363. https://doi.org/10.1089/tmj.2014.0142
Vo, Alexander ; Shore, Jay ; Waugh, Maryann ; Doarn, Charles R. ; Richardson, Jeffrey ; Hathaway, Owen ; Bostick, Ed ; Lippolis, Samantha ; Thomas, Marshall. / Meaningful use : A national framework for integrated telemedicine. In: Telemedicine and e-Health. 2015 ; Vol. 21, No. 5. pp. 355-363.
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