Prescription Digital Therapeutics: The Future of Digital Health Solutions

Prescription Digital Therapeutics: The Future of Digital Health Solutions

AI Health Tech Med Tech

The global market for prescription digital therapeutics (PDT) is expected to grow to $17.16 billion by 2030. This growth is mainly due to the affordability of digital health technology for both healthcare providers and patients, as well as the increasing use of smartphones in both developed and developing countries.

In this article, we’ll describe PDT, its applications, benefits, and challenges.

Contents

What Are Prescription Digital Therapeutics?

Prescription digital therapeutics (PDTs) are a new class of medical interventions that leverage software to treat, manage, or prevent diseases and disorders. Unlike typical health apps, PDTs require a prescription from a healthcare provider and are subject to rigorous regulatory scrutiny.

According to the U.S. Food and Drug Administration (FDA), prescription digital therapeutics are medical devices, also called Software as a Medical Device (SaMD). The FDA review of prescription digital therapeutics is the same as the process the FDA uses to review medical devices. 

Definition and key characteristics of PDTs

PDTs are software-based treatments delivered through mobile devices, designed to address the behavioral and psychological aspects of various health conditions. These digital tools are developed based on scientific evidence and aim to provide therapeutic benefits comparable to traditional medical treatments (Phan et al., 2023). 

Source: Avalere

Examples of prescription digital therapeutics developers

This chart from Blue Matter Consulting (2023) lists 154 PDT companies.

Source: Blue Matter

How PDTs differ from wellness apps and other digital health tools

While wellness apps focus on general health and fitness, PDTs are designed to treat specific medical conditions. PDTs undergo clinical trials, and are subject to stringent regulatory processes to ensure they meet high standards of safety and effectiveness. This regulatory oversight differentiates PDTs from other digital health tools, which may not require such rigorous evaluation.

The PDT regulatory framework 

The FDA plays a critical role in the approval of PDTs. These therapeutics must demonstrate clinical efficacy and safety through rigorous trials before receiving FDA clearance. This process ensures that PDTs meet the same standards as traditional pharmaceuticals, providing healthcare providers and patients with confidence in their use (Phan et al., 2023).

The Science Behind Prescription Digital Therapeutics

PDTs are grounded in scientific research and evidence-based practices to ensure their effectiveness in treating various health conditions.

Evidence-based approaches used in PDTs

PDTs incorporate evidence-based approaches to help patients change their behaviors and manage symptoms effectively, such as: 

For instance, CBT-based PDTs can help identify and change negative thought patterns, improving mental health outcomes. A study on a PDT for opioid use disorder found it improved retention in treatment by 76% at 12 weeks compared to treatment as usual (Brezing & Brixner, 2022). 

Clinical trials and efficacy studies supporting PDTs

Lab worker

Clinical trials are essential for validating the efficacy of PDTs. These studies assess the therapeutic outcomes of PDTs compared to traditional treatments. 

For example, trials have shown PDTs can be effective in managing substance use disorders and chronic insomnia, providing real-world evidence of their clinical benefits (Brezing & Brixner, 2022).

Applications of Prescription Digital Therapeutics

PDTs offer promising solutions across a range of medical conditions, providing tailored interventions for diverse patient needs.

Mental health conditions

Therapist and patient talking on couch

PDTs are increasingly used to treat mental health disorders such as depression, anxiety, schizophrenia, and post-traumatic stress disorder (PTSD). In a randomized controlled trial, a PDT for depression reduced symptoms by 45.6% compared to 17.4% with usual treatment (Phan et al., 2023).

These digital tools provide accessible and scalable interventions, often with CBT techniques to help patients manage symptoms and improve their quality of life.

Chronic diseases

For chronic conditions like diabetes and hypertension, PDTs offer personalized management strategies. They enable continuous monitoring and data analysis, facilitating timely adjustments to treatment plans and improving patient outcomes (Phan et al., 2023).

A PDT for type 2 diabetes led to a 1.1% reduction in HbA1c levels after 6 months in a clinical trial (Phan et al., 2023).

Substance use disorders and addiction treatment

Woman sitting with hands clasped

PDTs are particularly effective in treating substance use disorders, offering structured programs that support recovery. They provide patients with tools to manage cravings and develop healthier coping mechanisms, contributing to sustained recovery. 

A couple of examples:

  • Research with 1,758 patients using a PDT for substance use disorder showed 64.1% abstinence at 12 months (Brezing & Brixner, 2022).
  • A PDT for alcohol use disorder resulted in 63% of patients reducing heavy drinking days compared to 32% receiving standard treatment (Rassi-Cruz et al., 2022).

Neurological disorders

Conditions such as ADHD and insomnia can benefit from PDTs, which offer targeted interventions to manage symptoms and improve daily functioning. For instance, PDTs for insomnia often include sleep hygiene education and relaxation techniques to enhance sleep quality.

Benefits of Prescription Digital Therapeutics

PDTs offer numerous advantages that enhance patient care and healthcare delivery.

Improved accessibility to treatment

PDTs make healthcare more accessible by providing treatments that can be delivered remotely via mobile devices. This is particularly beneficial for individuals in underserved areas or those with mobility challenges, ensuring they receive timely care.

Personalized and adaptive interventions

PDTs can be tailored to individual patient needs, offering adaptive interventions that evolve based on real-time data. This personalization enhances treatment effectiveness and patient satisfaction (Phan et al., 2023).

Real-time data collection and analysis

The ability to collect and analyze data in real-time allows healthcare providers to monitor patient progress continuously. PDTs can collect patient data continuously, providing 1440 data points per day compared to 1-4 from traditional in-person visits. This facilitates early detection of issues and enables proactive adjustments to treatment plans, improving overall outcomes (Phan et al., 2023).

Reduced healthcare costs

By providing effective and scalable interventions, PDTs have the potential to reduce healthcare costs. They can decrease the need for in-person visits and hospitalizations, making them a cost-effective alternative to traditional treatments. For example, an economic analysis estimated PDTs could save $2,150 per patient per year for opioid use disorder treatment (Brezing & Brixner, 2022).

Challenges and Limitations of PDTs

Despite their benefits, PDTs face several challenges that must be addressed to maximize their potential.

Doctor showing a patient an app in green

Federal regulation lags behind software development

Digital therapeutics (DTx) are mobile medical apps that use new tech like artificial intelligence (AI) and virtual reality (VR). They’re always changing, with new versions coming out every few months, which makes them hard to regulate. 

A problem with a DTx app could hurt someone’s health, so to keep DTx safe for consumers without stopping progress, software companies need to self-regulate–find ways to reduce risks and follow ethical rules on their own to help patients and build trust with their doctors.

One way to self-regulate is to involve clinicians in app development. Doctors know what patients need and can spot potential problems. But surprisingly, most health apps are made without input from medical experts. A study found only 20% of health apps included input from health professionals during development (Rassi-Cruz et al., 2022). 

Data privacy and security concerns

The collection and storage of sensitive health data raise significant privacy and security concerns. Ensuring robust data protection measures is crucial to maintaining patient trust and compliance with regulations (Phan et al., 2023).

Integration with existing healthcare systems

Integrating PDTs into existing healthcare infrastructures can be complex. Seamless integration is necessary to ensure that PDTs complement traditional treatments and fit within the broader healthcare ecosystem.

Patient adherence and engagement

Black man using his blood pressure monitor at home

Maintaining patient engagement with PDTs can be challenging. 

For example, take mental health apps that use CBT or provide feedback through wearables like smartwatches. While helpful, these apps often aren’t covered by insurance, and patients may pay out-of-pocket. They often give up if they don’t see quick results. 

Ensuring that patients adhere to prescribed digital therapies is essential for achieving desired outcomes, requiring strategies to enhance motivation and commitment. Pharmacists can help by encouraging patients to stick with the apps and complete all modules (Pharmacy Times, 2024).

Reimbursement and insurance coverage issues

Securing reimbursement for PDTs remains a hurdle, as insurance companies may be hesitant to cover these relatively new treatments. Establishing clear guidelines and demonstrating cost-effectiveness may help overcome this barrier.

The Future of Prescription Digital Therapeutics

The future of PDTs is promising, with advancements in technology and expanding applications poised to enhance their impact on healthcare.

overlay with doctor and pill bottle

Emerging technologies such as artificial intelligence and machine learning are set to revolutionize PDTs. These innovations can enhance personalization and predictive capabilities, improving treatment outcomes and patient experiences.

Potential for combination therapies

Combining PDTs with traditional treatments offers a holistic approach to healthcare. This synergy can enhance therapeutic outcomes by addressing multiple aspects of a patient’s condition, providing comprehensive care (Phan et al., 2023).

Expanding applications in preventive care and wellness

PDTs hold potential for preventive care by identifying and addressing health risks early. Their application in wellness can promote healthier lifestyles and prevent the onset of chronic diseases, contributing to improved public health.

Conclusion

In digital health, PDTs offer promising avenues for improving patient outcomes, increasing access to care, and potentially reducing healthcare costs. While challenges remain, the growing body of evidence supporting PDTs suggests that they will play an increasingly important role in the future of healthcare delivery. 

As patients, healthcare providers, and policymakers alike embrace these innovative tools, we can look forward to a more personalized, accessible, and effective approach to managing a wide range of health conditions.

References

Bashran, E. (2024). Prescription Digital Therapeutics: Devices. HealthAffairs. Retrieved from

https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.00159

Brezing, C. A., & Brixner, D. I. (2022). The Rise of Prescription Digital Therapeutics In Behavioral Health. Journal of Behavioral Health; 11(4), 1-10. doi: 10.1007/s12325-022-02320-0 

Global Prescription Digital Therapeutics (PDTx) Market – Industry Trends and Forecast to 2030. (2023). Data Bridge Market Research. Retrieved from https://www.databridgemarketresearch.com/reports/global-prescription-digital-therapeutics-dtx-market

Liesch, J., Volgina, D. Nessim, C., Murphy, D., & Samson, C. (2023). Blue Matter Consulting. Retrieved from https://bluematterconsulting.com/prescription-digital-therapeutics-us-market-outlook-2023/

Phan, P., Mitragotri, S., & Zhao, Z. (2023). Digital therapeutics in the clinic. Bioengineering & Translational Medicine; 8(4), e10536. doi:10.1002/btm2.10536. 

Prescription Digital Therapeutics Bring New Treatments to Healthcare. (2021). Avalere Health. Retrieved from https://avalere.com/insights/prescription-digital-therapeutics-bring-new-treatments-to-healthcare

Prescription Digital Therapeutics for Mental Health: Effectiveness, Challenges, and Future Trends. (2024). Pharmacy Times. Retrieved from https://www.pharmacytimes.com/view/prescription-digital-therapeutics-for-mental-health-effectiveness-challenges-and-future-trends

Rassi-Cruz, M., Valente, F., & Caniza, M. V. (2022). Digital therapeutics and the need for regulation: How to develop products that are innovative, patient-centric and safe. Diabetology & Metabolic Syndrome; 14. doi.org/10.1186/s13098-022-00818-9 

Wang, C. Lee, C. & Shin, H. (2023). Digital therapeutics from bench to bedside. npj Digital Medicine; 6(1), 1-10. doi.org/10.1038/s41746-023-00777-z

How to Choose the Best Remote Patient Monitoring Devices 

How to Choose the Best Remote Patient Monitoring Devices 

AI Health Tech Med Tech

Remote patient monitoring (RPM) has become a cornerstone of modern healthcare, as the global RPM systems market is projected to be worth over $1.7 billion by 2027. As healthcare providers and patients navigate this growing market, it’s crucial to choose the best remote patient monitoring devices.

This guide will walk you through the key factors to consider when selecting RPM devices, so you can make informed decisions that benefit patients and healthcare teams.

Contents

RPM Basics

The basics of RPM describes the:

  • Definition of remote patient monitoring

  • Benefits for patients and healthcare providers

  • Types of health conditions suitable for RPM

Comparing Different RPM Device Types

RPM devices come in various forms, each with its own strengths and limitations. Let’s explore the main types.

Wearable devices

Elderly hands on smartwatch

Wearable devices like smartwatches and patches offer continuous monitoring with minimal disruption to the patient’s daily life. They’re useful for tracking metrics like heart rate, activity levels, and sleep patterns.

Example: The Apple Watch Series can monitor blood oxygen levels, a feature especially useful for patients with respiratory conditions.

Home-based monitoring systems

These devices are designed for periodic measurements at home. They’re typically used for monitoring vital signs like blood pressure, weight, and blood glucose levels.

For instance, smart scales measure weight and body composition, and some can even detect subtle changes that might indicate fluid retention—a potential sign of heart failure.

Implantable devices

implantable cardioverter-defibrillator

For certain conditions, implantable devices offer the most comprehensive and continuous monitoring. These are typically used for serious cardiac conditions.

Modern implantable cardioverter-defibrillators (ICDs) can monitor heart rhythm continuously and transmit data to healthcare providers, allowing for early detection of potentially life-threatening arrhythmias (Sahu et al., 2023).

Assessing Patient Needs and Preferences

Choosing the right RPM device isn’t just about the technology—it’s about finding a solution that fits the patient’s lifestyle and capabilities.

Consider the patient’s age and tech-savviness

Older man with white hair using tablet

Not all patients are equally comfortable with technology. When selecting an RPM device, consider the patient’s familiarity with digital devices.

For older adults or those less comfortable with technology, look for devices with simple, straightforward interfaces. Some blood pressure monitors, for instance, require just a single button press to take a reading and automatically sync data to a smartphone app.

Evaluate mobility and dexterity requirements

Some patients may have physical limitations that make certain devices harder to use. Consider devices that are easy to handle and don’t require complex movements.

For example, wrist-worn blood pressure monitors can be easier for patients with arthritis to use compared to traditional upper arm cuffs.

Address privacy and security concerns

Many patients are concerned about the privacy and security of their health data. Look for devices and systems that prioritize data protection.

Ensure that the RPM system you choose complies with HIPAA regulations and uses strong encryption methods to protect patient data during transmission and storage.

Key Features to Look for in RPM Devices

When evaluating RPM devices, it’s crucial to focus on several key features that can make or break your experience. 

Data accuracy and reliability

Black woman gold top showing phone with glucose meter on arm

The cornerstone of any effective RPM system is its ability to provide accurate and reliable data. After all, what good is a monitoring device if you can’t trust the information it provides?

Look for devices that have been clinically validated and FDA-approved. These certifications ensure that the device has undergone rigorous testing and meets high standards for accuracy. 

Example: The Dexcom G7 continuous glucose monitor has been shown to have a mean absolute relative difference (MARD) of 8.2%, indicating high accuracy in measuring blood glucose levels.

Ease of use for patients

The success of an RPM program depends in part on patient adherence. If a device is too complicated or cumbersome to use, patients are less likely to use it.

Consider devices with intuitive interfaces and clear instructions. For instance, some blood pressure monitors feature large, easy-to-read displays and one-touch operation, making them ideal for older adults or those with limited dexterity.

Battery life and power options

Nothing’s more frustrating than a device that constantly needs charging or battery replacement. Look for devices with long battery life or convenient charging options.

Some wearable devices, like certain fitness trackers, can last up to a week on a single charge. Others, like certain blood glucose monitors, use replaceable batteries that can last for months.

Connectivity options (Bluetooth, Wi-Fi, cellular)

WiFi signal over city buildings

Consider how the RPM device transmits data. Different connectivity options offer various benefits:

  • Bluetooth: Ideal for short-range communication with smartphones or tablets.

  • Wi-Fi: Allows for direct data transmission to the cloud when in range of a network.

  • Cellular: Offers the most flexibility, allowing data transmission from anywhere with cellular coverage.

For example, some modern pacemakers can transmit data via cellular networks, allowing for continuous monitoring without the need for a separate transmitter.

Compatibility with Existing Healthcare Systems

RPM systems should fit into existing workflows seamlessly. Here’s what to look for.

Integration with electronic health records (EHR)

worker looking at 3 monitors on desk

An RPM system that integrates with your EHR can streamline data management and improve efficiency. Look for systems that offer API integration or direct data transfer to your EHR system.

For instance, some RPM platforms can automatically populate patient data into EHR systems like Epic or Cerner, saving time and reducing the risk of data entry errors.

Data transmission and storage capabilities

Consider how the RPM system handles data transmission and storage. Look for systems that offer:

  • Real-time data transmission

  • Secure cloud storage

  • Custom alerts based on patient data

Some advanced RPM systems use AI algorithms to analyze patient data and predict potential health issues before they become serious.

Compliance with HIPAA and other regulations

Ensuring compliance with healthcare regulations is non-negotiable. Choose RPM systems that are designed with HIPAA compliance in mind.

Look for features like:

  • End-to-end encryption

  • Secure user authentication

  • Audit trails for data access

Remember, HIPAA compliance isn’t just about the technology—it also involves proper training and protocols for staff using the RPM system.

Evaluating Cost and Insurance Coverage

While the benefits of RPM are clear, cost considerations are important for both healthcare providers and patients. 

Initial device costs

The upfront cost of RPM devices can vary widely. Simple devices like blood pressure monitors may cost less than $100, while more advanced systems can run thousands of dollars.

Consider the long-term value rather than just the initial cost. A more expensive device that offers better accuracy and reliability could be more cost-effective in the long run.

Subscriptions and service fees

Calculator

Many RPM systems involve ongoing fees for data storage, analysis, and support. These costs can add up over time, so it’s important to factor them into your decision.

Some providers offer all-inclusive packages that cover the device, data transmission, and analysis for a fixed monthly fee. This can make budgeting more predictable.

Reimbursement options and insurance coverage

The good news is that many insurance plans cover RPM services, including Medicare. However, coverage can vary depending on the specific device and condition being monitored.

Medicare reimburses for RPM services under CPT codes 99453, 99454, 99457, and 99458. Use these codes to cover device setup, data transmission, and time spent on RPM-related care for your Medicare patients.

Assessing Vendor Support and Reliability

The relationship with your RPM vendor doesn’t end when you purchase the system. Ongoing support is crucial for the success of your RPM program. Here’s what to look for.

Customer service and technical support

Customer service reps

Look for vendors that offer comprehensive support, including:

  • 24/7 technical assistance

  • Multiple support channels (phone, email, chat)

  • Resources for patient education

Some vendors even offer dedicated account managers to help healthcare providers optimize their RPM programs.

Device maintenance and updates

RPM technology is constantly evolving. Choose a vendor that provides regular software updates and has a clear process for hardware maintenance or replacement.

For example, some vendors offer automatic over-the-air updates for their devices, ensuring they’re always running the latest software.

Training for healthcare providers and patients

Demo of a CPR mask

The success of an RPM program often hinges on proper training. Look for vendors that offer comprehensive training programs for both healthcare providers and patients.

This may include:

  • In-person or virtual training sessions

  • Online resources and tutorials

  • Ongoing education about new features or best practices

Some vendors even offer patient onboarding services to help get your RPM program up and running smoothly.

Conclusion

Choosing the right RPM system or device involves careful consideration of various factors, from technical specifications to patient needs and regulatory compliance. By focusing on these key areas, you can select an RPM solution that enhances patient care, improves outcomes, and integrates seamlessly with your existing healthcare routine.

The goal is to find devices that monitor health effectively and integrate seamlessly into patients’ lives and your healthcare workflows. Take the time to thoroughly evaluate your options, and don’t hesitate to ask vendors for demonstrations or trial periods before making a decision.

With the right RPM system in place, you can provide more personalized care to your patients, no matter where they are. Stay informed about the latest options so you can make the best choices for your patients and practice. 

References

A Comprehensive Guide to Remote Patient Monitoring (RPM). (2023). Prevounce. Retrieved from https://www.prevounce.com/a-comprehensive-guide-to-remote-patient-monitoring

Krupa, A. Senior monitoring systems: How to find the option that’s best for your loved one. Care. Retrieved from https://www.care.com/c/remote-monitoring-for-seniors/

Sahu, P., Acharya, S., & Totade, M. (2023). Evolution of Pacemakers and Implantable Cardioverter Defibrillators (ICDs) in Cardiology. Cureus, 15(10). doi.org/10.7759/cureus.46389

The technology, devices, and benefits of remote patient monitoring in the healthcare industry. (2023). Emarketer. Retrieved from

https://www.emarketer.com/insights/remote-patient-monitoring-industry-explained

5G and Telehealth: Enhancing Healthcare Services and Patient Care

5G and Telehealth: Enhancing Healthcare Services and Patient Care

AI Health Tech Med Tech

As we move into a new era of connectivity, 5G technology is set to make telehealth even better. According to a study by Accenture, over 80% of healthcare executives believe 5G and telehealth will significantly impact the entire healthcare industry within the next three years. 

This article discusses the transformative effects of 5G on telehealth, exploring how this lightning-fast network is improving patient care, expanding access to medical services, and changing the future of healthcare delivery.

Contents

The Basics of 5G and Telehealth

What is 5G technology?

5G, the fifth generation of mobile networks, is a cutting-edge technology designed to enhance wireless communication. It offers significantly faster data speeds, reduced latency, and greater capacity compared to previous versions like 4G. This means that 5G can support a larger number of devices simultaneously, making it ideal for the Internet of Things (IoT) and other data-intensive applications. 

In healthcare, 5G enables seamless connectivity, which is crucial for telehealth services that rely on real-time data transmission and communication.

Overview of telehealth and its current limitations

Telehealth refers to the delivery of healthcare services through digital communication technologies, allowing patients to consult with healthcare providers remotely. 

While telehealth has grown significantly, it still faces several limitations like issues with video and audio quality, limited access in rural areas, and challenges with performing comprehensive physical examinations remotely (Gajarawala & Pelkowski, 2021). The current telehealth infrastructure often struggles with data transmission delays and connectivity issues, which can hinder effective patient care.

How 5G addresses existing telehealth challenges

5G technology addresses many of these challenges by providing faster and more reliable connections. Its low latency ensures that data is transmitted almost instantaneously, which is critical for real-time consultations and remote monitoring. 

With 5G, telehealth services can offer high-definition video and audio quality, making virtual visits more effective and closer to in-person visits. Additionally, 5G’s ability to connect numerous devices simultaneously supports the growing demand for telehealth services and the integration of advanced technologies like AI and IoT in healthcare (Georgiou et al., 2021). 

Enhanced Real-time Communication

Improved video quality for virtual doctor visits

One of the most essential benefits of 5G in telehealth is the improvement in video quality for virtual visits. High-definition video is essential for healthcare providers to accurately assess patients’ conditions remotely. 

With 5G’s enhanced bandwidth, video calls are clearer and more stable, reducing the likelihood of disruptions during virtual visits. This improvement improves the patient experience and allows healthcare providers to make more accurate diagnoses and treatment recommendations.

Low latency for seamless interactions

Latency, or the delay before data transfer begins following an instruction, is a critical factor in telehealth. High latency can lead to frustrating delays and miscommunications during virtual doctor visits. 

5G significantly reduces latency, enabling seamless interactions between patients and healthcare providers. This is particularly important in scenarios where immediate feedback is necessary, such as during remote surgeries or emergency telehealth visits.

Clearer audio for accurate diagnoses

Clear audio is crucial for healthcare providers to understand patients’ symptoms and concerns accurately. 5G enhances audio clarity by providing a more stable and reliable connection. 

This improvement ensures that both patients and providers can communicate effectively, minimizing the risk of misdiagnosis due to poor audio quality. Enhanced audio clarity is especially beneficial in fields like mental health, where verbal communication is a key component of treatment (Georgiou et al., 2021).

Remote Patient Monitoring Advancements

Beyond improving communication, 5G improves the ways doctors keep track of their patients’ health remotely.

Real-time data transmission from wearable devices

Wearable devices have become an integral part of remote patient monitoring (RPM), allowing continuous tracking of vital signs and other health metrics. 

5G technology enhances the capabilities of these devices by enabling real-time data transmission. This means healthcare providers can receive up-to-the-minute information about a patient’s condition, allowing for timely interventions and adjustments to treatment plans.

Continuous monitoring of chronic conditions

Woman on couch with Blood pressure monitor at home

For patients with chronic conditions, continuous monitoring is essential for managing their health effectively. 5G supports the continuous transmission of data from wearable devices, ensuring that healthcare providers have access to comprehensive and accurate information (Devi et al., 2023). 

This capability allows for better management of conditions such as diabetes, heart disease, and hypertension, ultimately improving patient outcomes and reducing hospital admissions.

Early detection and prevention of health issues

The ability to monitor patients in real-time also facilitates the early detection of potential health issues. By analyzing data from wearable devices, healthcare providers can identify patterns or anomalies that may indicate a developing problem. 

Early detection allows time for preventive measures, reducing the risk of complications and improving overall patient health. 5G’s high-speed connectivity ensures that this data is transmitted quickly and reliably, enabling proactive healthcare management.

Enabling Advanced Telehealth Applications

The power of 5G opens up new possibilities for complex medical procedures and training.

Remote surgeries and robotic procedures

Robot reviewing scans on screen

5G technology is paving the way for advanced telehealth applications, including remote surgeries and robotic procedures. With its low latency and high reliability, 5G enables surgeons to perform operations remotely using robotic systems. 

This capability is particularly important in emergencies or areas lacking specialized surgical expertise. Remote surgeries are made possible by 5G’s ability to transmit high-definition video and tactile feedback in real-time to ensure precision and safety (Georgiou et al., 2021).

Augmented and virtual reality in medical training

Augmented reality (AR) and virtual reality (VR) are transforming medical training by providing immersive and interactive learning experiences. 5G supports these technologies by delivering the high-speed and low-latency connections required for seamless AR and VR applications. 

Medical students and professionals can use AR and VR to practice complex procedures, visualize anatomy in 3D, and simulate real-life scenarios, enhancing their skills and knowledge without the need for physical resources.

AI-powered diagnostics and treatment planning

Anantomy scan with goggles stethoscope and notebook

Artificial intelligence (AI) is becoming increasingly important in healthcare for diagnostics and treatment planning. 5G enables the integration of AI technologies into telehealth platforms by providing the necessary bandwidth and speed for processing large datasets. 

AI-powered tools can analyze patient data to identify patterns, predict outcomes, and suggest personalized treatment plans. This integration enhances the accuracy and efficiency of telehealth services, leading to better patient care (Georgiou et al., 2021).

Expanding Access to Healthcare

One of the most important impacts of 5G on telehealth is how it can bring quality healthcare to more people.

Bridges the urban-rural healthcare divide

WiFi signal over city buildings

A significant impact of 5G in telehealth is its potential to bridge the healthcare gap between urban and rural areas. Rural communities often face challenges in accessing quality healthcare due to distance and limited resources. 

5G enables telehealth services to reach these underserved areas by providing reliable and high-speed connectivity (Devi et al., 2023). Patients in rural areas can access virtual doctor visits, remote monitoring, and specialist care without the need to travel long distances.

Improves emergency response times

In emergencies, every second counts. 5G technology can improve emergency response times by enabling connected ambulances and real-time communication between paramedics and hospital staff. 

With 5G, ambulances can transmit patient data (teleambulance services), such as vital signs and medical history, to the hospital en route, allowing for better preparation and faster treatment upon arrival. This capability can greatly improve patient outcomes in critical situations.

Facilitates specialist visits in underserved areas

Mother with sick child on couch and red laptop - pediatric telehealth

Access to specialist care is often limited in underserved areas, leading to delays in diagnosis and treatment. 5G facilitates virtual visits with specialists, allowing patients to receive expert advice and care without the need for travel. 

This capability is particularly beneficial for patients with rare or complex conditions that require specialized knowledge. By enabling virtual visits, 5G helps ensure that all patients have access to the care they need, regardless of their location.

5G Challenges and Considerations

While the benefits of 5G in telehealth are significant, there are also important challenges to consider.

Infrastructure requirements for 5G implementation

While 5G offers numerous benefits for telehealth, its implementation requires hefty infrastructure development. Building the necessary network infrastructure, such as towers and data centers, can be costly and time-consuming (Agrawal et al., 2023). 

Additionally, healthcare facilities need to invest in compatible devices and technologies to fully leverage 5G’s capabilities. These infrastructure requirements can pose challenges, particularly for smaller healthcare providers or those in remote areas (Georgiou et al., 2021).

Data security and privacy concerns

With the increased use of digital technologies in healthcare, data security and privacy have become major concerns. 5G networks must ensure that patient data is transmitted securely and protected from unauthorized access. 

Healthcare providers need to implement robust security measures, such as encryption and authentication protocols, to safeguard sensitive information. Addressing these concerns is crucial for maintaining patient trust and compliance with regulations (Gajarawala & Pelkowski, 2021).

Equitable access to 5G-enabled telehealth services

Ensuring equitable access to 5G-enabled telehealth services is essential for maximizing their benefits. While 5G can improve healthcare access in underserved areas, disparities in technology adoption and infrastructure still exist. 

Efforts must be made to ensure that all communities, regardless of socioeconomic status or location, can access and benefit from 5G telehealth services. This includes addressing affordability, digital literacy, and infrastructure gaps.

Conclusion

From enhancing the quality of virtual doctor visits to enabling groundbreaking remote procedures, 5G with telehealth is a combo that’s set to improve patient outcomes and expand access to vital medical services. 

To make the most of 5G and telehealth, and address the challenges related to telehealth implementation, security, and equity, healthcare providers, patients, and policymakers must work together. The future of healthcare is powered by 5G.

References

Agrawal, V., Agrawal, S., Bomanwar, A., Dubey, T., & Jaiswal, A. (2023). Exploring the Risks, Benefits, Advances, and Challenges in Internet Integration in Medicine With the Advent of 5G Technology: A Comprehensive Review. Cureus; i(11). doi.org/10.7759/cureus.48767

Baldwin, P. (2021). How 5G can transform telemedicine to tackle today’s toughest challenges. Qualcomm. Retrieved from  https://www.qualcomm.com/news/onq/2021/01/how-5g-can-transform-telemedicine-tackle-todays-toughest-challenges

Crews, J. 5G: Bridging or Amplifying the Rural-Urban Divide? Heartland Forward. Retrieved from https://heartlandforward.org/case-study/5g-bridging-or-amplifying-the-rural-urban-divide/

Devi, D. H., Duraisamy, K., Armghan, A., Alsharari, M., Aliqab, K., Sorathiya, V., Das, S., & Rashid, N. (2023). 5G Technology in Healthcare and Wearable Devices: A Review. Sensors (Basel, Switzerland); 23(5). doi.org/10.3390/s23052519

Everything you need to know about 5G. (n.d.). Qualcomm. Retrieved from  https://www.qualcomm.com/5g/what-is-5g

Foo, M. 8 Ways That 5G Benefits Healthcare (n.d.). ABI Research. Retrieved from  https://www.abiresearch.com/blogs/2023/01/03/5G-in-healthcare/

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners; 17(2), 218-221. doi.org/10.1016/j.nurpra.2020.09.013

Georgiou, K. E., Georgiou, E, Satava, R. M. (2021). 5G Use in Healthcare: The Future is Present. Journal of the Society of Laparoscopic & Robotic Surgeons; 25(4):e2021.00064. doi: 10.4293/JSLS.2021.00064

Gillis, M. (2022). More Than 80% of Healthcare Executives Expect the Metaverse Will Have a Positive Impact on Their Organizations, According to a New Accenture Report. Accenture. Retrieved from https://newsroom.accenture.com/news/2022/more-than-80-percent-of-healthcare-executives-expect-the-metaverse-will-have-a-positive-impact-on-their-organizations-according-to-a-new-accenture-report

Lensing, M. (2019). 5G can help deliver better insights into patient health. AT&T Business. Retrieved from https://www.business.att.com/learn/top-voices/5g-can-help-deliver-better-insights-into-patient-health.html

Maheu, M. (2024). See How 5G Technology Can Improve Your Healthcare Service. Telehealth.org. Retrieved from https://telehealth.org/see-how-5g-technology-can-improve-your-healthcare-service/

Seitz, S. (2024). The Impact of 5G on Connected Devices. Sequenex. Retrieved from https://sequenex.com/the-impact-of-5g-on-connected-devices/

Udell, C. (2023). 5G Security Concerns & Privacy Risks. MRL Consulting Group. Retrieved from https://www.mrlcg.com/resources/blog/5g-security-concerns—privacy-risks/

Pediatric Telehealth: Bringing Expert Care to Kids at Home

Pediatric Telehealth: Bringing Expert Care to Kids at Home

AI Health Tech

Pediatric telehealth, the practice of providing medical care to kids remotely, is becoming more popular each year. A survey by Amwell and Nemours Children’s Health found that 61% of parents were willing to use online pediatric services

This article discusses the benefits, challenges, and ways telehealth for children can improve pediatric care.

Contents

What is Pediatric Telehealth?

Pediatric telehealth uses digital technology to deliver healthcare services to children. Healthcare providers can use video calls, secure messaging, and mobile health apps to offer medical consultations, diagnoses, and treatments remotely (Tully et al., 2021). 

Pediatric telehealth includes various services like virtual doctor visits, e-prescriptions, and remote monitoring. It aims to make healthcare more accessible and convenient for children and their families, especially those living in rural or underserved areas (Hall et al., 2015).

Pediatric telehealth service types 

Doctor talking to parent and child on laptop

Pediatric telehealth offers various services, such as:

  • Virtual doctor visits: These include urgent care, routine check-ups, follow-up appointments, and consultations for minor illnesses or injuries.

  • Mental health services: Telehealth provides access to pediatric psychology and behavioral health support, which is crucial to address mental health issues in children.

  • Chronic condition management: With telehealth, conditions like asthma, diabetes, and gastrointestinal issues can be monitored and managed remotely.

  • Specialty care: Pediatric specialties such as endocrinology, dermatology, and neurology can be accessed through telehealth, allowing families to consult specialists without traveling long distances.

Primary care pediatricians report using telehealth for sick visits (91%), mental health visits (85%), and chronic disease visits (71%). Over 80% of pediatricians reported telehealth was very effective or moderately effective for mental health and chronic disease visits.

Technologies used for pediatric telehealth

The technologies that enable pediatric telehealth include:

  • Video conferencing tools: Platforms like Zoom or Skype facilitate face-to-face interactions between healthcare providers and patients.

  • Secure messaging: This allows for confidential communication between families and healthcare providers.

  • Remote monitoring devices: Wearable devices and home monitoring tools help track vital signs and other health metrics.

  • Mobile health apps: These apps provide educational resources, appointment scheduling, and medication reminders.

Benefits of Telehealth for Kids and Families

Woman and baby looking at tablet

Pediatric telehealth offers numerous advantages for children and their families, making healthcare more accessible and efficient.

Convenience and accessibility

Telehealth provides the convenience of accessing healthcare services from home, eliminating the need for travel. This is particularly beneficial for families with busy schedules or those living in remote areas. It also reduces the time spent in waiting rooms, minimizing exposure to illnesses.

Access to specialists

Telehealth can bridge the gap between families and pediatric specialists, regardless of their geographic location. This is crucial for children requiring specialized care, such as pediatric oncology or neurology, where specialists may not be available in their area (Casey Family Programs, 2024).

Cost-effectiveness and time savings

By reducing travel expenses and time off work or school, telehealth can be more cost-effective for families. It also alleviates the burden of transportation, which can be a huge barrier for some families.

Common Pediatric Conditions Treated via Telehealth

Telehealth is effective for managing a variety of pediatric conditions, offering a practical solution for acute and chronic health issues. Some pediatric services are better for telehealth than others:

  • Virtual Visits: Best for mental health, behavioral and developmental concerns, headaches, and skin conditions.

  • In-Person Visits: Best for newborn and well-child checkups, immunizations, and asthma. Also important for illnesses that require a test or an exam for an official diagnosis. 

Let’s go over the ideal conditions for pediatric virtual visits.

Minor illnesses and injuries

A child with a scraped knee closeup

Telehealth can address common childhood ailments such as fevers, rashes, respiratory infections, and minor injuries like cuts and bruises. Virtual doctor visits allow healthcare providers to assess symptoms and recommend treatment without an in-person visit.

Mental health and behavioral issues

About 16.5% of people under age 18 have experienced at least one mental health condition, with depression, anxiety, and conduct problems being among the most prevalent. The rates of depression and anxiety among teens have shown an upward trend over time, amplified by the pandemic (Vanderwood et al., 2023). 

Telehealth has become an essential tool for delivering mental health services to children. It provides a platform for therapy sessions and behavioral assessments, which are crucial for managing conditions like anxiety and depression.

Collaborative care and telehealth

Collaborative care is when primary care doctors work closely with mental health experts to help patients. One study by JG Research & Evaluation and Concert Health looked at how well collaborative care delivered via telehealth works for treating depression and anxiety in teenagers. They found that over half of the teens in this study saw their symptoms improve.

More frequent check-ins with the teens led to better results, especially for those with anxiety. Researchers also noticed that older teens tended to do better with this treatment, possibly because they can engage more easily with phone-based (audio-only) care and learn coping skills better.

One notable finding was that Medicaid patients were less likely to see big improvements in their depression symptoms compared to those with private insurance. This suggests that Medicaid patients may need extra support.

Chronic disease management

Mother with sick child on couch and red laptop - pediatric telehealth

Children with chronic conditions like asthma, epilepsy, or diabetes can benefit from telehealth through regular monitoring and consultations. This ensures continuous care and timely adjustments to treatment plans.

Follow-up appointments and medication reviews

Telehealth simplifies follow-up care by allowing healthcare providers to review medications and treatment progress remotely. This is especially useful for children requiring ongoing medical supervision.

Challenges and Limitations of Pediatric Telehealth

Despite its benefits, pediatric telehealth faces several challenges that must be addressed to ensure that providers can implement it effectively.

Technology barriers and digital divide

Man at laptop with head in hands

Access to reliable internet and digital devices is essential for telehealth, but not all families have this available to them (Curfman et al., 2022). The digital divide can hinder the effectiveness of telehealth services, particularly in rural or low-income areas.

Difficulty performing physical examinations

Telehealth limits the ability to conduct thorough physical exams, which are sometimes necessary for accurate diagnosis. This is a big drawback for certain medical conditions (Tully et al., 2021).

Privacy and security concerns

Ensuring the privacy and security of patient data is crucial in telehealth. If you have concerns about the confidentiality of your health information when using digital platforms, check that your provider’s telehealth platform is HIPAA-compliant.

Insurance coverage and reimbursement complexities

Understanding insurance coverage for telehealth services can be difficult and complex, with varying policies on reimbursement. This can affect how affordable and accessible telehealth is for some families (Tully et al., 2021).

How to Prepare for a Pediatric Telehealth Visit

Families should get ready for their child’s telehealth appointment with the following steps.

A girl and her mom using red laptop

Setting up the tech

Ensure that the necessary technology, such as a computer or smartphone with a camera and microphone, is set up and functioning properly. Test the internet connection to avoid disruptions during the appointment.

Gather medical information

Prepare any relevant medical records, such as previous diagnoses, medication lists, and recent test results, to share with the healthcare provider during the consultation.

Create the ideal environment

Choose a quiet, private, and well-lit area for the telehealth visit to facilitate clear communication and minimize distractions.

Tips to keep children engaged

Engage children by explaining the purpose of the telehealth visit and involving them in the process. Having a favorite toy or book nearby can help keep them calm and focused during the appointment.

The Future of Telehealth in Pediatric Care

The future of pediatric telehealth looks promising, with advancements in technology and increased integration into healthcare systems.

Up-and-coming technologies

Innovations such as artificial intelligence (AI), virtual reality (VR), and advanced wearable devices are expected to enhance telehealth services, making them more interactive and effective.

Integration with school health services

School nurse treating a girl

Telehealth can be integrated into school health programs, providing students with access to medical care without leaving the school premises. This can improve health outcomes and reduce absenteeism (Curfman et al., 2022).

Potential for improving healthcare equity

Telehealth has the potential to improve healthcare equity by providing underserved populations with access to quality care. This is particularly important for children in rural or low-income areas.

Ongoing research and development

Continuous research and development in telehealth will likely lead to new applications and improvements in service delivery, ensuring that pediatric telehealth remains a vital component of children’s healthcare.

Conclusion

Pediatric telehealth is more than just a convenient option—it’s a powerful tool that’s expanding access to quality healthcare for children everywhere. While challenges remain, the benefits of virtual care for kids are clear: increased access to specialists, reduced healthcare costs, and improved convenience for families. 

For parents and healthcare providers alike, embracing digital solutions like telehealth can mean healthier, happier kids and more empowered families. 

The future of children’s healthcare is here, and it’s just a screen away.

References

AAP Research. (2023). AAP study shows telehealth use common in pediatric care. American Academy of Pediatrics (AAP). Retrieved from https://publications.aap.org/aapnews/news/23772/AAP-study-shows-telehealth-use-common-in-pediatric

Hall, R. W., TELEHEALTH CARE, S. O., Dehnel, P. J., Alexander, J. J., Bell, D. M., Bunik, M., & Kile, J. R. (2015). Technical Report: Telemedicine: Pediatric Applications. Pediatrics; 136(1), e293. doi.org/10.1542/peds.2015-1517

How can child protection agencies use telehealth to increase service access for children and families? (2024). Casey Family Programs. Retrieved from https://www.casey.org/telehealth-child-welfare/

LaMarco, N. (2024). What Conditions Can a Pediatrician Treat with Telehealth? Healthgrades. Retrieved from https://www.healthgrades.com/right-care/childrens-health/10-childrens-conditions-that-can-be-treated-in-a-telehealth-visit

Minimizing Telehealth Technology Barriers in Rural and Underserved Communities. (n.d.). American Academy of Pediatrics (AAP). Retrieved from https://www.aap.org/en/practice-management/care-delivery-approaches/telehealth/minimizing-telehealth-technology-barriers-in-rural-and-underserved-communities/

Telehealth: Opportunities to Improve Access, Quality, and Cost in Pediatric Care. (2022). American Academy of Pediatrics (AAP). Retrieved from  https://publications.aap.org/pediatrics/article/149/3/e2021056035/184902/Telehealth-Opportunities-to-Improve-Access-Quality

Telehealth appointment or in-person primary care? How to choose the best option for you. (n.d.). HealthPartners. Retrieved from https://www.healthpartners.com/blog/when-to-use-telemedicine

Telehealth Virtual Care Services Bring Future of Health Care to Every Child Pediatrics. (n.d.). Every Child Pediatrics. Retrieved from https://everychildpediatrics.org/telehealth-virtual-care-services-bring-future-of-health-care-to-every-child-pediatrics/

Survey Finds Majority of Parents Willing to Engage in Telehealth Post-COVID. (2021). Nemours Children’s Health. Retrieved from https://nemours.mediaroom.com/2021-07-28-Survey-Finds-Majority-of-Parents-Willing-to-Engage-in-Telehealth-Post-COVID

Tully, L., Case, L., Arthurs, N., Sorensen, J., & Marcin, J. P. (2021). Barriers and Facilitators for Implementing Pediatric Telemedicine: Rapid Review of User Perspectives. Frontiers in Pediatrics; 9. doi.org/10.3389/fped.2021.630365

Vanderwood, K., Joyner, J., & Little, V. (2023). The effectiveness of collaborative care delivered via telehealth in a pediatric primary care population. Frontiers in Psychiatry; 14, 1240902. doi.org/10.3389/fpsyt.2023.1240902

Amwell Telehealth Review: Is It Right for Your Healthcare Needs?

Amwell Telehealth Review: Is It Right for Your Healthcare Needs?

AI Health Tech Med Tech

In an era where digital healthcare is becoming increasingly prevalent, Amwell is a prominent player in the telehealth arena. But how does Amwell stack up against its competitors?

This in-depth Amwell telehealth review will explore the ins and outs of Amwell’s telehealth services, to help you decide if it’s the right choice for your healthcare needs.

Contents

What is Amwell and How Does It Work?

Amwell is a leading telehealth platform that connects patients with healthcare providers digitally. 

You can access their services from virtually anywhere with internet access or their mobile app. From urgent care to behavioral health, Amwell’s platform is designed to cater to various healthcare needs. 

Available medical services 

Screenshots from Amwell app in Apple's app store
Source: Apple App Store

Amwell offers a broad spectrum of medical services, including:

  • Primary Care: General health consultations.

  • Urgent Care: Immediate care for non-emergency conditions.

  • Behavioral Health: Therapy and counseling services.

  • Specialist Appointments: Access to dermatologists, dietitians, and more.

  • Prescriptions: Medication management and prescription refills.

How to schedule and start a virtual doctor visit 

Scheduling an appointment with Amwell is straightforward:

  1. Enroll: Create an account on the Amwell platform.
  2. Choose: Select a doctor based on their experience and ratings.
  3. Visit: Start your video call using secure, high-quality streaming video.

Most doctor visits last about 10 minutes, but you can extend the time if needed. These doctors can review your medical history, diagnose conditions, and prescribe medications if necessary.

Technical requirements

Older man talking to doctor on tablet - Tima Miroshnichenko
Source: Tima Miroshnichenko (Pexels)

To use Amwell, you need:

  • A computer or mobile device.

  • A stable internet connection.

  • The Amwell app or access to the web-based platform.

If you’re unable to use video, you can call for an audio-only (phone) visit as well. However, you may not be able to obtain a new prescription with an audio-only visit, depending on the state where you live.

Amwell’s Features and Benefits

Next, let’s review Amwell’s valuable features and benefits.

24/7 availability for urgent care

One of the standout features of Amwell is its 24/7 availability. You can access urgent care services anytime, even in the middle of the night or on a holiday. 

Range of specialists available

Doctor talking to patient on laptop by Tima Miroshnichenko
Source: Tima Miroshnichenko (Pexels)

You can choose from a variety of specialists at Amwell, including therapists, neurologists, dermatologists, and dietitians. This broad range of services ensures that you can find the right expert for your specific healthcare needs. 

Some examples of conditions Amwell’s urgent care doctors treat include:

  • Acute Bronchitis

                                      
  • Headache

                                   
  • Fever & Flu

                                    
  • Back pain

     
  • UTI   

                                                         
  • Respiratory Infection 

               
  • Sprains and strains   

                                                 
  • Diarrhea    

                                    
  • Exacerbations of chronic disease (asthma, diabetes)


103,000 providers conducted visits via Amwell in 2023.

Prescription services and management

Amwell doctors can prescribe medications and send them directly to your preferred pharmacy. This is particularly helpful to manage ongoing treatments and chronic conditions, and get your necessary medications fast. 

Note: A video visit is required by most states (not an audio-only visit) before Amwell can prescribe medication.

Integration with health insurance plans

Amwell works with several health insurance providers, making it easier for patients to get covered services. They also offer options for uninsured patients. Let’s dig into that a bit more, shall we?

Cost and Insurance Coverage

Understanding costs and insurance coverage is crucial when considering a telehealth service. This section discusses Amwell’s pricing.

Health insurance on paper

Amwell pricing 

The costs you pay for Amwell visits vary by visit type and insurance coverage:

  • Urgent Care: The cost starts at $69, unless your insurance co-pay is lower. 
  • Mental Health: Therapy sessions range from $99 to $110, depending on the therapist’s qualifications. 
  • Psychiatry: The initial visit for a psychiatric consultation is more expensive at $279. Follow-up visits with the same provider are $109 per visit.

Amwell works with many insurance companies, which can lower your costs. Before booking an appointment, check with your insurance provider. If you don’t have insurance, Amwell still offers competitive pricing.

Comparison with traditional in-person visits

Telehealth visits on Amwell are often more affordable than traditional in-person visits. The convenience of not having to travel and the ability to access care at any time makes it even more cost-effective.

Insurance plans accepted by Amwell

Amwell partners with various insurance companies, including Aetna, Blue Cross Blue Shield, UnitedHealthcare, and Anthem. Many insurance plans cover urgent care and mental health (behavioral health) services to reduce out-of-pocket costs. 

Over 100 million members have Amwell as a covered benefit. To confirm insurance coverage and pricing, check with your insurance provider before making an appointment.

For those without insurance, Amwell offers competitive pricing for its services. The platform ensures that everyone can access quality healthcare, regardless of their insurance status.

A user-friendly platform is essential for effective telehealth services. Let’s examine Amwell’s interface next.

User Experience and Interface

An easy-to-use interface* is essential for a telehealth platform, and Amwell fits the bill.

Black woman smiling at phone with glucose meter on arm

Easy account creation and setup

Creating an account on Amwell is quick and straightforward. The platform guides you through the process, and securely stores your information for future visits.

Navigation of the Amwell app and website

Both the Amwell app and website are designed with user experience (UX) in mind. The intuitive layout makes it easy to find doctors, schedule appointments, and access medical records.

Quality of video consultations

Amwell uses high-quality streaming video for consultations, ensuring clear communication between patients and doctors. This feature is crucial for accurate diagnoses and effective treatment plans.

Patient support and resources

Amwell offers robust patient support, including FAQs, live chat, and phone support. These resources help users navigate the platform and resolve any issues they may encounter.

Is it safe to use Amwell services over the internet? How does Amwell ensure patient data is protected? We answer these questions next. 

Privacy and Security Measures

Privacy and security are paramount in telehealth services. Here’s how Amwell addresses privacy and security concerns.

Doctor showing a patient an app in green

HIPAA compliance and data protection

Amwell is fully compliant with the Health Insurance Portability and Accountability Act (HIPAA), which ensures patient information is securely handled and protected.

Secure messaging and file sharing

The platform uses encrypted messaging and secure file-sharing protocols to protect patient data during communication and consultations.

Patient data storage and access policies

Amwell stores patient data securely, and you can access your medical records anytime. This transparency helps build trust and ensures you have control over your health information.

To provide a balanced view, let’s consider the advantages and potential drawbacks of using Amwell.

Pros and Cons of Using Amwell

Understanding patient feedback can provide valuable insights into the effectiveness of a telehealth service. And like any service, Amwell has its advantages and potential drawbacks. 

Amwell has mixed reviews from users. Amwell offers competitive pricing and a wide range of services compared to other telehealth providers. 

While many praise the convenience and quality of care, others expressed dissatisfaction with customer service, appointment scheduling, and reliability. 

Here’s what people who’ve used Amwell had to say about their experience.

Amwell’s advantages

Amwell’s platform includes all the benefits of a telehealth platform

  • Convenience: Access healthcare from anywhere at any time from a user-friendly interface.

  • Range of Services: From urgent care to specialist consultations.

  • Cost-Effective: Often cheaper than in-person visits.

  • Insurance Integration: Works with many insurance providers.

J.D. Power has recognized Amwell for its high customer satisfaction for several years. Amwell ranked No. 1 in the J.D. Power 2020 U.S. Telehealth Satisfaction Study, and only dropped to third place in 2023 behind CVS (1st) and MDLive (2nd).

Potential drawbacks

Based on reviews from those who’ve used Amwell, there are a few issues you may encounter, such as:

Conclusion

Doctor showing something in hands to patient on laptop
Source: Tima Miroshnichenko (Pexels)

Amwell’s telehealth platform provides convenient, accessible, and cost-effective healthcare services. With its wide range of services, 24/7 availability, and integration with many insurance plans, it’s a solid option for those seeking virtual healthcare. However, like any telehealth service, there are areas for improvement. 

Whether you’re looking for urgent care, specialist consultations, or mental health services, Amwell provides a comprehensive solution that could meet your various healthcare needs. Consider your specific healthcare needs, the types of services you require, and your comfort level with virtual consultations when deciding if Amwell is right for you. 

* I offer UX copywriting and content design services.

References

Amwell. (n.d.). Trustpilot. Retrieved from https://www.trustpilot.com/review/amwell.com

Amwell for patients: How it works. (n.d.). Amwell. Retrieved from https://patients.amwell.com/how-it-works

Amwell for patients: Online doctor visits, 24/7. (n.d.). Amwell. Retrieved from https://patients.amwell.com

Amwell Ranked No. 1 in the J.D. Power 2020 U.S. Telehealth Satisfaction Survey. (2020). Amwell. Retrieved from 

https://business.amwell.com/about-us/news/press-releases/2020/amwell-ranked-no-1-in-the-j-d-power-2020-u-s-telehealth-satisfaction-study

Enabling hybrid care at scale. (n.d.). Amwell. Retrieved from https://business.amwell.com/

Mixed reviews for Amwell: Long Wait Times, Appointment Cancellations, and Billing Concerns. (n.d.). Kimola. Retrieved from https://kimola.com/reports/unlock-insights-with-amwell-customer-feedback-analysis-trustpilot-en-us-148604

Telehealth Mobile Apps: Preferred Channel for Virtual Care Delivery but Generational Difference Persits, J.D. Power Finds. (2023). J.D. Power. Retrieved from https://japan.jdpower.com/en/press-releases/2023_US_Telehealth_Satisfaction_Study

Best Telehealth Apps for Urgent Care: Quick Medical Help at Your Fingertips

Best Telehealth Apps for Urgent Care: Quick Medical Help at Your Fingertips

Health Tech Med Tech

Telehealth apps offer urgent care services right from the comfort of your home. In a recent Rock Health survey with 8,000 respondents, 76% said they used telehealth services in 2023 – a huge increase since the COVID-19 pandemic. 

Many digital health companies have taken advantage of this surge in popularity, each vying to provide the best experience. But which telehealth apps are best for urgent care? 

In this comprehensive guide, we’ll explore the best telehealth apps for urgent care, helping you understand what to look for in a telehealth app when you need medical attention fast.

Contents

What Makes a Great Telehealth App for Urgent Care?

Man holding a phone using a health app

When choosing a telehealth app for urgent care, be sure it has these must-have features (Shah, n.d.):

  • Easy Patient Registration: The app should allow quick and straightforward registration with minimal information required.

  • Patient Dashboard: A dashboard that provides a comprehensive view of medical history, current conditions, and treatment plans is crucial.

  • Doctor Catalog: The app should offer detailed profiles of healthcare providers, including their qualifications and specialties.

  • Appointment Management: Features like calendar integration and reminders help manage appointments efficiently.

  • E-Prescription: The ability to receive prescriptions electronically is a must-have. It helps doctors create and deliver prescriptions with fewer errors (Haleem et al., 2021).

  • Payment Gateway: Secure and straightforward payment options enhance user experience.

User-friendly interface

A user-friendly interface is vital for patients and healthcare providers. It should be easy to navigate, with clear instructions and intuitive design. This ensures that users can quickly find what they need, reducing frustration and improving overall satisfaction.

Board-certified healthcare providers

If the app connects you with board-certified healthcare providers, you’re almost guaranteed to get quality care.

Integration with insurance plans and pricing transparency

Check if the app works with with your insurance plan and shows the up front costs. This can help you avoid unexpected costs, and ensure you can use your insurance benefits effectively.

Privacy and security measures

Privacy and security are paramount when dealing with health information. Look for apps that comply with regulations like HIPAA and offer secure data handling practices.

Now that we’ve covered the essential components of a great telehealth app for urgent care, let’s take a closer look at some of the top-rated options.

Top-Rated Telehealth Apps for Urgent Care

1. Doctor on Demand

Patient using Doctor on Demand app
Source: Doctor on Demand

Doctor on Demand offers a wide range of services, including urgent care, mental health, and preventive care. It’s available on iOS, Android, and web platforms.

Key Features:

  • 24/7 access to board-certified doctors
  • Mental health services
  • Prescription refills
  • Integration with major insurance plans

ProsCons
24/7 availabilityHigher cost without insurance
Accepts MedicareLimited specialty care
User-friendly interface

Use Cases:

  • Treating common conditions like urinary tract infections (UTIs), viruses, and sinus infections
  • Managing mental health issues

To learn more, visit:

2. MDLive

Doctor onscreen with patient - MDLive app
Source: MDLive

MDLive provides urgent care, primary care, and mental health services. It’s known for its comprehensive mental health offerings and user-friendly platform.

Key Features:

  • 24/7 urgent care
  • Mental health services
  • Prescription services
  • Insurance integration

ProsCons
Wide range of servicesHigher cost for uninsured
Insurance acceptedLimited availability in some regions
Easy to use

Use Cases:

  • Urgent care for common ailments
  • Ongoing mental health support

To learn more, visit:

3. PlushCare

Doctor onscreen -  PlushCare app
Source: PlushCare

PlushCare offers primary, urgent, and mental health care. It stands out for its disaster relief programs and specific health services.

Key Features:

  • Primary and urgent care
  • Mental health services
  • Disaster relief programs
  • Subscription-based model

ProsCons
Comprehensive careSubscription required
Disaster relief servicesHigher initial visit cost
Insurance integration

Use Cases:

  • Regular primary care visits
  • Urgent care needs
  • Mental health consultations

To learn more, visit:

4. Sesame Care

Doctor onscreen - Sesame Care app
Source: Sesame Care

Sesame Care is known for its affordability and transparency. It offers a variety of services, including urgent care, primary care, and mental health.

Key Features:

  • Affordable pricing
  • Transparent doctor profiles
  • Wide range of services
  • Membership options

ProsCons
AffordableLimited insurance integration
Transparent pricing
Membership benefits

Use Cases:

  • Affordable urgent care visits
  • Primary care consultations

To learn more, visit:

5. Teladoc

Teladoc statistic: Over 50% of chronic care services live in underserved areas

Source: Sesame Care on Linkedin

Founded in 2002, Teladoc is a pioneer in telehealth. Their app and online portal provide a wide range of healthcare services, including urgent care, mental health support, and chronic condition management. 

Key Features:

  • No-pay service for eligible patients
  • Prescription services
  • Simple consultation process

ProsCons
24/7 availabilityHigher cost without insurance
Wide range of servicesLimited availability in some regions
User-friendly interface

Use Cases:

  • Treating common conditions like the flu, allergies, and sinus infections
  • Ongoing mental health support with the same specialist
  • Dermatology consultations for skin issues

To learn more, visit:

How to Choose the Right Telehealth App for Your Needs

Before you picking a telehealth app for urgent care, consider the following factors.

Decide on your specific urgent care requirements

Consider what you need from a telehealth app. Are you looking for general urgent care, mental health support, or primary care services? 

Identifying your needs will help narrow down your options. It’s also worth checking whether you’d be better served with in-person urgent care.

Compare app features and services

Compare the features and services of different apps. Look for those that offer the specific services you need, such as 24/7 access, mental health support, or prescription refills.

Consider cost and insurance coverage

Check if the app integrates with your insurance plan and understand the costs involved. Some apps offer subscription models that can save money in the long run.

Review provider qualifications and availability

Ensure the app connects you with board-certified providers. Also, check the availability of providers to ensure you can get an appointment when you need it.

Read user reviews and testimonials

User reviews and testimonials can provide valuable insights into the app’s performance and user experience. Look for apps with high ratings and positive feedback.

Once you’ve chosen the appropriate telehealth app, get familiar with it so you’re ready when you or your family have urgent care needs. 

Conclusion

Telehealth apps give us greater access to urgent care, providing quick, convenient, and high-quality medical attention when we need it most. Whether you’re dealing with a sudden illness, need a quick consultation, or require ongoing care, these top telehealth apps for urgent care are ready to connect you with qualified professionals.

When you choose the right app for your needs, expert healthcare is always just a few taps away. Don’t wait until an emergency strikes – explore these apps today and be prepared for whatever health concerns tomorrow may bring.

References

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International; 2, 100117. doi.org/10.1016/j.sintl.2021.100117

Knowles, M., Krasniansky, A., Nagappan, A., Zweig, M. & Kaganoff, S. (2024). The new era of consumer engagement: Insights from Rock Health’s ninth annual Consumer Adoption Survey. Rock Health. Retrieved from https://rockhealth.com/insights/the-new-era-of-consumer-engagement-insights-from-rock-healths-ninth-annual-consumer-adoption-survey/

Samee, A. S. (n.d.) 16 Must-Have Telemedicine App Features for a Better Experience. Folio3. Retrieved from https://digitalhealth.folio3.com/blog/telemedicine-app-features/

Shah, R. (n.d.). Must-Have Healthcare Software Features in Your Telemedicine App.” OSP Labs. Retrieved from https://www.osplabs.com/insights/10-must-have-features-in-your-telemedicine-app/

How to Prepare for Your Virtual Doctor Visit: A Complete Guide

How to Prepare for Your Virtual Doctor Visit: A Complete Guide

Health Tech

A virtual doctor visit is a convenient and effective way to receive medical care, making healthcare more accessible and efficient for everyone. From 2019 to 2024, the rate of online doctor visits worldwide more than doubled to over 116 million. 

Whether you’re a first-timer or you want to improve your virtual doctor visit experience, proper preparation is key. This guide will walk you through the steps to ensure your online appointment is as effective as – or even better than – an in-person visit.

Let’s start with some background about virtual doctor visits and their benefits.

Contents

Virtual Doctor Visit Overview

Woman in gold talking to doctor on laptop

What is a virtual doctor visit?

A virtual doctor visit, also known as telehealth or telemedicine, is a way to consult with your healthcare provider using technology like video calls, phone calls, or text messaging. 

Instead of going to a doctor’s office, you can talk to your doctor from the comfort of your home using your smartphone, tablet, or computer. 

This method is more popular since the COVID-19 pandemic, as it offers a convenient and safe way to receive medical care (Zulman & Verghese, 2021 & National Institute on Aging, n.d.). The Census Bureau’s Household Pulse Survey (with data from April 2021 through August 2022) found that (Lee, E. C. et al., 2023):

  • Telehealth use was lowest among people who are uninsured (9.4%), aged 18 to 24 (17.6%), and residents of the Midwest (18.7%).

  • Telehealth use was highest among those with Medicaid (28.3%) and Medicare (26.8%), those who are Black (26.1%), and those earning less than $25,000 (26.4%).

Benefits of telehealth appointments

Woman talking to doctor on her phone closeup

Telehealth appointments come with several advantages:

  • Convenience: You don’t have to travel to the doctor’s office or sit in a waiting room. You can have your appointment from anywhere, whether it’s in your home, office, or even your car during a lunch break (Hasselfeld, n.d. & bravo, 2022).

  • Saves Time: A virtual visit can save you more than an hour compared to an in-person visit (UnitedHealthcare, 2023). This is great for people with busy schedules or live far away from their doctors (bravo, 2022).

  • Cost-Effective: Virtual visits often cost less than in-person visits, especially when compared to urgent care or emergency room visits (Zulman & Verghese, 2021 & bravo, 2022).

  • Accessibility: Telehealth increases access to healthcare for people in rural areas or those with mobility issues. It also allows you to consult with specialists who may not be available in your local area (bravo, 2022 & HRSA, 2024).

  • Safety: Virtual visits help prevent the spread of infectious diseases by reducing the need for in-person interactions (Hasselfeld, n.d. & HRSA, 2024).

Common misconceptions about virtual consultations

Black woman talking to someone on laptop in sideview

Despite its benefits, there are several myths about virtual consultations:

  • “Telehealth is only for tech-savvy people.” Many people believe that you need to be tech-savvy to use telehealth services. However, most platforms are easy to use and designed to be accessible to everyone, including older adults (Solutionreach, n.d.).

  • “Virtual visits aren’t secure.” Security is a common concern, but reputable telehealth platforms are HIPAA-compliant and use advanced security measures to protect your privacy (Solutionreach, n.d.).

  • “Telehealth is a temporary solution.” While telehealth surged during the COVID-19 pandemic, it is here to stay. Many healthcare providers continue to offer virtual visits as a permanent option (Lee, C. 2023).

  • “I won’t get to choose my doctor.” Online health platforms let you review detailed profiles of multiple certified doctors. This allows you to choose a provider that fits your needs best, giving you more control over your healthcare (WeHealth, n.d.).

  • “It’s not covered on my insurance.” (WeHealth, n.d.). Many insurance plans now cover telehealth as it becomes more common. Healthcare providers are adapting to make virtual care accessible, recognizing its growing importance in delivering patient care.

When to choose a virtual doctor visit vs. in person

Taking blood pressure

Virtual doctor visits have a lot of conveniences. But there are certain times when it’s better to see the doctor in person, for (Henderson, 2023):

  • First-Time Visits: If it’s your first time seeing this doctor, you should see them. Face-to-face meetings help patients build trust and doctors assess both physical and emotional aspects.

  • Physical Exams: If you’ve noticed new or worsening symptoms, the doctor will need to see you in person to examine the affected areas of your body.

  • Serious Health Conditions: Unless they tell you otherwise, it’s better to go to your doctor’s office for your health appointments. 

After you establish a relationship with this doctor, telehealth can be useful for follow-ups.

Now that you understand the basics, let’s set up your tech for a smooth virtual visit experience.

Technical Preparations

Ensure a stable internet connection

A stable internet connection is crucial for a successful virtual doctor visit. Here are some tips:

  • Check Your Internet Speed: Use a speed test to ensure your internet connection is fast enough for video calls. 

    Note that if you live in a rural area or anywhere your internet service is often unstable, you can also (HRSA, 2024):
  • Use a Wired Connection: If possible, use an Ethernet cable instead of Wi-Fi for a more stable connection.

  • Close Unnecessary Items: Close any apps or browser tabs that might be using internet bandwidth.

Test your device’s camera and microphone

Female doctor waving to female patient on Zoom

Before your appointment, test your device’s camera and microphone to make sure they are working:

  • Check Settings: Go to your device’s settings to ensure the camera and microphone are enabled.

  • Use Headphones: Using headphones with a built-in microphone can improve sound quality and reduce background noise.

  • Do a Test Call: Make a test call with a friend or family member to check the audio and video quality.

Get familiar with the required software or app

Your healthcare provider will use a specific telehealth platform or app for the virtual visit that you may not be familiar with. To save yourself some frustration do these tasks well in advance of your virtual visit:

  • Download in Advance: Download the required software or app well before your appointment.

  • Create an Account: If necessary, create an account and log in to familiarize yourself with the platform.

  • Explore Features: Take some time to explore the features, such as how to join a call, mute/unmute yourself, and turn the camera on/off.

With your tech ready, it’s time to collect important medical information for your appointment.

Gather Your Medical Information

Flatlay of small medical items

Update your medical history

The doctor may ask you about your medical history, or ask you to fill out a form to collect it. Be sure to include:

  • List Past Conditions: Note all your past medical conditions, surgeries, and hospital stays.

  • Your Family History: Include any relevant family medical history, such as chronic illnesses or genetic conditions.

List current medications and dosages

Pills and capsules (pink white and tan)

Make a list of all the medications you’re taking, including:

  • Prescription Medications: Write the name, dosage, and frequency for each prescription.

  • Over-the-Counter Medications: Don’t forget to list any over-the-counter (OTC) medications, supplements, or vitamins you’re taking, and any you’re thinking about starting.

  • Recent Changes: Note any recent changes in your medications or dosages.

Note any recent changes in your health

Keep track of any new symptoms or changes in your health:

  • New Symptoms: Note any new or worsening symptoms, such as pain, fatigue, or changes in appetite.

  • Measurements: If applicable, record any recent measurements like blood pressure, weight, or blood sugar levels.

Prepare questions for your doctor

Make a list of questions and have it ready to help you get the most out of your appointment, such as:

  • Symptoms: Ask about any symptoms or concerns you have.

  • Treatment Options: Inquire about treatment options, side effects, and alternatives.

  • Follow-Up: Ask about the next steps and any follow-up appointments or tests.

Next, we’ll create the right environment for a successful virtual visit. 

Setting Up Your Space

Redhead with airpods and green wall

For the best virtual visit experience, make sure your environment is prime and ready to go.

Choose a private area for your appointment

Select the right environment for your virtual visit is essential to minimize interruptions and maintain privacy:

  • Choosing the Right Space: Select a quiet and private room where you can close the door and you won’t be disturbed.

  • Inform Household Members: Let others in your household know about your appointment to avoid disturbances.
  • Minimize Background Noise: Close windows and doors, and turn off any noisy appliances.

  • Ensure Good Lighting:
    • Natural Light: Natural light is best so the doctor can see you clearly. Position yourself facing a window if possible.

    • Artificial Light: If not, use a lamp if natural light is not available. Avoid backlighting (light shining from behind you), which can make it hard for your doctor to see you.

Keep water, pen and paper nearby 

Taking notes during your appointment can help you remember important information. And having water nearby can be helpful in case you get warm or have to cough during the call:

  • Stay Hydrated: Drinking water can help keep your throat clear and prevent coughing.

  • Comfort: Having water on hand can make you feel more comfortable during the call.

Log on before your appointment time

Being on time for your appointment shows respect for your doctor’s schedule. To ensure a smooth virtual check-in:

  • Check Your Connection: Ensure your internet connection is stable and your device is ready.

  • Log In Early: Try to log in at least 10 minutes before your appointment time in case of  any technical issues.

OK, you’re ready! You’re logged in and seated in a quiet, well-lit room with your water, pen, medical history, prescriptions, and questions. Let’s go!

During the Virtual Visit

Doctor with teal scrubs and patient virtual meeting

Now, let’s go through what to do during your virtual doctor appointment.

Speak clearly and concisely

Clear communication is essential for a successful virtual visit (Coleman, 2020):

  • Speak Slowly: Speak slowly and clearly to ensure your doctor understands you.

  • Be Concise: Try not to ramble. Get to the point quickly to make the most of your appointment time.

  • Ask Questions: Don’t be afraid to ask your doctor about anything you need to know or don’t understand.

Show any visible symptoms to the camera 

If you have visible symptoms, such as a rash or swelling, adjust your camera angle to clearly show the affected area.

Take notes on doctor’s advice and next steps

Taking notes can help you remember important information:

  • Write Down Instructions: Note any instructions or advice from your doctor, and confirm it with them.

  • List Follow-Up Actions: Record any follow-up actions, such as scheduling tests or appointments.

Confirm how to fill your prescriptions

Multi colored pills illustration

Be sure you know how and when to get your prescriptions after a virtual visit:

  • Pharmacy Information: Make sure your doctor has the correct pharmacy information.

  • E-Prescriptions: Your doctor may send an e-prescription to your pharmacy.

Finally, let’s discuss what to do after your virtual visit.

Follow-Up Actions

Redhead writing notes with green wall

Schedule follow-up appointments and access your medical records online

Follow-up appointments are often necessary for ongoing care. Your virtual doctor visit may be shorter than an in-person visit. Before you go, don’t forget to schedule your follow-up appointment if needed, and learn how to access your records online.

  • Contact Information: Label your doctor’s contact information in your phone so it’s there when you need to call them.

  • Patient Portal: Most healthcare providers offer a patient portal where you can access your visit summary and medical records. You can also schedule follow-up appointments there as an alternative to a call.

  • Download Records: Download and save important documents for your records.

Conclusion

Virtual doctor visits offer a convenient way to receive medical care, and with the right preparation, are just as effective as in-person appointments. By ensuring a stable internet connection, testing your device, gathering your medical information, and setting up a suitable space, you can make the most of your telehealth visit.

Don’t hesitate to ask questions and get clarification during your virtual doctor visit. Remember to communicate clearly, take notes, and follow up on any actions they recommend. With practice, you’ll find that telehealth can be a valuable tool to manage your health and wellness.

Do you prefer to use telehealth services or see your doctor in person? Why?

References

5 Common Misconceptions about Telehealth: What Research Has to Say. (n.d.). Solutionreach. Retrieved from https://www.solutionreach.com/blog/10-misconceptions-about-telehealth-and-what-research-has-to-say-about-it

Coleman, C. (2020. Health Literacy and Clear Communication Best Practices for Telemedicine. Health Literacy Research and Practice;4(4):e224-e229. doi:10.3928/24748307-20200924-01.

Hasselfeld, B. W. (n.d.). Benefits of Telemedicine. Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine

Henderson, E. (2023). Virtual or in person: Which kind of doctor’s visit is better, and when it matters. (2023). News Medical. Retrieved from https://www.news-medical.net/news/20230306/Virtual-or-in-person-Which-kind-of-doctore28099s-visit-is-better-and-when-it-matters.aspx

How do virtual visits work? (2023). UnitedHealthcare. Retrieved from https://www.uhc.com/news-articles/benefits-and-coverage/virtual-visits

Lee, C. (2023). Common Misconceptions About Working in Telemedicine. Retrieved from https://openloophealth.com/blog/common-misconceptions-about-working-in-telemedicine

Lee, E. C., Grigorescu, V. Enogieru, I., Smith, S. R. Samson, L. W., Conmy, A. B. , & De Lew, N. (2023). Updated National Survey Trends in Telehealth Utilization and Modality (2021-2022). Assistant Secretary for Planning and Evaluation (ASPE). Retrieved from  https://aspe.hhs.gov/sites/default/files/documents/7d6b4989431f4c70144f209622975116/household-pulse-survey-telehealth-covid-ib.pdf

Robeznieks, A. (2023). How telehealth’s future came into clearer view in 2023. American Medical Association (AMA). Retrieved from https://www.ama-assn.org/practice-management/digital/how-telehealth-s-future-came-clearer-view-2023

Stewart, C. (2024). Telemedicine – statistics and facts. Statista. Retrieved from https://www.statista.com/topics/12106/telemedicine/

Telehealth: What Is It, How to Prepare, Is it Covered? (n.d.). National Institute on Aging. Retrieved from https://www.nia.nih.gov/health/medical-care-and-appointments/telehealth-what-it-how-prepare-it-covered

Telehealth for rural areas. (2024). Health Resources & Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/providers/best-practice-guides/telehealth-for-rural-areas/access-to-internet-and-other-telehealth-resources

The Pros and Cons of Virtual Care. (2022). bravo. Retrieved from https://www.bravowell.com/resources/the-benefits-of-virtual-healthcare

Top 10 Telemedicine Myths. (n.d.). WeHealth Retrieved from https://wehealth.nyc/top-10-telemedicine-myths/

Why use telehealth? (2024). Health Resources & Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/patients/why-use-telehealth

Zulman, D. M., & Verghese, A. (2021). Virtual Care, Telemedicine Visits, and Real Connection in the Era of COVID-19: Unforeseen Opportunity in the Face of Adversity. JAMA; 325(5), 437–438. doi:10.1001/jama.2020.27304 

Population Health Management Strategies with AI

Population Health Management Strategies with AI

AI Health Tech

Population health management (PHM) is key to effective healthcare. Using population health management strategies with AI creates new ways to help patients. In a 2023 study by Deloitte, 69% of people using generative AI said it could improve healthcare access, and 63% said it could make healthcare more affordable

This article explores cutting-edge insights on how this PHM-AI combo enhances patient care, reduces costs, and improves overall health outcomes across diverse communities.

Let’s first define PHM and how AI fits into this approach.

Contents

Understanding AI in Population Health Management

PHM diagram

What is Population Health Management?

PHM focuses on improving the health outcomes of a group by monitoring and identifying individual patients within that group. The primary goals of PHM are:

What’s the difference between PHM and public health?

Don’t confuse population health with public health. Public health tries to stop diseases and injuries before they happen, by:

  • Teaching people about health
  • Reaching out to communities
  • Doing research
  • Changing standards or laws to make health-related matters safer

Population health issues 

Things that affect community health range from physical to social, such as:

  • Environmental factors (like pollution)
  • Income and education levels
  • Gender and racial inequality
  • Social connections
  • Community involvement
  • Access to clean water

People working in population health need to understand how these factors affect communities and interact with each other. For example, low-income groups might struggle to access healthy food or safe places to exercise, even if these are available nearby. Understanding these connections can help us create better strategies to improve overall community health (Tulane University, 2023).

How AI enhances PHM

AI technologies, such as machine learning and predictive analytics, can process large datasets quickly and accurately. AI is a great asset in PHM because it can find at-risk individuals more quickly and accurately. This can help healthcare providers create better intervention strategies to improve patient outcomes, manage chronic diseases, and prevent illnesses. 

The key benefits of integrating AI into PHM include:

  • Improved accuracy: AI can analyze complex datasets to identify patterns that may be missed by human analysts.
  • Efficiency: Automated processes reduce the time and effort required for data analysis.
  • Personalization: AI can tailor interventions to individual patient needs, improving outcomes.

Companies using big data for PHM

Another PHM diagram

Some examples of companies offering data solutions for health systems:

  • 1upHealth – They created Population Connect, which makes it easier to get and share health data, and cuts down on paperwork and manual tasks. It also gives clinicians a full picture of their patients’ health.
  • ArcadiaArcadia’s software tracks patient health over time and makes care notes easy to find. The system constantly updates, helping teams set goals and measure their progress for different patient groups.
  • AmitechAmitech uses health information to manage community health. They combine physical and mental health data to spot risks and get patients more involved in their own care.
  • Linguamatics – Their platform uses natural language processing (NLP) to find hidden data in health records to improve community health. They use smart tech to analyze patient notes, predict health risks, and find patients who need extra care.
  • Socially Determined – This company helps healthcare groups understand social risks, called social determinants of health (SDoH). Their SocialScape platform measures things like patient housing and food access, which can help health providers create better care plans for different communities.

One of the most powerful applications of AI in PHM is its ability to identify and predict health risks across populations.

Risk Stratification and Predictive Analytics using AI

Risk stratification involves categorizing patients based on their risk of developing certain conditions. Predictive analytics uses historical data to indicate future health outcomes. Together, these techniques enable proactive healthcare management.

Identifying high-risk individuals

AI algorithms can analyze electronic health records (EHRs), lab results, and other data sources to identify individuals at high risk for conditions such as diabetes, heart disease, or chronic obstructive pulmonary disease (COPD). 

For example, the PRISM model provides individual risk scores and stratifies patients into different risk levels based on their health data (Snooks et al., 2018).

Predictive modeling

Predictive modeling uses AI to forecast disease progression and health outcomes. For instance, AI can predict which patients are likely to develop complications from chronic diseases, allowing for early intervention. 

Researchers at Cedars-Sinai Medical Center developed an AI algorithm to measure plaque in arteries. They found that AI algorithms could predict heart attacks within 5 years by analyzing coronary CTA images. This significantly reduced the time required for diagnosis (Lin, et al., 2022).

In another example, Stanford University used AI to monitor ICU patients’ mobility, improving patient outcomes by alerting staff to potential issues (Yeung et al., 2019).

With AI’s ability to analyze large amounts of data, healthcare providers can now create highly tailored care plans for individuals within a population.

Personalized Interventions and Care Plans

Personalized care plans are tailored to meet the specific needs of individual patients. AI algorithms can analyze patient data to recommend the best treatments and interventions. Let’s look at some of those applications.

People in waiting room wearing face masks

Tailoring interventions

AI can analyze various data points, including genetic information, lifestyle factors, and medical history, to create personalized care plans. For example, machine learning algorithms can recommend specific medications or lifestyle changes based on a patient’s unique profile.

Treatment recommendation systems

AI-powered treatment recommendation systems can help healthcare providers choose the best treatments for their patients. These systems use data from clinical trials, patient records, and medical literature to provide evidence-based recommendations.

Balancing personalization with population-level strategies

While personalization is crucial, it’s also essential to consider population-level strategies. AI can help balance these by identifying common trends and patterns within a population, allowing for targeted interventions that benefit individuals and the broader community.

Remote monitoring and telehealth integration

Remote patient monitoring (RPM) and telehealth technologies are important when managing population health. For example, AI can analyze data from wearable health devices, such as heart rate monitors and glucose sensors, to detect early signs of health issues. This allows for timely interventions and reduces the need for hospital visits.

Telehealth platforms

Elderly woman on Zoom with health provider

Telehealth platforms enhanced by AI can provide virtual consultations, remote diagnostics, and personalized treatment plans. These platforms help address healthcare access disparities by providing services to rural and underserved communities. By providing remote consultations and monitoring, these technologies reduce the need for travel and make healthcare more accessible.

Overcoming data silos

Effective population health management requires data from various sources. However, data silos and interoperability issues can hinder this process.

Organizations often manage risks in various silos by department. This makes it difficult to see all the risks in the organization, and also makes it tough to create plans that work together to reduce these risks.

AI can help break down data silos by standardizing and integrating data from different sources. This ensures that healthcare providers have a comprehensive view of patient health.

Standardizing and analyzing diverse health data

AI solutions can standardize data formats and analyze diverse datasets, making it easier to identify trends and patterns. This improves the accuracy and efficiency of population health management strategies.

Ensuring data privacy and security

Data privacy and security are critical in AI-driven PHM. Robust encryption methods and secure data storage solutions are essential to protect patient information.

Beyond medical data, AI can also incorporate socioeconomic and environmental factors that significantly impact health outcomes.

Social Determinants of Health and AI

Things like money, education and where people live affect their health. These are called SDoH. AI can incorporate these factors into predictive models to predict health problems and find people who might need help. This lets healthcare providers make better plans to keep communities healthy.

Social determinants of health diagram

Incorporating social and environmental factors

AI algorithms can analyze data on SDoH such as income, education, and housing conditions, to predict health outcomes and identify at-risk populations.

Predictive analytics for SDoH

Predictive analytics can help healthcare providers develop targeted interventions to address SDoH. For example, AI can identify communities at risk for certain diseases and recommend preventive measures.

Collaborative AI Approaches for community health improvement

Collaborative AI approaches involve partnerships between healthcare providers, community organizations, and technology companies to improve community health. These collaborations can lead to more effective and sustainable health interventions.

Now that we understand SDoH and ways to deal with them, it’s crucial to track how effective those efforts are, and continuously improve our approaches.

Measuring and Improving Population Health Outcomes

Measuring and improving population health outcomes requires continuous monitoring and refinement of strategies. AI-powered tools can provide real-time insights and help healthcare providers make data-driven decisions.

AI-powered dashboards and visualization tools

Dashboards and visualization tools using AI can display population health metrics in an easily understandable format. These tools help healthcare providers track progress and identify areas for improvement.

Continuous learning systems

Continuous learning systems use AI to analyze new data and refine PHM strategies. This ensures that interventions remain effective and relevant over time.

Ethical considerations for patient data

Ethical considerations are crucial when using AI with PHM. Ensuring that AI algorithms are free from bias and that patient data is used responsibly is essential for maintaining trust and achieving equitable health outcomes.

Conclusion

Combining AI with population health management is a big step forward in taking care of communities better and faster. AI helps healthcare providers spot and solve health problems early, instead of waiting until people get sick, by:

  • Predicting health issues before they happen
  • Creating personalized care plans
  • Using data to make smarter decisions

As we get better at using AI in healthcare, we can:

  • Help more people stay healthy
  • Lower the cost of healthcare
  • Improve life for whole communities

We’re just starting to use AI in population health management. Healthcare leaders and policymakers need to use these AI tools. It’s not just a choice – it’s necessary to build healthier communities that can handle health challenges better.

Robot looking at the globe in black

References

Dhar, A., Fera, B., & Korenda, L. Can GenAI help make health care affordable? Consumers think so. (2023). Deloitte. Retrieved from https://www2.deloitte.com/us/en/blog/health-care-blog/2023/can-gen-ai-help-make-health-care-affordable-consumers-think-so.html

Lin, A., et al. (2022). Deep learning-enabled coronary CT angiography for plaque and stenosis quantification and cardiac risk prediction: an international multicentre study. The Lancet. doi.org/10.1016/S2589-7500(22)00022-X

Population Health Management: A Healthcare Administration Perspective. (2023). Tulane University. Retrieved from https://publichealth.tulane.edu/blog/population-health-management/

Predictive Analytics for Risk Management: Uses, Types & Benefits. (n.d.). PREDIK Data-Driven. Retrieved from https://predikdata.com/predictive-analytics-for-risk-management/

Snooks, H., Bailey-Jones, K., & Burge-Jones, D., et al.. (2018). Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC). Southampton (UK): NIHR Journals Library; (Health Services and Delivery Research, No. 6.1.) Chapter 1, Introduction. https://www.ncbi.nlm.nih.gov/books/NBK475995/

Yeung, S., Rinaldo, F., Jopling, J., Liu, B., Mehra, R., Downing, N. L., Guo, M., Bianconi, G. M., Alahi, A., Lee, J., Campbell, B., Deru, K., Beninati, W., & Milstein, A. (2019). A computer vision system for deep learning-based detection of patient mobilization activities in the ICU. Npj Digital Medicine, 2(1), 1-5. doi.org/10.1038/s41746-019-0087-z

The Impact of AI on Healthcare Cost Reduction and Resource Allocation 

The Impact of AI on Healthcare Cost Reduction and Resource Allocation 

AI Health Tech

In an era where healthcare costs are skyrocketing, AI can be a game-changer. The impact of AI on healthcare cost reduction and resource allocation has been overwhelmingly positive so far. A recent study by Accenture predicts that AI applications in healthcare could save up to $150 billion annually for the U.S. healthcare economy by 2026. 

Let’s see how AI can help reduce costs and staff human resources more efficiently.

Contents

Understanding AI’s Role in Healthcare Cost Reduction

Definition of AI in healthcare 

Artificial Intelligence (AI) in healthcare uses complex algorithms and software to analyze, interpret, and understand complicated medical and healthcare data. AI technologies such as machine learning (ML), natural language processing (NLP), and predictive analytics integrated into various healthcare processes can enhance efficiency and accuracy.

U.S. healthcare costs

Source: American Medical Association

By 2031, almost 20% of U.S. spending will be on healthcare, which is a lot compared to other wealthy countries.

Healthcare costs are a major burden for families in the U.S. According to the Kaiser Family Foundation, about half of American adults find it difficult to afford healthcare costs

24% have had problems paying for healthcare premiums, deductibles, or copays in the past year. That number is 33% for those in poor health. These high expenses often lead to delayed care, skipped medications, and financial strain. 

About 100 million people in America have serious medical debt. They often rely on savings, credit cards, and side jobs to make up the slack. This financial pressure underscores the need for cost-effective solutions.

Helping more people afford health care often means the government spends more money. On the other hand, trying to reduce overall spending might increase costs for individuals. This makes health care policy very challenging, with no easy solutions.

Key areas where AI can impact costs

AI can cut healthcare costs in many ways, such as:

  • Administrative Efficiency: Automating routine tasks such as data entry and claims processing can save time and reduce errors.
  • Diagnostic Accuracy: AI can improve diagnostic accuracy, reducing the need for unnecessary tests and treatments.
  • Predictive Analytics: AI can predict patient outcomes and optimize resource allocation, reducing waste and improving care efficiency.

Labor costs are the greatest expense hospitals have, as shown in the following chart.

Source: American Hospital Association (AHA) and Strata Decision Technology

A McKinsey/EIT Health report shows that tasks by several healthcare occupations can be at least partially automated by 2030, providing more cost savings to healthcare organizations. 

Next, let’s look at how AI can improve resource management in hospitals.

AI-Driven Resource Allocation in Hospitals

Facility management

AI can make hospital buildings run smoother by controlling temperature systems to save energy and keep patients comfortable. It also spots equipment problems early, avoiding breakdowns and saving money on repairs (Varnosfaderani & Forouzanfar, 2024). 

Predictive analytics for patient flow and bed management

Empty recovery room

Managing patient flow and bed use is also key for hospital efficiency. AI-driven predictive analytics can predict patient admissions, discharges, and bed availability, allowing hospitals to optimize their resources. 

Hospitals can manage their emergency services with efficiency if they can predict how many emergency patients will come in. They currently use simple guessing methods based on past patterns. 

Hospitals could use real-time patient data from electronic health records (EHRs) to make short-term predictions about bed needs. This ensures that beds are available when needed, reduces the time patients spend waiting for care, and avoids cancelling planned surgeries (King et al., 2022).

Staff scheduling optimization

Using AI for scheduling can reduce overtime costs and prevents staff burnout, leading to better patient care and lower operational costs.

AI can analyze historical data and predict staffing needs, ensuring that hospitals have the right number of staff at the right times. This includes scheduling medical procedures to maximize the use of operating rooms and staff, while minimizing patient wait times (Varnosfaderani & Forouzanfar, 2024). 

Equipment and supply chain management

AI can streamline equipment and supply chain management by:

  • Studying trends 
  • Predicting demand 
  • Optimizing inventory levels 
  • Automating orders

This reduces the risk of shortages and overstocking to cut waste, save money, and ensure that necessary supplies are always available. In emergencies, AI quickly figures out what’s needed and helps get resources where they’re most important (Varnosfaderani & Forouzanfar, 2024). 

Clinical documentation is ever-present in healthcare. Let’s discuss how AI can streamline admin tasks.

Streamlining Administrative Processes with AI

Doctor on the phone

Automating paperwork and data entry

Administrative tasks like paperwork and data entry take time and are prone to errors. But AI can read and sort different forms and reports quickly. 

AI can automate these processes to save time, free up staff to focus on more critical tasks, and reduce the likelihood of mistakes (Varnosfaderani & Forouzanfar, 2024). 

Improving billing accuracy and reducing errors

It takes time and expense to fix billing errors. A study in the insurance industry showed that ML can improve insurance estimates better than traditional methods (Baudry & Robert, 2019). 

AI can improve hospital billing and insurance claim accuracy by automating the coding process and identifying discrepancies before they become issues. This leads to quicker reimbursements and fewer denied claims.

Enhancing insurance claims processing

AI can streamline the insurance claims process by automating the verification and approval of claims. This reduces the time it takes to process claims and improves customer satisfaction by minimizing delays and errors.

Beyond administrative tasks, AI is also making significant strides in improving patient care and treatment.

AI in Diagnostic Accuracy and Treatment Planning

Brain scans

Reducing misdiagnosis rates and associated costs

Misdiagnoses can lead to unnecessary treatments and additional costs. AI can analyze medical data with high accuracy, reducing the likelihood of misdiagnoses and ensuring that patients receive the correct treatment the first time (Khanna et al., 2022).

Personalized treatment recommendations

AI can provide personalized treatment recommendations based on a patient’s medical history and current condition. This ensures that patients receive the most effective treatments, improving outcomes and reducing costs associated with trial-and-error approaches (Alowais et al., 2023).

Early disease detection and prevention strategies

Early detection of diseases can significantly reduce treatment costs and improve patient outcomes. AI can analyze large datasets to identify early signs of diseases, allowing for timely interventions and preventive care (Alowais et al., 2023).

AI can also help diagnose illnesses and assess symptoms with virtual methods in telemedicine and telehealth.

Telemedicine and Remote Patient Monitoring

Phone with chatbot conversation

AI-powered virtual health assistants

Virtual health assistants powered by AI can provide patients with medical advice, schedule appointments, and answer health-related questions. This reduces the need for in-person visits and allows healthcare providers to focus on more complex cases.

Chronic disease management via remote monitoring

AI can monitor patients with chronic diseases remotely, also called remote patient monitoring (RPM). When AI analyzes data from wearable devices, it can notify healthcare providers about any concerning changes to trigger an alert. This proactive approach reduces hospital visits and readmissions, saving costs and improving patient quality of life.

Reducing unnecessary hospital visits and readmissions

By providing continuous monitoring and early intervention, AI can help prevent complications that would otherwise require a patient to return to the hospital. This not only improves patient outcomes, but also reduces the strain on healthcare facilities.

Challenges and Considerations in AI Implementation

Doctor shows tablet to nurse

Initial investment and integration costs

Implementing AI in healthcare requires a high upfront investment in technology and training. While the long-term benefits can outweigh these costs, the initial financial burden can be a barrier for some healthcare providers.

Data privacy and security concerns

AI systems handle vast amounts of sensitive patient data, raising concerns about privacy and security. To implement these systems successfully, healthcare organizations must comply with regulations and protect patient information (Alowais et al., 2023).

Workforce adaptation and training needs

Integrating AI into healthcare workflows requires training staff to use new technologies effectively. This can be challenging, particularly for those who are less familiar with digital tools. Ongoing education and support are essential to ensure that healthcare professionals can leverage AI to its full potential (Alowais et al., 2023). 

Future Outlook: AI’s Long-term Impact on Healthcare Economics

Projected cost savings and efficiency gains

AI has the potential to generate significant cost savings and efficiency gains in healthcare. By automating routine tasks, improving diagnostic accuracy, and optimizing resource allocation, AI can reduce operational costs and enhance patient care (Khanna et al., 2022).

Potential shifts in the healthcare job market

Integrating AI in healthcare systems causes a shift in the job market. While some administrative roles may become redundant, new opportunities will emerge in AI development, data analysis, and technology management. Healthcare professionals will need to adapt to these changes and acquire new skills.

Ethical considerations and policy implications

The use of AI in healthcare raises ethical considerations, such as ensuring fairness in AI algorithms and addressing potential biases. Policymakers should establish guidelines and regulations to ensure that we use AI responsibly and equitably in healthcare (Alowais et al., 2023).

Conclusion

AI’s impact on cost reduction and resource allocation in healthcare is profound and far-reaching. From streamlining administrative tasks to enhancing diagnostic accuracy, AI technologies are valuable allies in the quest for more efficient and affordable healthcare. Successful implementation will require careful planning, ethical considerations, and a commitment to ongoing innovation. 

As AI continues to evolve, its long-term impact on healthcare economics will depend on how effectively these challenges are addressed and how well healthcare providers can integrate AI into their workflows. By embracing AI responsibly, healthcare providers can work towards a future where high-quality care is more accessible and affordable for all.

References

Alowais, S. A., Alghamdi, S. S., Alsuhebany, N., Alqahtani, T., Alshaya, A. I., Almohareb, S. N., Aldairem, A., Alrashed, M., Saleh, K. B., Badreldin, H. A., Al Yami, M. S., Harbi, S. A., & Albekairy, A. M. (2023). Revolutionizing healthcare: The role of artificial intelligence in clinical practice. BMC Medical Education, 23. doi.org/10.1186/s12909-023-04698-z 

Altman, D. (2024). The Two Health Care Cost Crises. Kaiser Family Foundation. Retrieved from https://www.kff.org/from-drew-altman/the-two-health-care-cost-crises/

America’s Hospitals and Health Systems Continue to Face Escalating Operational Costs and Economic Pressures as They Care for Patients and Communities. (2024). American Hospital Association (AHA). Retrieved from https://www.aha.org/costsofcaring

Baudry M., & Robert C.Y. (2019). A machine learning approach for individual claims reserving in insurance. Applied Stochastic Models in Business and Industry; 35:1127–1155. doi:10.1002/asmb.2455

Collier, M., & Fu, R. (2020). AI: Healthcare’s new nervous system. Accenture. Retrieved from https://www.accenture.com/au-en/insights/health/artificial-intelligence-healthcare

Hasa, I. (2024). From Data to Decisions: AI-driven Healthcare Resource Optimization. LinkedIn Pulse. Retrieved from https://www.linkedin.com/pulse/from-data-decisions-ai-driven-healthcare-resource-inamul-hasan-m-sc–stzaf

Khanna, N. N., Maindarkar, M. A., Viswanathan, V., E Fernandes, J. F., Paul, S., Bhagawati, M., Ahluwalia, P., Ruzsa, Z., Sharma, A., Kolluri, R., Singh, I. M., Laird, J. R., Fatemi, M., Alizad, A., Saba, L., Agarwal, V., Sharma, A., Teji, J. S., Al-Maini, M., . . . Suri, J. S. (2022). Economics of Artificial Intelligence in Healthcare: Diagnosis vs. Treatment. Healthcare, 10(12). https://doi.org/10.3390/

King, Z., Farrington, J., Utley, M., Kung, E., Elkhodair, S., Harris, S., Sekula, R., Gillham, J., Li, K., & Crowe, S. (2022). Machine learning for real-time aggregated prediction of hospital admission for emergency patients. Npj Digital Medicine, 5(1), 1-12. doi.org/10.1038/s41746-022-00649-y

Lopes L., Montero A., Presiado, M., & Hamel, L. (2024). Americans’ Challenges with Health Care Costs. Kaiser Family Foundation (KFF). Retrieved from https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/

M, N. (2023). Artificial Intelligence (AI) in Healthcare Claims Processing. Nanonets. Retrieved from https://nanonets.com/blog/ai-healthcare-claims-processing/

McDill, V. (2024). New Study Will Explore Whether Artificial Intelligence Reduces Healthcare Spending and Impacts Health Outcomes. University of Minnesota School of Public Health. Retrieved from https://www.sph.umn.edu/news/new-study-will-explore-whether-artificial-intelligence-reduces-healthcare-spending-and-impacts-health-outcomes/

Spatharou, A., Hieronimus, S., & Jenkins, J. (2020). Transforming healthcare with AI: The impact on the workforce and organizations. McKinsey & Company. Retrieved from https://www.mckinsey.com/industries/healthcare/our-insights/transforming-healthcare-with-ai

Trends in health care spending. (2024). American Medical Association (AMA). Retrieved from https://www.ama-assn.org/about/research/trends-health-care-spending

Varnosfaderani, S. M., & Forouzanfar, M. (2024). The Role of AI in Hospitals and Clinics: Transforming Healthcare in the 21st Century. Bioengineering, 11(4). doi.org/10.3390/bioengineering11040337

Predictive Analytics and AI in Healthcare: Using AI to Predict Patient Outcomes

Predictive Analytics and AI in Healthcare: Using AI to Predict Patient Outcomes

AI Health Tech Med Tech

Health organizations use predictive analytics and AI to make better decisions, create personalized treatment plans, and improve patient outcomes. Let’s discuss their impact on the healthcare industry.

Contents

Understanding Predictive Analytics with AI in Healthcare

Predictive analytics uses statistical methods to analyze medical data. It also finds patterns and trends that can predict what might happen next with an individual patient. But what part does AI play here?

Definition of predictive analytics and its relationship to AI

Predictive analytics involves using statistical methods and algorithms to analyze medical data and make predictions about future patient outcomes or healthcare trends. It’s like having a crystal ball that relies on patient data instead of magic. 

AI enhances predictive analytics in healthcare by automating the analysis process and improving the accuracy of predictions through machine learning and other advanced techniques (Petrova, 2024).

Predictive analytics systems in healthcare

Predictive analytics systems are made up of several key components:

  • Data Collection: Gathering relevant data from various sources like electronic health records (EHRs) and medical devices.
  • Data Preprocessing: Cleaning and organizing medical data to ensure it’s usable.
  • Model Building: Creating statistical models that can analyze the data.
  • Model Validation: Testing the models to ensure they make accurate predictions about patient outcomes.
  • Deployment: Using the models to make predictions in real-world healthcare scenarios.

How AI enhances predictive capabilities

AI takes predictive analytics to the next level. Traditional predictive models might struggle with large datasets or complex patterns, but AI can handle these with ease. 

Examples:

  • Netflix uses AI to predict what shows or movies you might like based on your viewing history, dramatically improving user experience. 
  • IBM Watson Health uses AI to analyze patient data and medical literature to help clinicians make treatment decisions, which enhances patient care.

How machine learning can improve predictions

Machine learning (ML), a subset of AI, is crucial in predictive analytics. It involves training algorithms on historical patient data so they can learn to make predictions on new data. 

Over time, these algorithms improve as they are exposed to more data, making them more accurate and efficient when predicting patient outcomes. This continuous learning process is what makes ML so powerful in predictive analytics. 

Some examples:

  • Amazon uses ML to predict product demand, ensuring that they stock the right products at the right time. 
  • Google Health uses ML to predict patient deterioration in hospitals, allowing for early intervention and improved patient care.
  • A study in Nature conducted by the U.S. Department of Veterans Affairs and the DeepMind team at Google used AI to accurately predict acute kidney injuries up to 48 hours before diagnosis (Suleyman & King, 2019).

Predictive analytics and AI are not just theoretical concepts; they have real-world applications across various industries. Now that we know the basics, let’s see how healthcare providers use these tools in practice.

Real-World Applications of Predictive Analytics and AI

Behavior prediction and resource allocation

Healthcare providers use predictive analytics to understand patient behavior. By analyzing past medical history and treatment adherence, hospitals can predict which patients are likely to miss appointments or not follow their treatment plans. This helps personalize care, improve patient engagement, and allocate resources. 

A couple of examples:

  • Cleveland Clinic uses predictive analytics to identify patients at high risk of readmission, allowing for targeted interventions. 
  • Gundersen Health Systems increased the number of staffed rooms used by 9% using predictive analytics with AI (Becker’s Hospital Review).

Healthcare resource optimization and demand forecasting

Nurse showing notes to doctor near whiteboard

Predictive analytics helps healthcare organizations optimize their resources by forecasting patient demand. 

Hospitals can predict future patient volumes and adjust staffing levels by analyzing admission data and seasonal trends. This reduces costs and ensures that healthcare services are available when patients need them. 

For example, Johns Hopkins Hospital uses predictive analytics to forecast patient admission rates and optimize resource allocation (Chan & Scheulen, 2017).

Treatment outcome prediction and optimization

By analyzing patient data and treatment histories, clinicians can identify:

  • which treatments are likely to be most effective for each patient
  • which patients are at risk of certain diseases 
  • take preventive measures based on what they find

This process improves patient outcomes and reduces healthcare costs. A few examples:

  • Both Mayo Clinic and IBM Watson Health use AI and predictive analytics to diagnose and personalize treatment plans for cancer patients more effectively (IBM, 2019).
  • Hoag Hospital uses an AI-powered platform to predict which patients are at risk of developing sepsis. The result was a 41% decrease in sepsis-related mortality rates (Health Catalyst, n.d.).
  • The City of Hope Medical Center partnered with Syapse to develop a predictive analytics platform with AI to detect patients who are at risk of getting cancer or have a high risk of cancer recurrence (City of Hope, 2020).

Predictive maintenance of medical equipment

Closeup of vitals in the OR

Healthcare facilities use predictive analytics to predict when medical equipment is likely to fail and schedule maintenance as needed. This helps prevent unexpected breakdowns, reduces downtime, and ensures continuous patient care. 

For example, GE Healthcare uses predictive analytics to monitor medical imaging equipment and predict maintenance needs (Business Wire, 2024).

Implementing predictive analytics and AI offers numerous benefits for businesses. We’ll discuss some of the key advantages next.

Benefits of Implementing Predictive Analytics and AI

The ways healthcare organizations use predictive analytics and AI offer several advantages.

Early disease detection and prevention

Healthcare organizations can use predictive analytics to detect diseases early, implement preventive measures, and manage patient risks. This helps in reducing the burden of chronic diseases and improving population health. 

A couple of examples:

Improved decision-making 

Three doctors talking in a hallway

​​

Predictive analytics can uncover hidden patterns and trends in patient data, revealing new insights for clinical decision-making. By identifying these patterns early, healthcare providers can make more informed decisions about patient care. 

For example, Stanford Health Care uses AI-powered predictive analytics to assist doctors in diagnosing complex conditions and recommending personalized treatment plans.

Cost reduction and operational efficiency

By predicting future patient needs and health trends, healthcare organizations can optimize their operations and reduce costs. For example, forecasting patient admissions helps hospitals manage their staffing more efficiently, reducing overtime costs and improving care quality. 

A couple more examples:

  • Kaiser Permanente uses predictive analytics to optimize its supply chain, reducing waste and saving millions in healthcare costs (Pritchard, n.d.).
  • UCI Medical Center has implemented predictive analytics with AI to analyze patient information, including admission rates, length of stay, and diagnosis, to predict future patient demand and ensure sufficient hospital resources (University of California, Irvine, 2021).

In addition, predictive analytics enhanced with AI can help prevent fraudulent insurance claims. Insurance companies can train ML algorithms to determine bad intent at the outset. This could potentially save billions of dollars (NHCAA, n.d.).

Better patient experience and satisfaction

Doctor and patient hands on desk

By understanding future health trends and patterns, health facilities can implement preventive measures and improve patient outcomes. For instance, Intermountain Health uses predictive analytics to reduce hospital-acquired infections, significantly improving patient safety. 

While implementing predictive analytics and AI offers many benefits to health providers and patients, they also come with their own set of considerations to keep in mind.

Challenges and Considerations

Data quality and integration issues

For predictive analytics to be effective, the data used must be accurate and reliable. Poor quality data can lead to inaccurate predictions. In addition, integrating data from different sources can be challenging and time-consuming. 

Privacy and ethical concerns

Hand pulling a folder from chart in dr office

Using predictive analytics in healthcare involves collecting and analyzing large amounts of sensitive patient data, which can raise privacy and ethical concerns. Healthcare organizations must ensure they handle patient data responsibly and comply with regulations like HIPAA. 

Attracting skilled talent 

Implementing predictive analytics requires specialized skills and expertise. Finding and retaining talent with the necessary healthcare analytic skills can be challenging. Many organizations struggle to find data scientists and analysts who can build and maintain predictive models.

Choosing the right tools and technologies

There are numerous predictive analytics tools and technologies available, each with its own strengths and weaknesses. Choosing the right tools can be daunting, especially given the rapid pace of technological advancement in this field.

Overcoming resistance to change within health organizations

Nurse in hallway looking worried

Implementing predictive analytics often involves changing existing processes and systems, which can face resistance from staff. Organizations must manage this change effectively to ensure a smooth transition and adoption of new analytics technologies. 

The field of predictive analytics and AI is constantly evolving. Here are some future trends to watch out for.

Advancements in natural language processing

Natural language processing (NLP) is a branch of AI that deals with understanding and generating human language. Advancements in NLP enable more accurate and efficient analysis of text data, opening up new possibilities for predictive analytics in healthcare:

  • Wearable devices can use edge computing to process patient data in real time and alert healthcare providers to potential emergencies.
  • Chatbots powered by NLP can provide real-time customer support and predict user needs based on their queries.

eXplainable AI for clearer decision-making

Nurse showing notes to dr

eXplainable AI (XAI) aims to make AI models more clear and easy to understand. This can help health providers trust and adopt AI technologies more readily, as they can see how patient care decisions are made. 

For example, healthcare providers can use explainable AI to understand how predictive models diagnose diseases and recommend treatments. This is critical in healthcare, where the rationale behind some decisions may have life-or-death consequences.

Integration with IoT devices

The integration of predictive analytics with Internet of Things (IoT) devices enables healthcare providers to collect and analyze data from a wide range of sources, using wearable technology like smartwatches and fitness trackers (Li et al., 2019). 

This will provide more comprehensive insights into patient health and improve decision-making. For example, smart medical devices could use predictive analytics to monitor patient health in real-time and predict potential complications. 

Democratization of AI and predictive tools

As AI and predictive analytics tools become more user-friendly and accessible, more health organizations can take advantage of these technologies. This will drive innovation and improve patient care across the healthcare industry, from small clinics to large hospital systems.

Conclusion

Predictive analytics and AI are changing the healthcare industry, offering powerful tools to forecast outcomes and make data-driven decisions. By understanding the progress and potential of predictive analytics and AI, along with real-world applications, benefits, challenges, and future trends, health organizations can be better positioned to navigate uncertainties, seize opportunities, and stay ahead of the curve.

References

A tech-based culture shift: How Gundersen achieved prime OR utilization with predictive analytics. Becker’s Hospital Review. Retrieved from https://go.beckershospitalreview.com/hit/a-tech-based-culture-shift-how-gundersen-achieved-prime-or-utilization-with-predictive-analytics

Business Wire. (2024). GE Healthcare Increases Access to Precision Care Tools, Encouraging the Continued Adoption and Practice of More Personalized Medicine Around the World. Yahoo! Finance. Retrieved from https://finance.yahoo.com/news/ge-healthcare-increases-access-precision-164000903.html

Chan, C., & Scheulen, J. (2017). Administrators Leverage Predictive Analytics to Manage Capacity, Streamline Decision-making. ED Management;29(2):19-23.

City of Hope. (2020). City of Hope and Syapse partner to provide precision medicine to cancer patients. Retrieved from https://www.cityofhope.org/city-of-hope-and-syapse-partner-to-provide-precision-medicine-to-cancer-patients

ConsultQD. (2019). Model Reliably Predicts Risk of Hospital Readmissions. Cleveland Clinic. Retrieved from https://consultqd.clevelandclinic.org/model-reliably-predicts-risk-of-hospital-readmissions

Health Catalyst. (n.d.). Predictive sepsis surveillance at Hoag Hospital. Retrieved from  https://www.healthcatalyst.com/success_stories/predictive-sepsis-surveillance-at-hoag-hospital

IBM. (2019). IBM and Mayo Clinic launch Watson-powered clinical trial matching. Retrieved from https://www.ibm.com/blogs/watson-health/ibm-and-mayo-clinic-launch-watson-powered-clinical-trial-matching

Intermountain Health. (2023). Predictive Analytics Important at Intermountain Healthcare.  Retrieved from https://intermountainhealthcare.org/blogs/predictive-analytics-important-at-intermountain-healthcare

Pritchard, J. (n.d.) Kaiser Permanente: Building a Resilient Supply Chain. The Journal of Healthcare Contracting. Retrieved from https://www.jhconline.com/kaiser-permanente-building-a-resilient-supply-chain.html

Li, J., Xie, B., & Sadek, I. (2019). Wearable technology and their implications in healthcare delivery. Health Systems, 8(1), 9-18.

Mount Sinai. (n.d.). From Bench to Bedside: Predicting Who Will Develop Chronic Kidney Disease. Retrieved from https://reports.mountsinai.org/article/neph2022-_1_renalytix-goes-into-clinical-use

Petrova, B. (2024). Predictive Analytics in Healthcare. Reveal. Retrieved from https://www.revealbi.io/blog/predictive-analytics-in-healthcare

Slabodkin, G. (2017). Penn leverages machine learning to identify severe sepsis early. HealthData Management. Retrieved from https://www.healthdatamanagement.com/articles/penn-leverages-machine-learning-to-identify-severe-sepsis-early

Stanford Medicine Catalyst. (n.d.) Catalyst supports innovations across all verticals, spanning the healthcare spectrum. Retrieved from https://smcatalyst.stanford.edu/catalyst-verticals/

Suleyman, M. & King, D. (2019). Using AI to give doctors a 48-hour head start on life-threatening illness. Google DeepMind. Retrieved from https://deepmind.google/discover/blog/using-ai-to-give-doctors-a-48-hour-head-start-on-life-threatening-illness/

The Challenge of Health Care Fraud. (n.d.) National Health Care Anti-Fraud Association (NHCAA). Retrieved from https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/

University of California, Irvine. (2021). AI is the future of healthcare. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20211005.299901/full