The pMD Blog

Welcome to the
pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.

Skilled Nursing Facilities and Telemedicine: An Unlikely Marriage

At pMD, we are passionate about creating technology that not only improves patient care but stays up-to-date with the ever-changing needs and requirements of our practices. We realize the way in which providers practice medicine is changing, and we need to be able to support them in successfully navigating these changes. One newer feature of pMD is video calling, which enables provider-to-provider and provider-to-patient communication and brings telemedicine to our customers. While countless specialties benefit from telemedicine encounters, I’d like to highlight our friends in long term care (LTC) and how telemedicine can alleviate some of the stressors they are facing.

After working with my fair share of providers in LTC, one concern I heard repeatedly was about keeping their patients from being readmitted to the Emergency Department (ED). Of course, this is a concern because they want their patients to improve, but also because CMS is now penalizing LTC facilities when a patient who had been discharged is readmitted to the ED within 30 days. These penalties are hefty, and often have a tremendous impact on facilities where a large part of the population is covered by Medicare. Last year alone, 11,000 Skilled Nursing Facilities (SNFs) were penalized by Medicare. So why are these readmissions happening? Well, imagine this: your grandfather was discharged after a 2-week stay at an SNF. A couple of days later he complains of shortness of breath, but it’s a Sunday, and his doctor’s office is closed. Without a way to contact a member of his care team, you are left with little choice but to head back to the hospital. What if you have the ability to triage his symptoms over video conferencing? This could prevent readmissions by contacting a provider on his care team to determine whether or not a trip to the ED is necessary or if he can wait until the office is open on Monday.

Another challenge is providing care for a population that has a variety of conditions and comorbidities. The majority of providers I speak with are excellent primary care providers and feel passionate about their work. However, they are not specialists in fields such as nephrology or cardiology. For many of these patients, they come in with not just one condition, but a laundry list of problems, where outcomes would be improved if under the care of not only a primary care provider but also specialists who can monitor and treat more complex diagnoses. In order to get a care team on the same page for treatment, and thus improving outcomes, telemedicine provides an easy way to connect providers from all backgrounds and ensure the treatment plan sets the patient up for long-term success.

Lastly, the field of medicine is seeing a shortage of geriatric providers. According to the American Geriatric Society, there will be a 45% increase in demand for geriatricians between the years of 2013 and 2025. Many people are living longer due to advances in medicine and, therefore, the elderly population is growing faster than is scalable. Many providers select other specialties, either because they are unaware of this niche or because the thought of caring for geriatric patients with many comorbidities can be daunting. Telemedicine can help in this area, especially in rural areas, as providers can still see and care for these patients, even if they are not at their bedside. This technology improves provider bandwidth and allows them to manage a larger patient census remotely.

Telemedicine can improve provider quality metrics by making providers more readily available during off-hours, reducing readmissions and ED visits. This availability allows patients to have their symptoms triaged in real-time, and also allows providers to more easily collaborate regarding patient care. Lastly, because LTC providers are often dealing with a growing elderly population, telemedicine broadens their reach and enables them to see more patients, without having to travel. While there are likely other use cases I haven’t yet covered, it’s clear that telemedicine will be a valuable tool for LTC providers.

To find out more about pMD's suite of products, which includes our MIPS registrycharge capturesecure messagingclinical communication, and care navigation software and services, please contact pMD.
5G ACA Account Management ACI Advancing Care Information AHCA AHRQ AI Alternative Payment Model Android API Apple Artificial Intelligence Audit BCRA Best Place to Work Big Data bootcamp BPCI BPTW Bundled Payments Care Communities care coordination Care Navigation Care Team Career Fair CDC Charge Capture Charge Capture App Charge Capture Software Charge Capture Solution Charge Capture Statistics Charge Lag CHIP CIO Clinical Communication clinical data Clinical Data Registry Clinically integrated network CMS cms regulations Communication Company Culture Conferences Connected Health Record culture custom reports Customer Interaction customer success customer support Customers cybersecurity Developer DHHS Dialysis discharge instructions EHR Electronic Charge Capture Encryption epidemic Expansion FDA FHIR Flu fundamentals GI GI Outlook Goals Health Care Health Care Technology Health Care Web health data Health Information Exchange Health Record Healthcare HIE HIPAA hipaa compliant communication hipaa compliant communication platform HIPAA-Compliant HL7 Home dialysis Hospital Census Hospital Communication IA ICD-10 ICD-11 Implementation Improvement Activities Instant capture interoperability iOS iOS 8 iOS7 iPad iPhone iPhone 6 Lead Generation length of stay Long Term Care LTC Machine learning MACRA Medical Billing Medical Errors Medical Software Medicare Mentorship Messaging Messaging with Patients MGMA MIPS MIPS Registry mobile Mobile App Mobile Charge Capture Mobile EHR Mobile Health Mobile Messaging Mobile security Mobile Technology Modern Healthcare Native App Network new feature news NIH OCM onboarding Oncology Care Model opioid crisis Patient Patient App Patient Care Patient Chat Patient Communication patient data Patient Engagement Patient Generated Health Data Patient Handoff Software Patient Information Patient Safety Patient Visits Patient-Centric pmd pMD Team population health Population Health Management PQRS Product Development Productivity Promoting Interoperability QCDR Quality Scoring Recruiting Recruitment Reimbursement Remote Work reports Residents Responsibility ROI Sales Secure Data Secure Messaging Secure Messaging Video Secure Text Messaging Security Audit SF Biz Times SNF SOC 2 success support TCM Teamwork technology telehealth Telemedicine Text Messaging texting training Travel Upgrades VA Value-based care Video Calling Video chat video communication video conferencing Wearable Device wearing many hats Web App Wireless Work From Home