1. What key
policy changes and by which governing bodies were made in the United States for
telehealth in response to the ongoing COVID-19 public health emergency?
How did these changes affect
the uptake of telehealth by healthcare organizations? (300-500 words)
2. Which of these policy
changes do you think should remain in effect after COVID-19 and why? (250-500
words)
Part 1
The covid -19 disease is
highly contagious, and hence the department of health and human services(HHS),
the state, and the federal government put various measures to relax various
regulations and rules regarding the provision and accessibility of health services
to curb the increasing spread. This involved waving medical restrictions
regarding the provision of telehealth services (Gorodeski et al., 2020). The
key policy changes include waving the Physician mandatory licensing, relaxing
of HIPAA privacy rules relating to telehealth technologies to increase
flexibility and uptake of the virtual visits system. Other policy changes
include removing barriers to Medicaid privacy policy and home eligibility sites
(Gorodeski et al., 2020). In addition, most of the insurance provided supported
the adoption of virtual visits. Thus, the various policy changes focused on
relaxing the licensing barriers to enhance the feasibility of virtual
visitation to reduce increased conduct and prevent the fast spread of the
covid-19.
However, the uptake of
telehealth has been influenced by various policy changes, as healthcare
organizations can adopt the system with few restrictions in terms of licensing
and privacy rules. Organizations have been able to reduce congestion and offer
follow-up services to their clients in rural areas and those in need of
post-discharge care (Gorodeski et al., 2020). For instance, the Veteran Affairs
(VA) department in the US experienced an increase in the number of veterans
seeking appointments through virtual appointments. Research indicates that most
of the veterans' virtual visits were about mental health, demonstrating the
feasibility of virtual visits in providing follow-up services and
post-discharge care for chronic illnesses (Gorodeski et al., 2020). However,
adopting virtual visits requires the healthcare provider and patients to
undergo training on how to use the technology. Another concern for the
organizations is the safety of using virtual visits instead of in-person
visits, the ability to integrate the virtual visit system into the clinicians'
workflows, and payer reimbursement (Gorodeski et al., 2020). Thus, although
there has been increased use of telehealth services during the covid -19 period
to the flexibility of the policies, the organization still needs to work on
properly integrating virtual visits into its system.
Part 2
Telehealth interactions
through virtual visits have been considered feasible, enhancing the patient
experience and saving time and cost. This system helps patients to get quality
services without visiting the healthcare facilities hence convenience. To enhance
the telehealth uptake by healthcare organizations, the department of health and
human services (DHHS) should retain the policy change regarding licensing and
privacy which directly hinder the ability of organizations to integrate
telehealth practice (Gorodeski et al., 2020). For instance, the restrictions on
privacy in the provision of telehealth hinder clinicians from offering
telehealth services due to the requirement only to deliver medical care through
public virtual visit platforms. Waving such policies increases flexibility in
the healthcare sector, which motivates clinicians to adopt virtual visit
systems, which are more convenient for most patients. The use of virtual visits
to access medical health care proves to be the most effective way to mitigate
the spread of covid-19 (Gorodeski et al., 2020). Therefore, the federal and
state governments should enhance flexibility in the policies regarding
telehealth practices to enhance the virtual visits uptake as it is crucial in
enhancing access to healthcare services irrespective of one location, saving
the patients time and transportation costs, helping in managing mental health
issues without physically visiting the facility. It also helps generate revenue
for the facility and maintain a healthy interaction between the patient and the
healthcare giver (Gorodeski et al., 2020). Thus, the Department of Health and
Human Services (DHHS) and the governments must consider relaxing the rules and
regulations regarding telehealth practices to enhance the uptake of virtual
visits even after the covid-19 to enhance the healthcare sectors and easy
adaptation to emergencies in healthcare.
References
Gorodeski,
E. Z., Goyal, P., Cox, Z. L., Thibodeau, J. T., Reay, R. E., Rasmusson, K.,
Rogers, J. G., & Starling, R. C. (2020). Virtual visits for care of
patients with heart failure in the era of COVID-19: A statement from the Heart
Failure Society of America. Journal of Cardiac Failure, 26(6),
448–456. doi.org/10.1016/j.cardfail.2020.04.008