Better Access Through Virtual Visits

The Agency for Healthcare Research and Quality (AHRQ) announces the November 6 issue of the Health Care Innovations Exchange (http://www.innovations.ahrq.gov).
  • The featured Innovations describe three programs that used virtual visits to increase patient access to health care. The programs include one in which a solo practitioner provided year-round, 24-hour-a-day access to care for her patients through liberal use of “virtual” or e-mail visits and telephone calls; another that used an online clinic to diagnose and treat minor health problems with a protocol-based treatment plan; and one that allowed patients with skin conditions to submit their medical history and photographs through secure, Web-based applications for review by a dermatologist.
  • The featured QualityTools include a Web site that offers resources on using technology to assist care coordination and improve the independence of older adults, a guide for developing a remote diabetic retinopathy screening program, and a toolkit for developing telehealth activities.
  • To access more innovation profiles and tools related to virtual visits and telehealth, go to http://www.innovations.ahrq.gov/innovations_qualitytools.aspx?categoryID=54553&taxonomyID=54617.

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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