Telehealth-RPM-Virtual Visits-Voice Health

June -- it was the worst of times.  Who can comprehend that 43% of Covid-19 deaths are linked to nursing homes? Who could have imagined the economic impact of job loss and (almost all) business shutdown?  Who could have speculated that senior living organizations would have occupancy levels nationwide below 88%? Who would have thought that telehealth definitions would include phone calls and Facetime?  Most importantly, as so many families were reminded, their aging relatives had not adopted any of the devices and software that would enable face-to-face communication. Or that high speed internet would not be available in nursing homes or the dementia care units in assisted living where their relatives now lived. Let’s hope July is better! Here are the five blog posts from June 2020:

https://locatemotion.com/remote-patient-monitoring/Telehealth – the genie is out of the bottle.  In March, the government announced expansion of telehealth access, noting that it would raise the reimbursement rate for telehealth visits during the Covid-19 pandemic to match the doctor’s rate for in person visits, as Seema Verma, the head of CMS noted: ‘the genie was let out of the bottle’ and won’t likely be put back in. The regulatory change enabled "the use of smartphones, video conferencing platforms such as Zoom, and messaging services like WhatsApp; and the ability to provide care across state lines in 48 states."

Will results change when older adults are surveyed later this year? So we know that ‘remote care’ and ‘caring’ in its various forms, including telehealth, seem to be heating up as a priority, whether for senior living organizations, families, healthcare provider organizations, and putting more emphasis on the need for home healthcare and home care, especially in times in which the care workers hesitate to enter a home and which families are locked down and not visiting.  Here is where we were on technology adoption at the start of the pandemic, and the wave of telehealth interest heated up.  As one tech company told me, a one-year-pipeline compressed into a month of demand.  And a plethora of companies raised their hands to offer their engagement technology for free.  So if this is the baseline of adoption, what’s next when the surveys come around again?

May was an unmerry month of angst and abject failure. All around, we have been locked down beginning in March. We have been incredulous, watching older adults die alone in a nursing home, and then dying in many nursing homes. Then half of the 30 million small businesses shut down temporarily. Then hospitals limited admissions in anticipation of an onslaught – and limiting their revenue-generating business – and some shut down completely. And on and on. In May came the trickling of re-openings and beginning of renewed life, though very different from that previous life.  We wait and watch to see what will be different, especially for older adults and their access to technology, moving forward. Here are six blog posts from a May unlike any previous:

Technology usage has climbed sharply during Covid-19. Pew Research notes 53% of responders in April consider the Internet as ‘Essential’– although, no surprise, the oldest did not. And Nielsen observed that the pandemic was a catalyst for the rise of tech use for working at home and shopping, among other uses. In addition, telehealth usage has skyrocketed, with virtual doctor visits expected by Forrester Research to top 1 billion by years end. The spike has been attributed to a) the declaration of a state of emergency in March; b) introduction of Medicare/Medicaid coverage matching in-person visits; and c) encouragement from hospitals and medical practitioners.

Companies continue to invent and introduce technology. In the face of the devastation and economic collapse precipitated by the pandemic, many tech firms soldier on, finding opportunity, re-spinning products, and announcing new capability. It is encouraging to see this sheer quantity of free offerings, accelerated interest in telehealth, and other innovations in smart homes, healthcare and robotics that have emerged in the past few months of the Covid-19 pandemic. Here are just five focused on older adults: