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    Innovation in Healthcare - A Look at Online Doctor's 'Visits'

    November 11th, 2009

    by Christopher Cornue

    I recently learned about an online medical practice that uses the Internet to connect with and take care of patients. I was intrigued by what I heard, so I researched the site further and found it to be a very interesting concept.

    Through the site, patients use the Internet as a primary means of communication with their healthcare provider. They create an account where their healthcare information will be stored and then have access to multiple physicians at a click of the mouse.

    [More:]

    It's an interesting concept in that each patient's interaction with his or her provider takes place through the Internet (via instant messaging, video or email).

    For example, a patient who wakes up feeling ill may they log into his account and schedule a cyber "appointment" with a physician. The physician would log on, review the information provided and discuss the patient's symptoms via the Internet. Depending upon the results of the conversation, several things may occur next: 1) An in-person appointment might be scheduled; 2) The physician would call in a prescription for the patient to pick up at a later time; or 3) Another regimen of care is provided, with a follow-up appointment necessary to ensure the patient is on the mend.

    Using an online account, patients identify physicians with whom they'll establish a relationship as part of their own personalized "care team."

    The website touts the significant savings in time for these patients--specifically the amount of time that is saved by not waiting in the ED or physician's offices. I expect, too, that there are cost savings by doing much of the physician-patient interaction via the Internet.

    Additionally, physicians signed on with the site are not part of insurance plans, so most of the cost is out of pocket (unless the patient has insurance plans that allow for "out of network" visits).

    If you take a close view of the this website, you'll notice that it has signed on with physicians in only a few markets, including areas of York and California. This may or may not be a deterrent, however, since so much of the patient/physician interaction takes place via the web.

    This unique company has been in existence for only about a year, so it's too early to tell how this model might play into our national healthcare debate. However, I can see how this innovative approach might be very attractive to many physicians and patients alike, and at the very least offers another option for patients seeking healthcare.

    I'm curious to hear what you think, though. Is this kind of web-based interaction a potential avenue for healthcare in the future?

    -- Christopher Cornue is the former CEO of McKee Medical Center in northern Colorado, served as vice president at Mount Sinai Hospital Medical Center in Chicago, and has held several leadership roles at the University of Chicago Hospitals.

    Comments, Pingbacks:

    Comment from: Raymond Zakhari, NP [Visitor] · http://MetroMedicalDirect.com
    I think a major health care reform initiative is getting the care to the patient when they need it so that they don't have to resort to an ER.
    Another practice takes the use of internet technology to facilitate care a step farther by allowing the patient to request a visit to their home, office or hotel in NYC. This company is also new, but seems to be meeting it's growth goals. The practice is categorized as a "web-based primary care medical house calls" practice.
    Permalink 11/11/09 @ 23:22
    Comment from: Anthony Cirillo [Visitor] · http://www.4wardfast.com
    Jay Parkinson is the founder of this company. He has been profiled in Fast Company. He would be worth a profile in Fierce Healthcare. The back story on how this started is interesting unto itself.
    Permalink 11/12/09 @ 15:03
    Comment from: Betty [Visitor] · http://www.twitter.com/bookwormplace
    It sounds similar to just calling your doctor's office and speaking with a nurse except you communicate via the computer. It seems that the very important and effective aspect of medicine that originates in the personal relationship between the doctor and patient is either very limited or already established. I've been reading a book called "Time to Care" by Norman Makous, M.D. The book proposes bringing the patient-doctor relationship back to the center of the health-care system. As a patient, this is what makes me trust my doctor and keep returning.
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    Permalink 11/13/09 @ 14:04
    Comment from: Julia Mason, MS NP [Visitor]
    I think this business has HUGE Opportunity for the Provider and the patients. THis could rekindle the patient relationship and make significant in roads in patient education. I am interested to know if you reach the Provider( MD, NP) directly? It is a big negative to not have access to Physicians(Especially when I call as I am an NP and have to suffer through the nurse screening) and this could improve that ..perhaps even too much!
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    Permalink 11/21/09 @ 17:38
    Comment from: Kalon Mitchell [Visitor] · http://www.telehealthconnect.com
    Here is another site you might look at. It is free to individual healthcare providers and their patients. It uses Microsoft HealthVault to store all patient to provider communication securely. It is intuitive and easy to implement.
    Permalink 11/23/09 @ 14:13
    This is a great innovation indeed regarding health care. Moreover in this fast moving world, people give very less importance to go for a doctor consultation and most of them feel that it is wasting their valuable time. This kind of online treating will be less time consuming task and easier for both the doctors and also the patients.
    Permalink 12/05/09 @ 01:02
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    Jay Parkinson created this company and appeared on Fast company. I think he's worth appearing on Fierce Healthcare.
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    This kind of online treating will be less time consuming task and easier for both the doctors and also the patients.

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    Permalink 01/06/10 @ 05:07
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    If you take a close view of the this website, you'll notice that it has signed on with physicians in only a few markets, including areas of York and California. This may or may not be a deterrent, however, since so much of the patient/physician interaction takes place via the web.

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    Comment from: alyssa [Visitor]
    Interestingly, Michigan has been ahead of the curve in terms of forcing changes in hospitals there, which has saved lives and money. And the hospitals there improved their rates without employing new technology.

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    I still consider a personal visit to doctor is far better than online thing, I just don't feel like getting diagnosed if I try online way, it's more of advisory thing for me!
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