Teledermatology

Interview with a Teledermatology Patient

Frequently we receive positive feedback from patients about their experience seeing their dermatologist on MyDerm Portal. The feedback is empowering to both the team and our dermatology customers. This week we spoke with Kelsey Taylor who has used MyDerm Portal several times for follow-up care with her dermatologist. Below is a summary of the interview she graciously agreed to share with our community.

Kelsey Taylor

Have you heard of or had any prior experience with telemedicine visits?

I’ve had a few friends try telemedicine but it was through a company that provided them with a random general practice doctor who happened to be available. I loved the concept of telemedicine but prefer seeing my own doctors, who I have an established relationship with.

What were your immediate thoughts when your dermatologist offered you a telemedicine follow-up visit?

I was happily surprised that it was an option. Thankfully, I have a flexible job so taking time for doctor’s appointments is not a problem but when you combine commuting time plus the actual time spent in the doctor’s office, it can easily take 2 hours for a simple visit. I appreciated that they were offering more flexible options for people.

Tell us about your experience doing your telemedicine visit on MyDerm Portal.

The whole process was so easy! I got an email from MyDerm Portal the day of my online appointment. When I got home from work I used the link from the email to log in. After that I answered a few questions about my condition and took pictures of the problem area. It took less than 15 minutes from start to finish. My dermatologist responded later that evening with her recommendation for medication. I had a few questions which I was able to easily submit through the portal. I got a response from my dermatologist via the portal the next morning, answering my questions and notifying me that my prescriptions were being sent to the pharmacy that day.

What did you like best about doing your visit online?

At first I loved the ease of completing the appointment from home. But now that I’ve completed a few appointments through MyDerm Portal, I would have to say that the best part is having all the information from the appointment available online, in a single place. If I forget what order to apply my medication (this has happened a few times), I can login to MyDerm Portal and re-read the instructions from my doctor. Or easily look up when I started a new medication. I know I can always call my dermatologist’s office to get these answers but it is nice to have a self-service solution.

Would you recommend your dermatologist to friends and family because they offer telemedicine visits?

Absolutely. It’s really hard to find a doctor you like. It’s even harder to find a doctor you like that is conveniently located near your home/office/school/etc. My dermatologist happens to be a 45 minute drive for me and sometimes that distance can be a barrier. In the past, I would put off scheduling appointments because of the hassle of leaving work and driving to the doctor’s office. Now I can complete the online appointment at a time that is convenient for me.

Telemedicine in 2016

Everyone’s been publishing their 2016 predictions and trends to watch in healthcare. Wearables, big data, patient monitoring, ACO’s, and of course telemedicine are all top of the list. When I was just starting MyDerm Portal, I had much more time to think about predictions and the market. This past year has been a little different as you might imagine. I’ve been deep in the weeds: learning how to acquire customers, how those customers engage with patients on our telemedicine platform, and enhancing our product to optimize use.

One thing which is abundantly apparent is that engaging patients to use telemedicine is probably the most important factor in accelerating telemedicine’s adoption. Building physician awareness about telemedicine is not complete but has definitely been solved. Ask any doctor if they’ve received an email about telemedicine today. Doctors are being bombarded with telemedicine platforms–I know, because we’re one of those companies constantly knocking on the door.

The next step, is educating patients. If you’ve been living in the telemedicine world a while, as I have, it is easy to get lulled into thinking that everyone knows about it–well this past year knocked me back into reality. Ask anybody what an Apple watch or Fitbit does and they’ll immediately tell you. Ask about telemedicine though and you’ll probably get a pause. Well funded companies are blowing through cash to onboard doctors onto their system and then those doctors are left with an expensive, underutilized platform without any help. There have been a lot of grumblings about Teladoc’s per-member-per-month fee. They claim it is used for marketing to help their customers increase patient engagement. If that’s true, then I get it!

What we’ve learned at MyDerm Portal is that onboarding a new customer is very much just the beginning. Now we’re partners. Now we need to help them realize the value of telemedicine. That means helping them educate and raise the awareness of telemedicine to their patients. For us, 2016 means maximizing the patient engagement of our customers!

Teledermatology – 6 Lessons Learned

A Report on Teledermatology

As 2015 comes to a close, I want to share the most valuable lessons we’ve learned from operating a teledermatology solution.

Patient Fit

Obviously, there are a lot of potential patients that can benefit from a teledermatology visit. Access to a dermatologist can sometimes be challenging and even if a patient has a scheduled appointment, making that appointment can often be difficult given our busy schedules. With that said, from what our dermatologists tell us, the best teledermatology candidates share some common characteristics. Cash pay patients: For many of these patients, teledermatology is usually a no-brainer given that a virtual visit can represent a significant discount to a in-person appointment. Patients with high-deductible insurance plans also experience the same benefit. Working parents: As mentioned before, getting to the clinic can be challenging and nobody realizes this more than busy parents. Established patients: While some patients choose a teledermatology visit as their initial care, we see the most volume from patients who have an established relationship with the dermatologist.

Most Common Diagnosis Treated

Over 40% of our telemedicine visits are for Acne. About a third are for Post-Op visits. As you might expect, the remaining patients are comprised of common dermatological conditions (Eczema, Rosacea, Psoriasis).

Patient Satisfaction

Our experience is in-line with what most published studies have found. Patients love it! Most of our patients report they are Very Satisfied with their telemedicine visit and the majority would recommend the service to a friend or family member. What is surprising is the wide age range of patients using telemedicine. We’ve seen patients from 18 all the way up to 74 years young!

Workflow

Clinic workflow is vital to success in healthcare. Starting anything new, like teledermatology, can be disruptive to any effectively managed process and so we’ve monitored this closely. We’ve had to constantly improve how practices sign up patients, introducing new tear pads that allow clinic staff to offload the patient signup process. In addition, we’ve introduced a messaging system that streamlines questions patients have about their treatment plan.

Marketing

A teledermatology solution without marketing support can make it difficult for a clinic to realize the full benefits of offering telemedicine. For this reason, we now provide a full suite of marketing assets to assist the clinic with ramping up telemedicine in their practice. Marketing is not a one-time thing–it is an ongoing activity that clinics just don’t have the time to do and we can now help support clinics with this aspect of their business.

Benefits Aren’t All Monetary

While teledermatology brings in revenue just as in-person visits do, the benefits are far greater than that. Teledermatology helps with patient retention. Those patients that miss their clinic visit now have the option to do a telemedicine visit–maintaining continuity of care and keeping that patient engaged with your practice. Practices using our platform have very high patient satisfaction and offering telemedicine helps maintain that level of satisfaction. Some benefits have no monetary value but help the dermatologist provide a very high-level of care and peace of mind. A great example of this are Post-Op visits. Now the dermatologist has a secure way see the healing progress after surgery and detect infections much earlier, all without sacrificing valuable clinic time for a simple check up. In fact, just last week our Chief Medical Officer, Dr. Peña, performed a post-op visit with a patient who reported healing well but spotted an infection from the submitted pictures.

Want to learn more about MyDerm Portal and how we can help implement teledermatology in your dermatology practice? Schedule a demo at a time that works best for you http://mydermportal.com/myderm-portal-demo/

Online dermatology visits, 2.0!

New And Improved

Our customers have transformed the patient experience, making it easier than ever to provide access to high-quality dermatological care. The response from patients has been incredible as well! They love being able to conveniently follow-up with their favorite dermatologist through their mobile device or computer. Meanwhile, our tech and product teams have been incredibly busy gathering feedback and developing new features to enhance and expand our offering. With all this work, I’m proud to announce the launch of MyDerm Portal 2.0! Below you can read about just a few of the new features included in this release.

Online Dermatology Visits

We’ve found that patients want online access to more than just dermatology follow-up visits. We listened, and launched an incredible new feature that allows existing and prospective patients to start an online visit on their own. Patients simply go to your practice website and click on “Start Visit” and we take it from there! Patients answer a few screening questions for safety and accuracy. Next they upload photos and answer an assessment that is unique to their condition–don’t worry, no large blank boxes! We help you get the right information you need to assist your patients. Now you can see more patients, online, at your convenience. And online visits still take less than 2 minutes to complete with our customizable report templates.

PhotoXpress

Here’s a scenario: Patient calls you with a skin issue. They try and describe it but they don’t know what plaques are. You just wish you had a photo. You might ask a patient to text or email you a photo, but what about HIPAA? We get it; you just want to help your patients. Don’t worry, there’s an app for that! PhotoXpress is a standalone feature we created just for you. In less than 10 seconds you can securely request a patient photo from your phone using PhotoXpress. Patients get a text or email with a unique link to upload and share photos. Your phone number or email isn’t shared and we take care of security. View photos directly from your phone.

Redesigned Clinic Interface

The clinic user interface has been redesigned to make completing online patient visits even faster. In addition to working great on your iPad or Android tablet, we’ve given you the ability to customize and develop your own response templates. This means you can customize the response to every patient patient condition with the click of a button.

Text Notifications

We know you’re not at a computer all day. You might not check your email obsessively like we do. Don’t worry, we fixed that. Now you can easily configure your MyDerm Portal settings to get a text message notification anytime a patient submits a visit. Now you’ll never miss a patient visit!

AAD Annual Meeting: Teledermatology

This post originally appeared on The Dermatologist

Dermatology is one of the few medical specialties that has been at the forefront of telemedicine. The recent American Academy of Dermatology’s (AAD) annual convention in San Francisco provides the best pulse of telemedicine in dermatology. Even though the conference attracts more than 17,000 attendees across the globe, all of the telemedicine talks featured dermatologists practicing in the United States.

Despite dermatology’s long history of telemedicine activity, this year offered the most striking uptick in interest from private practice dermatologists. What follows are the 4 take-aways from a non-clinician attendee who’s been following teledermatology since 2008:

Finally, reimbursement is not the hot-topic

Historically, reimbursement has been one of the first questions asked by a dermatologist in the crowd. Can I get reimbursed? Under what conditions can I get reimbursed? These are usually the issues that are top of mind with dermatologists. No more!

Now, the first questions are around liability. Dermatologists, like a lot of physicians, are justified to think that they might be opening themselves up to yet more malpractice claims by practicing telemedicine. The good news, reported in one of the talks, is that there has been no litigation to date attributed to the practice of teledermatology.1 In reality, it is hard to say if this is indicative of the future given the scope of telemedicine practiced in most dermatology clinics. In my own experience and interviews, telemedicine can often be covered under a dermatologist’s existing professional liability policy if performed under the proper care model. To be safe though, every practice should examine their policy before adopting any telemedicine.

Dermatologists now have more choices

The market has been expanding to meet the increasing interest in telemedicine and at the recent AAD conference and exhibit hall in San Francisco, Calif. this was obvious. I counted six teledermatology companies attending the conference. Many of these companies are still very young with the oldest founded just 3 years ago.

With new telemedicine platforms popping up every day, I expect next year to have more than double the number of companies. This is great news for dermatologists because competition brings choice, lower prices and better products.

Dermatologists who study telemedicine aren’t comfortable with direct-to-consumer care models

Direct-to-consumer is a patient initiated visit in which a diagnosis is given remotely, via telemedicine, without ever establishing a prior patient-physician relationship in person. To be clear, this does not include patients receiving a teledermatology consult while under the supervision of a primary care physician or in a hospital setting. It is a trend which sparked a growth of telemedicine in dermatology the past couple of years however the AAD came out against this practice in a recent position paper last August.2

It is difficult to say how dangerous, if at all, this practice is except that there is little evidence to date to support its safety and efficacy. This is the area where there is probably the most contention between dermatologists in private practice and those focused in academic practice.

Young Derms Will Not be the Early Adopters of Telemedicine

This is probably the most counterintuitive fact I learned while at the conference. This year’s meeting showed the largest attendance to date at the telemedicine talks. But the seats weren’t occupied by newly minted dermatologist —most were taken by experienced, private-practice dermatologists in their forties and older.

However, with a little reflection this is should not be surprising. Older dermatologists are likely more comfortable with their diagnostic abilities and have an established and growing panel of patients. Based on comments from attendees like these, older dermatologists are looking to continue to grow their practice and teledermatology is one of the most effective ways to accomplish this.

Online dermatology visits becoming a reality

As a patient and health technology advocate, it is exciting to see the interest and adoption of teledermatology accelerating. Telemedicine reimbursement is finally a hot topic for state legislatures with new legislation expanding coverage like the recent proposal in Minnesota.3 This movement in reimbursement along with an acceleration of interest among dermatologist should make for a big year in telemedicine.

References

  1. Lee, Ivy. "Medico-Legal Considerations In Teledermatology&quot. The American Academy of Dermatology Annual Meeting 2015. San Francisco, CA. March 20, 2015.
  2. American Academy of Dermatology and AAD Association: Position Statements. Position Statement on Teledermatology. August 9, 2014. https://www.aad.org/Forms/Policies/Uploads/PS/PS-Teledermatology.pdf. Accessed April 3, 2015
  3. Browning, Dan. Minnesota telemedicine coverage would expand under new bill. February 26, 2015. http://www.startribune.com/lifestyle/health/294062701.html. Accessed April 3, 2015.