Transcription
Laboratory evolution andadaptation to telemedicine:Are we Blockbuster in a Netflix world?Andrew Fletcher, MD, MBA, CPE
Laboratory evolution andadaptation to telemedicine:Are we Blockbuster in a Netflix world?Review existing survey results.ARUP Telemedicine Survey Results.Examine why we asked these questions.2
The Chartis Group.Telehealth AdoptionTracker from the ChartisGroup and Kythera Labs.https://reports.chartis.com/telehealth trends andimplications-aug2020/(accessed on August 12,2020).3
Transition to TelemedicinePrimary care practice volume in April 2020Specialty practice volume in April 202070%58%decrease inancillary volumes58%decrease inambulatoryencountersdecrease inancillary volumes63%decrease inambulatoryencountersPremier Inc. (2020). How COVID-19 is reshaping ambulatory revenue, volumes and operations [Whitepaper]. Retrieved August 10, 2020, 9AmbulatoryReport LandingPage.html?utm source pinc&utm medium blog&utm content whitepaper&utm campaign WC FY20 PH PES COVID-19 Ambulatory Report4
COVID-19 STAT Intelligence Briefings. Lab test dashboard from XIFIN.https://covid19briefings.com/xifin-2/ (accessed on August 12, 2020).5
ARUP SURVEY RESULTSOverview of Laboratory Telemedicine SurveySurvey open from 7/30/20 – 8/20/20 with 63 total responses Distributed survey to 2,971 active clients and received 56 responses, which is a 2% responserate. These clients who were invited are not competitors, not affiliated with the U of U or ARUP,Lab management or Medical director/pathologist contact type Account Executives also sent out the survey to key clients to which we received 7 responses.Survey contains 12 questions – 11 multiple choice & 1 comment question6
ARUP SURVEY RESULTSWhat percentage of ambulatory care do you expect will be provided in a virtual setting in your healthcaresystem today? One year from today?21%Less than 25%24%AnswerLess than 25%25% - 50%50% - 75%More than 75%Don't knowTotal24%22%25% - 50%19%50% - 75%13%8%More than 75%3%29%Don't know38%0%10%Today20%30%40%One year from today7TodayOne year from todayPercentage Count Percentage %3.2%21828.6%38.1%2463100%100%63
ARUP SURVEY RESULTSWhich program(s) does your laboratory support?Outreach programAnswerOutreach programInreach programBoth outreach and inreachprogramsNeither outreach nor inreachprogramsTotal14%Inreach program9%Both outreach and inreach programs66%Neither outreach nor inreach programs11%0%20%40%60%80%8Percentage Count14.3%88.9%566.1%3710.7%6100%56
ARUP SURVEY RESULTSWithin your outreach program, how has COVID-19 and the transition to virtual healthcare impacted revenue?Inreach program?No change10%16%11%Less than 25% decrease20%25% - 50% decrease22%9%50% - 75% decreaseMore than 75% decrease0%AnswerNo changeLess than 25% decrease25% - 50% decrease50% - 75% decreaseMore than 75% decreaseDon't knowTotal29%17%2%33%32%Don't ge eachPercentage Count9.8%419.5%822.0%917.1%70%031.7%13100%41
ARUP SURVEY RESULTSWhat locations are available for outpatient phlebotomy services in your healthcare system(excluding the hospital setting)? (Select all that apply)Clinics/Doctor offices47%Patient service centers39%Home phlebotomy service8%Other (please specify)7%0%10%20%30%40%50%10AnswerClinics/Doctor officesPatient service centersHome phlebotomy serviceOther (please 473987101
ARUP SURVEY RESULTSFor clinics/doctor offices, how have phlebotomy hours and/or services for non-COVID-19 related testing been impacted?Patient service centers?Home phlebotomy service?6%Increased hours and/or servicesClinics/Doctoroffices13%38%Answer PercentageIncreased hours6.4%and/or servicesDecreased hours46.8%and/or servicesNo change34.0%Don't know12.8%Total100%47%47%Decreased hours and/or services13%34%32%No change25%13%Don't know8%25%0%Clinics/Doctor offices20%Patient service centers40%60%Home phlebotomy service11CountPatient serviceHome phlebotomycentersservicePercentage Count Percentage %1233825.0%25.0%100%228
ARUP SURVEY RESULTSHow useful would mobile home phlebotomy be if it were available?Extremely useful13%Moderately usefulAnswerExtremely usefulModerately usefulSomewhat usefulSlightly usefulNot at all usefulDon't knowTotal17%Somewhat useful19%Slightly useful8%Not at all useful11%Don't know32%0%10%20%30%40%12Percentage Count13.2%717.0%918.9%107.5%411.3%632.1%17100%53
ARUP SURVEY RESULTSAre there patient service centers from commercial laboratories in your region?Commercial Labs76%YesNo17%7%Don't knowAnswerYesNoDon't knowTotalPercentage75.9%16.7%7.4%100%Count419454In a transition to telemedicine, how likely is it that some of your patients have gone to these commercialsites for laboratory services instead of your own laboratory?Very likely7%Somewhat likely34%Not at all likelyAnswerVery likelySomewhat likelyNot at all likelyDon't knowTotal24%Don't 34.1%100%Count314101441
ARUP SURVEY RESULTSAre outpatient phlebotomy services available in your healthcare system after hours or on weekends?Yes76%NoAnswerYesNoDon't knowTotal22%Don't Count4112154
ARUP SURVEY RESULTSIf you searched online for laboratory services in your area, where would your laboratory appear on the search list?Please rate the strength of your local laboratory's web presence:Very strong27%Somewhat strong23%Neither strong nor weak17%Somewhat weak6%Very weak6%Don't know21%0%10%20%30%15AnswerVery strongSomewhat strongNeither strong nor weakSomewhat weakVery weakDon't %Count14129331152
ARUP SURVEY RESULTSDo patients in your healthcare system have the ability to schedule phlebotomy appointments online? (Overall & by Facility Type)Overall31%Community 362%54%Academic46%27%Community 164%18%Community 240%YesNoAnswerOverall AnswerCommunity 3AcademicCommunity 1Community 2Children’sPathology Group orClinicVA/FederalYes17Yes73212NoNo3467873211Don't knowDon't know41111Total CountTotal 0%Don't know16Community 1: 100Community 2: 100–249Community 3: 250–499Community 4: 500
ARUP SURVEY RESULTSWhat problems or issues have you or your patients experienced with telemedicine? (Select all that apply)Patient has trouble connecting viatelemedicine software18%Patient lacks access to computer,smartphone, internet, etc.AnswerPatient has trouble connecting via telemedicinesoftwarePatient lacks access to computer, smartphone,internet, etc.Patient dislikes telemedicineProvider dissatisfied with telemedicineReimbursement problems with telemedicineOther (please specify)Total42%Patient dislikes telemedicine17%Provider dissatisfied with telemedicine7%Reimbursement problems with telemedicine7%Other (please %3016.7%6.9%6.9%9.7%100%1255772
Blockbuster versus Netflix18
Options for telemedicine patientsneeding lab testsCHALLENGES AND SOLUTIONSHospitalDoctor officePatient ServiceCenterLess ConvenientRetailHome CollectionMore Convenient19
Everett Rogers Theory ofDiffusion of Innovations20
a brave new world .21
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failed-and-why-itdidnt-have-to/#127ce9401d64 2019 ARUP LABORATORIES
Are we Blockbuster in a Netflix world? Review existing survey results. ARUP Telemedicine Survey Results. Examine why we asked these questions. 2. 3 The Chartis Group. Telehealth Adoption Tracker from the Chartis Group and Kythera Labs. https://reports.chartis.co m/telehealth_trends_and
