Latest / Becker’s Healthcare Digital Health + Health IT / Jasmine Bishop, Managing Director at MedStar Telehealth Innovation Center
Transcript
- 0:00Philips is a health tech leader focused on
- 0:03innovation that improves the health and well-being of
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- 0:09help care teams diagnose, treat, and manage more
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- 0:25Philips.
- 0:28This is Gracelyn Keller with the Becker's Healthcare
- 0:30Podcast, and we are live at the 9th
- 0:32annual health IT digital health and RCM conference.
- 0:36I'm excited now to be joined by Jasmine
- 0:39Bishop, who is the managing director at MedStar
- 0:42Telehealth Innovation Center.
- 0:44Jasmine, thanks for being here, and would love
- 0:46to start off by having you introduce yourself
- 0:47a little bit further.
- 0:49Thanks for having me.
- 0:51As you said, I'm the managing director for
- 0:53our telehealth innovation center at MedStar Health. We're
- 0:55a 10 hospital health system in the DC,
- 0:57Maryland, and Virginia area, and we are also
- 1:01benefited by a large innovation institute of which
- 1:04I am part of. And we are
- 1:07supporting,
- 1:08up to 450,000
- 1:10patient visits each year with some of our
- 1:12telehealth, so I'm excited to talk to you
- 1:14a little bit more about that today. But
- 1:16as a quick background, I've been in telehealth
- 1:18for 15 years. I started in California where
- 1:20I'm originally from, and we started back then
- 1:23with addressing the biggest barriers that we have
- 1:25in telehealth, which is broadband. So we actually
- 1:27were
- 1:28installing,
- 1:29broadband lines across the state of California.
- 1:31And
- 1:32since then, I've moved into the health system
- 1:35space, and I'm excited to be able to
- 1:37expand what it means
- 1:39to provide telehealth care and move into some
- 1:42more care innovation. So I'm excited to talk
- 1:44more about that today. Great. Well, thank you
- 1:46so much for being here. And I understand
- 1:48your organization has had 3 years of historic
- 1:51growth in this space. So can you expand
- 1:53a little bit on how telehealth has matured
- 1:55for you?
- 1:57Definitely. So MedStar Health was well positioned when
- 1:59the pandemic hit, and everyone had to shut
- 2:02down most of their ambulatory operations in March
- 2:05of 2020.
- 2:06And well positioned because of us having a
- 2:09MedStar Institute for Innovation and a telehealth innovation
- 2:12center, which I now lead alongside my diet
- 2:14partner, Doug Breith and Booker.
- 2:16And we had already partnered with different platforms
- 2:19to be able to provide telehealth services. We
- 2:21just had to amp them up significantly.
- 2:23So we have the same story that every
- 2:25other health system had about historic growth in
- 2:27that moment. What I'm really excited to talk
- 2:29about is where we're going next and how
- 2:31we've already started to see some of that
- 2:32growth stabilize.
- 2:34So we are now in a moment where
- 2:36we have 15% of our ambulatory visits are
- 2:39still being done over telehealth, at least in
- 2:41primary care. Overall, about 8%,
- 2:43and we get upwards of 30 to 40%
- 2:45in our behavioral health space.
- 2:48Year over year, we continue to see in
- 2:50this past 2 fiscal years
- 2:52450,000
- 2:53visits per year, which suggests some stabilization.
- 2:56So I'm excited for us to be able
- 2:58to continue to build on that growth and
- 2:59then, as I said, be able to move
- 3:01beyond what is considered traditional telehealth.
- 3:04And how has this evolution of telehealth enabled
- 3:08care continually?
- 3:10So the care continuity piece is important because
- 3:13it describes how we can bring in technology
- 3:16beyond just the point of care when a
- 3:18patient, say, bumps their head in the middle
- 3:19of the night and needs to call our
- 3:21247 virtual urgent care platform, which we call
- 3:23MedStar evisit.
- 3:25We also are being able to bring this
- 3:27technology into our urgent care centers. MedStar operates
- 3:30over 30 urgent care centers across, Maryland, DC,
- 3:33and Virginia,
- 3:34And these urgent care centers are key to
- 3:36part of our care continuity plan. We wanna
- 3:39make sure that patients are going into the
- 3:40right center of care for their acuity level.
- 3:43Sometimes the patient doesn't always know, and that
- 3:45is where we're able to bring in specialty
- 3:48consultations into urgent care. So imagine if you
- 3:50go into one of our urgent care centers
- 3:52and you are not so sure if you
- 3:54might need to go to an emergency
- 3:56department,
- 3:56we actually have bunkered ED Physicians that are
- 4:00supporting the urgent cares through video based consultation
- 4:03to help the urgent care providers make those
- 4:06decisions at the site of care.
- 4:08We also are able to
- 4:09provide some confidence and comfort to what we
- 4:11would call our worried well, those that are
- 4:14fine to go home, but do have some
- 4:16ailment that would be benefit
- 4:18from connecting with a specialist. And so in
- 4:20that moment, we can actually roll in a
- 4:22video cart and have them do a teleconsult
- 4:25either with the patient in the room or
- 4:27just between the urgent care provider and their
- 4:28specialist
- 4:29to discuss the treatment plan when the patient
- 4:32gets home and even to schedule at the
- 4:34appointment.
- 4:35That also helps with our patient's ability to
- 4:38know who to reach out to, and we
- 4:40can even schedule that appointment right when they're
- 4:42there.
- 4:44And as we discussed telehealth and with the
- 4:48incredible growth that we've seen in that area
- 4:50from
- 4:51couple years ago all the way through now,
- 4:53I would love to know how you see
- 4:55that health care organizations can better support
- 4:58both IT and clinical teams as we're carrying
- 5:00out these innovations and delivering health in a
- 5:03digital way? Yeah. It's such a great question.
- 5:05We have a shiny toy problem.
- 5:07It's, it's really fun to do the new
- 5:09thing. It's just like any one of us
- 5:11that have started a diet program as an
- 5:13example. We do it for a couple weeks.
- 5:15It feels good and because it's exciting and
- 5:17new, and then it drops off. I think
- 5:19the same thing can happen in not exactly
- 5:21the same way, but with the same impact
- 5:23when it comes to building out new innovation
- 5:25in our health systems.
- 5:26We will find ourselves with an impassioned clinical
- 5:29champion that wants to do something important,
- 5:32maybe even be lucky enough to have some
- 5:34funding for it. And then, ultimately, once we
- 5:37have that thing live, we move on to
- 5:39the next without
- 5:40continuing to build and nurture that original innovation.
- 5:44So one of the ways that we can
- 5:45support our IT organization is ensuring that when
- 5:48we are considering a new innovation, we build
- 5:50it in a way that has sustainability.
- 5:52And sustainability isn't just ensuring that it has
- 5:55a clinical champion that is going to stick
- 5:57around. It's also about understanding the back end
- 6:00support.
- 6:01Cybersecurity is a big issue for everyone right
- 6:04now, and we wanna make sure that we
- 6:05have
- 6:06product managers that are supporting these platforms that
- 6:09we put in place, application support so the
- 6:11users have someone to reach out to when
- 6:13the product isn't working. And,
- 6:16ultimately, when we are
- 6:18going after financing for these new innovations,
- 6:21keeping our IT colleagues in mind and ensuring
- 6:23that we're building the support that they will
- 6:26need to be providing us into that finance
- 6:29request.
- 6:30And finally, as we wrap our conversation, I'd
- 6:33love to know what your top piece of
- 6:34advice is for health care leaders
- 6:37as we prepare for further advancements in technology
- 6:40and greater
- 6:41demands for care.
- 6:43Sure.
- 6:43So I would say partner boldly,
- 6:46and I mean that internally and externally. So
- 6:49we are familiar with the traditional lines of
- 6:52value,
- 6:53cost savings, revenue generation.
- 6:55We know that we can go to our
- 6:56finance teams and show them where those are
- 6:59hitting in ROI through a nicely
- 7:02built business case. But there's a lot more
- 7:04value that can be gained through patient and
- 7:06provider experience
- 7:07that doesn't have to always be seen as
- 7:09soft value. There are ways to define that
- 7:12that actually make a difference for our system
- 7:15to ensure that the very slim margins that
- 7:17nonprofit health systems work within, we're able to
- 7:20make those margins work for us and for
- 7:22our patients and ensure that we're still
- 7:25funding innovation for the next generation.
- 7:28The other element that I would share is
- 7:30on the external side. So we like to
- 7:33partner with all size of vendor,
- 7:36and sometimes they're startups, and that requires us
- 7:38to put together a bit of a vendor
- 7:40stack to support whatever the initiative is. Maybe
- 7:44that vendor is really good in one space,
- 7:46but we need to round them out with
- 7:481 or 2 other vendors. Sometimes those other
- 7:50vendors might be competitors to the original one,
- 7:53and we want to encourage them to partner
- 7:55boldly too. See beyond those traditional
- 7:57competition lines so that they can partner in
- 8:00a way that
- 8:01allows for true codevelopment
- 8:03and building out real innovation.
- 8:06Wonderful. Well, thank you so much for taking
- 8:08the time to join me today, Jasmine, on
- 8:10the Becker's Healthcare podcast. Again, we are live
- 8:12at the 9th annual health IT digital health
- 8:14and RCM conference. Thanks so much, Grace.