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More telecare data--less understood? A possible solution?

Wednesday, 09 December 2009 14:47

As a marketer, I cheer on competition in the telecare area, as it validates the category and forces all players to innovate more closely to the customer (or expire.)

However all the data that is being generated is both a strength and weakness. Onsite clinicians and aides, for the average 100-200 people in an assisted living facility (ALF), have difficulty keeping up with normal duties, much less dig deeply into graphs and charts which may not be second nature to them. This training and extra work has been a sales stumbling block, for all the alerts and enhanced care that telecare enables. More uncompensated work becomes a negative and records can even imply a legal liability if an incident does happen (like emails in recent corporate fraud cases.)

I suggest that call centers or teams similar to Paul Otellini's (Intel) concept of 'virtual clinicians' (see July TA articles) become part of these systems. Emergency alerts would continue to be handled directly at the ALF (obviously). But what the 'virtual clinicians' would do is take on the duties of analyzing the reports generated by telecare systems, then alerting ALF staff to the implications of the data. They could also backstop emergency or serious alerts as an option.

This doesn't have to wait for 'reform'.  There are companies in the field with call center operations that have more advanced medical alerting capabilities (e.g. AMAC) and health management companies (Aetna's ActiveHealth, United Healthcare's OptumHealth, WellPoint's Resolution Health, and smaller independents like AllOne that are also into mobile) that have the bandwidth and the nursing staff to develop this into a lucrative business. This monitoring would increase cost but also reduce AL liability--and break open the independent living, home care and at-home markets which have similar 'blocks'.

Your thoughts?

 

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