General

Growth of the Evidence Base for Digital Health is Crucial for the Adoption

“If current evidence is only followed by clinicians 60% of the time, why is it so important that we have good evidence for our interventions?”  This was a question posed to me by my friend Bleddyn Rees as we prepared for a talk I was recently invited to give at the Digital Health Society Summit …

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Is The Tide Turning In Favor of Telehealth?

There has been much controversy in the lay press in the last six months or so regarding telehealth as a tool for addressing the behavioral health crisis.  Much of the conversation has centered on whether a video consultation with a behavioral health provider is of sufficient quality to allow decision-making regarding prescribing psychiatric medications.  There’s …

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Planning for the Next Phase of Telehealth: Scenarios

Dealing with COVID-19 has been a true game of whack-a-mole for all healthcare stakeholders.  Here in the U.S., so much of telehealth’s penetration into care delivery is dependent on the state of the public health emergency, during which flexibilities put in place by the Administration have enabled utilization through generous reimbursement.  On March 15, President …

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Lessons Learned from 2020 Provide a Springboard for Increased Telehealth Adoption

While thinking about my keynote address at the 2021 American Telemedicine Association (ATA) annual conference, I kept coming back to Daniel Kahneman’s Nobel-prize-winning theory (his book is called Thinking Fast and Slow). This theory formed the basis for the field we now know as behavioral economics.  What Kahneman describes as heuristics (pattern recognition or System …

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The Need for a Gold Standard in Telehealth Education

According to the Consumer Technology Association, recent data shows that 59% of consumers use remote mental health services, 49% are using telehealth for physical health, and 37% are using health fitness apps – all increases compared to before the COVID-19 pandemic.  We have seen how telehealth, as a channel for healthcare delivery, expanded dramatically earlier …

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MA State House

Goals For Telehealth For 2021

On New Year’s Day, Massachusetts Governor Charlie Baker signed into law a healthcare reform bill that is a metaphor for the state of telehealth as we put 2020 in the rearview mirror.  Telehealth advocates have plenty to be pleased with in the final legislation (see the American Telemedicine Association’s press statement here).  The law requires …

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Lessons Learned on Data Integrity in the Fight Against Covid

In January 2020, I agreed to take on responsibilities as Editor-in-Chief for Nature’s digital medicine journal, npjDigital Medicine.  With all of the on-the-job training, I have learned quickly how critical our associate editors and reviewers are and, thus, the high quality of the papers we publish.  It is easy to view this enterprise with pride, …

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Telehealth is a Critical Part of the Covid-19 Solution

We have had one case of Covid-19 so far in Massachusetts, and there is one reported case in Rhode Island. I am ambivalent about the media coverage on this virus. On the one hand, it has undoubtedly helped with containment efforts. However, I do wish the media would use less sensational descriptors when reporting on …

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