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Ramona Midkiff

Pilot Brings Digital Skills Training to South Carolina Seniors

By News

Source: Government Technology

A pilot project led by the South Carolina Department of Aging and Palmetto Care Connections aims to teach seniors the digital skills they need to combat social isolation and access telehealth services.

A project led by the South Carolina Department on Aging (SCDOA) and Palmetto Care Connections (PCC) is looking to reduce the digital divide among seniors by teaching them necessary skills for the digital age — like how to access digital tools, from emails to telehealth.

The COVID-19 pandemic has starkly underscored this technology gap. As more projects aim to teach young people about digital citizenship, older generations have not received the same attention.

“Social isolation has been around for a long time, but COVID brought it to the forefront,” explained Connie Munn, SCDOA’s agency director.

Funded by the Rural Local Initiatives Support Corporation (LISC), and SCDOA through the CARES Act, the project will grant a total of 100 tablets to seniors across five counties: Allendale, Barnwell, Clarendon, Lower Richland and Williamsburg.

For the seniors to get the maximum value from the tablets, it was also important to offer them 12 months of free broadband service, explained SCDOA’s senior consultant for outreach and partnership building, Kay Hightower.

The collaborative effort involved many different entities but was led by SCDOA and PCC, explained Hightower. PCC’s CTO Matt Hiatt negotiated a deal on 12 months of Internet service from Verizon. Each county also involved different partners in the effort — from area aging agencies to churches.

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SC House reps look to spend $2.5B in federal pandemic aid

By News

Source: The News & Observer

South Carolina lawmakers are considering all the ways they could spend the $2.5 billion in federal pandemic relief dollars that will soon flow into the state.

A group of House representatives met for the first time Tuesday to learn about how much COVID-19 aid the state is getting and what the money can and can’t be used on. South Carolina senators have formed a separate group to consider how best to use the funds.

We’re not making any decisions today,” said Rep. Bruce Bannister, who chairs the special committee. “This is going to be a fairly in-depth process.”

The relief money comes with some strings: the state can’t put it in pension funds, or use it to offset revenue lost due to a change in tax laws.

But there are many other ways lawmakers can spend the cash, from bolstering water and sewage systems across the state to replacing lost pandemic revenue. The money can also be used to assist households, small businesses and nonprofits, and industries hard-hit by the pandemic such as tourism and hospitality.

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Prisma Health using handheld exam kits to expand telehealth: 4 things to know

By News

Source:  Beckers Hospital Review

By:  Hannah Mitchell

Greenville, S.C.-based Prisma Health and TytoCare are partnering to enable remote medical exams with a handheld exam kit provided to the patient.

Four things to know:

1. Providers will be able to diagnose and treat patients remotely during telehealth visits with TytoCare’s FDA-cleared exam kit, according to an Aug. 17 news release.

2. The kit allows patients to perform heart, ear, throat, lung, heart rate and temperature examinations on themselves. Physicians will be able to guide patients, including patients who are children, through the medical exams.

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Richland County Seniors Complete Digital Literacy Training

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Back Row: Paul Dukes, Yolanda Lloyd-Flemming, Mary Etta Washington, Thelma Kelly, Gloria Anderson, Muriel Henderson, Elizabeth Epps, Dorothy Higgins, Robena Young, Ella Ruth Ellison, Veronica Johnson, Betty Jacobs, David Belton
Middle Row: Sallie Cuff, Johnnie Wright, Renetta Davis, Opal Brown, Carrie Ellison, Blondell Brown, Naomi Wilson, Charlotte West, Queen Deveaux
Front: Jessie Sinkler, Linda McCants (not pictured Margaret Burnette)

BAMBERG, SC—Senior citizens aged 60 years and up from Richland County recently completed a four-session digital literacy learning program at Bible Way Church of Atlas Road in Columbia conducted by Palmetto Care Connections (PCC), a state-wide, non-profit telehealth organization.

The program was part of a pilot funded by the Rural Local Initiatives Support Corporation (LISC) and the S.C. Department on Aging to help 100 seniors who live in rural communities with digital literacy training, a free digital tablet and free cellular service for 12 months.

Director of the Senior Ministry at Bible Way Church and Director of the Alzheimer’s Care Project at the Dream Center Sallie Cuff said, “When I look and see all these seniors, it’s really inspiring. It helps me to realize that without this program most of these people would not be able to connect to the outside, especially after COVID. I see a new life and an awakening. At least five of the participants are 80 years and older – one is 87 – I’m sure they never would have thought they could do what they’ve seen their grandchildren do with tablets. As seniors, we’re not dying – we’re thriving, especially when we’re given the chance to thrive. I am so grateful to Palmetto Care Connections and to Kay Hightower with the Office on Aging for including us.”

Senior citizens completed hands-on training using a digital tablet and learned skills such as how to send and receive photos and emails, connect with family and friends using video, search the internet for information, play mind-stimulating games and connect with their doctor for virtual telehealth appointments. PCC will provide ongoing technical support for the seniors who complete the program.

Class participant Gloria Anderson said, “This class was very informative. I learned about sending emails, taking pictures and how to find photos, change the settings, and how to use Google Classroom. And I learned about You Tube. I’m just fascinated with all this!”

Participant Muriel Henderson, a former teacher and guidance counselor said, “It’s good for brains to keep thinking and learning. It keeps you abreast of new technology and it’s also good because it helps you keep up with grandchildren. My granddaughter is four and she knows more than I do about my phone. We learned about contacting our medical providers so we can do some things from home. Many of us can use this to our advantage so we are not going to the doctor’s office all the time.”

Paul Dukes, Army Veteran and member of the Bible Way Church Senior Enrichment Ministry said, “The biggest thing is not to be afraid of the computer. It’s very easy, simple as one, two, three. You just have to trust the process. This class is very much needed. If you don’t learn technology, you will be left behind. Palmetto Care Connections is doing a great service for seniors in South Carolina and the rural areas.”

“The South Carolina Department on Aging works with a network of regional and local organizations to develop and manage services that help seniors remain independent in their homes and in their communities. SCDOA is pleased to be a part of the PCC Digital Inclusion pilot program focusing on seniors in rural areas in five South Carlina counties,” said Kay Hightower, SCDOA Senior Consultant, Outreach and Partnership Building.

“It is our hope that this pilot program will be a model for one approach to closing the digital divide in South Carolina,” said Kathy Schwarting, CEO of Palmetto Care Connections (PCC). “While PCC’s focus has traditionally been on serving rural health care providers with telehealth, broadband and technology resources, we have learned that patients need help in connecting to their health care providers. Residents of rural areas not only need internet access, they need access that is affordable and they need a device and knowledge to connect to resources for a better quality of life.”

Seniors from Clarendon and Williamsburg counties are slated to complete the digital literacy training next as part of the initial pilot program. PCC plans to expand the training for senior and underserved populations throughout the state.

Established in 2010, PCC is a non-profit organization that provides technology, broadband, and telehealth support services to health care providers in rural and underserved areas in S.C. PCC received the National Cooperative of Health Network Association’s 2021 Outstanding Health Network of the Year award.

PCC co-chairs the South Carolina Telehealth Alliance, along with the Medical University of South Carolina, serving as an advocate for rural providers and partnering with organizations to improve health care access and delivery for all South Carolinians.

Over $13 million awarded to two South Carolina rural districts for broadband expansion

By News

Source:  WLTX

Funds part of USDA’s $167 investment nationwide to connect areas to high-speed internet

COLUMBIA, S.C. — The United States Department of Agriculture (USDA) announced on Wednesday that two rural districts in South Carolina will be receiving a total of $13,087,738 in funds to be used to improve access to high-speed internet services.

The funding is part of the USDA’s ReConnect Program investment of $167 million in 12 states to deploy broadband infrastructure in rural areas without sufficient access to high-speed internet.

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New Telehealth Users Expected to Keep Accessing Virtual Care

By News

Stephen Miller, CEBS By Stephen Miller, CEBS August 11, 2021
Source: SHRM
Access to telehealth kept people out of hospital emergency rooms, new research shows. That’s likely to result in lower claims costs for employers.

About 1 in 7 people (14 percent) who used telehealth said they would have sought care in an emergency department or urgent care facility if telehealth had not been available, and more than half of those people had their primary health issue resolved using telehealth, based on responses from 1,776 adults interviewed June 28 to July 18, 2021.

The survey, conducted by the Bipartisan Policy Center (BPC) and Social Sciences Research Solutions (SSRS), showed that:

One-third of respondents reported having a telehealth visit for themselves or a dependent last year.

8 in 10 adults said their primary health issue was resolved during their telehealth visit.

The most common purpose for a telehealth visit was a preventive service, prescription refill or routine visit for a chronic illness.

Rural residents said they were more likely to use telehealth for surgical consults than people living in non-rural areas.

The survey also found that more than 9 in 10 adults were satisfied with the quality of their visit and were equally satisfied with both audio and video telehealth visits. Older adults were more likely to use audio-only, telephone services, however.

“New telehealth flexibilities have allowed millions of Americans to access health care from home, and as our survey shows, telehealth has the potential to take non-emergency cases out of the emergency department,” said Marilyn Serafini, BPC health project director.

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New Bill Seeks Nationwide Medicare Coverage for Asynchronous Telehealth Services

By News

By Eric Wicklund

Source: mHealth Intelligence

A Montana Congressman has introduced a bill that would establish Medicare coverage for asynchronous (store-and-forward) telehealth services in all 50 states, expanding the possibilities for a platform that would improve rural access to care.

– A Montana Congressman wants to improve rural healthcare access by ensuring Medicare coverage for asynchronous (store-and-forward) telehealth programs throughout the country.

The Rural Telehealth Expansion Act, introduced last week by US Rep. Matt Rosendale (R-MT), would lend credence to a platform that is growing in popularity, particularly in direct-to-consumer telehealth services. Asynchronous platforms allow the patient and provider to connect on their own time (rather than in real time), sharing images, data and messages in a secure portal.

The modality is especially valuable in rural and remote regions of the country where the broadband connectivity needed to conduct real-time audio-visual telehealth visits is unreliable or non-existent. Some states have moved to cover the modality in recent months, but the Centers for Medicare & Medicaid Services still limit Medicare coverage to Alaska and Hawaii.

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Zoom launches new telehealth feature for greater accessibility

By News

Source: Becker’s Hospital Review

Patients with Apple devices can now join telehealth appointments in a HIPAA-compliant setting without downloading Zoom’s app, the company said Aug. 9.

The company has added an iOS mobile browser feature to its Zoom for Healthcare platform that allows Apple device users to securely join telehealth appointments directly from their mobile browser. Providers can send patients a Zoom meeting link that launches the meeting in a mobile browser once clicked.

Zoom said the new feature is intended to decrease the amount of time providers and IT professionals spend coaching patients through tech support, allow patients and providers more flexibility in choosing where they conduct telehealth appointments from, and give patients the option of not having to download any software.

The company said it plans to roll out the feature for additional operating systems besides  iOS.

Zoom also announced some upcoming features that will allow providers to further customize their telehealth appointments. Providers will soon be able to send patients a Zoom meeting link by email or text without exposing the contact information of the web scheduler. They will also be able to send chat messages to patients in the virtual waiting room and set a pre-recorded video to play when patients enter it.

New Bill Would Expand Home Health Options, Including Remote Patient Monitoring, for Seniors

By News

By Eric Wicklund

Source: mHealth Intelligence

The Choose Home Care Act of 2021 would expand Medicare coverage for seniors who choose to go home after a hospital stay rather than to a skilled nursing facility. It would also open the door to remote patient monitoring, telehealth and other services.

– Home healthcare providers are divided over a bill introduced this week in the Senate that would expand Medicare coverage for seniors choosing home-based services, including telehealth and remote patient monitoring programs, after a hospitalization.

The Choose Home Care Act of 2021, introduced by Senators Debbie Stabenow (D-MI) and Todd Young (R-IN), aims to give more seniors the option to receive care at home for 30 days after a hospitalization, rather than going to a skilled nursing facility or other transitional setting. The legislation would open the door to a variety of home-based services, including skilled nursing, therapy, primary care, personal care, RPM, telehealth, meals, home adaptations and non-emergent transportation.

“The Choose Home Care Act represents a tremendous step forward for Medicare beneficiaries who would prefer to recover at home, but have been previously prevented from doing so under current policy restrictions,” William A. Dombi, president of the National Association for Home Care & Hospice (NAHC), said in a press release. “Given the many benefits of accessing healthcare and support services at home, as well as the importance of protecting vulnerable patients from COVID-19 and other infectious diseases, this must-pass legislation would go a long way to improve seniors’ health in a safe, cost-effective way.”

But not everyone agrees. Amid a flurry of press releases issued after news of the bill’s introduction came out, the American Health Care Association/National Center for Assisted Living offered a strong rebuke.

“We adamantly oppose this bill in its current form,” the group said in a statement. “The complex Choose Home Care Act would supplant existing benefits, create duplicative payments, confuse beneficiaries and increase out-of-pocket costs. At the same time, this legislation lacks clear quality and safety provisions, leaving patients vulnerable to inadequate care.”

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Medicare Proposes New Changes for Telehealth Services in 2022

By News
Thomas (T.J.) Ferrante

Thomas (T.J.) Ferrante

Board Certified Health Law Attorney at Foley & Lardner LLP

Editor’s Note: This article is the third of a four-part series discussing specific telemedicine and digital health features in the 2022 Medicare Physician Fee Schedule proposed rule. Read part 1 of this series here and read part 2 here.

On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released an advance copy of the calendar year (CY) 2022 Medicare Physician Fee Schedule (PFS) proposed payment rule, to be published on July 23, 2021. While the proposed rule introduces some new virtual care services (including Remote Therapeutic Monitoring), CMS rejected all requests to permanently add new telehealth services next year.

This article discusses: 1) the current state of Medicare telehealth services; 2) requests for new telehealth services; 3) extending the timeframe for Category 3 temporary codes; 4) a new permanent code for virtual check-ins longer than 10 minutes; and 5) whether CMS should continue allowing direct supervision via telemedicine.

Medicare Telehealth Services Post-COVID

Telemedicine and digital health technology is becoming an established part of medical practice and is very likely to persist after the COVID-19 pandemic. According to CMS data, before the Public Health Emergency (PHE), 15,000 Medicare patients each week received a telemedicine service. By April 2020, that number grew to nearly 1.7 million Medicare patients each week. Nearly half of all Medicare primary care visits in April 2020 were telehealth encounters, a level consistent with health care encounters more broadly. Between mid-March and mid-October 2020, over 24.5 million patients (approximately 40% of all Medicare patients) had received a telemedicine service. The data reveals how providers have begun to successfully integrate telemedicine into traditional health care delivery approaches.

The current list of Medicare-covered telehealth services includes approximately 270 services, with 160 services added on a temporary basis (including service categories such as emergency department visits, initial inpatient and nursing facility visits, and discharge day management services) and covered through the end of the PHE.

No New Telehealth Services Proposed For 2022

CMS received several requests to permanently add various services to the Medicare telehealth services list effective for CY 2022. Unfortunately, none of the requests met CMS’ criteria for permanent addition to the Medicare telehealth services list. The requested services are listed in the table below.

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CMS found that the codes did not meet the criteria for addition to the Medicare telehealth