Connect with us

Health

Telemedicine was made easy during COVID-19. Not any more

Published

on

(AP Photo/John Bazemore)

Telemedicine exploded in popularity after COVID-19 hit, but limits are returning for care delivered across state lines.

That complicates follow-up treatments for some cancer patients. It also can affect other types of care, including mental health therapy and routine doctor check-ins.

Over the past year, nearly 40 states and Washington, D.C., have ended emergency declarations that made it easier for doctors to use video visits to see patients in another state, according to the Alliance for Connected Care, which advocates for telemedicine use.

Some, like Virginia, have created exceptions for people who have an existing relationship with a physician. A few, like Arizona and Florida, have made it easier for out-of-state doctors to practice telemedicine.

Doctors say the resulting patchwork of regulations creates confusion and has led some practices to shut down out-of-state telemedicine entirely. That leaves follow-up visits, consultations or other care only to patients who have the means to travel for in-person meetings.

Susie Rinehart is planning two upcoming trips to her cancer doctor in Boston. She needs regular scans and doctor visits to monitor a rare bone cancer that has spread from her skull to her spine.

Rinehart doesn’t have a specialist near her home outside Denver who can treat her. These visits were done virtually during the pandemic.

She will travel without her husband to save money, but that presents another problem: If she gets bad news, she’ll handle it alone.

“It’s stressful enough to have a rare cancer, and this just adds to the stress,” the 51-year-old said.

Rinehart’s oncologist, Dr. Shannon MacDonald, said telemedicine regulation enforcement seems to be more aggressive now than it was before the pandemic, when video visits were still emerging.

“It just seems so dated,” said MacDonald, who recently co-wrote a piece about the issue in The New England Journal of Medicine.

To state medical boards, the patient’s location during a telemedicine visit is where the appointment takes place. One of MacDonald’s hospitals, Massachusetts General, requires doctors to be licensed in the patient’s state for virtual visits.

It also wants those visits restricted to New England and Florida, where many patients spend the winter, said Dr. Lee Schwamm, a vice president for the Mass General Brigham health system.

That doesn’t help doctors like MacDonald who see patients from around the country.

Cleveland Clinic also draws a lot of patients from out of state. Neurosurgeon Dr. Peter Rasmussen worries about how some will handle upcoming travel, especially because winter can bring icy weather.

A fall “literally could be life ending” for someone with a condition like Parkinson’s disease who has trouble walking, he said.

Psychiatrists have a different concern: Finding doctors for patients who move out of state. This is especially difficult for college students who temporarily leave home.

Most U.S. counties have no child and adolescent psychiatrists, noted Dr. Shabana Khan, chair of the American Psychiatric Association’s telepsychiatry committee.

“If we do try to transition patients, often there is no one there,” Khan said.

Helen Khuri’s mother found a specialist to help her when the 19-year-old’s post-traumatic stress disorder flared up last spring. But the Emory University student had to temporarily move from Atlanta to Boston for treatment, even though she never set foot inside the hospital offering it.

She rented an apartment with her father so she could be in the same state for telemedicine visits, a situation she deemed “ridiculous.”

“It didn’t necessarily make sense to … kind of uproot my life, just to receive this three-week treatment program,” Khuri said.

Even people seeing doctors close to home can be affected.

Dr. Ed Sepe’s Washington, D.C., pediatric practice has patients in Maryland who have started driving a few miles across the border into the city to connect by video. That saves them a 45-minute trip downtown for an in-person visit.

“It’s silly,” he said. “If you are under a doctor’s care, and you are in the U.S., it doesn’t make any sense to have geographic restrictions for telemedicine.”

Sepe noted that low-income families tend to be in jobs that don’t allow time off for in-person visits. Some also have a hard time getting transportation. Video visits were helping with these obstacles.

“It’s bigger than just telemedicine,” he said. “There’s a missed opportunity there to level the playing field.”

States can play an important role in telemedicine’s growth by guarding against fraud and protecting patient safety, according to Lisa Robin, an executive with the Federation of State Medical Boards.

But the federation also recommends that states loosen some telemedicine restrictions.

That includes permitting virtual follow-ups for someone who has traveled out of state to seek care or for people who temporarily move but want to stay with a doctor.

States could also form regional compacts with their neighbors to ease cross-border care, noted Dr. Ateev Mehrotra, a Harvard health policy professor who studies telemedicine.

“There’s so many ways that these issues can be addressed,” he said

In the meantime, patients who need care now are trying to figure out how to manage it.

Lucas Rounds isn’t sure how many visits he will make to see MacDonald in Boston to monitor his rare bone cancer. The 35-year-old Logan, Utah, resident already spent months away from home earlier this year, undergoing radiation and surgery.

Plus he has a wife and three young girls and expenses like a mortgage to consider.

Rounds says he has to think about taking care of his family “if the worst happens.”

“If I die from cancer, then all these expenses we’ve accrued … those are dollars that my family wouldn’t have,” he said.

Health

Buccaneers to Honor Cancer Survivors at Sunday’s Crucial Catch Game, Donating $40K to Research

Published

on

TAMPA, Fla. (FNN SPORTS) – On Sunday, September 29, the Tampa Bay Buccaneers will host the Philadelphia Eagles at Raymond James Stadium in a 1 p.m. ET kickoff. The game will be the Buccaneers’ Crucial Catch event, supporting the NFL’s campaign to fight cancer and emphasizing the importance of early detection.

The Buccaneers will continue their tradition of giving back, with the Tampa Bay Buccaneers Foundation set to donate $40,000 to cancer research, raising their total contributions to over $550,000 in the last 13 years. Funds will benefit key cancer organizations including AdventHealth West Florida Foundation, Moffitt Cancer Center Foundation, and more.

Throughout the game, fans, players, and partners will “Raise the Flags” for loved ones affected by cancer. Fans will receive a custom mini-poster to show their support. At halftime, cancer survivors Bianca Muniz and Elana Gilbert will take the stage for an emotional performance honoring those impacted by cancer.

Official Crucial Catch merchandise will be available, with all proceeds supporting the American Cancer Society’s mission to provide screenings to underserved communities.

 

Continue Reading

Health

AdventHealth awards $1.4 million to 6 nonprofits addressing urgent workforce needs in Central Florida

Published

on

ORLANDO, Fla. — AdventHealth is distributing nearly $1.4 million over the next three years to the 2024 recipients of its Community Impact Grants, giving six Central Florida nonprofits the chance to bolster their missions and help bring prosperity and wholeness to the community by training the workforce of tomorrow.

This year’s Community Impact Grants are focused on one of Central Florida’s top community health concerns, addressing critical workforce development needs in the health care, construction, hospitality and tourism industries, by funding programs that will provide job training, internship and apprenticeship opportunities and education assistance. Workforce development was selected as the priority for this year’s grants based on input from residents in the triannual Community Health Needs Assessment, building on investments made in 2023 that focused on mental health.

“At AdventHealth, we talk a lot about whole-person care, and we also realize that a person’s health is determined by so much more than just the health care setting,” said JB Boonstra, executive director of Community Advocacy for AdventHealth. “We know that employment is one of the most significant social determinants of health and a key part of that is earning a living wage. This year’s spotlight on workforce development speaks directly to that.”

The median income for a household in the Orlando area is about $43,000, the Department of Labor reports — not even close to the wage needed to live in Florida for a family of four, which is about $66,300, according to the United Way’s ALICE report.

“Almost half the people who go to work every day don’t make enough money to pay the bills, and one of the biggest challenges we see here in Central Florida in terms of workforce development is access to career opportunities,” said Marc Stanakis, president and CEO of Jobs Partnership, one of this year’s grant recipients. “For a lot of people in our community, they just don’t know what’s available or what types of jobs they can pursue that would allow them to get on a career path toward economic mobility. For organizations like ours, it’s really exciting to see the change that happens by simply opening the door of opportunity for someone.”

The 2024 grant recipients:

  • CareerSource Central Florida’s Community Health Champions program aims to create a career pipeline into the health care industry. Whatever roadblocks residents are facing, including language barriers, transportation challenges or unreliable Internet access for applying to jobs, CareerSource Central Florida offers a variety of vocational training and internship opportunities to overcome them. CSCF is upskilling health care workers who are culturally competent, empathetic and equipped to connect with the diverse populations they serve, making health care more accessible and impactful. Training goes beyond job skills, focusing on understanding and addressing the unique needs of community members.
  • The Sharing Center’s ProjectRISE, which, in addition to the organization’s food pantry, homeless resource center and thrift store, aims to address poverty and assist residents in accessing higher-paying jobs. Funding for ProjectRISE will allow 360 residents to enroll in a four-week comprehensive workforce development program focused on building emotional intelligence, soft skills and job-acquisition skills.
  • employU’s vocational rehabilitation program serves residents with mental and physical disabilities as part of the organization’s mission to create inclusive workplaces. Acting as a one-stop shop for career development and employment resources, employU provides employment training, paid work experience, job placement and job retention support. The organization will use the grant to fund new initiatives to help individuals access community resources and prepare for employment through workshops on financial literacy, social media safety and workplace readiness. It will also fund a program manager position to reach more residents and ultimately help them achieve financial independence.
  • Home Builders Institute BuildStrong Academy of Orlando is a tuition-free program delivering industry-recognized skills to train a new generation of home builders looking to break into the construction industry. The Academy offers career-focused education through hands-on learning, classroom instruction and real-life experience. Students train with skilled trades instructors who guide them through HBI’s nationally and industry recognized Pre-Apprenticeship Certificate Training curriculum and receive job placement assistance upon graduation, helping build a pipeline of residential and commercial construction workers.
  • iBuild Central Florida’s Pre-Apprenticeship Program is an innovative approach in attracting more people to jobs in the telecommunications construction industry, which is currently facing mass shortages nationwide. Based at Osceola Technical College, the program targets students enrolled in English language-acquisition and GED classes, 80% of whom live below the federal poverty line.
  • Jobs Partnership’s Stepping Up program equips residents who are unemployed or working low-wage jobs, combining soft skills training, career navigation and vocational training scholarships. Since its founding in 1999, the organization has served more than 3,300 people, empowering them to change their professional trajectories and developing a career pipeline into the health care industry. Last year, 79% of participants got a new job or started vocational training after completing the program.

Among the organizations that received grants, two are focused on bolstering the construction workforce. Central Florida’s lack of construction workers has contributed to a lack of affordable and attainable housing, with median home prices reaching $440,000, according to the Orlando Regional Realtors Association. And as the state wrangles with a shortfall of nearly 436,000 rental units, renters — who make up a third of the region’s population — have also watched rents skyrocket, hitting $1,600 a month for a one-bedroom unit.

“Virtually every industry is experiencing labor shortages, but the construction industry is significantly undersupplied,” said Emily Price, senior vice president of development and partnerships engagement for the Home Builders Institute. “The construction industry needs approximately 732,000 new workers each year to meet demand.”

Recognizing that employment and access to housing go hand in hand, Crystal Davidson, vice president of iBuild Central Florida, said creating a pipeline into the construction industry addresses multiple challenges. “They’ll be in a career field in the construction industry where they won’t want for a job for at least the next 25 years,” Davidson said, “because there is such a skills trade shortage across the United States, but especially in Florida.”

For more than 115 years, AdventHealth has called Central Florida home, and as a not-for-profit organization, has the privileged duty to invest financial resources into the community. In 2023 alone, AdventHealth contributed nearly $1.3 billion in community investments in Orange, Osceola, Seminole and South Lake counties, allowing more residents to access the medical care they need and deserve and supporting local nonprofit organizations.

“Investing in our community is a responsibility that AdventHealth treats very seriously and passionately, because we’ve seen the transformation that happens with these dollars,” said Tricia Edris, chief innovation and partnerships officer for AdventHealth’s Central Florida Division. “AdventHealth is proud to bring these six organizations together to now tackle issues around workforce development. It’s too big a problem for just one of us to solve. We must come together as a community.”

Continue Reading

Health

Officials Celebrate Milestone at AdventHealth Minneola Topping-Out Ceremony

Published

on

MINNEOLA, Fla. (FNN) – AdventHealth Minneola marked a major construction milestone today as leaders, physicians, elected officials, and community members gathered for the hospital’s topping-out ceremony. The new facility has reached its full height of four stories, with attendees signing a commemorative structural beam.

“AdventHealth is honored to be Minneola’s partner in health. I’m thrilled to bring this world-class healthcare facility to South Lake County,” said Kay Barnett, CEO of AdventHealth Minneola.

Located on Hancock Road near Florida’s Turnpike, the 204,000-square-foot hospital will feature an emergency department, operating suites, heart catheterization labs, 80 private inpatient rooms, and more. It is expected to bring around 500 jobs to the community.

“Providing care close to home is central to our mission,” said Dr. Miles Bennett, Chief Medical Officer for AdventHealth Winter Garden and Clermont.

The facility is set to open in late 2025.

 

Continue Reading
Advertisement
Advertisement Ticket Time Machine ad
Advertisement Orlando Regional REALTOR Association logo
Advertisement Parts Pass App
Advertisement Hispanic Chamber of Commerce of Metro Orlando
Advertisement
Advertisement African American Chamber of Commerce of Central Florida
Advertisement FNN News en Español
Advertisement Indian American Chamber of Commerce logo
Advertisement Florida Sports Channel

FNN Newsletter

Trending