Monthly Writings

Evaluations and reviews of the latest in the field.

4 Strategies of On-Demand Telemedicine Disruptive Innovation

The Theory Of Disruptive Innovation Can Serve As A Strategic Roadmap For Maximizing Telemedicine's Value

  • On-Demand telemedicine will continue to be adopted by healthcare organizations to meet patient needs, convenience, accessibility and affordable services.

  • Little guidance exists to help explore the necessary steps to explore this disruptive innovation.

  • Telemedicine is not one health service offering but rather multiple potential service lines, each requiring goals, workflows, stakeholders and financing.

  • Healthcare organizations must address the 4 business strategies outlined to be successful.


Background

  • Newer forms of telemedicine will disrupt current care delivery models to create accessible and affordability in health care.

  • Disruptive innovation is closely tied to its business model.

  • Past failures in disruptive innovation in healthcare has been due to the inability to align the innovation with healthcare innovative business models.

  • Healthcare organizations are typically a mixture of multiple business models under one roof.  Therefore, to be successful with a disruptive technology such as telemedicine, an innovative business model is needed as well.

  • The following 4 interrelated components must be addressed to fit together and form a strategic direction.

Review

Innovation in Care Delivery

  • On-Demand telemedicine represents a fundamental change in the patient care delivery process.

  • The key concept is ACCESSIBILITY.

  • Patient convenience, expedited and the right level of care delivery including follow-up services (check on patient progress or scheduling appointments).

  • Consider:  How do we modernize the concept of the traditional House Call from the early 1900’s with home based diagnostics, peripheral devices and virtual visits?

Balancing Resources for on-Demand Clinical Services:

  • Outsourced resources are a relatively new concept to healthcare delivery

  • Due to its newness, there is limited data to guide us on the appropriate decisions to make.

  • Advantages of Clinical Outsourcing Include:

    • Lower internal resources needed

    • Increased flexibility

    • Outside resource responsible for operational issues and staffing costs

  • Disadvantages of Clinical Outsourcing include:

    • Should be avoided if the service has a high level of market uncertainty

    • Higher level of service complexity

    • Harder to integrate into internal systems (EMR, billing, ordering, etc)

  • Complete dependency on external clinical support is not a permanent strategy.

    • Should develop an appropriate balance between internal and external clinical support to meet the value proposition.

 Disruptive Market Strategies:

  • Raising awareness is the first step in the use of a new innovation.

  • Developing a tight bond between the patient and organization is a key factor for the success of a Disruptive Innovation Telemedicine solution.

  • The service should be positioned as an available service offered by an organization the patient already knows and trusts to manage their medical care.

New Organizational Partnerships:

  • Explore new innovative relationships with external entities outside traditional healthcare organizations.

  • Self-Insured organizations

  • Hotel chains.

 CONCLUSIONS:

  • As digital care goes mainstream, it is becoming even more debatable if telemedicine is a disruptive technology.

  • Newer forms of telemedicine will disrupt current care delivery models

  • To be successful, healthcare organizations must understand how to navigate business models and strategies to encourage adoption.

Subscribe to the monthly newsletter here:  http://eepurl.com/gFJKYD

Erkan Hassan