How to Best Utilize Telemedicine to Manage Chronic Care

Visual Communication Technology for Healthcare

A couple of weeks ago at the ATA Fall Forum conference, I participated on an industry panel titled, “Telemedicine & Chronic Care – What Does the Evidence Show? A Review of Findings from Scientific Studies.” The distinguished panel commented on the findings of Dr. Rashid Bashshur’s thorough studies on telemedicine and chronic care.

This is an extremely hot topic for healthcare systems as the number of chronic patients is on the rise. Due to many demographic and lifestyle reasons, chronic care is topping 70 percent of the healthcare expenditure and is expected to increase.

As the vendor representative on the panel, I provided commentary specific to the operational aspects of setting up a telemedicine program designed to help manage chronic care. To do this successfully, here are my two main recommendations:

1.     Think BIG!

Many of the programs established for chronic care management only covered a few hundreds or thousands of patients, and many of them were experimental and short-lived. It’s hard to examine the real impact on the quality of care and associated costs without such programs being mass deployed. Moving forward, in order for such programs to succeed, they should be designed accordingly, with the ability to scale and cover thousands or even tens of thousands of patients. Here are some of the considerations:

  • Commercial sustainabilityAnalyze what the cost of adding a new patient to the program would be, and the expected return on investment. Be sure to confirm the commitment of the investment source.  I have seen quite a few programs die when the grant that was used to start it dried up.
  • Measure criteria of success It’s important to define the criteria of success and related measurements to assure that the program stays on track.
  • Training and adoptionPrepare a training program for your staff as well as for patients. Don’t rely solely on a few enthusiastic champions to provide ad hoc guidance to all users and patients. Last I checked, they generally don’t teach how to properly sit and engage in front of a webcam during medical school.
  • Network designScalability is one of the most crucial factors to a telemedicine deployment. Design a scalable network topology with multiple datacenters, and one that is easily upgradable. My recommendation? Bet big on software.
  • Technical support The user experience is ultimately the key to adoption. Go with an intuitive user interface that minimizes the support required to onboard new clinicians and patients. Think about how many people you would need to staff at your helpdesk if your solution is difficult to learn and use.

 2.     Think FLEXIBLE!

We have witnessed that telehealth leads to behavioral change. You should design your service to be flexible and accommodate such change, while having the capability to adapt to different workflows.

One example that I like to use is from a Vidyo customer in the Netherlands that provides online telepsychiatry services. When visiting them a couple of months ago, they told me that when they introduced their telemedicine solution, the whole pattern of interaction between their therapists and patients changed. Instead of having one hour, pre-scheduled sessions with the therapist, patients are now moving to much shorter, more frequent ad-hoc sessions of about ten minutes each. They contact their therapists when they are actually in need of immediate consultation, not when the sessions are scheduled. This makes the service much more effective while also saving time for the providers, who can see patients at a moment when care is critical resulting in significantly improved patient outcomes.

Lastly, when designing a patient-facing telemedicine service, the healthcare system needs to prepare to adopt workflows that will undoubtedly change over time. When choosing a platform to enable the telemedicine service, it should provide the flexibility to address a number of different scenarios, such as adjusting scheduled meetings to ad-hoc, changing capacities and patterns of usage, and adopting new medical and consumer devices that integrate with other essential peripheral medical processes like Electronic Health Records (EHRs).

Have you successfully deployed a telemedicine solution to manage chronic care? What other considerations would you recommend?

#VidyoToolbox: 4K is Now Just a Click Away with VidyoRoom v3.2.4

We just released updated VidyoRoom™ v3.2.4 software, providing users with high quality video conferencing and new scheduling capabilities. Now, VidyoRoom HD230 and VidyoPanorama™ customers have access to an enhanced feature set, including Ultra HD (4K) capabilities unlike any other video conferencing solutions on the market today. Additionally, joining a scheduled meeting from your room system has never been easier with an enhanced calendar integration feature.

Vidyo Panorama

Here are more details on some of new features available with VidyoRoom v3.2.4, available via a free software upgrade included with a customer’s annual maintenance subscription:

  • Phenomenal 4K Performance: Richer collaboration is possible with the ability to display highly detailed content that is greater than HD resolution on a 4K display in full native resolution. No information is lost in down scaling, allowing all participants to see content in full detail. Ultra HD quality is especially helpful when showing dense spreadsheets, fine detail CAD drawings, hi-res artwork for marketing campaigns, or any content where detail matters. Some additional benefits include:
    • In multipoint calls, each participant tile is higher resolution for better clarity. With a 4K (3840 x 2160) resolution display there are enough pixels to view 4 x 1080p participants in native resolution. At that size and quality, you’ll feel like the remote participant is standing on the other side of a glass panel instead of miles away in front of a camera.
    • Customers can save time and money on installations of new rooms by hanging a single larger 4K display rather than multiple 1080p displays.  The result is also aesthetically more pleasing.
  • Exchange Calendar Integration: When scheduling meetings in physical rooms, most organizations reserve the space by adding a Microsoft® Exchange entry for that room to their calendar invite. Now you can associate that active directory entry with the VidyoRoom system so that any meetings booked will appear on the VidyoRoom user interface. Even better, if the meeting is scheduled to have remote participants and includes a Vidyo click-to-connect link, that meeting becomes a single click card on screen so that participants can simply tap to join.  Additionally, the VidyoRoom control API has been extended to enable third party control systems, such as Crestron® and AMX®, to take advantage of the new calendaring functionality. It’s never been easier to join a Vidyo meeting.

VidyoRoom

There are many other features enhancements in this release. Please check the release notes for more details and software dependencies. Visit the Vidyo Support Portal for more details on what’s new and get upgraded today!

#VidyoToolbox posts highlight new product updates and features across the Vidyo portfolio. Stay tuned for continued updates!

* VIDYO®, Vidyo logos and icons and trademarks of the VIDYO™ family of products are trademarks or registered trademarks of Vidyo, Inc., registered with the United States Patent and Trademark Office and/or in other jurisdictions.  Microsoft® is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Other trademarks are the property of their respective owners.

#VidyoToolbox: Mobile minded – New VidyoSlate v2.1 Features

VidyoSlate™, our mobile video conferencing application that makes it easy to share documents directly from your tablet, has always been a handy second screen option for desktop and conference room environments. Many times, especially with frequent on-the-road employees, a tablet may be the only screen available to participate in a VidyoConference. We’re now making it even easier for tablet users to participate in interactive video meetings and collaborate on content with a new version of the VidyoSlate application. VidyoSlate v2.1 for iOS® operated devices gives users full two-way audio and video conferencing capabilities while viewing, sharing and annotating content, making it a feature-rich mobile alternative to web conferencing.

Tablet participants can collaborate in real time via enhanced sharing, whiteboarding and annotation features

Tablet participants can collaborate in real time via enhanced sharing, whiteboarding and annotation features

We’ve also extended the ability to share content from your tablet across different platforms. In addition to supporting Box and Dropbox applications, VidyoSlate now supports Google Drive™ allowing mobile users to share files directly from their Google Drive account into the conference.

A free app from the Apple® App StoreSM online store, VidyoSlate connects to your existing VidyoConferencing™ system or your account with an authorized Vidyo cloud service partner. Download the latest version of VidyoSlate to enjoy richer content collaboration today!

#VidyoToolbox posts highlight new product updates and features across the Vidyo portfolio. Stay tuned for continued updates!

VIDYO®, Vidyo logos and icons and trademarks of the VIDYO™ family of products are trademarks or registered trademarks of Vidyo, Inc., registered with the United States Patent and Trademark Office and/or in other jurisdictions.  iOS® is a registered trademark of Cisco Systems, Inc. and/or its affiliates in the United States and certain other countries. Google Drive™ is a trademark of Google, Inc.. Apple® and App StoreSM are trademarks or service marks of Apple, Inc., Registered in the United States and other countries. Other trademarks are the property of their respective owners.

Ebola Patient at the Nebraska Medical Center Uses Vidyo to Communicate with Family and Physicians

Vidyo continues to be used for new and interesting applications in the healthcare industry. When face-to-face human interaction is not possible, Vidyo has become a critical component of healthcare, allowing patients access to doctors, nurses and their families from wherever they may be.

In the case of Dr. Richard Sacra, the patient currently being treated for Ebola at the Nebraska Medical Center’s specialized Biocontainment Patient Care Unit, visiting with his wife through Vidyo has provided a bit of comfort during a difficult time.

By utilizing a secure Vidyo connection, Dr. Sacra has been able to communicate face-to-face with his wife as well as physicians and nurses from the isolation unit while his care continues.

Ebola patient Dr. Richard Sacra speaks with his wife via Vidyo from the Biocontainment Unit, the largest facility of its kind in the United States. Photo provided by The Nebraska Medical Center.

Ebola patient Dr. Richard Sacra speaks with his wife via Vidyo from the Biocontainment unit, the largest facility of its kind in the United States. Photo provided by The Nebraska Medical Center.

“The Nebraska Medical Center is a highly innovative, state-of-the-art healthcare institution, that requires superior, dependable technology,” said Ofer Shapiro, CEO, Vidyo. “Vidyo enables physician-to-physician collaboration, physician-to-patient consultation and patient-to-family connections, providing peace of mind and comfort when in person visits are not possible. Our platform allows physicians to communicate with patients wherever they are: hospitals, nursing homes, remote clinics, home environments and now in Biocontainment units.”

We hope Vidyo can continue to help with communication and collaboration as the world rallies together in the fight against the Ebola epidemic.

#VidyoToolbox: Easier collaboration and improved desktop video conferencing quality with VidyoDesktop v.3.3

Sharing capabilities are crucial in a video conferencing deployment, both from a content perspective as well as user settings. Have you ever been in a videoconference room and wanted to share an important document, but the details were so fine that other participants couldn’t see them well? Or perhaps you just weren’t quite ready to join a call with your video feed live for all participants to see you take a huge bite of your lunch. Our newly released version of VidyoDesktop™ v.3.3 now offers two new sharing capabilities, one enhancing shared content and the other providing users with more control over their initial presence.

Ultra HD (4k) Support

Many organizations rely on video capabilities to complete important tasks and execute on timely business decisions. The ability to share detailed content via a high resolution video connection is exceedingly important across a number of industries – healthcare, design and manufacturing just to name a few. Through Vidyo’s powerful VidyoRouter™ infrastructure, the VidyoDesktop v3.3 client, is capable of transmitting and receiving up to Ultra HD (4K) video. Now when collaborating on content shared during a Vidyo call and using a 4K monitor, you can see highly detailed content with exceptional clarity, and without an interrupted video stream due to high quality content sharing. No more squinting while trying to read detailed blueprints or schematics, or any other document demanding ultra-high resolution; the content is crisp and clear providing rich detail and incredible HD video quality.

Join Call Options

Sometimes you want to join a meeting just to share your screen, or aren’t ready to fully “go live” when joining. New features available in VidyoDesktop v.3.3 let you join a conference just to screen share, or with your choice of camera, microphone or speakers initially turned off so that you don’t get a distracting feedback loop from the room system audio or unintentionally present yourself to all participants when you weren’t prepared. For example, you can join just to wirelessly share over WiFi directly from your laptop into a meeting you’re already participating in over a room system. Or when joining from a noisy environment, you can pre-mute your microphone instead of racing to mute it right after you join.  Of course, once in a meeting, you have full control over your sharing, camera, microphone and speaker settings and can change to another mode whenever you want, and can always see a list of all participants connected to a meeting.

VidyoDesktop v3.3

There are many more great features in this release and they are all available to Vidyo customers with an active support contact. Please check the release notes on the Vidyo Support Portal for more details and software dependencies

#VidyoToolbox posts highlight new product updates and features across the Vidyo portfolio. Stay tuned for continued updates!

VIDYO®, Vidyo logos and icons and trademarks of the VIDYO™ family of products are trademarks or registered trademarks of Vidyo, Inc., registered with the United States Patent and Trademark Office and/or in other jurisdictions.  Other trademarks are the property of their respective owners.

 

#VidyoToolbox: VidyoMobile v1.5 offers higher video quality on iOS devices

VidyoMobile blog image_web

Hey did you know that the recently released v.1.5 of VidyoMobile™, our mobile video conferencing application, has increased the video transmit quality on iOS® operated devices? You’ve always had the ability to view HD on your mobile devices, but now with the updated version of VidyoMobile, our engineers were able to squeeze more performance out of our software to send even higher quality video than previous versions. If you have the latest generation of iOS operated devices you can now send video in HD (720p). Even if you’re on a previous generation iOS operated device you still get a resolution increase.

table

Already have VidyoMobile installed? Simply update your app to get the latest upgrade. If you don’t have VidyoMobile you can download the latest version here.

#VidyoToolbox posts highlight new product updates and features across the Vidyo portfolio. Stay tuned for continued updates! 

* VIDYO®, Vidyo logos and icons and trademarks of the VIDYO™ family of products are trademarks or registered trademarks of Vidyo, Inc., registered with the United States Patent and Trademark Office and/or in other jurisdictions.  iOS® is a registered trademark of Cisco Systems, Inc. and/or its affiliates in the United States and certain other countries. iPhone®, iPad®, iPad Air™, iPad mini™ and Retina® are trademarks of Apple, Inc., registered in the United States and other countries. Other trademarks are the property of their respective owners.

VidyoPortal v.3.2: New mobile, security and management features

Vidyo engineering teams are always looking for ways to optimize our products with new features that create an ideal user experience. Today we released VidyoPortal v.3.2, providing users and administrators with even more enterprise-grade management tools available via a browser-based interface. The new features are focused on areas key to conferencing success such as enhanced mobile, security and management details.

Mobile

  • Control Meeting for Tablets – Now that the control meeting interface is in HTML and accessible via guest link, users can moderate conferences from any web-enabled tablet or browser without installing an app
  • VidyoSlate for AndroidThis version of VidyoPortal adds support for VidyoSlate for Android which is in beta and available from the Google Play Store

Security

  • Password Policy Enforcement Administrators can force password changes or setup account lockout rules for even better security
  • Improved Certificate Management – Maintaining SSL certificates just got even easier with improved notifications including certificate expiration status and proactive alerts to eliminate surprise SSL expirations

Management

  • Customized Welcome Banners Customized welcome banners are now available for users when they login to the system. This is useful for notifying users when maintenance will be performed or other important short bulletins
  • Improved Call Detail Records (CDR) – Additional details make it easier for administrators to track usage for improved billing and analytics
  • New License Key Format – License key files have been combined into a single file, making upgrades and new deployments easier to activate
  • SNMP v3 SupportVidyo now supports SNMP v3 and have added more traps and informs making monitoring of the systems more robust
  • Syslog SupportVidyoPortal log events can be sent to your centralized syslog server
  • System Console Update Users can restart web services of the VidyoPortal directly from the system console

VidyoPortal v3.2 is a free upgrade for all users currently under maintenance and support contract. Click here to connect with a Vidyo representative to learn more about VidyoPortal 3.2!

VidyoPortal2web

Welcome banners are presented to users when they log into a VidyoConference. The text can be customized by the Vidyo administrator and is an excellent way of communicating important messages to users such as scheduled maintenance or upgrades.

VidyoPortal1_web

The conference moderation page is HTML based and accessible from desktop and tablets without requiring the installation of an app. This makes moderating your conferences quick and convenient.

###

 

 

VidyoWorks + Financial Services: Better banking, better business.

When was the last time you actually visited your local bank branch? It’s probably not as common of a trip as it used to be. While online banking offers customer convenience, many banks are finding that face-to-face interaction is key to customer loyalty and are looking to integrate visual communications into mobile video chat, wealth management consultations and even video-enabled ATM machines.

IndusInd, one of the fastest growing new-generation private sector banks in India with 638 branches across the country, is currently providing all customers with free video chat via a smartphone application, powered by the VidyoWorks™ platform.

IndusInd 1_web

The free mobile application from IndusInd has a simple user interface, providing banking customers with quick and easy access to a customer service representative

The service, called Video Branch, is an easy-to-use app providing real-time face-to-face video conversations with branch managers, relationship managers or with a centralized Video Branch executive. Through Video Branch, customers have access to a wide range of information and transactions that cater to all banking services currently offered through IndusInd phone banking, as well as financial transactions like opening a fixed deposit or recurring deposit, among many others. The VidyoWorks platform and APIs allow IndusInd to easily integrate video communications into its online and digital banking initiatives. VidyoWorks also enables IndusInd to integrate highly scalable, affordable video into evolving workflows and new consumer facing technologies and devices as they emerge.

IndusInd 2_web

IndusInd has launched a national advertising campaign in India promoting the benefits of personalized, face-to-face communication through Video Branch

IndusInd’s mobile video chat is just one example of how banking is being transformed by the VidyoWorks platform in the Internet of Things era. Other innovative applications will soon be unveiled by some of the largest banks in the world enabling face-to-face communications with customers, creating better brand loyalty and customer satisfaction. Stay tuned for more exciting updates from Vidyo and our customers in this space!

VidyoDesktop VE Delivers Multi-Point Scalable Video Conferencing For Citrix XenDesktop and XenApp

Today we are pleased to announce VidyoDesktop™ Virtual Edition (VE), a video conferencing desktop client that supports Citrix XenDesktop® and XenApp® virtualized solutions. As large-scale adoption of virtual desktop solutions continue, users need access to consistent, high-quality video from any location without being tied to a single client. To read about Citrix’s view on today’s news, check out this blog post from Derek Thorslund, Director of Product Management, Citrix.

VidyoDesktop VE 1

VidyoDesktop VE allows users working in a Citrix XenDesktop or XenApp environment to collaborate real-time through secure, multi-point HD video

Because of applications like VidyoDesktop VE, enterprises – and their increasingly mobile workforce – can now easily broaden their video communications solutions and extend the value of desktop virtualization, with HD quality video, audio and content collaboration. Through universal meeting invitations that are automatically generated as emails or calendar invites at the click of a button, users simply click-to-connect like a web conference. This can all be done in blended mobile, thin and full client environments, which means increased business agility and productivity for users.

VidyoDesktop VE 2

VidyoDesktop VE connects with a number of endpoint form factors via the Vidyo infrastructure

Vidyo’s software-based architecture is well known for its consistent video quality that can work on any device and varying networks. That’s why it’s a great fit for Citrix mobile users who are looking to centralize control and security for their business while reducing costs. Vidyo’s optimized architecture separates video and VDI traffic, which in turn optimizes bandwidth management. By ensuring secure, multi-point video communications, VidyoDesktop VE is the perfect solution for XenDesktop and XenApp users.

To learn more about VidyoDesktop VE for XenDesktop or XenApp, click here!

Vidyo Raises $20 Million to Address Visual Communication in “Internet of Things”

Today Vidyo announced a $20 million round of financing to accelerate the company’s efforts to deliver visual communication solutions that address the explosion in the “connected world” as millions of new devices, appliances, services, platforms and workflow/business processes connect businesses and individuals online at work, at home, in their car or through wearables.

 

VidyoWorks-Addressing-IoT[4]

 

Every day there are announcements of new connected solutions or applications in healthcare, banking, government or enterprise solutions visually connecting people at work. Vidyo makes it possible today to integrate visual communication into these applications, and many others, anywhere, using commodity devices that exist today and will support new applications as they emerge. While the focus of the ‘Internet of Things’ up until now has been on machine-to-machine applications, we are seeing strong demand to visually connect people into workflows for person-to-person applications in the workplace, on the road or at home, all federated with the Internet of Things. We recently spoke with Don Clark from The Wall Street Journal about our vision of how Vidyo will power new applications in the Internet of Things.

Vidyo is powering integrated visual communication in large-scale online banking, healthcare, government and enterprise applications. Vidyo technology is currently deployed in individual networks with capacity exceeding hundred of millions of minutes per year, in other networks exceeding 1,200 VidyoRoomTM systems, and in new form factors and applications such as hospital beds and gaming systems. Vidyo works over public networks and can address the massive scale required for IoT applications, and can be integrated into a company’s workflow or business processes, at the right quality and price point. Click here to learn more about integrating visual communications into any device, any network or any application.

 

Ofer Shapiro, Vidyo co-founder and CEO, has been an innovative force at the heart of major architectural transformations in the videoconferencing industry since 1996. He was integrally involved in the development of the H.323 specification and the first IP based multi-point control unit architecture and gatekeepers, developed the use of H.264 Scalable Video Coding (SVC) for video conferencing, and led the development of a new media relay based architecture- the VidyoRouter. Ofer is a named inventor on 40 issued and 28 pending patent families. He was named a World Economic Forum Technology Pioneer, and received the Wall Street Journal Innovation Award for Disruption in the category of Internet, Networking and Broadband.