Telehealth and Medicine Today Telehealth and Medicine Today (TMT), is an open access online, international peer review journal where strategic thought leaders, new-era practitioners, and future society stakeholders converge to unveil solutions in a new health and technology sector. TMT assists building knowledge and consensus for launching and scaling delivery services to achieve sustainable outcomes. The journal publishes research articles and commentaries related to innovations in patient-centered care, advances in program implementation, outcomes, process improvement, financial impact, and clinical research applications across the care continuum in a new era of value based care. A world-class peer-review board endeavors to offer rapid, peer-review (14 days), and includes constructive commentary to strengthen work. The online only journal is published on a continuous basis in order to accelerate sharing of rigorously vetted theoretical and experiential knowledge required for a growth sector. Partners in Digital Health en-US Telehealth and Medicine Today 2471-6960 <p>Authors retain copyright of their work, with first publication rights granted to&nbsp; <em>Telehealth and Medicine Today (TMT).</em></p> <p>&nbsp;</p> Innovative Telemedicine Approaches in Different Countries: Opportunity for Adoption, Leveraging, and Scaling-Up <p>In the age of digitization, a growing percentage of services are becoming available online, and this trend is affecting healthcare too. As evolving technology creates more avenues for physicians to deliver affordable and instant care to their patients, there has been a sharp increase in the number of telemedicine implementations across the world.1 As in other disciplines, guidelines and regulations on telemedicine lag behind the use of the technology and are still being crafted and modified. For example, the new nationwide policy on telemedicine of the Department of Veterans Affairs (VA) of the US Government became effective in mid-2018 and incorporates the opinion and recommendations made 7 years earlier. In recent years, the VA spent over $1 billion a year on transportation of veterans to and from hospitals; now with telemedicine, this amount can be used increasingly for other purposes. This cost-saving experience at the national scale should alert industry actors, national governments, and consumers of the growing urgency to address the policy and regulatory aspects of telemedicine to provide healthcare services with greater speed, quality, and safety to rapidly increasing percentages of citizens of their respective countries.<span class="Apple-converted-space">&nbsp;</span></p> Amar Gupta Mariam E. Dogar Emily Sijin Zhai Pooja Singla Tooba Shahid Hilal Nuriye Yildirim Sabrina Romero Shaurya Singh ##submission.copyrightStatement## 2020-01-16 2020-01-16 10.30953/tmt.v5.160 Motivational Intervention of Obesity in Primary Care Through Physical Activity Program <p><strong><em>Summary: </em></strong><em>Obesity and overweight are significant public health problems, worldwide. Hence, there is the importance of developing and applying strategies that reduce weight in this population. We set out to evaluate the effectiveness of obesity intervention with three different approaches—one of them with a platform that promotes physical activity.<span class="Apple-converted-space">&nbsp;</span></em></p> <p><strong><em>Methods: </em></strong><em>Randomized, controlled, parallel clinical trial that compared three arms, multicenter study in overweight or obese patients, with a 12-month follow-up. The patients were randomized into three groups: Intervention in the primary care center with intervention G1: Control group, which received the usual recommendations of losing weight following the SEEDO 2000 (Sociedad Española para el Estudio de la Obesidad) Consensus, G2: Motivational intervention of obesity (IMOAP) with a trained nurse and small periodic work groups, and G3: IMOAP adding the use of a digital platform to record physical activity, monitors it, and, in turn, favors the practice of this (aka iwopi: the concept that physical activity has a positive impact beyond the activity). Variables collected included: weight, height, body mass index (BMI), waist circumference, lipid parameters, blood pressure, and glycosylated hemoglobin. After the interventions, clinical relevance indicators were studied. Relative risk (RR), absolute risk reduction (ARR), relative risk reduction (RRR), and number needed to treat (NNT), both for intention to treat and for biological efficacy.<span class="Apple-converted-space">&nbsp;</span></em></p> <p><strong><em>Results: </em></strong><em>Cholesterol levels in three groups were reduced. The BMI showed a general<span class="Apple-converted-space">&nbsp;</span></em><em>average reduction. Total cholesterol levels were reduced in all groups, with the largest decrease in G3. Triglyceride levels were significantly reduced in two groups. Glycosylated hemoglobin showed a slight decrease that did not reach a statistically significant value.</em></p> <p><strong><em>Conclusions: </em></strong><em>The digital health platform that stimulates physical activity added to an interventionist motivation in patients with overweight or obesity is a significant additional benefit in terms of weight loss results, BMI reduction, and lipid profile in patients affected by overweight or obesity, and a most effective cost.</em></p> Fatima Madrona Marcos Josefa M Panisello Julio A. Carbayo Herencia Nuria Rosich Loreto Tarraga Marcos Josep Alins Pedro J. Tarraga Marcos ##submission.copyrightStatement## 2020-01-29 2020-01-29 10.30953/tmt.v5.157 Tele-Health: Is it only for the rural areas? A review on its wider use. <p>Tele-health, tele-medicine or digital medicine is a relatively new concept in health care provision and its perceived as a useful mode of managing patients specially on remote locations. As the technology is evolving the need arises to explore telehealth as part of the holistic care modality. There are significant number of literature available on tele-health but most of this is focused on either specialty based or one or two aspects of its care provision. In this article the aim is to focus on the opinion generated on four main building blocks of telehealth at present time; the perception of health care staff, the perception of patients, quality of internet and technology, and whether its cost effectiveness in the two years of literature.</p> Sadat Muzammil ##submission.copyrightStatement## 2020-01-30 2020-01-30 10.30953/tmt.v5.162 Predictions for Telehealth in 2020: Will This be the Takeoff Year? <p><strong>Introduction by Amar Gupta</strong></p> <p>In order to place predictions for telehealth in proper perspective, consider that like all new industries, telehealth is characterized by disparate ideas developed by different people, often for the same medical specialty and/or medicine-related activity. Over time, these ideas must coalesce to provide growth and economies of scale. This occurs at multiple levels. One need only look at the history of banking and finance for an analogous situation that is highlighted by innovation, mergers, and integration.</p> <p>&nbsp;In healthcare, the overall experience with array of disparate health information exchanges has been less than satisfactory to most observers. While the trend towards consolidation has begun in the telehealth arena, it is at an early stage.</p> <p>With this in mind, our invited experts looked into the future from their shared and unique perspectives to offer their view of the next big thing(s) in telehealth in 2020.</p> Amar Gupta Mike Baird Shayan Vyas Joel Reich Stephanie Zawada Sumit Nagpal Oren J. Mechanic ##submission.copyrightStatement## 2020-01-31 2020-01-31 10.30953/tmt.v5.165 Neurology eConsults at Penn State Health: What, Why, and How? <p>eConsults provide a mechanism for specialists to provide guidance to their colleagues to allow them to manage patients in primary care settings. The patient receives access to specialist expertise, avoids the long wait time and high costs associated with an office visit, and maintains relationship continuity with the primary care physician (PCP). The PCP has dynamic access to specialist expertise and an opportunity for attainting a higher comfort level with chronic neurological care comanagement. Patient referrals for specialty care are high, while there has been projected shortage in nonprimary care specialties. The increasing prevalence of neurologic diseases associated with an aging population will likely continue to increase the demand for neurologists.</p> Aiesha Ahmed William Jens Anne Haulman K. Sathian Stephen Ross ##submission.copyrightStatement## 2020-01-09 2020-01-09 10.30953/tmt.v5.158 ConV2X 2019 Innovation Ignition Pitch Competition: An Interview with Award Recipient, Rachel Phillips, Founder, Med-Rok Systems Inc. <p><em>The ConV2X Pitch Competition was held in Boston on October 15, 2019 during the </em><strong><em>ConVerge2Xcelerate (ConV2X) </em></strong><em>Third Annual Meeting. Six finalists presented their products to judges who were associated with Flare Capital, Pillar VC, Curisium, Harvard University, and UC San Diego School of Medicine.<span class="Apple-converted-space">&nbsp;</span></em></p> <p><em>Their challenge was to “Prove Market Value”— the theme of ConV2X 2019—and demonstrate comprehensive market solutions with compelling value propositions for stake holders, including providers, payers, pharma, employers, and consumers.<span class="Apple-converted-space">&nbsp;</span></em></p> <p><em>This interview features Rachel Phillips, Founder, Med-Rok Systems Inc. and Tory Cenaj, Publisher, Telehealth and Medicine Today.<span class="Apple-converted-space">&nbsp;</span></em></p> Tory Cenaj Rachel Phillips ##submission.copyrightStatement## 2020-01-16 2020-01-16 10.30953/tmt.v4.164 The Era of Exponential Improvement in Healthcare? Stephanie Carlton ##submission.copyrightStatement## 2020-01-09 2020-01-09 Medical Moon Shots and Space...The Final Frontier Pierre-Alexandre Fournier Jin Wei-Kocsis Moderator: Ray Dogum ##submission.copyrightStatement## 2020-01-09 2020-01-09 Building Blockchain powered Trusted Digital Health Services. Estonia Ain Aaviksoo ##submission.copyrightStatement## 2020-01-09 2020-01-09 Validated Use Cases Wendy Charles Kenneth Colon Moderator: Frank Ricotta ##submission.copyrightStatement## 2020-01-09 2020-01-09 Design Principles Of The Blockchain Network: Security, Scalability, And Sustainability By Design Francisco Curbera Nitin Gaur ##submission.copyrightStatement## 2020-01-09 2020-01-09 Blockchain-enabled Seamless Safe Notification Services Vince Albanese ##submission.copyrightStatement## 2020-01-09 2020-01-09