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Les Trachtman, EE, JD, MBA

As Managing Director of Purview, Les Trachtman drives Purview’s shared mission to improve medical outcomes and access to quality medical expertise for millions of people, regardless of geography. Les is a seasoned entrepreneur, educator, and author with over four decades of experience in strategy, consulting, and start-ups. Les is also an adjunct instructor at the Johns Hopkins University Carey Business School, where he shares his years of experience and insights with the next generation of business leaders. He is a frequent guest lecturer at Harvard Business School, MIT and other academic institutions, as well as a board member of The Metro Group. Les is also known as the author of the Amazon bestseller "Don't F**K It Up, How Founders and Their Successors Can Avoid the Cliches that Inhibit Growth", and a blogger on founder succession and other topics. He is passionate about sailing, traveling, and challenging the status quo.

Should hospitals offer a remote second opinion service?

Second opinions are becoming an important component for patient healthcare. A recent study by the Mayo Clinic identified that as many as 88 percent of second opinions either differ to refine the original patient diagnosis [1]. This occurs more often than not when the physician rendering the second opinion has specialized expertise in the field in question and has the benefit of careful review of the patient’s prior complete set of clinical data.

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Remote second opinion on patient cases

What telemedicine software is best for remote second opinions?

Hospitals and subspecialists are being called on, now more than ever, to provide their expertise to patients without an in -person face-to-face visit.  With the need for social distancing and stay at home orders, patients seeking second opinions are looking for the best medical expertise they can get without having to stray too far from home.

For patients in more rural areas or for more complex and critical cases, sometimes urban or even regional centers are where that expertise is more likely located. Traveling, sometimes long distances, to one of these facilities without first knowing whether they are ready and capable of treating that condition is often not advised. Instead, patients would prefer to communicate their case information in advance and only travel if the facility expects the visit to be advisable.

Hospitals seeking to expand their reach and perhaps even to increase revenue are heeding the call.  But to do so requires a solution that captures patients' clinical information, performs video consults and enables them to communicate with the patient, his or her referring physician and other health care experts both within ad outside of their own facility. Choosing which to use is a challenge.

Hospitals need to choose whether to acquire their own software to expose their unique expertise and brand to a larger audience or become a recipient for a third party network of specialists that refer cases to the hospital.  The decision usually comes down to whether the hospital wants to control its own process and outsource the administration of these cases or whether this service will be part of the hospitals core offering.

Below are some of the considerations for which approach to select.

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Providers increasingly adopt Telehealth services as a safe alternative to face-to-face visits during the time of the coronavirus pandemic

How has coronavirus changed Medicare coverage for Telehealth services?

As providers adopt Telehealth solutions as safe alternatives to in-person visits, many are wondering whether coverage for these services has changed as a result of the coronavirus pandemic. Prior to the COVID-19 Public Health Emergency in the US, the popularity of Telehealth – remote electronic communications between physicians, other healthcare providers and patients - had been somewhat limited. The limited use of electronic patient engagement was in large part due to restrictive reimbursement for those services by the Centers for Medicare and Medicaid (CMS).

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should patients have access to their medical images?

Should Patients Have Access to Medical Images?

As a responsible physician, you may worry about the potential effects of giving your patients electronic access to their medical images. However, many of these fears aren’t justified by the facts. If you’re worried about the dangers of giving your patients access to their medical images, the following may help to put your mind at ease.

Let’s take a look at the risks and benefits of sharing medical images with patients:

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