1. 8 Telehealth Secrets after 1000 Deployments
Dr. Milton Chen
CEO
VSee
____
My adventures
8 Secrets

2. Clinic

3. Home Quarantine

4. • Airport digital quarantine rooms to hold passengers tested positive
and with preexisting health conditions before transfer to hospital
• Hardware options
◦ HD pan, tilt, zoom camera
Allows medical staff remotely to control the camera
and talk and see the patient
◦ Vital sign device streaming capture
Capture and stream the vital sign monitor to the remote medical staff
• Software
◦ video call & vital sign streaming
◦ command center – web interface to allow
one staff to monitor 30-50 quarantine rooms
Hospital Quarantine Room

5. Confidential and/or proprietary. Not to be copied to third parties. © Copyright Shoura BG - All rights reserved.
5
PARTICIPATING
STAKEHOLDERS
Awareness Trace/ Screen / Triage
PLATFORM /
TECHNOLGY
CDC/MOPH PROTOCOL
URL
PATIENT
POPULATION
Video Visit (Consult)
CARE
COORDINATION
PHCC
CDC
ED
• Consult: CT Images / Vitals
• RPM (Quarantine)
• Data Sharing
Messenger
PROVIDER
STAKEHOLDERS
Clinic Video Visit
IVR HL7
EMR
Patient population
outreach

6. Telehealth Hardware

7. Secret 1: Don’t Spend Money - Walmart case study
• Do physician extender / clinic to clinic first vs. direct to consumer
◦ MA on PC w/ a few telemedicine devices + nearly free HIPAA video software
◦ Provider on any device
• elemedicine clinic
◦ Existing PC + blood pressure cuff
◦ $3K all-in-one general exam cam + $600 digital stethoscope
◦ ~10 visits/day for one store, over 3 months 1 person said not comfortable w/ video
◦ CVS found that 33% patients prefer video over in-person!

8. Secret 2: Don’t Spend Money until profit justifies tech
• Remote clinic enhancements
◦ Add PTZ camera
◦ $50 Sony EVI D30 on eBay
◦ $950 Logitech Pro
◦ $2000 Minrray HD
• Add HD TV display
◦ 32 – 42” ($200 – 300)
• Use telemedicine cart if multiple rooms
• An intern can do the setup

9. Secret 3: Do direct to consumer immediately
• Tech support significantly more expensive
◦ Need at least 3G
◦ #1 support issue is audio (does your computer have a mic?)
◦ #2 support issue is network (defective Wifi router, virus packet inspector, downloading
movies, …)
• Try it now
◦ Your competition is already piloting
• Do add HIPAA video chat to your web page
◦ Patient acquisition (a friendly and instant smile = sale)
◦ Warm up the tech

10. Secret 4: Do learn digital bedside manners
• Use free hipaa messenger for all staff and personal communications
◦ Embrace video chat for everything
• Learn digital bedside manners
◦ Common sense, but still train for it
◦ Read Blink
• Add instant rating
◦ Rating impact pay?
◦ Not really necessary, people are naturally competitive
◦ Should you publish rating to patients?

11. Secret 5: Do communicate and market your service
• Free health check / survey on your home page
• 30 sec video on your home page
• Facebook and email
• Birthday ecards (learn from the dentists)
• Monthly newsletters
• Cooking receipts, …
• How many clicks to see a smile

12. Secret 6: Focus on Provider Engagement
• Patients love it
• Payers love it
• Provider not so much
◦ Good physicians are too busy, no strong incentives for them
◦ Videoconference != telemedicine
◦ 90% of vsee work is achieving physician and system-wide productivity
Is this flawed?

13. Secret 7: Yes reimbursement, but also reimagine health
• New time vs. cost tradeoffs
• ER diversion
• Gaps in care
• Wound care
• New medical insurance models
• Remember marketing
• Practical AI/ML
FDA approved AI ECG

14. Secret 8: Just do it
• Crazy market hype, no one really know what they are doing
• Support 1000 experiments in parallel
• Not - does it interoperate w/ the $M equipment I purchased 5 years ago
• Not - does it integrate w/ my EMR
• Reversible vs. 1-way decision
• Aim for Navy SEALs sort of team process