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Can videoconferencing really save money in medicine?

By | May 12, 2010, 10:17 AM PDT

Videoconferencing remains an industry with vast unrealized potential.

Every decade a new generation of expensive gear comes out, claiming to be the latest and greatest, revolutionary, capable of replacing face-to-face meetings entirely. Over time its price decreases, but the revolution never seems to come.

The latest such technology is Telepresence. You may have seen it on TV. (It was on 24 several times.) Among the companies working to make the technology affordable is Vidyo, which this week launched a division specifically aimed at healthcare.

Vidyo uses a technology called error resiliency to deliver the best quality your gear can handle. It can deliver a 1,080 dot per inch view on the PC and broadband connection you’re probably using right now.

Marty Hollander, the company’s senior vice president for marketing, envisions doctors doing remote consultations with homebound patients, or having a conference between a hospital and an arriving ambulance. Psychiatrists could see patients in distant cities.

All this is in line with Cisco’s own ambitions, which led it to open source its interoperability protocol upon acquiring Tandberg last month. All this means you won’t need a special codec to connect to a Telepresence meeting - any ordinary H.263 codec will do.

The question is whether even this will cause the kind of market shift Hollander anticipates. He said the company encrypts its meetings to help comply with HIPAA rules, and will work to make it available on NHIN-Direct as that effort expands.

“The real value in videoconferencing is that you see people face to face,” says Hollander. With Vidyo, “You are seeing them in a quality that allows you to see details of their personal reaction. Meeting face to face lets you know how your messaging is received, and all those visual cues aren’t available in a traditional videoconference.”

So is the videoconferencing revolution finally coming to health care? Is Vidyo the final link in the chain, bringing the right amount of quality to every desktop and iPhone?

As they say in TV land, stay tuned. I hope so.

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

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Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

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RE: Can videoconferencing really save money in medicine?
I am sure this latest technology will help medical tourists also especially for follow ups, which is a major concern now.
www.TourNCare.com
Online Medical Tourist Community
Posted by TourNCare
12th May 2010
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NOT so good for Psychiatry.
I'm surprised that this Mr. Hollander mentioned remote Psychiatry as a particular specialty which they are targeting -- because it is an especially BAD candidate for remote video conferencing.

When Psychiatrists assess a pt., they need to "pick up" on a large variety of subtle clues. For example, the following (which will NOT be present via a sit-down video-conference): Foot and Leg motions. Body odors. Hand, Arm, and Hip motions. Tiny jaw twitches.

ALL OF THESE can indicate that a medical treatment isn't working, or (possibly even worse) is having side effects. In many instances, an "Office Visit" conducted via video conferencing would create severe medical risks.

And, because of that, most Psychiatric Liability insurance companies WILL NOT COVER! claims which are made against an M.D. as a result of video-based treatments. That's not my personal opinion; that's a *fact* in the Medical Malpractice Industry.

"Routine" medical reviews and precscription renewals, maybe. (Depends on the risk of side effects for the medicines under review.) Assessments, definitely not.
Posted by Rick S._z
13th May 2010
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Did you really mean 1080dpi?
"It can deliver a 1,080 dot per inch view on the PC and broadband connection ....."

In videoconferencing a high definition image might be described as 1080p but this is not 1080dots per inch. It refers to an image with 1080 lines of vertical resolution (ie in 16:9 widescreen format an image 1920 pixels wide and 1080 pixels high).
Posted by david.badger@...
13th May 2010
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RE: Can videoconferencing really save money in medicine?
Re: Psychiatry/Mental Health Services. It is not ideal, but it is better than a patient not seeing a doctor. For community mental health centers who have a hard time hiring psychiatrists, this is one way to get clients seen and not have the doctor spending a lot of time driving to a faraway clinic.
Posted by alvamark
13th May 2010
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