Tag Archives: Teleconferencing

eVisits vs. Hosted Visits: What’s the Difference?

A hosted visit is a virtual consultation between a patient and their PCP that occurs face to face, meaning that video teleconferencing systems leveraging high definition cameras and displays can be used to facilitate that interaction.

Virtual consultation between a patient & their PCP

Healthcare is a language all its own.  It has a unique lexicon that allows doctors, nurses, and staff to communicate with each other.  Pain can be dull or acute, fractures can be hairline or compound, and internal injuries can be ventral or dorsal and thoracic or abdominal.  All of this terminology matters a great deal in delivering care and in assuring positive patient outcomes.

Likewise, the world of healthcare insurance billing also has its own lexicon and intricacies and just as in the examples above, the terminology matters.  There are e-visits and hosted visits and synchronous and asynchronous care.  The technology required to facilitate these visits differs, security considerations may differ as well, and the amount of payment each type of visit receives may be different as well.  I will say that there may be some slight variation in these definitions depending on the state or locality and the insurance provider, but we want to give you a general overview of each so that when you hear the terms in the future, you’ll be able to quickly make sense of them.


The e-visit is an electronic visit between a patient and their Primary Care Physician (PCP and/or another Qualified Health Professional (QHP).  An e-visit happens electronically via email or through a web based solution like live chat.  In either case, an e-visit cannot be held through traditional email that is not encrypted, as any private health information (PHI) could be compromised, violating HIPPA regulations.  Proper encryption needs to exist to facilitate e-visits.  E-visits can be asynchronous as in the case of email or synchronous as in the example of a live chat session.  As a caveat, if a QHP is the one facilitating the e-visit, they are required to have access to a PCP electronically as a resource during that visit.

Store and Forward

This is a type of telemedicine service that is typically used for interprofessional communication, especially between PCPs and specialists. “For instance, teleradiology relies heavily on store-and-forward technology to allow technicians and healthcare professionals at smaller hospitals to share patient x-rays for diagnosis by a specialist at another location.”  The nature of this collaboration and the necessity of the specialist to review data before reaching a diagnosis means that this typically is an asynchronous service.  Patients and specialists like dermatologists may sometimes have asynchronous visits if the patient is required to provide some type of data first for later review and evaluation/discussion.  The importance of a secure destination for the data being stored, as well as encryption on the lines of communications between parties involved are all paramount for protecting PHI here as well.

Hosted visit

A hosted visit is a virtual consultation between a patient and their PCP that occurs face to face, meaning that video teleconferencing systems leveraging high definition cameras and displays can be used to facilitate that interaction.  Due to the face to face nature of this visit, it is obviously synchronous; happening in real time for a fluid two-way communication between the patient and the PCP.  Again, the health care provider must use hardware or software solutions that meet the encryption standards developed by HIPPA to protect any PHI that may be discussed.

To sum up, E-visits and Store and Forward systems both require encrypted messaging using hardware and software that protects stored photos or personal data. This data could include information captured from wearable devices or sensors as well as patient history.  Hosted visits however rely on video teleconferencing systems to provide virtual face to face conversations.  The real time nature of these communications does not exempt them from encryption requirements protecting PHI, so the proper hardware and/or software strategies must also be in place to mitigate risk.

Knowing the difference between these services and the terminology used to describe them cannot only help determine the technology strategy for your facility or practice, but can also assure that the services are billed correctly for timely payment.

Avidex AV is revolutionizing the way healthcare facilities and doctors are delivering care. Their 20 years of experience is being leveraged to drive down the cost of care while promoting positive healthcare outcomes. Is your organization looking for a new kind of technology partner? Connect with one of our Account Executives today to learn more.



#1: https://evisit.com/what-is-telemedicine/#8

#2: http://onlinelibrary.wiley.com/doi/10.1002/pam.20590/abstract

#3: http://www.priorityhealth.com/provider/manual/billing-and-payment/services/phone-and-e-visits

#4: https://www.aurorahealthcare.org/-/media/aurorahealthcareorg/documents/patients-visitors/e-care-faq.pdf?la=en



Bob Higginbotham

About Bob Higginbotham

Bob Higginbotham, CTS-I, CTS-D, is the Avidex National Manager of Healthcare AV. Bob has spent his 30 year career in leadership positions in the AV industry including extensive design and build work in healthcare facilities. He owned and operated a successful AV business in Texas with multiple offices in several cities where he managed a staff of over 100 employees. Bob has served as a technical consultant for a major AV manufacturer, led the technical sales team for a national video conferencing provider and provided technology auditing services for several private education facilities. He has a unique working knowledge of audiovisual technology as well as multiple certifications in audio engineering, acoustics, AV design, CQT system commissioning and video transmission systems. Bob holds a BA in communications and has recently served as board chair for a large private school. He brings his years of technical knowledge and leadership experience to Avidex where he leads the national healthcare AV team. Contact Bob at bobh@avidexav.com

Telemedicine: Putting Inmate Healthcare Costs on Lockdown.

Read any of the headlines on America’s prison system today and you will find a common theme. It’s expensive to maintain. Incarcerating people is often necessary to protect society, but it does 19606432_scome at a steep financial cost. We all know the system is expensive, but I doubt many of us know exactly where the money goes. You may be surprised to know that up to 30% of the cost is related to providing healthcare to inmates.

“Typically 9 to 30 percent of corrections costs go to inmate health care. This amounts to hundreds of millions of dollars nationally…” -The Urban Institute

One of the reasons that care is so expensive is that in the United States, we treat our prisoners rather well, and as such, are required to provide them with medical care comparable to that which they would receive if they were not incarcerated. Most times this means transporting them off site to receive healthcare evaluations and services, and providing transportation to and these appointments can really add up.

“In Washington, D.C., for example, inmate medical services in its jail cost about $33 million in 2012, a quarter of its corrections budget. This does not include the cost of sending corrections officers to guard prisoners who receive medical treatment outside the jail.” -The Urban Institute

The cost of sending corrections officers to guard inmates at these appointments should not be minimized or overlooked.

“The cost of guarding inmates transported to medical care outside of prison is approximately $2,000 per inmate per 24 hours. Even for part of a day, the costs associated with transporting an inmate to care can be substantial.” –The Urban Institute

The system is not only very inefficient but it also potentially puts the public safety at risk by removing prisoners from the facilities designed to contain them and instead putting them on the road with armed guards where an escape attempt may be more likely.

So how do we responsibly decrease the cost of care and reduce travel to and from off-site healthcare facilities while still providing humane and comparable care to those in prison?

It seems that Telemedicine may in fact be the answer.

According to The Urban Institute’s report on this subject, “Telemedicine also can reduce costs where demand for a medical specialty does not justify specialized doctors to be available on regular schedules inside the jail. It is especially useful for some specialties, such as radiology, dermatology, and psychiatry.”

Telemedicine creates great efficiencies in providing care that reduce costs anywhere from $200-$1000 per inmate. Not only does cost of care go down, but the quality of care potentially increases, as “telemedicine expands the pool of medical specialists who can be used, as some doctors may be reluctant to practice in a correctional setting.” Better care for less? That sounds like an upside for both the correctional facility and the inmate.

So if your correctional facility would like to save money on providing care and time on transporting inmates to medical appointments all the while increasing public safety and the quality of care, you should be exploring implementing a telemedicine system at your facility. The start-up costs are mainly related to purchasing the appropriate audio video hardware, so from a technology cost perspective, the hurdles are lower than they have ever been and a great technology partner is never more than a phone call away.

Do you want to put your healthcare costs on lockdown? Telemedicine is the answer.

Avidex AV is revolutionizing the way healthcare facilities and doctors are delivering care. Their 20 years of experience is being leveraged to drive down the cost of care while promoting positive healthcare outcomes. Is your organization looking for a new kind of technology partner? Connect with one of our Account Executives today to learn more.



#1: http://www.urban.org/sites/default/files/alfresco/publication-pdfs/412754-Opportunities-for-Cost-Savings-in-Corrections-Without-Sacrificing-Service-Quality-Inmate-Health-Care.PDF

#2: http://blog.avidex.com/choosing-the-right-av-partner-for-healthcare-facility-design/

Jim Colquhoun

About Jim Colquhoun

Jim Colquhoun is the Chief Technologist for Avidex. Jim brings an exceptional record of management and operational experience, as well as expertise in the design and integration of communications, AV, and broadcast systems. Jim can be reached at jcolquhoun@avidexav.com

Telemedicine: Civil War

There is no question that in the modern world of medical marvels, doctors have achieved superhero status. Much like Bruce Wayne or Tony Stark they are blessed with charm in their bedside manner and with superior intellect. Now combine these natural abilities with 21st century technology and you have a force to be reckoned with. Illness do your worst!

One area of medical technology that has helped doctors deliver care faster than a speeding locomotive is telemedicine. 33805115_sMany healthcare practices have been implementing telemedicine as a growing part of their practice, especially given advances that have been made through both legislation and insurance reform to crash through the traditional barriers that made providing care in this manner somewhat difficult in the past.

Now, the challenge can be just connecting patients who value remote care with practices that provide it. And that is where a new app from Astia Health comes into the picture. Their tagline is simply “Healthcare when you need it!”

Astia is a mobile application that provides patients with access to triage nurses and physicians for appointments concerning everything from anxiety to bronchitis to abdominal pain. Astia promises remote care virtually via telemedicine that is not only affordable and convenient but also HIPPA compliant as well to protect patients’ privacy.

Now before you start to think Astia Health is looking to put your practice out of business, they are not. They partner with existing clinicians to allow them an easy entry into the telemedicine market. It allows healthcare practices to get involved in telemedicine without dealing with the pitfalls platforms like Skype may present.

Of course there are still technology needs to be considered at the clinicians practice to make sure that care is delivered in the best way possible while protecting privacy and mitigating any liabilities, but choosing a great technology partner can alleviate those concerns as well.

Astia also takes things up a notch from traditional telemedicine, in that if the symptoms cannot be properly diagnosed and an appropriate treatment recommended virtually, they can dispatch a mobile diagnostic unit to the patient for treatment. Unlike an ambulance, it provides non emergent care to the patient, and it also starts at around $200! It’s not only a value added convenience for the patient, but it also helps alleviate the waiting rooms in Urgent Cares and ERs that are filled with patients with non-emergencies. It’s like a medical Batmobile to the rescue.

So unlike the superhero vs. superhero epics we see today in the theaters, there really is no need for a healthcare civil war between telemedicine application platforms like Astia Health and traditional healthcare practices. Instead, there is the perfect opportunity to form an alliance. Healthcare practices should be teaming up with tech savvy partners to make sure the proper technology is in place, and then leverage platforms like Astia to help connect patients to these newly added services. It’s a win win…for everyone.

Avidex AV is revolutionizing the way healthcare facilities and doctors are delivering care. Their 20 years of experience is being leveraged to drive down the cost of care while promoting positive healthcare outcomes. Is your organization looking for a new kind of technology partner? Connect with one of our Account Executives today to learn more.


#1: http://blog.avidex.com/the-telephone-bill-you-actually-want/

#2: http://blog.avidex.com/breaking-through-the-telemedicine-payment-barrier/

#3: https://astiahealth.com/

#4: http://blog.avidex.com/theres-more-to-hippa-than-encryption-choosing-the-right-vtc-platform/

#5: http://blog.avidex.com/choosing-the-right-av-partner-for-healthcare-facility-design/

Carey Cox

About Carey Cox

Carey Cox has spent his 17 year career in various roles within the health care industry including sales, consulting, and operations management. Carey has been involved in a number of capital system sales roles including life safety, infant security, audio-visual, and clinical education. He had operational oversight of two Baylor pain management centers and served on various committees for Baylor Health Care System in Dallas. His internal knowledge of health care operations, his leadership experience and his ability to build and strengthen relationships give him a unique insight into clinical workflow and process throughput. Carey holds a Master’s Degree in Health Care Administration and also volunteers in a mentoring program for young adults entering into the workforce. During his tenure at TeleHealth Services, he has been instrumental in expanding the TeleHealth footprint in Dallas-Ft Worth (Methodist Health System) and Houston (CHI St. Luke’s Health and Memorial Hermann) health care markets.