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Health care in a post-pandemic world: Telehealth is here to stay, but so are in-person visits

What's the future of telehealth as we emerge out of the pandemic? This guest contributor weighs in. Photo via Getty Images

As medical practitioners were faced with the abrupt arrival of the pandemic, they had to immediately adapt to new technologies and switch to telehealth – fundamentally changing the way healthcare is delivered. During the first few months of the pandemic, many private practices were forced to close their doors. Some have since opened with limited schedules, but many are still feeling the effects linger.

Telehealth has grown in popularity due to the efficiency and convenience it offers to both patients and providers. A recent CDC report noted that 30 percent of weekly health care visits occurred via telehealth from June to November 2020. According to the Health Center Program Data, 43 percent of health centers were capable of providing telehealth in 2019, compared to 95 percent of health centers using telehealth during the COVID-19 pandemic.

As patients and healthcare institutions navigate this remote landscape, many challenges need to be addressed. Particularly, the rules and regulations that govern telehealth and how to ensure telehealth platforms can be used safely to offer care. Beyond policies and laws, there are several infrastructure hurdles affecting the implementation of telehealth services in rural areas, making this population vulnerable to inadequate access to care. The same CDC report noted that rural areas reported the lowest average of weekly health care visits via telehealth.

Practitioners also face new challenges evaluating and diagnosing patients without having the ability to do a hands-on physical exam and access to vitals such as blood pressure, heart rate and temperature during virtual visits. Telehealth visits are no match for direct, inpatient clinical visits, but practitioners are still trying to find its role in our current healthcare system.

Some of the ways we've integrated a technology-driven approach to healthcare at WellnessSpace is through putting together the best of both worlds. We focus on in-person visits that have the convenience of technology to enhance the experience of both members and their clients. We use client self-check-in kiosks, an interactive mobile app that allows our members to reserve suites on-demand, download invoices, manage their bios and message other members. We are focusing on providing an easy and integrated experience for both patients and practitioners, which is something that will play a key role in how practitioners and patients navigate the "new normal" as we move forward.

We can expect telehealth to continue to play a vital role in providing healthcare, but for the vast majority of practices, telehealth will supplement in-person visits, not replace them. In a release from the Department of Health and Human Services, surveyed practitioners expect telehealth to remain at 21 percent compared to 51 percent during the pandemic.

Overall, the pandemic has opened the doors for telehealth and increased its adoption among all age groups. It's provided an alternative for practitioners to still offer care, just in a different way. While it's not ideal for all situations, this technology is a tool that can help practitioners continue what they do best – helping patients.

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Sunny Somaiya is the co-owner of Houston-based WellnessSpace.

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Building Houston

 
 

Last weekend was a tumultuous one for founders and funders in Houston and beyond. Here's what lessons were learned. Photo via Getty Images

Last week, Houston founder Emily Cisek was in between meetings with customers and potential investors in Austin while she was in town for SXSW. She was aware of the uncertainty with Silicon Valley Bank, but the significance of what was happening didn't hit her until she got into an Uber on Friday only to find that her payment was declined.

“Being positive in nature as I am, and with the close relationship that I have with SVB and how they’ve truly been a partner, I just thought, ‘OK, they’re going to figure it out. I trust in them,'” Cisek says.

Like many startup founders, Cisek, the CEO of The Postage, a Houston-based tech platform that enables digital legacy planning tools, is a Silicon Valley Bank customer. Within a few hours, she rallied her board and team to figure out what they needed to do, including making plans for payroll. She juggled all this while attending her meetings and SXSW events — which, coincidentally, were mostly related to the banking and fintech industries.

Sandy Guitar had a similar weekend of uncertainty. As managing director of HX Venture Fund, a fund of funds that deploys capital to venture capital firms around the country and connects them to the Houston innovation ecosystem, her first concern was to evaluate the effect on HXVF's network. In this case, that meant the fund's limited partners, its portfolio of venture firms, and, by extension, the firms' portfolios of startup companies.

“We ultimately had no financial impact on venture fund 1 or 2 or on any of our portfolio funds or our underlying companies,” Guitar tells InnovationMap. “But that is thanks to the Sunday night decision to ensure all deposits.”

On Sunday afternoon, the Federal Deposit Insurance Corp. took control of SVB and announced that all accounts would be fully insured, not just up to the $250,000 cap. Customers like Cisek had access to their accounts on Monday.

“In the shorter term, the great news is SVB entity seems to be largely up and functioning in a business as usual manner,” Guitar says. “And they have a new leadership team, but their existing systems and predominantly the existing employee base is working well. And what we're hearing is that business as usual is taking place.”

Time to diversify

In light of the ordeal, Guitar says Houston founders and funders can take away a key lesson learned: The importance of bank diversification.

“We didn't think we needed one last week, but this week we know we need a resilience plan," she says, explaining that bank diversification is going to be added to "the operational due diligence playbook."

"We need to encourage our portfolio funds to maintain at least two banking relationships and make sure they're diversifying their cash exposure," she says.

A valued entity

Guitar says SVB is an integral part of the innovation ecosystem, and she believes it will continue on to be, but factoring in the importance of resilience and diversification.

"Silicon Valley Bank and the function that they have historically provided is is vital to the venture ecosystem," she says. "We do have confidence that either SVB, as it is currently structured or in a new structure to come, will continue to provide this kind of function for founders."

Cisek, who hasn't moved any of her company's money out of SVB, has similar sentiments about the importance of the bank for startups. She says she's grateful to the local Houston and Austin teams for opening doors, making connections, and taking chances for her that other banks don't do.

"I credit them to really being partners with startups — down to the relationships they connect you with," she says. "Some of my best friends who are founders came from introductions from SVB. I've seen them take risks that other banks won't do."

With plans to raise funding this yea, Cisek says she's already started her research on how to diversify her banking situation and is looking into programs that will help her do that.

Staying aware

Guitar's last piece of advice is to remain confident in the system, while staying tuned into what's happening across the spectrum.

“This situation that is central to the venture ecosystem is an evolving one," she says. "We all need to keep calm and confident in business as usual in the short term while keeping an eye to the medium term so that we know what happens next with this important bank and with other associated banks in the in our industry."

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