Sleep Telemedicine

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32 • sleepreviewmag.com July/August 2016

SLEEP TELEMEDICINE PLATFORMS

Company American Academy of Sleep Medicine

(AASM) Chiron Health Doxy.me, LLC

Telemedicine Platform

AASM SleepTM Chiron Health Doxy.me

Platform Website

www.sleeptm.com www.chironhealth.com www.doxy.me

Cost

$250 one-time administrative fee and $500

annual fee for each practice. This cost is per

center/practice/system, not per individual pro-

vider. The ongoing usage fee is based on video

encounter minutes, with 1,000 minute bundles

ranging in price from $100 to $150 depending on

AASM accreditation status. Patients can register

for a free account. Patient fees for video encoun-

ters are set by each sleep practice.

Customized pricing to fit a practice's needs. More

information at chironhealth.com/pricing.

Free version and 2 paid versions (breakdown of

features and costs at doxy.me/pricing).

Supported Browsers

Chrome, Firefox, Internet Explorer 9 and above Chrome, Firefox, iOS, Android Chrome, Firefox, iOS, Android

Minimum Technical

Requirements (provider)

Bandwidth (min: 384 kbps), webcam,

microphone, speakers, supported browser.

Desktop or laptop with webcam, microphone, and

speakers.

350kbps; works on any mobile device, tablet, or

computer with webcam and mic; no special hard-

ware or software/plugins required (works natively in

Chrome and Firefox).

Minimum Technical

Requirements (patient)

Webcam, computer/laptop, Internet connection. Desktop or laptop with webcam, microphone, and

speakers; or any iOS or Android device.

350kb mbps; works on any mobile device, tablet, or

computer with webcam and mic; no special hard-

ware or software/plugins required (works natively in

Chrome and Firefox).

Audio/Video Interface

Description

During the encounter, providers see a split

screen, with the live, interactive patient video on

the left side of the screen. The right side of the

screen displays patient information (ie, biographi-

cal info, completed questionnaires, encounter

history); facilitates secure file sharing; allows

the provider to upload note templates and take

notes; and hosts a live chat feature. The provider

can capture camera images of the patient to

save on file, and the system also supports exter-

nal cameras and audio headsets.

After creating the appointment, the patient will

receive an e-mail to set up his/her account, and

the appointment will appear on the physician's

schedule. When it’s time for the appointment to

begin, Chiron Health will notify physicians when

the patient is ready. Physicians simply click “Start

Appointment” and physician and patient will be

face to face in a split-screen view. Physicians can

see themselves and the patient. When finished,

simply click the “Complete Appointment” button.

Next physicians complete charting

inside of your EHR, just like an in-person visit.

In addition to the view of the patient, users also get

a virtual waiting room and the ability to message

with patients before and during visit. Also, paid ver-

sions have payments, screen share, 3-way calling,

HIPAA compliant file transfer and request, and photo

capture.

HIPAA Compliant

Yes Yes Yes

Integrations

Encounter details can be copied manually into

EHR systems, and EHR templates can be copied

into AASM SleepTM. Includes built-in scheduler

and new patient self-pay feature that facilitates

convenient, secure payments.

Seamless EHR scheduling integrations so no dupli-

cate work required; integrated payment system.

Integrated Stripe payments; easily integrated into

EHR since user can incorporate waiting room link.

Sleep Medicine,

Pulmonology, and/

or Neurology-specific

Features

The system can sync with Fitbit sleep data, giv-

ing sleep physicians an unparalleled view of their

patients’ sleep habits. It also features an interac-

tive sleep diary and sleep log, sleep question-

naires, and integrated patient education material

from sleepeducation.org.

Allows physicians to easily follow-up with patients

without needing them to come into the office.

Practices are able to see more patients in the day

by extending office hours and converting unpaid

follow-up phone calls to fully reimbursable video

visits, guaranteed.

Many user physicians incorporate partner www.

medforward.com/hipaa-forms to add links to their

doxy.me waiting room so patients can fill out forms/

questionnaires.

Training

Frequent free online demonstrations. Register

for a demo at sleeptm.com/demos. The online

support system at support.sleeptm.com features

downloadable user guides and educational

articles about telemedicine. Sleep practices also

can register for a free trial of the system.

Full training and implementation for each practice

and individual staff who will use the platform.

Chiron Health also offers customized telemedicine

clinical protocols that are specific to the individual

practice.

Upon request.

Technical Support

Via phone (Monday – Friday from 8 am to 4:30 pm

Central Time), e-mail, and online support ticket.

Full in-app support that includes articles and real-

time chat for patients and practitioners.

Available from 7 am to 10 pm EST, 7 days a week via

live chat, phone, and e-mail.

Year Platform Introduced

2016 2013 2015 (founded and developed earlier at University of

Utah for a clinical trial)

Current Version Number

N/A N/A 2.1

Updates Policy

Continuous Cloud-based; updates included and immediate Updates included in annual subscription fee

Additional Information

As the first telemedicine platform to be designed,

developed, and custom-built by a professional

medical society, AASM SleepTM is the standard-

bearer for a new era of sleep medicine that will

enhance the availability of affordable, convenient,

patient-centered care nationwide.

Chiron Health is a HIPAA-compliant telemedicine

software that allows physicians to connect with

patients for routine appointments over secure

video—and receive full reimbursement. Cloud

software contains full support for patients and

physicians, EHR/PM integrations, plus billing and

reimbursement tools including the Chiron Rules

Engine and Reimbursement Guarantee.

Currently the platform has over 6,000 users who

have used over 1,000,000 minutes. Doxy.me is

designed to be simple and easy to use and integrate

with current workflows. Doxy.me does not collect

or store patient data, we believe that is the role of

EHRs; Doxy.me focuses on providing the best and

most simple telemedicine video experience possible.

Most providers run their EHR and Doxy.me side by

side (often with dual monitors).

34 • sleepreviewmag.com July/August 2016

SLEEP TELEMEDICINE PLATFORMS

Company REACH Health SnapMD VSee

Telemedicine Platform

REACH 5.0 Virtual Care Management (VCM) System VSee HIPAA Messenger + Virtual Care Platform

Platform Website

www.reachhealth.com www.snap.md www.vsee.com

Cost

Varies by network size, facilities, specialties se-

lected. Starting at $10,000 per year for a single

service line.

Clinical seats begin at $149 per month. Volume

discounts available.

HIPAA Messenger $0 to $49/account/mo, Waiting

Room starts at $199/provider/mo.

Supported Browsers

Chrome (preferred), Safari, Firefox, Internet

Explorer, Microsoft Edge Recommended: Chrome, Firefox Internet Explorer/Edge, Chrome, Firefox, Safari

Minimum Technical

Requirements (provider)

PC, tablet, or desktop with Internet connection. Computing device with browser and camera. Webcam, mic (built-in or external), Internet

connection.

Minimum Technical

Requirements (patient)

PC, tablet, or desktop with Internet connection. Computing device with browser and camera. Webcam, mic (built-in or external), Internet

connection.

Audio/Video Interface

Description

REACH 5.0 is a browser-based telemedicine

platform with a full-screen view of the patient.

Clinicians select from a library of REACH Clinical

Widget Applications, which are translucent

windows that facilitate each key aspect of a

telemedicine encounter. REACH Clinical Widgets

can perform a wide variety of functions, including

data collection, medication dosage calculations,

specialty-specific exams, and others. REACH

Clinical Widgets are made available based upon

the service lines or medical specialties selected

by the healthcare organization. They can be se-

lected, resized, downsized, and repositioned to fit

individual user preferences.

Fully integrated, end-to-end encrypted video inter-

face (no multiple windows or applications needed).

Features screen sharing, multi-participant, expand

to full screen, medical device integration, chat,

documentation, eRx, patient record, intake

information, and more.

VSee allows viewing patients' faces and live

streams of USB medical peripherals such as EKG,

ultrasounds, etc. It also allows real-time screen-

sharing of lab tests, MRIs, etc. with live annotation

ability. It also provides far-end PTZ camera control

for remote consults. VSee portals provide fast pa-

tient sign in to a private queue. Patient queue may

be accessed by multiple providers for managing

concurrent video calls. Options to include ePay wall

and patient self-scheduling (for patients), ePre-

scribe, and SOAP notes (for providers).

HIPAA Compliant

Yes Yes Yes

Integrations

HL7-based EMR/EHR, PACS images

System was architected as a self-consuming API

design, meaning SnapMD is fully dependent upon

the same APIs and SDKs it makes available to cus-

tomers. Offers full and complete set of APIs and

SDKs for systems integration of all kinds. There

are no restrictions on SnapMD’s end as it relates

to systems integration.

VSee portals allow for integration with health and

wellness devices such as FitBit and blood pres-

sure cuffs (when uploaded, the data automatically

populates the patient's account in real-time). VSee

also offers rich API and SDKs for integrating video,

waiting rooms, and medical devices directly into a

third-party application or website.

Sleep Medicine,

Pulmonology, and/

or Neurology-specific

Features

Variety of relevant specific features including:

neuro/motor exam; neuro/cerebellar exam;

olfactory, optic, & oculomotor exams; pulmonary

evaluation; ventilator management; hemody-

namic monitoring; patient oxygenation; dynamic

compliance; diagnostic tests and lab results.

Platform has over 40 uses cases operating on it

today. Workflow design allows for very broad use.

Fast real-time sharing of labs, MRIs, images, etc

with live annotation; stethoscope audio mode; real-

time digital medical device streaming.

Training

Experienced clinical educators provide training

for bedside clinicians, remote physicians, and

program administrators. In addition to proficiency

with the technology, training includes best prac-

tices for program growth and improvement. Also

offer other professional services, such as clinical

workflow mapping, hardware advice/provision-

ing, and program implementation.

Staff training is available with software licenses. Live training over VSee, video tutorials, download-

able manuals.

Technical Support

24/7 US-based support In-application help center as well as phone. 24/7 e-mail support, 9 am to 9 pm PST phone support

Year Platform Introduced

2006 (current version introduced in 2016) 2013 2008

Current Version Number

5.0 2.0 3.2.3

Updates Policy

Updates provided to existing customers free of

charge (included in annual subscription fee)

Company pushes updates to system after 10 pm

PDT

Automatic updates, pre-release e-mail for major

releases, update alerts posted via blog and social

media

Additional Information

In addition to the features described above,

REACH 5.0 offers collaborative workflow, patient

imaging, reporting and analytics, and 2-way EMR

integration, all in one enterprise platform.

SnapMD’s robust, HIPAA-compliant virtual clinic

was developed to enable healthcare providers to

directly engage patients remotely using readily

available consumer based devices. With SnapMD's

technology, healthcare providers have a new

powerful tool to offer telehealth services to their

patients, under their brand and using their own

clinicians.

VSee is the only system deployed on NASA

International Space Station. VSee is also the plat-

form behind MDlive, Walgreens, Walmart, Davita,

McKesson's US Oncology, ResCare, and three of the

largest healthcare systems in the US: HCA, Trinity,

and Ascension.