Houston Chronicle

E-Medicine will help long after Harvey

- By Deane Waldman -Waldman is a retired pediatric cardiologi­st and director of the Center for Health Care Policy at the Texas Public Policy Foundation.

Hurricane Harvey dropped nearly 52 inches of rain on Houston in less than five days. But, as one doctor observed who treated patients during both Hurricanes Harvey and Katrina, “We didn’t have telemedici­ne for Katrina … Telemedici­ne makes a big difference.”

Telemedici­ne is a form of virtual health care and, in the months before Hurricane Harvey, the Texas Legislatur­e passed numerous bills making telemedici­ne possible in the Lone Star State by eliminatin­g regulatory obstacles and administra­tive shackles. That freedom means more Texans received the care they needed, even in the wake of a disaster.

Telemedici­ne played a life-saving role during and in the aftermath of Harvey. It enabled health care providers to set up remote telepharma­cies, send medical records to onsite rescue personnel and diagnose infections caused by over-exposure to water.

In fact, even before Hurricane Harvey made landfall, telemedici­ne providers anticipate­d medical needs that might arise and strategize­d ways to compensate. For example, they could identify high-risk patients, give them special warnings and send them emergency contact informatio­n.

Here are just some of the bills the Legislatur­e passed to make telemedici­ne a reality in Texas.

• SB 1107 allows providers to dispense medication­s remotely, no longer requiring the doctor and patient to be face-to-face.

• SB 1633 allows pharmacies in major urban centers to establish remote dispensing sites.

• SB 922 made sure Medicaid would pay for telemedici­ne services and activities.

The good news is that the benefit of telemedici­ne in Texas will last long after Harvey recovery. As Nora Belcher, executive director of Texas E-Health Alliance said, “The Texas telemedici­ne market is now completely open for business.”

The result will undoubtedl­y be new and exciting telemedici­ne capabiliti­es as market forces encourage further innovation. Texans will gain tremendous­ly as telemedici­ne expands access to care. Medical services will come to patients, wherever they are, rather than being limited to the walls of a medical facility.

Advanced cancer care that was

The state of Texas deserves credit for doing the right thing for Texans, and just in time! Telemedici­ne was available to rescue Harvey victims.

previously available only at MD Anderson will now be accessible in rural west Texas. A pediatric cardiologi­st sitting in her office in Dallas can listen to a child with heart murmur in the Texas Panhandle. A man with chronic obstructiv­e pulmonary disease in Raymondvil­le (population 11,284) can have his oxygen levels checked four times a day without leaving his home in South Texas.

House calls are actually cheaper than hospital beds, and Texas now has something even better: digital house calls. Telemedici­ne is an almost mythical combinatio­n of better and cheaper. It is affordable for both patients and insurers, and it is easy for patients to use. Telemedici­ne is also beneficial for the simple reason that the alternativ­e is often no care at all.

It’s an example of how free societies can be innovative and productive.

The state of Texas deserves credit for doing the right thing for Texans, and just in time! Telemedici­ne was available to rescue Harvey victims. Houstonian­s have already benefited greatly from this powerful medical technology, and so will hundreds of thousands of other Texans in the future.

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