Presbyterian Telemedicine has a higher RN turnover rate than they would like.  Some RNs are leaving the position due to the lack of a tangible, physical RN-patient relationship. Presbyterian was surprised to find that some RNs do not enjoy working in the model while the patients love it, which was opposite of what they expected.

Presbyterian was an early implementer of telemedicine technology and therefore enjoyed daily communication with vendors and beta testing to improve the functionality and reliability of the equipment.

Proving that the use of telehealth can enhance the achievement of better clinical outcomes should be sellable to third party payers, but not enough agencies are “charging” for this service except on a private pay basis.

Since telehealth encounters do not count as a “visit” in the Medicare reimbursement model, Medicare reimbursement will often be lower for telehealth-managed patients compared to traditional home health-managed patients.