Is Telepathology the Right Solution for Your Practice?

Sep 30, 2021 | Digital Pathology

Though the term telepathology may conjure images of psychic abilities, the reality is much more simple. Initially conceptualized in 1986 by Dr. Ronald S. Weinstein, the field has grown substantially, though widespread use has not yet been fully realized, both here in the United States and abroad.

Curious if telepathology is the right solution for your practice? We’ll examine just what telepathology is—including the different methodologies it can encompass—and how it can improve patient care, research, and diagnoses, to help you decide for yourself.

What is Telepathology?

Simply put, telepathology is the practice of pathology done remotely. This is primarily achieved through the sharing of digital slides with pathologists over the internet, though we’ll examine other methods later on. Using a digital slide system, samples are digitized at a high resolution, making them easier to examine at various magnification levels. This makes them ideal for telepathology, as pathologists are able to manipulate and study samples in ways that cannot be achieved through other methods.

Though the use of telepathology was increased due to the COVID-19 pandemic, a 2020 report found that prior to that in the United States, fewer than 20 percent of laboratories were utilizing the benefits of telepathology for secondary diagnosis, and fewer than one percent were using it for a primary diagnosis. The reasons for this could range from a cost-prohibitive standpoint to difficulties with EMR integration and more. PathologyWatch has addressed these concerns, providing infrastructure implementation with complete EMR integration along with improved read quality, resulting in reductions in associated overhead costs.

Additional Types of Telepathology

Along with the aforementioned digital slide method, there are two other common methods of telepathology. One is a real-time system, which falls under the umbrella of telemedicine. Through this approach, pathologists are able to remotely control a microscope, which allows them the ability to adjust and view results from their location. A live video feed of the microscopy is fed back to the pathologists over a secure network, and a communication system allows them to speak with the individual placing the slides on the microscope at the lab or medical office. This approach does allow for pathologists to examine samples in real time, but unlike the digital slide method, they are unable to access slides 24/7.

The second is an image-based system, which is similar to the digital slide method, though much less advanced. In effect, an image of a slide is captured and shared remotely with a pathologist, who is able to then access the file and make a determination based on what they see. Unlike the digital slide approach, these images are not saved at the same high-resolution quality, meaning they cannot be magnified or manipulated in a similar way.

Benefits of Using Telepathology

The biggest benefit of telepathology is the response time. When samples are able to be instantly shared with pathologists anywhere in the world—especially through a streamlined system—it allows for an expedited response, typically resulting in a faster diagnosis. This is especially true when fully interpreted pathology reports can be uploaded directly into a patient’s EMR.

In the same vein, telepathology allows for better collaboration among medical professionals. By partnering with a digital dermpath lab like PathologyWatch, clinics can experience improved clinical correlation by including more than one pathologist to examine a sample to compare interpretations or sending a sample to a specialist if the slide indicates something indicative of a systemic illness. 

Additionally, evaluations made using telepathology tend to have a higher quality. When using the digital slide method, pathologists can examine a whole-slide image more easily and compare it to other slides for confirmation. Because of the design of the digital slide software, the margin for error is also greatly reduced.

So is telepathology the right solution for your practice? Advancements in technology have led to more widespread use, and according to Industry Research, the global telepathology market size was more than $500 million in 2019 and is expected to reach $985 million by 2026. If you are interested in telepathology—or more specifically, digital dermatopathology—contact PathologyWatch to learn more about how our approach has revolutionized the industry for our dermatology clients.

TDS Hosts 2021 Annual Fall Meeting Virtually, and We Can’t Wait

Sep 22, 2021 | Dermatology Practice, Digital Pathology, Pathology Business

The Texas Dermatological Society (TDS) is getting ready to roll out the red carpet—Texas-style—for their 2021 Annual Fall Meeting. 

In preparation for this event, we sat down with Laura Madole, executive director at the TDS, to talk about the upcoming 2021 Annual Fall Meeting to be held virtually on September 24–25, 2021. In the past, the in-person TDS event welcomed almost 400 attendees to their annual spring and fall meetings. This time, TDS looks forward to hosting hundreds in a virtual setting. 

Despite the changes prompted by COVID-19, which forced TDS to cancel their spring 2020 event, Laura is confident that attendees, sponsors, and exhibitors will enjoy the unique features of this virtual meeting. 

“We were a little nervous,” admits Laura, concerning their switch to virtual meetings. “So while we hope we can open doors in the spring of 2022, the virtual event has been the next-best option.” In fact, the fall 2020 and spring 2021 TDS events attracted almost 500 attendees. 

The unexpected benefits of hosting a virtual event focus mainly on the accessibility of the event. “It opened up opportunities for us to connect with members living in rural areas or other members who are residents at Texas Tech, for example, who can’t easily get to these events,” she says.

Experience a Unique, Interactive Virtual Event

TDS is using a company called vFairs, which invites attendees to visit customizable virtual exhibit halls, rooms, and vendor booths. Attendees can reach out directly to exhibitors and sponsors via video chat or direct text messaging. Plus, all of the attendees are listed, so face-to-face chat is easy. 

Laura says that many of these attendees have known each other for years; it’s a fun and fantastic way to earn CME credits. But if this is a member’s first time attending the event, she has some tips for a successful virtual experience. 

“I recommend just going in and looking around within the platform: click around and get familiar with the layout. There’s an auditorium, a virtual lobby, a lounge, and several other rooms. I’d definitely utilize the chat feature at a meeting, so it feels like you’re surrounded by your friends and colleagues. It’s more fun when people can interact on the platform.”

The virtual element definitely encourages participation among residents who often have difficulty attending in-person events. Laura says that TDS usually hosts around seven podium presenters for the resident competition. But with virtual, they are delighted to offer 19 podium presenters this fall. 

Take Exhibitor Information with You

This is not a typical Zoom meeting. The vFairs platform provides a hotel lobby feel that engulfs attendees in a rich, virtual world filled with uniquely designed exhibits and booths. Guests can virtually stroll amid custom-designed booths, or they can move directly to a booth of their choice from a directory.

“While we enjoy meeting people face to face at events like this, virtually connecting with people who are genuinely interested in learning more about our technology is a fantastic opportunity,” says Rachel Reeg, senior sales director at PathologyWatch. “At in-person events, you compete with high-volume activity that can be distracting, and people often limit the time they spend at your booth. With the virtual briefcase, we can provide valuable information through video, downloadable case studies, ebooks, product information, and other resources that guests can look through when it’s convenient for them and reach out if they want to know more.”

After the conference, attendees will receive all of the information they saved in their virtual briefcase via email. This is a great feature for attendees to keep track of exhibitor information without the risk of losing papers or accidentally leaving them behind. Since the materials are digital, exhibitors can promote products and services through expanded forms of media; a feature that isn’t possible at in-person events. 

Host a Social Scene, Just on a Screen

For Laura, the conference is an ideal opportunity to interact with members. “There are many components of my job with the TDS. There are meetings, but there are also membership duties. There’s a financial side and boardwork, and grants, and grant-writing,” she says. “With all of those duties, it’s always a good refresher to be surrounded by our members and make personal connections. That interaction reminds me why I do the job that I do. I love it. I do it for my members, and I hope these meetings are a benefit to them.”

The event offers attendees required CME credits as well as the one-hour ethics credit required for those practicing in Texas. But the platform also hosts a background gamification. A visit to the leaderboard shows attendees how to accumulate points from participating in sessions, visiting exhibit booths, and more. 

“For those who are present, and based on the leaderboard points, I will be doing raffles throughout the conference,” says Laura, who promises some amazing prizes for the winners. 

Although hosting virtual events may be a temporary condition for TDS, Laura is partial to the idea of maintaining a virtual component to future events. “I would love to offer a virtual component to our events because it’s a member benefit,” she says. “Members being able to attend from anywhere in Texas if they can’t attend a physical event is huge.” 

She believes that incorporating virtual sessions or activities in conjunction with in-person events is a great offering for members. But the upcoming fall event is the main focus, and it’s shaping up to be “virtually” one of the most engaging, must-attend dermatology events of the season. 

For registration and event information, click here.

Dermatology Practice Trends You Can’t Afford to Miss

Sep 16, 2021 | Dermatology Practice

If today’s dermatology practices plan to compete, exploring some of the enduring trends in inpatient care is an excellent place to start.

Just imagine learning the dermatology practice you spent years building must close its doors under the threat of COVID-19. That was the reality for thousands of dermatologists at the onset of the pandemic, with one urban-based academic dermatology practice canceling nearly 11,000 appointments in March 2020.

In a 2021 NIH study, researchers found that “in-person office visits were strictly limited and were reserved for serious, life-threatening dermatologic diseases or those conditions that, if not addressed within 72 hours, would land the patient in the already overwhelmed emergency department.” 

The message was clear: If dermatology clinics hope to reopen, they need to innovate. Even now, as healthcare providers welcome back patients, processes and technology hastily adopted in response to COVID-19 concerns have claimed a permanent foothold in delivering healthcare, particularly dermatology. If today’s dermatology clinics plan to compete, exploring some of the enduring trends in inpatient care is an excellent place to start. 

Here are four trends in dermatological care that are helping clinics not only reopen but redefine the patient experience. 

    1. Outsourced Medical Billing 

As clinics feel added pressure to cut overhead costs, many outsource their billing tasks to streamline office processes and cut expenses. 

Partnering with a medical billing service specializing in EMR, CPT coding, track billing compliance, and other time-saving functions can help scalable strategies. It will streamline your office workflow, offset the expenses associated with hiring and training your staff to handle complicated and often time-consuming billing issues with insurance companies, and help you focus on delivering terrific, personalized patient care. 

    2. Digital Transformation to EMR

The CDC found that 85.9 percent of office-based physicians use an EMR or EHR system for organizing patient files. By comparison, a study conducted by researchers Olivia Katamanin and Alex M. Glazer, MD, found that 86 percent of dermatologists surveyed currently use or have used EHR in the past. 

Although the collective opinions of technology differ among dermatologists polled, continued improvements to the digital technology hope to streamline claims and billing processes while also simplifying access to patient files, reducing errors, updating test results, linking digital imaging files, and acting as a foundation for self-service patient portals. 

    3. Adding Telehealth Services 

Telehealth services were a strategic solution during the pandemic for doctors to follow up with patients who couldn’t meet in person. Now it’s a desired feature for patients. Based on claim lines, which track individual procedures displayed on an insurance claim, US News and World Report showed an 8,336 percent increase nationally from April 2019 to April 2020.

A recent survey found that, of the patients who used telehealth services, 

  • 65 percent liked the convenience,
  • 63 percent appreciated not being exposed to other sick patients,
  • 44 percent favored the ease of scheduling appointments, and 
  • 38 percent noted the simplicity of scheduling follow-up appointments.

Although clinics no longer restrict in-person visits, telehealth technology’s versatility and accessibility increase options for streamlined dermatopathology labs and clinic partnerships.

    4. Shift Treatment Focus to Include Skin Conditions Associated with COVID-19

Although rare, new studies show distinct cutaneous manifestations associated with COVID-19 cases. In a JAMA study, researchers Kanade Shinkai, MD, and Anna L. Bruckner, MD, MSCS, encouraged an understanding of pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 infection among dermatologists.

According to the study, “It will be important for dermatologists to pursue rigorous prospective research to achieve a comprehensive understanding of the true prevalence and natural history of SARS-CoV-2 infection and skin findings, determine whether cutaneous manifestations signal important systemic associations, and identify the best management strategies.” Partnering with a dermlab specializing in identifying signs of these emerging conditions will help you better serve your patients.

The face of dermatology is changing. As clinics explore ways to respond to an evolving industry, a shift to enduring trends like streamlined office processes, digital resources, flexible technology-based patient services, and specialized care is helping move dermatology services toward a more efficient, scalable, and trendy personalized patient experience.

To expand your dermatology practice with the latest trends in medical technology, you need a dermlab that can help you reach your goals to achieve streamlined, digital, innovative, and specialized patient care. To learn more about ways to update your practice with innovative digital dermatopathology lab services and tools, click here.

 

Dermatology Trends Infographic

3 Benefits of Using Digital Pathology Services

Sep 7, 2021 | Uncategorized

Images shown are not intended to be used for the diagnosis or treatment of a disease or condition.

Digital pathology services are expected to grow roughly 8 percent in 2021 as a result of the growing demand for its use due to COVID-19. One survey of 261 people in the pathology industry found that between 72 and 90 percent of respondents believe that the use of digital pathology education tools will remain the same or increase moving forward.

The advancement of digital pathology services has streamlined the workflow process, changing the field of dermatopathology for the better. Though there are multiple benefits to using digital pathology, we’re going to examine the most prominent potential benefits, including modernized access, better opportunities for collaboration, and improved patient care.

Modernized Access

Though digital pathology provides a number of benefits, the technology is still relatively new in the field. The Food and Drug Administration authorized the first whole-slide imaging device in the United States in 2017, followed by a second system in 2019, allowing for collected skin, hair, and nail tissue samples to be digitized.

After a sample has been digitized, dermatopathologists can analyze and pass along their findings digitally. Depending on the severity of the patient’s condition, this access can play an important part in delivering timely treatment or management options to patients.

With cases and slides organized in the digital slide viewer, like the one offered by PathologyWatch, dermatopathologists can review specimens and generate reports of their findings possibly more efficiently than traditional microscopy. Unlike handling glass slides, whole-slide images are available any place and any time with an internet connection. 

Dermatology practices also benefit from digital pathology. EMR integration means less paperwork, which can reduce hand-written errors and lighten staff burdens. Additionally, dermatologists can pull up digital slides thanks to improved access when explaining a diagnosis to a patient in order to help answer their questions.

Better Collaborative Opportunities

In the same vein as the improved accessibility, digitized slides can also be shared with colleagues more easily, potentially allowing for more collaboration between dermatopathologists. If a second opinion is required to confirm a particular condition, digital pathology can help dermatopathologists to share virtual slides with specialists anywhere in the world in an instant. In the past, this process would have required packaging, labeling, and mailing a sample to a lab, where it would then need to be received, processed, and distributed to another dermatopathologist, which could have taken days or even weeks. 

Because dermatopathologists generate digital reports detailing their interpretation of samples, this ability to collaborate more effectively allows for specialists to better ensure an accurate diagnosis. Digital samples can also be compared to catalogs of previous historical data, which can be linked in the dermatopathologist’s report as evidence to support their findings.

Improved Patient Care

Building on the first two points, the improved accessibility and greater opportunity for collaboration through digital pathology may ultimately provide better patient care. According to the National Center for Biotechnology Information, when a pathologist is able to engage directly with the treating clinician, they can reduce days of unnecessary waiting in sending their report, increasing the chances of determining an effective treatment plan for the patient. Digital pathology can bridge this gap, allowing a pathologist to make their analysis and possibly report it more efficiently.

When a patient hears that additional testing is needed, they may start to worry. In fact, in a 2020 report from the Emergency Care Research Institute, the number one concern among patients was an incorrect or delayed diagnosis, so it’s important to work both quickly and effectively to help alleviate the patient’s concerns. In the event that a dermatopathologist’s findings suggest a more intensive course of treatment, the ability to receive that information faster can potentially help a dermatologist get the patient started on their treatment regimen more quickly.

The benefits of using digital pathology services stretch well beyond this list, but now you have some idea of how it allows for better collaboration through modernized access, ultimately improving the overall patient experience. Contact PathologyWatch to learn more about how we can help you begin the process.

Are Your Billing and CPT Codes Up to Date?

Aug 26, 2021 | Digital Pathology, Pathology Business

The AMA released a list of CPT code updates and changes, notably for patient encounters, ordering tests, and discussions, among others. They reported 329 code changes in the most current CPT code edition, some of which impact dermatologists, pathologists, and dermatopathologists.

Although few dermatologists would take pride in their CPT coding skills, being proficient in billing practices can ensure the business side of your practice runs smoothly and gets reimbursed quickly. But as AMA announces major updates to their CPT coding sets, now is the time to check your CPT codes for accuracy and compliance.

There are a few factors that have impacted the need for changes: First, the shift toward value-based care; second, the Patients over Paperwork initiative launched by the US Department of Health and Human Services in 2017; and third, the onset of COVID-19, which required additional codes.

As healthcare systems transition to a VBC model, here’s why it’s important for your CPT codes to be current.  

Why Update CPT Codes?

In response to the growing concern among healthcare providers that the documentation requirements for billing weren’t benefiting patient care, the AMA set out to streamline the CPT coding process. 

According to the AMA, “The CPT code set continues to be modified to respond to the fast pace innovation among digital medicine services that can improve access to health care and improved health outcomes for patients across the country.”

By streamlining the standard for communicating healthcare procedures and services across healthcare teams and health systems, better CPT coding and billing procedures will reduce the cost of care while increasing the quality of care and expand access to it. In addition to preventing fraudulent claims and reducing the risk of monetary or legal penalties, other results may include more accurate billing and a reduction in claim denials, which can frustrate patients and impact a provider’s reputation.

“The AMA is attacking dysfunction in health care by removing obstacles and burdens that interfere with patient care,” the AMA says. “Our focus is on making technology an asset in the delivery of health care, not a burden.”

What CPT Code Changes Can We Expect for Pathology and Dermatopathology?

To focus on codes that impact the pathology, dermatology, and dermatopathology fields, APS Medical Billing released a CPT code change summary highlighting the most common CPT codes. You can access it here. 

For instance, although coding for inpatient encounters and consultations are not affected by these changes, doctors should note changes in codes 99201 through 99215 that pertain to outpatient office visits. “With these landmark changes, as approved by the CPT Editorial Panel, documentation for E/M office visits will now be centered around how physician think and take care of patients and not on mandatory standards that encouraged copy/paste and checking boxes,” says the AMA, adding that the goal of these coding changes is to decrease the overload of documentation and coding, cut down on unnecessary documentation, reduce audits, and make sure reimbursement for E/M is resource-based.

How Does EMR Technology Make It Easy to Update CPT Codes?

Fortunately, using EMR for your patients’ information makes it easy to update CPT code changes. EMR technology houses patient data in a secure location that is easy to organize and share with other healthcare providers, insurance companies, pharmacies, labs, other clinics, billing services, and more. Compared to traditional handwriting, an EMR facilitates the code assignment for billing, increases legibility to reduce errors, curtails paperwork, and eliminates duplicate tests.  

According to the Centers for Medicare and Medicaid Services, “Documenting a patient’s record with all relevant and important facts, and having that information readily available, allows providers to furnish correct and appropriate services that can improve quality, safety, and efficiency.” 

If your clinic is considering updating to digital patient records, we’ve weighed some pros and cons of using an EMR system. Check it out!