TO OUTSOURCE, TO BUILD, OR TO BUY

How to Make the Right Decision on Telemedicine.

WHAT’S AT STAKE WHEN YOU OUTSOURCE, BUILD OR BUY A TELEMEDICINE SOLUTION? How to Make the Right Decision on Telemedicine. More hospitals and health systems are jumping into telemedicine and virtual care. Plenty of vendors are ready to provide solutions. However, not all solutions deliver the same results. Before making a decision that will impact your organization’s longterm competitive position, you must consider the financial, care delivery, and organizational ramifications.

MARKET DRIVERS:

Patients are demanding virtual care They’re looking for convenient access to healthcare providers. Once they find a virtual care telemedicine solution that works, they are more likely to turn to that provider for other needs.

Hospitals have a capacity problem They need a way to make workflow more efficient, reduce volume at Emergency Departments and Urgent Care, and alleviate clinician shortage challenges.

Value-based reimbursement is changing the game Providers need low cost care delivery models that make it easier to monitor and treat patients before health problems become acute.

Competition is growing New clinics and hospitals are moving in and virtual providers operate with little geographic limitations. Early adopters of virtual care telemedicine with local footprints gain an advantage on both sets of competitors.

5 QUESTIONS TO CONSIDER WHEN REVIEWING TELEMEDICINE SOLUTIONS: 1. How does the solution improve your competitive position, strategic vision and brand? 2. How does the solution meet patient expectations for convenience, cost, and quality of care? 3. How does the solution drive patient acquisition and retention efforts? 4. How does the solution maximize existing clinical capacity? 5. What ROI do you need to be successful?

A MOMENT OF TRUTH

For hospitals and health systems, the healthcare landscape is changing. Care is migrating from high-cost acute settings to lowest cost care management settings. Reimbursement rates are falling and revenues must be strategically reduced. Risk and accountability has shifted and providers must adapt to fixed fees for individual patients, while delivering better outcomes. Like retail stores twenty years ago, hospitals and health systems are extremely vulnerable to disruptive competitors - whether it’s an expanding health system, a nearby retail clinic or the future Amazon of telemedicine.

A TELEMEDICINE STRATEGY CAN POTENTIALLY: • Lower costs per visit for predefined populations. • Offer faster, easier, more timely access for existing patients and attract new ones. • Reduce staffing burdens in urgent, emergency, and primary care settings. • Enhance care coordination, data capture, and workflow. • Position your organization as a local market leader in telemedicine.

A MOMENT OF TRUTH Once a health system realizes the value of employing a telemedicine solution the questions become: Do you outsource your telemedicine services to a third-party provider? Do you build your own telemedicine platform in-house? Do you buy a telemedicine platform that gives you the capabilities you need?

Outsource

Build

Buy

A third party provides the service and care to your patients.

You build your own platform and clinical guidelines while leveraging existing clinical capacity.

You buy a commercially available platform with clinical guidelines and leverage existing clinical capacity.

TELEMEDICINE VIRTUAL CARE OPTIONS

MYTH Health systems lack the clinical capacity to support virtual care telemedicine.

REALITY You have the capacity for 9,000+ telemedicine visits today with your current staffing.

OUTSOURCE Where will your patients go? When a health system contracts with a third party telemedicine vendor there is the potential to create a disconnect between the health system and patient. This option can be appealing because some health systems believe they don’t have the clinical capacity to efficiently implement a telemedicine service. However, this option can come with long-term strategic drawbacks. • A health systems’ core competency is treating patients, but now this function is being trusted to a third party. In this model, care quality and your patient experience are at risk. • The third party telemedicine vendor is also a competitor in the direct-to-consumer market. As a health system sends patients to the third party, there is the potential to silently grow the business of that vendor and encourage patients to seek telemedicine care outside of your health system. • Health system’s have the potential to lose referrals and access to patient data, contributing to fragmentation in the continuity of care. • By using a telemedicine third party vendor, a health system is not building on its existing brand equity – rather, taking away from it.

OUR CLIENTS CAN SERVICE

9,000+ VISITS PER YEAR WITH CURRENT STAFFING

MYTH If you build it, patients will come.

REALITY Virtual care telemedicine is a service, not just a technology.

BUILD

You can build it but will they come? By building a telemedicine service, you are applying the control that in-house development brings. However, building your own doesn’t leverage best-in-class clinical protocols or best practices. Additionally, this option comes with the complications and ongoing support required by an in-house telemedicine platform. • Timelines to build and launch typically are slow - often up to 2 years. • Telemedicine and telehealth solutions are expensive to build and maintain and can cost up to $2 million upfront and require $600,000 in yearly maintenance and clinical support*. • To deliver quality patient care, updates must be made frequently, which can be difficult to support in a timely fashion due to organizational interdependencies. • If your online visits begin within your patient portal, you’re not attracting new patients, only those currently using your patient portal - which can be less than 40% of your total patient population. Source: Gidwani, N., Fernandez, L., M.D., & Schlossman, D., M.D., Ph.D. (2012, December). Connecting with Patients Online: E-Visits [Scholarly project].

THE ZIPNOSIS PLATFORM IS TYPICALLY

1/3 THE ANNUAL COST OF MAINTAINING YOUR OWN SOLUTION

MYTH You won’t be able to operationalize virtual care telemedicine into your system.

REALITY Zipnosis excels at easily integrating into your existing staffing models.

BUY Why Buying is Better. When health systems decide to buy a virtual care telemedicine platform, they are investing in a sustainable, long term service extension. Buying a solution such as Zipnosis allows a health system to cost-effectively increase clinical efficiency, improve patient access and enhance brand image. • Getting started is fast and inexpensive - health systems can be up and running in just 60 days. • Commercially available virtual care telemedicine platforms typically focus exclusively on virtual care telemedicine. By leveraging bestin-class clinical protocols and best practices you can avoid common mistakes that can come with implementing and supporting a telemedicine platform. • New patients can access and enter your virtual care system with or without patient portal credentials. • Ease-of-use and convenience increases patient and clinician adoption and engagement. • Patient data lives in-house, supporting value, and helping you manage population health.

VIRTUAL VISITS ARE USUALLY COMPLETED IN

TWO MINUTES USING EXISTING CLINICAL CAPACITY AND EXPERTISE

PUTTING IT ALL TOGETHER

Outsource

Build

Buy

Low Upfront and Ongoing Costs Quick to Launch Reinforces Your Brand High Patient Adoption and Engagement Grows Patient Acquisition and Prevent Leakage Enables Data Sharing and Care Coordination Supports Shift to Value-based Care Leverages Core Competency in Care Delivery

We’ve designed a turn-key telemedicine platform to help leading health systems realize and unlock existing clinical capacity and open up new care channels, all while supporting the highest levels of quality care patients deserve – when and how they want it.

TO OUTSOURCE, BUILD OR BUY? Zipnosis: Fast, Cost-Effective, Strategic and Powerful Low Burden in Costs and IT Resources

Strengthen Your Market Position and Grow Your Brand

Zipnosis’ solution is designed to be an operating expense, not a capital expense. It’s potentially 10 to 20 times cheaper than developing an in-house solution and does not tap out your IT budget, resources or capabilities. Update and maintenance costs are low because they are spread across all our clients.

Zipnosis supports your brand in your market. We don’t compete with you for your patients with a direct-toconsumer offering. We provide easy access points for patients inside and outside of your system, driving new patient acquisition and retention. Our experience with adoption cycles will help you focus on opportunities in the market - such as peak cold and flu season - to establish your position effectively and drive immediate ROI.

Enhance Your Shift to Value In a value-based world, you want your patients to remain in your integrated system in the care of your clinicians. Our platform supports data capture and sharing across multiple IT systems, helping to drive care coordination. You need these capabilities to succeed when you’re accountable and at-risk for quality and outcomes.

Meaningful ROI More patients, higher rates of adoption, and better engagement. Cheaper, faster, and easier. It makes you more agile in the market and helps you do what you do best. The investment makes strategic sense on every level.

Quick Launch and Release Implementation is fast - just 60 days. Launch and release is done on a phased approach. The lightweight interface allows you to focus on market development and the quality of the user experience right away. You can then incorporate customer insights and clinician feedback while building a deeper integration with your EMR. A phased approach also forces milestone planning. This helps set realistic time frames, anticipate road blocks, and implement a solid change management strategy.

ABOUT ZIPNOSIS Zipnosis provides health systems with a white-labeled, fully integrated telemedicine platform, treating patients through video, telephone, adaptive online interviews, and smart triage – complete with available pharmacy and lab integration.

Learn more at zipnosis.com

For more information, contact us at: (612) 217-1083 | [email protected] | zipnosis.com Copyright © 2016 Zipnosis. All rights reserved.

YOUR CLINICIANS. YOUR PATIENTS. YOUR BRAND.™