June 7, 2024

What We Wish We Knew About Telehealth Before COVID-19

Over the last several months, clinicians and treatment centers, along with the rest of the world, have been working on ways to offer their services online. Some made the jump prior to the global pandemic, while others waited for the future to arrive right at our doorstep. 

In the months since that leap to online, offering services via telehealth has been both a helpful and frustrating alternative for counselors and their clients worldwide. In many ways, this time has been both trial and error, learning the ins and outs of what not to do when meeting online. 

During and After COVID-19...

1. Your caseload won’t be the same.

For some, you may have seen a spike in clients these past few months, those struggling with anxiety and uncertainty of the future who’ve sought you out for help. For others, the seismic shift from face to face to telehealth sessions may have come with a drastic reduction in caseload. Of course, we understand that this is related to the severe changes that we as a society have had to face, as well as the fact that our very lifestyle is no longer the same. 

When getting clients to make the switch, a helpful way of thinking about it is to ‘put your sales and marketing hat on’. Think about the benefits of telehealth and do your best to present your case for why you can make it easier for clients to engage in services via telehealth.

2. You will be called on to set an example.

Counselors around the globe have been expected to set the bar for human services professions by practicing social distancing and follow stay at home orders. While being an example is part of our profession, it does not mean it is easy.

One of the many roles as counselors is to welcome clients in to teach them how to handle change. When they do not choose to continue services via telehealth it is not a personal reflection on yourself as a professional. It is a reflection on the client’s needs and perspective on the changes we are all enduring.

As you continue your work via telehealth, keep your perspective in mind. Instead of blaming clients, allow your mind to consider the challenges they may be facing and be understanding.

3. You will need to re-set expectations.

When beginning or switching to telehealth, maintaining a caseload can be difficult. Clients may take advantage of the degree of separation and may feel more comfortable practicing less healthy communication skills with others when they are online. That includes with you. Many of our clients may stop communicating altogether. We have handled that reality face to face; we can address these responses via technology as well.

When clients do not follow up with telehealth services, start with an attitude of grace and end with an attitude of professionalism. We use informed consent as the bedrock to establish expectations at the beginning of any therapeutic relationship. The switch to online demands the same. 

4. You will need to become well-versed with technology & be able to teach others, too.

Though we are hard-pressed to live without it, technology does not come easy to everyone—counselors included. Telehealth requires a basic understanding of the internet, WIFI, and audio/video connectivity. As counselors, we most likely do not have much experience connecting these three together to provide services. Regardless of our tech expertise, we have all likely experienced the difficulty of teaching clients how to use telehealth.

In sessions with children, the challenges are magnified at least two-fold. Counselors must teach both clients and their parents or caregivers how to connect to sessions online. Patience may wear thin when explaining to clients how to connect to sessions.

To ease the pain of learning and teaching clients how to use telehealth, keep the following in mind: 

  • As much as you are able, choose a user-friendly platform for your telehealth services. Fewer clicks to get to sessions increases the chances your clients will be able to connect. In turn, your client retention rate will likely increase as well. 
  • Practice connecting to a session with your client before their first telehealth session. Troubleshooting at the start will save on unpaid time and frustration on the backend.
  • When in doubt about how to troubleshoot, do a quick search for how to connect to your telehealth platform and there is most certainly a helpful post you can send to your clients. 

5. Your documentation process will need to adjust.

With the advent of telehealth, many professionals are scrambling to adjust documentation needs to telehealth services. Paper documentation in the age of telehealth creates stress in addition to the frustrations of changing to telehealth. 

EMR platforms like Alleva make documentation easy. Consider implementing EMR services through Alleva that streamlines the online documentation process from intake to discharge. With this platform, client records and resources can be documented in one user-friendly place. With a healthy perspective and the most up-to-date resources for learning technology, telehealth can be used to the benefit of clients and counselors alike. Alleva offers a mobile app for your clients to easily access a session remotely. Alleva also offers group telehealth with the ability to accommodate up to 150 participants.

Let's keep our chins up, and lead by example in a world of teletherapy. Call us today to schedule a free demo.

May 31, 2022

Alleva’s Telehealth Solution Which Enables HIPAA Compliance Surpasses 30 Million Minutes of Essential Care, Improving Mental Health Outcomes

Behavioral Health facilities using Alleva's telehealth feature are able to reach thousands of isolated clients in despair using their built-in Zoom Video technology.

LAGUNA NIGUEL, Calif. (PRWEB) May 20, 2022-- In the wake of COVID-19, the U.S. not only faces a devastating death toll of over 980,000 lives lost from the virus but a staggering number of over 100,000 additional “deaths of despair” from alcohol abuse, drug overdoses, and suicide. This is a 28.5% increase in overdose cases from before the pandemic. With the burden on behavioral health facilities continuing to build, Alleva teamed up with Zoom Video Communications, Inc. in 2017 to offer a comprehensive telehealth solution that enables behavioral healthcare companies to meet HIPAA compliance requirements while delivering exceptional care.

Even before the pandemic, Alleva recognized the utility of Zoom’s unified communications platform and its application for healthcare facilities. Since its implementation, clinicians have been able to stay in contact with their clients who are unable to attend in-person sessions and those who prefer remote treatment. Before Covid, Alleva's customers averaged around 60 thousand telehealth minutes a month, but in April of 2020, and the onset of pandemic restrictions, that number jumped to almost 2 million minutes a month. Even as Covid risks have diminished, telehealth has not tapered off.

“The demand for telehealth shows no signs of slowing,” said Paul Magnaghi, Global ISV Program Leader, Zoom. “It’s crucial to provide a simple, frictionless, and secure experience for everyone involved–from provider to patient. Our platform incorporates security controls to help enable customers to satisfy the HIPAA Security Rule. We are pleased to have Alleva join Zoom’s ISV Partner Program and provide a simple and quick way for people to get connected to the care they need.” With the integration of Zoom’s convenient technology and the Alleva EMR, treatment centers can sync calendar appointments, and send invitations and reminders via texts directly to the Alleva app on their client’s cellphone, all while enabling HIPPA compliance.

Steven McCall, CEO of Alleva, said, "The fact that we were among the first EMR platforms to add the telehealth feature back in 2017 meant that we were agile and responsive when clinicians' circumstances and needs changed. Alleva is all about offering the latest technology and making life easier for caregivers.”

Alleva’s telehealth feature has allowed substance abuse and behavioral specialists to connect to their clients during increasingly challenging times. With options for individual, group, family, and admissions sessions, the telehealth feature allows people to connect effortlessly through digital means, with room for continued innovation. Moving forward, Alleva is looking to expand their solutions to further streamline communication and connect substance abuse specialists to those who need it.

For more information about Alleva, its built-in telehealth solutions, and how its solutions are shaping the behavioral healthcare industry, visit HelloAlleva.com.

About Alleva

Alleva provides world-class software to the behavioral health industry. Made up of a team of licensed therapists, industry professionals, and experienced software developers, they seek to use their industry background and passion to help the helpers give better care by providing them with supportive technology.

PR WEB PRESS RELEASE

August 13, 2020

The Covid-19 Pandemic is Affecting the Opioid Epidemic

Before the emergence of Covid-19, overdose deaths took an average of 130 American lives per day. Some estimate that the number has doubled over the past few months, as resources for people with substance use disorders have been diverted to deal with the immediate crisis of the pandemic. The lack of access to treatment has left many people vulnerable while isolation and socioeconomic stressors are at an all-time high. 

More Reasons To Relapse

Job loss, depression, and loneliness increase the likelihood that a person with a substance use disorder may be driven to relapse. People who are cut off from their support network by quarantine and stay-at-home orders are not getting the medical care they need. According to White House analysis, overdose deaths were up by 11.4% from January to April of this year when compared with the same period in 2019 when death rates were already at historically high levels. The outlook has only worsened since then, as the coronavirus continues to spread.

An Overwhelmed Medical Community

Some fear that hospitals are too busy dealing with Covid-19 patients to enroll overdose survivors into addiction treatment programs. Without a comprehensive follow-up plan, opioid abuse patients face a greater risk of relapse and overdose. This is especially true when you factor in the loss of continuity of treatment, and other potential struggles:

  • unpaid medical bills,
  • loss of insurance,
  • loss of employment,
  • a lack of support. 

Where do we go from here?

In a recent podcast, AMA President Patrice Harris acknowledged the pandemic has exacerbated the opioid epidemic and emphasized the need to eliminate treatment barriers. Recent regulatory changes have made it easier for healthcare providers to expand virtual care options like telehealth services. These new measures also offer more accessibility to the medications that patients need. We must ensure that all populations have equitable access to these treatment pathways, especially the marginalized populations who have been disproportionately affected by Covid-19. 

The medical community can do its part by educating more doctors around pain management, addiction treatment, and legitimizing addiction medicine. Providing addiction resources is more important than ever, especially during Covid-19. With proper planning and execution, this new infrastructure will continue to expand access to treatment, even when the pandemic is over. Making these proactive policy changes permanent will significantly aid those suffering from opioid addiction and substance use disorder.

Alleva offers telehealth solutions and supports behavioral health providers. Discover how Alleva can help you by scheduling a free demo today.  

April 27, 2020

The Ins and Outs of the FCC’s $200 Million COVID-19 Telehealth Program – What does it mean for your Addiction Treatment Facility?

The Ins and Outs of the FCC’s $200 Million COVID-19 Telehealth Program

As part of the government’s recent measures to curb the economic crisis brought in by the spread of COVID-19, lawmakers recently signed a bill called the Coronavirus Aid, Relief, and Economic Security (CARES) Act, which contains numerous programs created to offer assistance for industries affected by the pandemic. 

One of these plans, the COVID-19 Telehealth Program, was recently adopted by the Federal Trade Commission (FCC), and it includes a $200 million financial package meant to support care providers who are following the social distancing guidelines. The goal is to help healthcare providers purchase telehealth and IT services to successfully treat patients virtually. 

As of April 13, eligible healthcare providers can request assistance from the FCC to help fund their newly acquired telehealth needs. Many have already taken advantage of the program; the FFC awarded $1 million to Ochsner Clinic Foundation, in New Orleans, Louisiana for telehealth-related services. 

Read below to learn more about how you can apply for telehealth assistance today.

What Does the Program Entail?

During a crisis any assistance is welcome, but the details of the program matter. The more informed you are about the Telehealth Program, the better equipped you’ll be to shift your practice towards a virtual approach. 

The FCC has selected a number of covered expenses related to telehealth services, which include:The Telehealth Program does NOT include funding for the following:
Telecommunication Services: Voice communication services for providers or patients
Information Services: Internet connectivity services for providers or patients, remote patient monitoring technology, patient outcomes reporting technology, video conferencing services
Necessary Devices/Equipment: Tablets, smart phones, remote patient monitoring equipment for patient or provider use
Staffing Costs: IT personnel and administrative/training costs are not included in the relief package
Websites: The Telehealth Program is not intended to fund the development or creation of new websites, systems, or platforms
Unconnected Devices: Devices that patients use at home and then manually report the results to their medical professional are not covered

Quick Facts

  • This is not a grant; Applicants receive reimbursement for eligible expenses and services. More details about compliance on the FCC website.
  • Retroactive costs are eligible for funding up to March 13, 2020.
  • There is currently no deadline for applications, and they are being accepted on a rolling basis. 

Eligibility

Now that you know what the program entails, the next question revolves around eligibility. How do you know if you qualify for assistance? 

Eligibility in this instance is two-tiered. You need to qualify through both categories in order to receive assistance. Without making this more complicated than it should be, let’s review the requirements for each level of eligibility.

Eligible to Receive Funding

This is the first category of eligibility. Please note: being eligible to receive funding doesn’t necessarily mean you are eligible to participate in the new Telehealth Program. It is simply the first step toward determining your eligibility.

The Telehealth Program follows the rules set in place by the Telecommunications Act of 1996, which only includes nonprofit and public healthcare providers from the following categories:

  • Local health departments/agencies
  • Teaching hospitals, medical schools, and post-secondary organizations that offer health care instruction
  • Rural health clinics
  • Community health centers or health centers that provide health care to migrants
  • Community mental health centers
  • Not-for-profit hospitals 
  • Skilled nursing facilities 

Along with falling under one of these categories, you must also be registered with the federal System for Award Management (SAM) to receive COVID-19 Telehealth Program funding. If you are already registered, then you can simply move on to the next eligibility tier. 

If you have not yet registered, go to their online system and make sure you have the following information at hand:

  • DUNS number
  • Taxpayer Identification Number (TIN) or Employment Identification Number (EIN)
  • Bank account information (routing, account number, account type)

While you can still submit an application if you are not yet registered with SAM, we recommend registering as soon as you can because it can take up to eleven business days for your registration to go through. 

Eligibility to Participate in the Program

On to the next step: verifying your eligibility to participate. The Universal Service Administrative Company (USAC), a non-profit that aims to make internet connectivity accessible, affordable, and pervasive, is the organizing body tasked with determining the eligibility of healthcare providers for funding. 

Yes, it’s another form you have to fill out. You can apply on USAC’s portal, where they can notify you of any changes in your application process, or you can email Form 460 to RHC-Assist@usac.org.

Just a heads up—if your organization has separate sites, each site will have to apply separately for eligibility from the USAC (if they are seeking assistance through the Telehealth Program).

Once again, you do not have to wait to receive your eligibility determination from the USAC to apply. However, you will not be able to receive any funding until the USAC determines you are eligible. Our advice is to complete your application as soon as you can because needs are urgent and the funds are limited. 

Application Process

If you’ve made it this far, nice job! You’re almost there. The first step toward submitting your application is registering with CORES to obtain an FCC Registration Number (FRN). 

Go here to set up your CORES account. Once you submit your registration, you’ll receive your FRN. If you’re not sure whether you already have an FRN, you can go to CORES, search for your name, TIN, or other contact-related information, and you’ll be able to find it there. 

Once you’ve received your FRN, you are ready to apply! The COVID-19 Telehealth Program application is right here

Which Applications Will Be Approved?

Every healthcare provider applying for assistance is anxious to know how the FCC will evaluate applications. Keep in mind, that the FCC has a set of goals and objectives it wants the Telehealth Program to achieve, so these will be a top priority. One of these priorities is to support areas that have been affected heavily by COVID-19. 

Along with these goals, the FCC will also take into account the conditions to be treated, geographic areas and population served by the applicant, whether or not the area has been suffering from shortages or closures, and what type of access the community has to broadband connections. 

Ideally, the $200 million financial packages will be used efficiently, so another factor to keep in mind is the metrics which the applicant will use to measure the impact of the services and devices provided by the program. If you can demonstrate that you will be using the funding for specific and necessary purposes and that you have the ability to monitor and enforce correct use, you will be much better off. 

Final Checklist

Make sure you run through these steps in the following order. If you’ve already completed a step, move to the next one.

  1. Make sure you will be using the funds for covered expenses
  2. Make sure your organization falls under the covered categories
  3. Register with SAM
  4. Register with USAC (alternatively, submit Form 460 via email here)
  5. Apply on USAC Portal or submit 
  6. Set up your CORES account and obtain your FRN
  7. Complete your application

Still Stuck?

The FCC has several resources to help you apply for assistance. 


Alleva Can Help During COVID-19

Hopefully, we were able to synthesize the information and make it easier to understand. There are a lot of moving parts, and it’s important to stay informed in order to make sure the COVID-19 Telehealth Program funding is used properly and effectively. 

At Alleva, we are here to help the helpers, those who are essential in moments like these, and who need help taking medical care to a virtual atmosphere. Due to the pandemic, a lot of telehealth services have not been able to acclimate properly with the surge in demand. We have specialized in offering user-friendly Telehealth platforms that aim to cultivate virtual connections between provider and patient.

If you are a healthcare provider and you need help transitioning to an online or virtual treatment system, we can provide the assistance you need while simultaneously making compliance and organization easier.

Request a free demo today and spend more time serving those in your care.

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Copyright 2019 - Alleva Corp. All Rights Reserved.

Copyright 2019 - Alleva Corp. All Rights Reserved.

Copyright 2019 - Alleva Corp. All Rights Reserved.