DOCSLIB.ORG

Independence, Technology, and Connection in Older Age

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Independence, Technology, and Connection in Older Age REPORT TO THE PRESIDENT Independence, Technology, and Connection in Older Age Executive Office of the President President’s Council of Advisors on Science and Technology March 2016 REPORT TO THE PRESIDENT Independence, Technology, and Connection in Older Age Executive Office of the President President’s Council of Advisors on Science and Technology March 2016 About the President’s Council of Advisors on Science and Technology The President’s Council of Advisors on Science and Technology (PCAST) is an advisory group of the Nation’s leading scientists and engineers, appointed by the President to augment the science and technology advice available to him from inside the White House and from cabinet departments and other Federal agencies. PCAST is consulted about, and often makes policy recommendations concerning, the full range of issues where understandings from the domains of science, technology, and innovation bear potentially on the policy choices before the President. For more information about PCAST, see www.whitehouse.gov/ostp/pcast The President’s Council of Advisors on Science and Technology Co-Chairs John P. Holdren Eric S. Lander Assistant to the President for President Science and Technology Broad Institute of Harvard and MIT Director, Office of Science and Technology Policy Vice Chairs William Press Maxine Savitz Raymer Professor in Computer Science and Vice President Integrative Biology National Academy of Engineering University of Texas at Austin Members Wanda M. Austin Christopher Chyba President and CEO Professor, Astrophysical Sciences and The Aerospace Corporation International Affairs Director, Program on Science and Global Security Princeton University Rosina Bierbaum S. James Gates, Jr. Professor, School of Natural Resources John S. Toll Professor of Physics and Environment Director, Center for String and University of Michigan Particle Theory University of Maryland, College Park Christine Cassel Mark Gorenberg Planning Dean Managing Member Kaiser Permanente School of Medicine Zetta Venture Partners v Susan L. Graham Ed Penhoet Pehong Chen Distinguished Professor Director Emerita in Electrical Engineering and Alta Partners Computer Science Professor Emeritus, Biochemistry and University of California, Berkeley Public Health University of California, Berkeley Michael McQuade Barbara Schaal Senior Vice President for Science and Dean of the Faculty of Arts and Sciences Technology Mary-Dell Chilton Distinguished Professor United Technologies Corporation of Biology Washington University of St. Louis Chad Mirkin Eric Schmidt George B. Rathmann Professor of Executive Chairman Chemistry Alphabet Director, International Institute for Nanotechnology Northwestern University Mario Molina Daniel Schrag Distinguished Professor, Chemistry and Sturgis Hooper Professor of Geology Biochemistry Professor, Environmental Science and University of California, San Diego Engineering Professor, Center for Atmospheric Sciences Director, Harvard University Center for Scripps Institution of Oceanography Environment Harvard University Craig Mundie President Mundie Associates Staff Marjory S. Blumenthal Diana E. Pankevich Executive Director AAAS Science & Technology Policy Fellow Jennifer L. Michael Ashley Predith Program Support Specialist Assistant Executive Director vi PCAST Independence, Technology, and Connection for Older Adults Working Group Working Group members participated in the preparation of an initial draft of this report. Those working group members who are not PCAST members are not responsible for, nor necessarily endorse, the final version of this report as modified and approved by PCAST. Co-Chairs Christine Cassel Ed Penhoet Planning Dean Director Kaiser Permanente School of Medicine Alta Partners Professor Emeritus, Biochemistry and Public Health University of California, Berkeley Working Group Members Jo Ivey Boufford Susan L. Graham President Pehong Chen Distinguished Professor New York Academy of Medicine Emerita in Electrical Engineering and Computer Science University of California, Berkeley Sara J. Czaja Thomas Kamber Leonard M. Miller Professor Executive Director Department of Psychiatry and Behavioral Older Adults Technology Services Sciences Scientific Director, Center on Aging University of Miami Miller School of Medicine David Dring Jason Karlawish Executive Director Professor of Medicine Selfhelp Innovations Perelman School of Medicine Selfhelp Community Services University of Pennsylvania S. James Gates, Jr. Arthur Kramer John S. Toll Professor of Physics Director Director, Center for String and Beckman Institute Particle Theory Professor of Psychology University of Maryland, College Park University of Illinois at Urban Champaign vii David Lindeman William Press Director Raymer Professor in Computer Science and CITRIS Health Integrative Biology University of California, Berkeley University of Texas at Austin Michael McQuade Maxine Savitz Senior Vice President for Science and Vice President Technology National Academy of Engineering United Technologies Corporation Chad Mirkin Kai Stinchcombe George B. Rathmann Professor of Chief Executive Officer and Founder Chemistry True Link Financial Director, International Institute for Nanotechnology Northwestern University Craig Mundie Charlotte Yeh President Chief Medical Officer Mundie Associates AARP Services Inc. Elizabeth Mynatt Executive Director Institute for People and Technology Professor, School of Interactive Computing Georgia Institute of Technology Staff Marjory S. Blumenthal Diana E. Pankevich Executive Director AAAS Science & Technology Policy Fellow Jennifer L. Michael Ashley Predith Program Support Specialist Assistant Executive Director Technical Writer Robert Saunders Senior Advisor to the President National Quality Forum viii EXECUTIVE OFFICE OF THE PRESIDENT PRESIDENT’S COUNCIL OF ADVISORS ON SCIENCE AND TECHNOLOGY WASHINGTON, D.C. 20502 President Barack Obama The White House Washington, DC 20502 Dear Mr. President: We are pleased to send you this PCAST report on Independence, Technology, and Connection in Older Age. It is the second and final installment of PCAST’s work on the topic of technology for graceful aging. The first was our letter report to you in October 2015 on technologies for hearing assistance. The average age of the American population is increasing, and Americans want to continue to have active and productive lives as they age. The older adult population is diverse, made up of individuals with different economic circumstances, living situations, geographic locations, and language backgrounds, but predictable changes occur as people age. Technology has played an important role in increasing life expectancy, but it also has an important role to play in increasing the quality of life, by maximizing Americans’ ability to function in their later years. Last year marked the 50th anniversary of Medicare, Medicaid, and the Older Americans Act. At the 2015 White House Conference on Aging, discussions and new ideas inspired the direction of aging policy for the next decade. Building on these ideas, PCAST looks in this second report at three areas where older adults experience change: social engagement and connectivity, cognitive function, and physical ability. PCAST investigated technologies that promote individuals’ continued independence and productivity as these changes happen. The report includes four cross-cutting recommendations that span a wide range of technologies and eight targeted recommendations concerning specific applications to improve mobility, cognitive function, and social engagement. Internet access, telehealth, monitoring technology, emergency preparedness systems, and intentional design are some of the technologies that will support healthy aging for all Americans. The report focuses on near-term Federal actions to advance these possibilities. Older adults can bring the experiences and knowledge of their lifetimes to be vital, contributing, and productive members of society. Implementing these recommendations will help that happen, by ensuring that Americans now and in the future remain independent and connected as they age. Sincerely, John P. Holdren Eric S. Lander Co-Chair Co-Chair Table of Contents The President’s Council of Advisors on Science and Technology ........................................................ v PCAST Independence, Technology, and Connection for Older Adults Working Group ............ vii Table of Contents .................................................................................................................................................. xi Executive Summary and Recommendations .......................................................................................... 1 Study Scope .................................................................................................................................................. 1 Social Connectivity and Emotional Health (Chapter 2) .............................................. 1 Changes in Cognitive Ability (Chapter 3)............................................................................... 2 Changes in Physical Ability (Chapter 4) ................................................................................. 3 Recommendations in Summary ................................................................................................... 4 Cross-Cutting Recommendations .......................................................................................... 4 Issue-Specific Recommendations .........................................................................................
Load more

Recommended publications
  • Nominating Committee Report
    Federation of State Medical Boards Report of the Nominating Committee January 20, 2021 The Nominating Committee met on Wednesday, January 20, 2021 via videoconference at 3:00 pm CST. FSMB Immediate Past Chair Scott Steingard, DO serves as Chair of the Committee. Other members of the Committee include Nathaniel Berg, MD; Maroulla Gleaton, MD; Alexander Gross, MD; John “Jake” Manahan, JD; Joy Neyhart, DO; and Michael Wieting, DO. Providing staff support were FSMB President and CEO Humayun Chaudhry, DO, MACP; Chief Legal Officer Eric Fish, JD; Director of Leadership Services Patricia McCarty, MM; and Governance Support Associate Pamela Huffman. Dr. Steingard expressed his deep gratitude for the Committee’s dedication and emphasized the significance of their work in selecting highly qualified candidates for the elected office positions in the midst of a global pandemic. The Committee reviewed all nomination materials submitted; provided verbal reports of their one-on- one nominee interviews; and focused on the importance of selecting candidates who fulfill the qualifications for FSMB leadership positions as defined in the Committee’s charge. The Committee addressed methods to enhance the process of soliciting quality candidates in the future. Following thoughtful and prudent deliberation throughout the vetting process, the Nominating Committee unanimously approved the following roster of candidates: Chair-elect – 1 Board Member Fellow, to be elected for three years: a one-year term as Chair-elect; a one-year term as Chair; and a one-year term as Immediate Past Chair Assists the Chair in the discharge of the Chair’s duties and performs the duties of the Chair at the Chair’s request or, in the event of the Chair’s temporary absence or incapacitation, at the request of the Board of Directors.
    [Show full text]
  • Quarterly Board Meeting Agenda Item
    Protecting Advocating Serving Telemedicine: Protecting Patients, Expanding Access Humayun J. Chaudhry, DO, MACP, FRCP President and CEO Federation of State Medical Boards August 9, 2019 Medical Board of California Quarterly Board Meeting Burlingame, California © 2018 Federation of State Medical Boards Current FSMB Model Policy Guidance • Defining “Telemedicine”: • The practice of medicine using electronic communications, information technology, or other means between a licensee in one location and a patient in another location with or without an intervening health care provider. Practice is deemed to occur where the patient is located. • Generally, telemedicine is not an audio-only telephone conversation, email/instant messaging conversation, or fax. • It typically involves the application of secure videoconferencing or store-and-forward technology to provide or support health care delivery by replicating the interaction of a traditional, in- person encounter between a provider and a patient. © 2018 Federation of State Medical Boards BRD 16 - 1 Agenda Item 16 FSMB and Telemedicine • Evolving FSMB regulatory policy and guidance for the regulation of telemedicine • Model Act for the Practice of Medicine Across State Lines (1998) • Model Guidelines for the Use of the Internet in Medical Practice (2002) • Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine (2014) • Federal grants to support license portability • Uniform Licensure Application (UA) • Technical enhancements to Federation Credentials Verification Service (FCVS) • Expedited licensure endorsement policies • Interstate Medical Licensure Compact (IMLC) • License Portability for Physician Assistants (new) © 2018 Federation of State Medical Boards Telemedicine: Benefits and Challenges • Benefits: Increased access to care and services, expanded utilization of specialty expertise, management of chronic disease, improvement of health outcomes, and reduction of costs.
    [Show full text]
  • Annual Report
    2017 ANNUAL REPORT The National Board of Medical Examiners® (NBME) is an independent, not-for-profit organization that provides high-quality examinations for the health professions. Protection of the health of the public through state-of-the-art assessment of health professionals is the mission of the NBME, along with a major commitment to research and development in evaluation and measurement. The NBME was founded in 1915 because of the need for a voluntary, nationwide examination that medical licensing authorities could accept as the standard by which to judge candidates for medical licensure. Since that time, it has continued without interruption to provide high-quality examinations for this purpose and has become a model and a resource of international stature in testing methodologies and evaluation in medicine. OUR MISSION To protect the health of the public through state-of-the art assessment of health professionals. While centered on assessment of physicians, this mission encompasses the spectrum of health professionals along the continuum of education, training and practice and includes research in evaluation as well as development of assessment instruments. TABLE OF CONTENTS THE NBME ORGANIZATION ................................. 3 Message from the President ........................................................... 4 Message from the Chair ................................................................. 5 2017 Highlights ............................................................................. 6 2017 Annual Meeting ...................................................................
    [Show full text]
  • States to Revamp Relicensing Requirements
    16 PRACTICE TRENDS MARCH 2011 • CLINICAL NEUROLOGY NEWS States to Revamp Relicensing Requirements BY MARY ELLEN SCHNEIDER Dr. Humayun Chaudhry, president and CEO of the Officials at the ABMS have been working closely with FSMB, said that one of the goals in redesigning the re- states for years on the issue of maintenance of licen- tate medical boards are eyeing ways to overhaul licensure process is to minimize the burden on prac- sure and plan to continue to be involved as states be- the relicensure process so that it better measures ticing physicians. To that end, the FSMB implementa- gin to pilot the concept over the next several months Sa physician’s efforts to stay abreast of clinical tion group’s draft report calls on state medical boards to ensure that board-certified physicians aren’t asked to developments. to accept participation in maintenance of certification do any “double work,” Dr. Weiss said. “We’re going to Currently, while the public assumes that state licen- through the American Board of Medical Specialties, or be very active in trying to help our physician commu- sure means that a physician remains competent, that’s osteopathic continuous certification through the nity on a state-by-state basis.” just not the case, according to Richard A. Whitehouse, Officials at the FSMB are being careful to point out the executive director of the State Medical Board of that maintenance of licensure and maintenance of cer- Ohio. tification are not meant to be equivalent. While main- “There is really no measure once someone is initial- tenance of certification and osteopathic continuous ly licensed and has met the threshold requirements for certification could comply with the more robust reli- licensure,” he said.
    [Show full text]
  • Medical Commission Educational Workshop 2012 Reading Packet
    MEDICAL COMMISSION EDUCATIONAL WORKSHOP Into the Future: Designing Better Patient Safety Systems August 22-24, 2012 Capitol Event Center Tumwater, WA A public service of the Washington State Medical Commission 1 8/21 Washington State Medical Commission Educational Workshop 2012 Into the Future: Designing Better Patient Safety Systems WEDNESDAY – August 22, 2012 – Capital Event Center Breakfast Provided in Main Rooms 8:15 a.m. Welcome: Mimi Pattison, MD, Chair and Secretary of Health Mary Selecky Dennis Turk, PhD John & Emma Bonica Professor 8:30 a.m. of Anesthesiology & Pain Research University of Washington Evidence Based Practice 9:30 a.m. Break Jon Thomas, MD, MBA 9:45 a.m. President, MN Board of Medical Practice, Chair-elect FSMB Social Media and Medical Practice Jane Ballantyne, MD Professor of Education and Research 10:45 a.m. University of Washington Managing Bill 2876 Presentation: RADM Patrick O’Carroll, MD Assistant Surgeon General, USPHS, Region X 12:00 p.m. The Affordable Care Act Lunch Provided Introduction: Karen Jensen, JD, MS Assistant Secretary, Department of Health 1:30 p.m. Networking Break Breakout 1 1. Commission efforts: Chehalis A Pain Rule, Demographics, Pilot to Date 2:00 p.m. 2. Jon Thomas, MD, MBA: Chehalis B President, MN Board of Medical Practice, Chair-elect FSMB Telehealth innovations in Minnesota Breakout 2 1. Commission efforts: Chehalis A Pain Rule, Demographics, Pilot to Date 3:00 p.m. 2. Jon Thomas, MD, MBA: Chehalis B President, MN Board of Medical Practice, Chair-elect FSMB Telehealth innovations in Minnesota 4:00 p.m. Break 4:15 p.m.
    [Show full text]
  • August 5, 2010 Meeting Participants
    August 5, 2010 Meeting Participants Kate Ackerman Sara Adams iHealthBeat Health Care Information Consultants, LLC Stuart Altman Jill Becher The Heller School, Brandeis University WellPoint William Bloedow Meryl Bloomrosen ThedaCare American Medical Informatics Association David Blumenthal Marilyn Sue Bogner U.S. Department of Health and Human Services Institute for the Study of Human Error, LLC Tom Borck Michael Botta Podesta Group Brookings Institution Debbie Boylan Donette Branch Health Affairs Delmarva Foundation, District of Columbia Richard Brennan Alice Brown National Association for Home Care & Hospice National Partnership for Women and Families Imani Brown Samantha Burch Dartmouth College Federation of American Hospitals David Carter Cassie Chambers Aetna Senate HELP Committee Wednesday, December 15, 2010 Page 1 of 7 Humayun Chaudhry Kathryn Costello Federation of State Medical Boards Marwood Group Paul Cotton Jeff Coughlin National Committee for Quality Assurance WayPoint Advisors Jen Covich Bordenick Amanda Craig eHealth Initiative Capitol Associates, Inc. Laura Cranston James Craver PQA, Inc. NCHS Scott Daniels Chris Dawe Social Security Administration Senate Finance Committee Susan Dentzer Susan Dentzer Health Affairs Health Affairs Carole DeSpain Magoffin Lee Dudka Health Quality Institutes Dudka & Associates Trina Dutta Jon Easter HHS/SAMHSA GlaxoSmithKline Claudia Ellison Mark Esherick Humetrix Siemens Ekom Etuk Brian Everstine George Mason University Inside Health Policy Ted Eytan Sue Felt-Lisk Clinovations Mathematica Policy Research Wednesday, December 15, 2010 Page 2 of 7 Danny Fernandez Steven Findlay National Rural Health Association Consumers Union Stephanie Fiore Donald Fischer George Washington University Highmark Blue Cross Blue Shield Angela Franklin Brenda Gentles ACEP Delmarva Foundation Miryam Gerdine Caroline Gignoux HHS Harkins Cunningham, LLP Thomas Glynn Thomas Glynn Partners Healthcare System, Inc.
    [Show full text]
  • The Vaping Epidemic
    SEPTEMBER 2019 THE LATEST NEWS FROM THE CLARK COUNTY MEDICAL SOCIETY In this Issue: THE VAPING EPIDEMIC As more cases of pulmonary disease, severe respiratory disease, and even deaths are linked to e-cigarette use, local and national public health authorities speak out agains vaping products. Pages 8, 21, & 22 Local high school The Opioid Dilemma: students experience a Where We’ve Been and day in the life of a doctor Where We’re Going Students interested in a career in medicine CCMS President Dr. Daniel Burkhead will get to shadow CCMS physicians looks back on the progress and pitfalls of during the Youth Wear the White Coat the past year of opioid regulation. Internship October 16-23. Inside Cover Page 19 PUBLISHED BY THE CLARK COUNTY MEDICAL SOCIETY PRESIDENT’S MESSAGE The Opioid Dilemma: Where We’ve Been and Where We’re Going 2019-20 BOARD OF TRUSTEES Executive Council By Daniel Burkhead, M.D. Daniel Burkhead, M.D. President President, Clark County Medical Society Jeffrey Roth, M.D. Member Since 2002 Past President When I look back over my 20-year career as a pain management physician, it is quite astounding Deborah Kuhls, M.D. President Elect how many philosophical changes the field has gone through. When I was finishing my training Nicholas Fiore, M.D. in the late 1990s, there was a huge cry for patient advocacy that led to the dictum that no patient Secretary should ever suffer from pain while under the care of a physician. Pain was considered the “5th Vital Staci McHale, M.D.
    [Show full text]
  • IAMRA -Global Information Exchange, Public Protection and Quality
    20th AMCOA Annual Meeting “Global Information Exchange, Public Protection and Quality Healthcare” Dr. Humayun J. Chaudhry Chair-Elect, International Association of Medical Regulatory Authorities President and CEO, Federation of State Medical Boards (FSMB), U.S.A. Clinical Associate Professor of Internal Medicine, University of Texas Southwestern Medical School, U.S.A. August 24, 2016 Mangochi, Malawi FSMB Board of Directors, 2016-17 Federation of State Medical Boards of the United States • Non-profit organization, founded in 1912 • Offices in Euless, Texas and Washington, D.C. • Represents all 70 state medical and osteopathic boards in the United States and its territories • Co-owns and co-manages the USMLE (United States Medical Licensing Examination) program • Secretariat, International Association of Medical Regulatory Authorities (IAMRA) • Publishes the Journal of Medical Regulation, since 1915 • Board Chair: Dr. Arthur Hengerer (New York) • President and CEO: Dr. Humayun Chaudhry (Texas) FSMB’s Portfolio of Services FSMB’s Publications Discipline USMLE License FSMB Data Individual Specialty Attributes 2014 Census of Licensed Physicians in the United States •There are 916,264 physicians (M.D. or D.O.) with an active medical license •This represents a net increase of 4% from 2012 •These physicians graduated from 1,933 medical schools in 166 countries Physicians with Medical Licenses in the United States by Location of Medical School of Graduation, 2014 Physicians with Medical Licenses in the United States Who Graduated from an African
    [Show full text]
  • Students Urge Step 1 Fixes, Physician Leaders Reply with Insult
    www.medscape.com Students Urge Step 1 Fixes, Physician Leaders Reply With Insult Alicia Ault January 17, 2019 The response of physician leaders to a student proposal to overhaul Step 1 of the United States Medical Licensing Examination (USMLE) seems to indicate a generational divide in the medical community. Step 1, which medical students take after the second year of undergraduate studies, and which plays a pivotal role in residency selection, has become such a dreaded event that thousands of memes have been created expressing the anxiety that goes along with studying for and taking the test. It has also given rise to a test-prep industry that gobbles up time and money — for those who have the financial resources — and, increasingly, a mindset that studying for Step 1 is more important than attending medical school classes. The pressure to succeed on Step 1 "has gotten much worse" in recent years, said Jed Wolpaw, MD, MEd, assistant professor and residency program director at the Johns Hopkins Department of Anesthesia and Critical Care Medicine in Baltimore, Maryland. It was bad enough a decade or so ago when he was taking the exam, he told Medscape Medical News. Now, "it is really all-consuming," with students disappearing for months while they prepare. That hyper-charged environment is what led a group of medical students and a resident to write an article in Academic Medicine proposing to eliminate numerical scoring on Step 1 and make it pass/fail. The article, and a patronizing response, published in the same journal, by Peter Katsufrakis, MD, MBA, president and CEO of the National Board of Medical Examiners (NBME) and Humayun Chaudhry, DO, MS, president and CEO of the Federation of State Medical Boards, ignited a firestorm on Twitter.
    [Show full text]
  • Dr. Humayun Chaudhry Installed As Chair of International Medical Regulatory Group FSMB CEO Dr
    For Immediate Release: September 23, 2016 Contact: Drew Carlson, (817) 868-4043 [email protected]; www.fsmb.org Dr. Humayun Chaudhry Installed as Chair of International Medical Regulatory Group FSMB CEO Dr. Humayun Chaudhry assumes leadership of International Association of Medical Regulatory Authorities WASHINGTON, D.C. (Sept. 23, 2016) – Humayun Chaudhry, DO, MACP, President and CEO of the Federation of State Medical Boards (FSMB), was installed as Chair of the International Association of Medical Regulatory Authorities (IAMRA) during the 12th International Conference on Medical Regulation this week in Melbourne, Australia. IAMRA provides a biennial international forum for medical regulators to share best practices in achieving their mandate to protect, promote and maintain the health and safety of the public by ensuring proper standards for the profession of medicine. The organization has 104 member organizations in 46 countries. Dr. Chaudhry, who joined the FSMB in 2009 and remains in that role, will serve a two- year term as IAMRA’s Chair from 2016-2018. He served as the organization’s Chair- elect from 2014-2016. Dr. Chaudhry, 50, graduated from New York University, the New York Institute of Technology College of Osteopathic Medicine and Harvard School of Public Health. He is board certified in internal medicine and completed his residency training at Winthrop- University Hospital, in Mineola, New York. He is the co-author of two books, “Fundamentals of Clinical Medicine” and “Medical Licensing and Discipline in America,” and was listed this year by Modern Healthcare magazine as one of the 50 Most Influential Physician Executives and Leaders. “I’m looking forward to supporting the global medical regulatory community as we work together to advance a common mission to protect the public,” said Dr.
    [Show full text]
  • © 2021 Reachmd Page 1 of 7 Margaret Flinter: We'll Get to Our Interview with Humayun Chaudhry in Just a Moment
    Transcriipt Detaiills This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/conversations-on-health-care/the-interstate-compact- toward-medical-licensure-portability-nationwide/7030/ ReachMD www.reachmd.com [email protected] (866) 423-7849 The Interstate Compact: Toward Medical Licensure Portability Nationwide Mark Masselli: This is Conversations on Health Care, I'm Mark Masselli. Margaret Flinter: And I'm Margaret Flinter. Mark Masselli: Well Margaret, more Americans will be seeing their medical provider virtually. Big insurers are paving the way for patients to be seen by their provider online for a variety of ailments that would ordinarily require a trip to their provider's office. Margaret Flinter: Well, the expansion of telemedicine's getting a big boost from the insurance industry. Etna currently allows for some three million e-visits with clinicians online, and that number is expected to grow to eight million in the coming year. And WellPoint, another big insurer, anticipates four million e-visits in the coming year. Mark Masselli: It makes good business sense for them, because it saves money. And for patients faced with higher and higher deductibles and copays it's more affordable for them, as well. A trip to the emergency room could cost thousands of dollars or more. A typical Teladoc consult is 50 dollars. Not to mention the convenience for the patient as well. Margaret Flinter: Well, there are some urging that we move into this realm with caution.
    [Show full text]
  • FSMB and the Evolution of Medical Regulation in the United States
    The Past is Prologue: FSMB and the Evolution of Medical Regulation in the United States David Johnson, M.A. Sr. Vice President, Assessment Services Prior to FSMB Founding 1830’s America The rise of alternative philosophies of medicine • Physio-medicalism • Homeopathic medicine • Eclectic medicine • and later…Osteopathic medicine Coincided with demise of earliest licensing laws and absence of effective therapeutics in disease management 2 | Copyright 2012 Federation of State Medical Boards Prior to FSMB Founding, cont. • North Carolina Medical Board established in 1859 • Rebirth of licensing laws in 1870s • Multiple licensing boards or ‘sectarian’ representation in many states 3 | Copyright 2012 Federation of State Medical Boards Prior to FSMB Founding, cont. Dr. John Rauch, Illinois Board of Health Indiana State Board of Medical Registration and Examination 4 | Copyright 2012 Federation of State Medical Boards FSMB Predecessors, 1890-1911 National Confederation of State Medical Examining and Licensing Boards, 1890-1912 Dr. William Warren Potter (New York) Focus: Raising standards for medical education & licensure American Confederation of Reciprocating Examining and Licensing Boards, 1902-1912 Dr. Beverly Drake Harrison (Michigan) Focus: License portability 5 | Copyright 2012 Federation of State Medical Boards Merger Talks, 1910-1911 Prompted by… • concerns for duplicated effort • limited resources • need for unified action • “push” from AMA and the AAMC “You gentlemen…ought to organize a body that will bring together all the states.”
    [Show full text]