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used to en<strong>com</strong>pass a broader definition of remote healthcare<br />

that does not always involve clinical services. Videoconferencing,<br />

transmission of still images, e-health including patient<br />

portals, remote monitoring of vital signs, continuing medical<br />

education and nursing call centers are all considered part of<br />

telemedicine and telehealth.”<br />

Remote care and telemedicine provide care in cases where<br />

a patient is miles away from a health care facility. In many<br />

instances, patients don’t have a way of getting to the facility<br />

for immediate help. Instead of a nurse traveling the distance<br />

to help the patient when they are in need, telemedicine and<br />

Delta Technology Res-Q-Air Waterproof<br />

Sports/Emergency Oxygen System<br />

remote care can enable the patient to get the help they need<br />

through the use of monitors and step-by-step direction. Telemedicine<br />

and telehealth allow health care providers to, on a<br />

daily basis, monitor the patient and make real-time decisions<br />

with regards to the care of their patient. Remote monitoring of<br />

ventilators, for instance, can lead to stable symptom management,<br />

improved healthy behaviors, and follow-through with<br />

treatments.<br />

By providing telemedicine, more respiratory patients will<br />

be able to receive the help and education they need in order to<br />

maintain healthier lifestyles while dealing with their disease.<br />

A more thorough integration of telemedicine and remote<br />

patient care for the future is not far on the horizon. In terms of<br />

the future of respiratory therapy, many <strong>com</strong>panies are striving<br />

to create closed-loop ventilators – ventilators that will monitor<br />

breathing and will respond automatically if a problem occurs.<br />

It is believed that new developments will be made in the future<br />

for long-term respiratory patients. “There is a greater demand<br />

for products and people to continue to improve the quality of<br />

life for long term ventilator patients in the home,” says Bill<br />

Rosas of Midwest Biomedical Recourses.<br />

Currently, the biggest challenges facing the respiratory industry<br />

are finance and economic recovery. The demand for respiratory<br />

products is very strong, yet the industry faces the issue<br />

of how customers are going to pay for equipment. The economic<br />

downturn has “made refurbished products more attractive to<br />

buyers both in the domestic and international markets,” says<br />

John Wittenberg of Inventory Solutions, Inc. He adds, “Buyers<br />

are seeing that they can get excellent quality and warranties as<br />

well as discounted prices from reputable resellers.”<br />

Judy Engle, RRT/RCPT and owner of Frontier Medical<br />

adds, “Every market is different, but the economy has slowed<br />

down and put a hold on purchasing new equipment due mostly<br />

to lack of budget.”<br />

With advancements constantly being made in respiratory<br />

technology, today’s new respiratory equipment can run anywhere<br />

from $10,000 to $14,000. In the refurbished market,<br />

equipment can be as much as 50% less expensive. John Wittenberg<br />

says, “The main thing is that the refurbished equipment<br />

industry is be<strong>com</strong>ing more mature; people know they can<br />

get really high quality equipment that <strong>com</strong>es with paperwork<br />

indicating it will last. It changes the face of the industry.”<br />

Inventory Solutions, Inc. specializes in the sale of refurbished<br />

respiratory equipment like ventilators, Pulse Oximeters,<br />

Sleep Products, Concentrators, Patient Monitors, Phototherapy,<br />

Apnea Monitors and Liquid Oxygen. He adds, “We<br />

don’t look at one particular product selling. If someone needs<br />

something, we want to have it patient-ready and on the shelf in<br />

order to get our product to them quickly.”<br />

It seems that despite the downward turn of the economy,<br />

the respiratory equipment sector is doing well. However, as a<br />

result of Medicare/Medicaid reimbursement cutbacks and adjustments,<br />

changes will occur. Ken Johnston told <strong>DOTmed</strong>,<br />

“Right now, in home oxygen delivery, reimbursement systems<br />

in Medicare/Medicaid are about $140 plus per month and $70<br />

per month for portable oxygen.”<br />

The LTV 1200 from CareFusion;<br />

critical care anywhere<br />

<strong>DOTmed</strong>business news I s e p t e m b e r 2009 39

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