WEBVTT 1 00:00:00.000 --> 00:00:05.705 >>GERRY: WHILE MANY HOOSIER DOCTORS ARE ON THE FRONT LINES OF THE PANDEMIC, MANY OTHERS HAVE BEEN SIDE-LINED...AND IT'S 2 00:00:05.705 --> 00:00:12.245 IMPACTING THE ABILITY FOR SOME HEALTHCARE PRACTICES TO SURVIVE THE COVID-19 CRISIS. THAT'S ONE FINDING FROM A NEW 3 00:00:12.245 --> 00:00:18.752 REPORT LOOKING AT THE BUSINESS IMPACT OF COVID-19. THE INDIANA STATE MEDICAL ASSOCIATION IS SHARING THE 4 00:00:18.752 --> 00:00:24.491 RESULTS FIRST WITH INSIDE INDIANA BUSINESS TELEVISION. BUSINESS OF HEALTH REPORTER KYLIE VELETA TELLS US WHAT THE 5 00:00:24.491 --> 00:00:32.065 SURVEY UNCOVERED. >>KYLIE: ISMA SURVEYED THOUSANDS OF HOOSIER DOCTORS AND FOUND THE HEALTH CRISIS IS PUTTING AN 6 00:00:32.065 --> 00:00:41.007 ECONOMIC STRAIN ON MEDICAL PRACTICES THROUGHOUT THE STATE. 73 PERCENT OF PHYSICIANS SAY THEY'VE REDUCED STAFF HOURS OR 7 00:00:41.007 --> 00:00:46.146 HAD TEMPORARY LAYOFFS. MORE THAN HALF OF THOSE DOCTORS EXPECT TO ELIMINATE POSITIONS IN THE NEXT TWO MONTHS. 8 00:00:46.146 --> 00:00:52.752 HERE TO TELL US MORE ABOUT HOW COVID-19 IS IMPACTING BUSINESS AND PATIENT CARE IS JULIE REED, THE ISMA EXECUTIVE VICE 9 00:00:52.752 --> 00:01:01.027 PRESIDENT. SHE JOINS ME NOW VIA SKYPE. THANKS FOR BEING ON THE SHOW TODAY. 10 00:01:01.027 --> 00:01:09.369 >>: THANKS FOR HAVING ME. >>: FIRST OF ALL WHY DID THEY WANT TO DO THIS REPORT? WHAT ARE YOUR GOALS. 11 00:01:09.369 --> 00:01:18.611 >>: ASSURER SO LET ME JUST SAY HOW REALLY, REALLY FORTUNATE WE ARE TO HAVE GREAT DOCTORS IN THE STATE OF INDIANA AND OTHER 12 00:01:18.611 --> 00:01:25.685 HEALTHCARE PROVIDERS WHO REALLY HAVE BEEN JUST HEROIC DURING THIS PUBLIC HEALTH CRISIS. OBVIOUSLY ALL INDIVIDUALS HAVE 13 00:01:25.685 --> 00:01:33.226 BEEN AFFECTED BY IT AND ALL INDUSTRIES HAVE BEEN AFFECTED INCLUDING HEALTHCARE. WHAT WE REALLY WANTED TO DO WAS 14 00:01:33.226 --> 00:01:41.234 DETERMINE WHAT HAS BEEN THE IMPACT ON PHYSICIAN PRACTICES SO WE CAN DETERMINE HOW TO HELP THEM REDUCE THOSE BARRIERS WITH 15 00:01:41.234 --> 00:01:48.942 THEIR PATIENTS. AT THE END OF THE DAY IT'S ABOUT ACCESS TO HEALTHCARE AND WE WANT TO MAKE SURE WE PREVENT DELAYS 16 00:01:48.942 --> 00:01:54.247 TO THOSE [INAUDIBLE] SCREENINGS AND PROCEDURES THAT PATIENTS NEED. >>: THERE ARE SOME ALARMING 17 00:01:54.247 --> 00:02:01.855 INSIGHTS IN THIS REPORT. 82 PERCENT OF DOCTORS REPORT MORE THAN A 40 PERCENT DECREASE IN REVENUES AND PATIENT 18 00:02:01.855 --> 00:02:09.229 ENCOUNTERS. SOME REPORT 80-90 PERCENT AND POTENTIALLY CLOSING PRACTICES. AS ISMA LOOKS AT THE RESULTS OF 19 00:02:09.229 --> 00:02:17.203 THE REPORT WHAT ARE YOUR TOP CONCERNS? >>: IT REALLY HAS BEEN FEAST OR FAMINE FOR HEALTHCARE BELIEVE IT 20 00:02:17.203 --> 00:02:23.042 OR NOT. WE HAVE SOME PROVIDERS ON THE FRONT LINES AND DIRECTLY INVOLVED IN THE COVID RESPONSE 21 00:02:23.042 --> 00:02:30.617 AND WE HAVE AS YOU MENTIONED OTHER PROVIDERS THAT HAVE SEEN DRAMATIC REDUCTION IN PATIENT VOLUMES. 22 00:02:30.617 --> 00:02:38.625 SOME PRACTICES HAVE SEEN ALMOST ALL PRACTICES HAVE SEEN A 40 PRINT DONE REDUCTION SOME 80 OR 90 PERCENT SO WHAT'S ALARMING TO 23 00:02:38.625 --> 00:02:48.835 US IS THAT MEANS PATIENTS ARE NOT SEEKING THE CARE THEY NEED AND OBVIOUSLY THAT NOT IS JUST FOR SICK PATIENTS THAT'S FOR THE 24 00:02:48.835 --> 00:02:54.641 IMPORTANT SCREENINGS AND THINGS LIKE VACCINATIONS THAT WE NEED AS PART OF THE FABRIC OF OUR PRIMARY HEALTH CARE SYSTEM. 25 00:02:54.641 --> 00:03:00.813 >>: WE TALKED ABOUT THE BUSINESS IMPACT AND MENTIONED PATIENT CARE. THAT'S A BIG ISSUE RIGHT NOW AND 26 00:03:00.813 --> 00:03:07.253 YOU MENTIONED ACCESS TO PATIENT CARE AND THAT'S FRUSTRATING FOR A LOT OF PATIENTS RIGHT NOW. WHAT IS THE MESSAGE YOU WANT TO 27 00:03:07.253 --> 00:03:16.829 GIVE TO THE PUBLIC WITH THIS REPORT? >>: SO OBVIOUSLY WE HAVE SEEN THE PUBLIC AFFECTED BY THIS 28 00:03:16.829 --> 00:03:23.803 DRAMATICALLY. PEOPLE ARE FACING SOME OF THEIR HARDEST DAYS AND SOME OF THEIR HARDEST TIMES AND WE REALLY NEED 29 00:03:23.803 --> 00:03:30.610 TO MAKE SURE AS A SOCIETY WE ARE THEREFORE, ALL OF THOSE PEOPLE FACING HARD TIMES. FROM A HEALTHCARE PERSPECTIVE WE 30 00:03:30.610 --> 00:03:37.483 NEED TO CONTINUE TO REMIND PEOPLE THAT HEALTHCARE CONTINUES TO BE IMPORTANT, COVID OR NOT PEOPLE NEED TO BE ATTENTIVE TO 31 00:03:37.483 --> 00:03:44.691 THEIR OWN NEEDS AND THE HEALTHCARE NEEDS OF THEIR FAMILY MEMBERS AND STAY IN CONTACT WITH THEIR DOCTORS DURING THIS. 32 00:03:44.691 --> 00:03:54.033 >>: TELEMEDICINE YOU MENTIONED OFF-CAMERA ON THE RISE RIGHT NOW AMONG DOCTORS. A LOT OF THEM USING TELEMEDICINE 33 00:03:54.033 --> 00:03:59.405 [OVERLAPPING SPEAKERS] WE HAVE A SLIGHT DELAY BETWEEN US. ISMA HAS SAID PUBLICLY THEY 34 00:03:59.405 --> 00:04:06.012 SUPPORT THE GOVERNOR'S DECISION TO CLOSE PRACTICES. BUT THERE HAVE BEEN SOME UNINTENDED CONSEQUENCES. 35 00:04:06.012 --> 00:04:12.485 WHAT IS THE ISMA MESSAGE FOR THE GOVERNOR RIGHT NOW AND STATE LEADERSHIP EVEN AS SOME OF THESE ELECTIVE PROCEDURES ARE STARTING 36 00:04:12.485 --> 00:04:21.394 TO BE ALLOWED NOW? >>: WE COULD NOT BE MORE PLEASED WITH THE LEADERSHIP FROM THE GOVERNOR AND HIS ENTIRE 37 00:04:21.394 --> 00:04:27.433 ADMINISTRATION TEAM INCLUDING PHYSICIAN ADVISORS WHO HE'S BEEN WORKING CLOSELY WITH. WE ARE PLEASED TO SEE ELECTIVE 38 00:04:27.433 --> 00:04:31.437 PROCEDURES GRADUALLY START TO OPEN. THAT'S IMPORTANT FOR PATIENT CARE. 39 00:04:31.437 --> 00:04:39.579 WE'VE ALSO BEEN REALLY PLEASED WITH TELEMEDICINE WHICH IS THIS NOTION THAT PATIENTS MIGHT SEE THEIR DOCTORS THROUGH A VIDEO 40 00:04:39.579 --> 00:04:47.420 VISIT ON A COMPUTER OR TABLET OR SMART PHONE OR MAYBE JUST CONNECT WITH THERE DOCTOR OVER AN ORDINARY TELEPHONE. 41 00:04:47.420 --> 00:05:00.767 WE'VE SEEN PHYSICIAN PRACTICES REALLY ADAPTING A 70 PERCENT UTILIZATION RATE WHICH WE ARE REALLY PLEASED WITH. 42 00:05:00.767 --> 00:05:06.606 WE'VE HAD CHALLENGES AROUND PERSONAL PROTECTIVE EQUIPMENT AND ACCESS TO MASKS. THOSE ARE STARTING TO IMPROVED 43 00:05:06.606 --> 00:05:13.680 AND WE ARE PLEASED THE STATE HAS AGREED TO HELP WORK WITH US TO COORDINATE GETTING THOSE TWO PRACTICES AROUND THE STATE. 44 00:05:13.680 --> 00:05:23.790 WE ARE PLEASED TO SEE INCREASES IN ACCESS TO TESTING WHICH WILL REALLY BE IMPORTANT AS WE START TO THINK ABOUT REOPENING AS A 45 00:05:23.790 --> 00:05:30.496 STATE. WHAT I WOULD REALLY SAY IS WE'VE BEEN REALLY IMPRESSED BY WHAT I WOULD CUT THE SPIRIT OF 46 00:05:30.496 --> 00:05:36.669 COLLABORATION AND INNOVATION AND HOPE THIS IS THE BEGINNING OF THAT. >>: JUST A COUPLE OF SECONDS 47 00:05:36.669 --> 00:05:42.842 LEFT. WHAT DO YOU WANT TO DO NEXT? HOW DO YOU MOVE FORWARD WITH THE INFORMATION YOU'VE BEEN GIVEN? 48 00:05:42.842 --> 00:05:49.949 >>: WE ARE WORKING ON [INAUDIBLE] PRACTICES AND REALLY WE NEED TO RESTORE THE CONFIDENCE IN THE PUBLIC ABOUT 49 00:05:49.949 --> 00:05:56.756 GOING OUT AND GETTING THE HEALTHCARE THEY NEED POTENTIALLY EVEN THROUGH TELEHEALTH. WE ARE ENCOURAGING PATIENTS TO 50 00:05:56.756 --> 00:06:01.928 CHECK IN FOR CHECKUPS WITH DOCTORS AND MAKE SURE THEIR CONDITIONS ARE NOT GETTING WORSE DURING COVID-19. 51 00:06:01.928 --> 00:06:09.102 >>: THANKS SO MUCH FOR JOINING US. WE WANT TO MENTION THE REPORT IS ON THE ISMA WEBSITE AND YOU CAN 52 00:06:09.102 --> 00:06:13.306 SEE THE REPORT INFO. JULIE, THANKS FOR BEING ON THE SHOW TODAY. >>: THANKS FOR HAVING ME.