HealthJune 04, 2025

Three ways telehealth can help address fragmentation in healthcare

Telehealth organizations can help create a more integrated healthcare experience with in-person providers by contributing to care alignment and evidence-based protocols.

The saga of telehealth in recent years has been a dramatic one … from a sudden rise in popularity in the midst of COVID-19, evolving to become part of standard healthcare delivery, then strategizing to remain resilient and increase value for the patient experience.

Recently, the ecosystem has been grappling with healthcare system information fragmentation, which can result in incomplete patient records and in turn lead to missed diagnoses, duplicate services, extra administrative work for clinicians, and higher costs for organizations.

Telehealth sometimes finds itself squarely in the middle of this debate, as an essential healthcare service that patients have come to expect and demand, but one that can add additional layers of technology solutions and administrative processes to an organization. Nonetheless, telehealth is uniquely positioned to help address fragmentation by contributing to care alignment and a systemic approach toward a more integrated organizational experience.

Here are three ways any telehealth developer or provider can help address fragmentation:

1. Aligning protocols and evidence-based care

Regardless of setting, patients today expect a standard of evidence-based care and quality from their providers. By aligning telehealth clinical resources with the same evidence in-person providers are using, telehealth organizations can create a consistent experience and align decision-making with other outlets from which patients are receiving care.

Equipping telehealth teams with clinical decision support tools within the virtual care workflow allows them to do their jobs effectively and efficiently, connecting to evidence-based guidance and decision-making clarity when they need it without disrupting their patient interactions. When those resources are consistent with health systems and aligned to care protocols and best practices, it helps providers standardize and improve outcomes across all channels of interaction.

For a telehealth organization, using evidence-based decision support solutions to establish clinical protocols can be an essential step toward achieving better care alignment and overall outcomes. With a variety of different types of providers, including independent contractors, often engaged in telehealth, it can sometimes result in many individualized approaches to practice underneath a single organizational umbrella. Telehealth organizations that provide robust protocols based in evidence can really shine in terms of reducing fragmentation through more aligned practices, reducing the potential for clinical variability and operational complications, helping lower costs related to those complications, and improving patient outcomes.

2. Make patients active care team members

For any telehealth interaction, the follow-up component is key, and many telehealth programs provide tremendous value through automated or prompted follow-ups that help determine if patients are getting better or receiving the next steps of appropriate care.

But it doesn’t end there. For telehealth to truly integrate with a patient’s care plan, organizations need to provide educational materials to reference after the appointment that are consistent with the clinical evidence virtual care clinicians are using and the messages being delivered to patients from in-person providers.

A 2022 online survey indicated nearly half of patients didn’t get all their questions answered by their provider and 80% had follow-up questions. Telehealth organizations could partner with patient engagement providers to fill this gap with health information and help patients better understand their own health journey. This helps keep the patient at the center of their own care and decision-making process while also reducing fragmentation by maintaining consistency across all the health information they are receiving.

3. Promoting interoperability

Considering how telehealth services fit into interoperability and information-sharing processes can help organizations improve compliance, reduce duplicity of testing, and generally streamline provider workflow.

Because many telehealth technologies haven’t historically been compatible with major EHRs, it has meant that oftentimes clinical notes, prescriptions, and other important patient information hasn’t synced between virtual care providers and in-person healthcare organizations. Filling in these gaps manually leads to duplicate processes and extra work, which in turn heightens the risk of errors and healthcare worker burnout.

In 2019, the American Telehealth Association launched an interoperability initiative to encourage providers, solution developers, and payers to work together to address some of these technical gaps and establish telehealth software standards, shared data practices, and governance.

Some advanced clinical decision support resources, like clinical pathways and lab interpretation tools, can assist telehealth providers in remaining consistent to protocols while they work to connect directly to health system EHRs. When EHRs aren’t customized to telehealth, the built-in or integrated decision support tools an onsite clinician can access within the EHR might not be accessible from the telehealth documentation system. Having aligned resources across channels can help bridge some of the interoperability gaps to promote consistency in patient care protocols.

Advocating for standards and a systems-based approach to telehealth

As the telehealth industry continues to develop and find its permanent place in the healthcare ecosystem, the formation of industry groups that see telehealth vendors and organizations working together is an important next step toward fighting fragmentation. When industry colleagues and competitors can understand that they're all trying to solve the same problems and understand all the different places where people could be receiving care and working together to make sure that care is consistent, we can deliver virtual care with less variability, ultimately saving the healthcare ecosystem money and improving outcomes.

To learn more about how systems focused on evidence can better support telehealth and omnichannel care, download the Wolters Kluwer Health Point-of-care Report: Applying systems thinking to clinical information.

Complete the form to download the UpToDate Point of Care Report, “Systems thinking for evidence-based care teams.”
Amanda Heidemann professional headshot.
Amanda Heidemann, MD, FAAFP, FAMIA
Amanda Heidemann, MD, FAAFP, FAMIA, is Physician Advisor for UpToDate solutions, supporting healthcare organizations and leaders in clinical transformation and technology optimization.
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