...BRIEF COMMUNICATION Clinical Telehealth Across the Disciplines: Lessons Learned Sandra Jarvis-Selinger, Ph.D.,1,2 Elmira Chan, M.Ed.,2 Ryan Payne, B.A.,2 Kerenza Plohman, LLM,2 and Kendall Ho, M.D., FRCPSC2,3 cost and remuneration issues, development of organizational protocols for system use, and strategies to promote interprofessional collaboration). 1 Department of Surgery, 2Division of Continuing Professional Development and Knowledge Translation, 3Division of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada. Key words: clinical telehealth, videoconferencing, literature review, quality of service Introduction Abstract Videoconferencing technologies can vastly expand the reach of healthcare practitioners by providing patients (particularly those in rural/remote areas) with unprecedented access to services. While this represents a fundamental shift in the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields...
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...new technology you don’t have to. Telehealth is a new emerging way to provide health care even to those in rural areas. This technology is especially important for those in northwest Alaska. The Maniilaq Association was formed to provide health and social services to people in the borough (a group of 11 rural villages) (Telehealth in the tundra). Think about how this would affect you, if you lived in a rural community. Would it change your opinion to just see a nurse practitioner in person and see a doctor via a TV screen? As you continue to read I am going to explain what telehealth is, the benefits of telehealth, and the disadvantages of telehealth. What...
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...that we would be having an in-service on a new telehealth monitoring device we would be using for our high risk patients. We were shown how to operate the monitors and was demonstrated all of its capabilities. The telephone based devices had an interactive voice response system that could remotely monitor a patient’s blood pressure, heart rate, O2 saturation, weight and blood sugar via a telephone connection. The devices were recommended for all cardiac and respiratory patients who were at high risk for re-hospitalization since the devices would be able to recognize early symptoms and help the nurses to make quick decisions about the patients’ plan of care. So what is telenursing and telehealth? Hebda & Czar (2013), states that “telenursing is the use of telecommunications and information technology (IT) for the delivery of nursing care”. Telehealth is “the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients”. Although, telenursing is still a fairly new concept to me, there is documentation of telenursing in the 1970’s. The first published telenursing article was written by Mary Quinn, RN in 1974. She described seeing patients remotely at Logan airport while working in a Boston Hospital telemedicine Center. (American Telemedicine Association, 2011). Fast forward to today and telehealth, telemedicine, and telenursing are common words...
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...from the site – 1. Surescripts is a one stop shop to support providers and organizational to connect with other professionals, share and obtain information. 2. E-Prescribing has climbed 42% in the last three years. Now 52% of doctors in the United States are using this technology and the pen and pad prescription method is becoming old news. Doctors are able to electronically submit prescriptions to pharmacies, patients now can arrive at their pharmacy of choice and their medication is available, no more dropping off written scripts, great! 3. Message Stream provides health organizations to securely share patient information such as lab results, medications, and immunization records. 2. What is the difference between Telehealth and Telemedicine? a. Telehealth- is the delivery of health –related services and information via telecommunications technologies. b. Telemedicine – the use of telecommunication and information technologies in order to provide clinical health care at a distance. 3. List various types of Telemedicine and briefly explain 3 of them. a. Telepharmacy- the reason why they come up with this program is because there was a shortage of pharmacists to review prescriptions. They are now sold with cameras so that the pharmacists can approve from any location. b. Telepsychiatry – this type of telepsychiatry is equivalent to face-to-face psychiatry of most patients. You can get individual or group therapy, second opinions and medication reconciliation. c. E-Mail...
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...Telehealth utilizes electronic data and telecommunications to support long-distance, clinician-based patient and professional health education, public health and health administration (HHS, 2013). Components of telehealth include videoconferencing, the internet, store-and-forward imaging, streaming media, terrestrial and wireless communications (HHS, 2013). Telehealth systems such as the Health Resources and Services Administration aims to increase and improve the use of telehealth to meet the needs of its underserved patients by (HHS, 2013): •Developing relationships within HRSA and other Federal agencies, states and private organizations to create telehealth projects. •Administers telehealth grant programs. •Provides technical support. •Evaluation of telehealth technology and programs. •Development of telehealth policy initiatives aimed at improving care access and quality health services. •Promotion of knowledge exchange regarding best telehealth practices. Telehealth is an invaluable addition to multiple care settings. Store-and-forward programs provide the smaller hospital to draw upon the knowledge of its much larger counterparts (HHS, 2013). As such, teleradiology and teledermatology programs are of particular interest to critical care facilities and rural health centers (HHS, 2013). Applications such as teleradiology and remote EKG services carry a greater likelihood of being covered by third party payers as they do not typically involve...
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...Telehealth Telehealth in Nursing Education One application that I have chosen for telehealth medicine is nursing education. The need for new approaches in how nurses become prepared are related by many factors, including those related to students, faculty, clinical placement sites, and the overall health care environment. Telehealth can be defined the removal of time and distance barriers for the delivery of healthcare services or related healthcare activities [ (Grady, 2011) ]. The new generation of technology-savvy students may be more comfortable with learning experiences that incorporate technologies they consider commonplace. A personal digit assistant (PDA), robots, telehealth apparatus, pagers, personal computers, notebooks and smart telephones are examples of how educators are leveraging student-friendly technology in healthcare to enhance learning outcomes [ (Grady, 2011) ]. Many nurse educators have recognized the need to push the nursing curriculum to the 21st century and are willing to do so; nursing is facing faculty shortages that threaten nursing educations ability to move its agenda forward. Students are being turned away from nursing programs because there is not enough faculty to teach the increasing students. Nursing student enrollment increased by 18 percent in 2005. The National League for Nursing (NLN) estimated that 147, 465 qualified...
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...Telehealth…. The Future is now Sandra M. Sielinski Chamberlain College of Nursing Abstract Tele-health is defined as “The use of health informatics, disease management, and home telehealth technologies to enhance and extend care and case management to facilitate access to care and improve the health of designated individuals and populations with the specific intent of providing the right care in the right place at the right time.” (Barr, McElnay, & Hughes, 2010) Telehealth services can offer timely and cost effective alternative means to healthcare for a patient, but nurses need to be aware of the less visible potential effects of providing nursing care, thus needing to more specific and more focused in their patient assessment. While telehealth has the potential to offer patients and nurses easier access to each other, privacy and ethical concerns are now more prevalent when it comes to the use of telehealth. (Hebda & Czar, 2013) Properly secured communications are a must-have in the telehealth industry. Advantages and Disadvantages While most people think that telehealth is a more recent venture based on current technology, it actually originated in 1980 when the United States Government ”played a major role in development and promotion of teleheath through various agencies” (Hebda & Czar, 2013)When government funding decreased, interest in telehealth subsided until the Department of Agriculture’s Rural Development Act of 1991 renewed interest with...
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...Telehealth Services Frederick E. McKague University of Phoenix Operations Management OPS/571 Professor Peter Wilms January 14, 2015 Telehealth Services With health care costs rising many consumers, and small employers are struggling to afford their health insurance premiums. Some employers are not able to offer health care coverage at all. For firms with fewer than ten employees, only 50 percent offered coverage to their workers in 2012 ("Rising Health Care Costs," 2014). FEM, Inc. is searching for a more consistent, inexpensive format for monitoring patients, streamlining care and minimizing costs, and Telehealth is the solution. Telehealth is the use of electronic information and telecommunications technologies to support long-distant clinical health care, patient and professional health-related education, public health, and health administration, and it can all be brought to the patient’s location ("Telehealth," 2014). FEM. Inc. will be located in the Skyridge Medical Center in Lone Tree, Colorado. It is best known for being the first acute care hospital in the fastest growing county in the country. It has established itself as a center for 80 specialties and home to a busy birth center which brings about 250 babies into the world each month. The 57-acre campus encompasses a variety of treatment centers, including the Sally Jobe Breast Center and the Sky Ridge Cancer Center. Over the past four years, the hospital’s presence in Lone Tree has drawn...
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...The article authored by Hall and McGraw raises the privacy and security concerns associated with telehealth. The authors point out that these risks can affect the level of trust as well as the relationship between the clinicians and the patients. Hall and McGraw identify the inability to control collection and sharing of data can result in the transmission of private details that expose the identity of the patients to unintended persons. They note that hackers have increased and can hack the telehealth systems and result in a security breach and identity theft. According to the article, the current privacy regulations are not reliable to guarantee the patients the security of their shared data. Such security breach has deleterious effects on...
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...Significance Telehealth is vital to those in need of substance abuse treatment. It is estimated that 90 Americans die each day due to an overdose of opioid use. There has been an uptrend of misuse and addictions of opioids which includes prescription pain relievers, heroin, and synthetic opioids. This is considered a national crisis that is having a major impact on public health. The Centers for Disease Control and Preventions has estimated that the economic burden to the United States of opioid misuse is $78.5 billion a year. This estimation includes the cost of healthcare, treatments, and the criminal justice involvement (National Institutes of Health, 2018). This is one of the reasons why it is of great importance to get treatment...
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...The telehealth care is the inclusion of computerized clinical medical devices for home use with a personal computer for transmitting digital images, graph, picture, photos, audio, and video to a healthcare practitioner or physician for evaluation of health and for diagnosing a disease to prescribe treatment with electronic prescription. Telehealth care is the correlation to primary care for testing, evaluating, and diagnosing health for treatment services. Telehealth for clinical services include medical device that can be apply to performing clinical test by following instruction for operation and connection, 'thinklabs' is site for converting medical equipment use for testing in primary care to digital devices for computer use. The computerized...
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...Wesley D. Pointjour Final Research Paper: Telehealth In Nursing Homes Health Quality Management April 02, 2015 Introduction In many nursing home facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education...
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...Study Guide for Windows Security Final IS3340 1. Many current operating systems actually implement microkernel architecture. Microkernel only implements the minimal required. Processes generally run in either user mode or supervisor mode. 2. The process of providing and denying access is called access control. Access control is multi step process starting with Identification and authentication. Three authentication types are type I, II, and III 3. User rights define the tasks that user is permitted to carry out, such as take ownership of objects or shutdown the computer. Permissions define what a user can do to a specific object such as read or delete the object. 4. This functionality has matured into a core Windows feature called, Active Directory this allows users and groups to be defined once and shared among multiple computers. 5. The main feature of Microsoft Active Directory is the ability to define identity and Authorization permission that can be shared among multiple computers within one or more domains. 6. The principal of providing the just the necessary access required to carry out a task is called the principal of least privilege or LUAs. 7. Access Models: Identification, Authentication, Authorization, ACL’s and Security Access Token (SAT). 8. Access Control List (ACL), Discretionary Access Control List (DACL), and Access Control Entry (ACE). 9. Access Models: Identification, Authentication, Authorization, ACL’s and Security Access Token (SAT). 10. cacls...
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...Technology and Health: Telehealth Sandra Stephenson University of Phoenix HCS/351 March 24, 2014 Humberto Munoz Technology and Health: Telehealth With millions of people uninsured and the increasing cost of health care, organization are trying to figure out how to increase access, improve outcomes and efficiency, and contain cost of health care. The advances in technology may just hold the solution to part of the health care problem. This paper will discuss the impact telehealth has had on the quality of care, quality of life, cost of care, access and social, ethical, and economic impact to health care. The use of telemedicine can go back to the invention of the telephone. Medical advice could be given over the phone to patients, nurses, and doctors. (Shi & Singh, 2012) Defines telemedicine as equipment used for medical diagnosis by physicians when they are unable to see a patient face-to-face, or when a generalist is communicating with a specialist. Telemedicine usually includes audio and two-way video equipment. Patients in rural areas or hospitals can be interviewed and assessed by a physician without the physician being on site. The Department of Health (DH) defines telehealth as “Electronic sensors or equipment that monitors vital signs remotely for example, in your home. These readings are automatically transmitted to an appropriately trained person who can monitor the health vital signs and make decisions about potential interventions in real time...
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...The use of research in telehealth implementations | | | Recent advances in, and increasing availability and utilisation of technology are presenting opportunities to provide greater access to services for those who live in regional and remote locations. This is particularly the case in health, where specialist services are usually limited to metropolitan areas. Those who live in regional or remote locations are therefore often required to travel long distances to gain access to these services (Wootton, 1998 and WHO 2010). Telehealth has many perceived benefits including the potential for enhancing access, quality, efficiency, and cost-effectiveness (Craig and Patterson, 2005). Additionally, evidence suggests many socioeconomic benefits to patients, families, health practitioners and the health system, including enhanced patient-provider communication and educational opportunities (Wootton, 1998 and Jennett et al. 2003). This is particularly useful for communities traditionally underserved – those in remote or rural areas with few health services and staff – as telehealth lessons the barriers of distance and time to specialised services. While technology exists that facilitates the provision of these specialist services - unfortunately they are not always utilised with many projects not proceeding beyond the pilot phase (Klecun-Dabrowska, 2003) and even worse, according to one estimate, three quarters of healthcare ICT implementations are considered failures...
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