1. TELEHEALTH by Shana Chevillot, Melissa Glover-Johnson,
Stacyann Hall, Soniya Lal, Darla Mellott, and Janette
Williams.
2. Telehealth is: Using electronic information and
telecommunications to: Support healthcare from a distance. Support
both patient and professional education. Improve public health.
Increase the contact of the medical field with the patient. Save on
travel time and cost for both the practitioner and patient. Add
expertise to medical cases.
3. How is Telehealth used? Successful establishment and use of
a telehealth link, requires strategic planning as well as
consideration of the following factors; what is necessary for
infrastructure, cost and reimbursement, credentialing, and
privileging by the distance site, human factors, equipment and
technology issues.
4. 1. Provides care to patients in a remote location, i.e.
places like Alaska because weather conditions, access to roads may
be impossible, by way of tele/videoconferencing can diagnose and
treat the patient. 2. Provide care to patients in dangerous
locations such as on the battle fields, for example, a wounded
soldier with a gunshot wound, a doctor may not be able to perform
that particular surgery, using a robotic device, one such as the
DaVinci technology, the physician puts his or her arms into the
device that controls the mechanism that can perform surgery, thus
may save the soldiers life. Telehealth Advantages
5. 3. Save time, e.g. The patient may need access to a
specialist right away to look at an unusual pimple on the face, the
specialist can be dialed up, with the use of video equipment, may
view the patients issue and diagnose and treat the problem,
therefore saving time that may be detrimental to the patients
health for a positive outcome. 4. Can be used for daily monitoring
of biometric measurements, e.g. a patient with a cardiac issue such
CHF, the doctor may video and converse with the patient, the doctor
may notice the patient is having shortness of breath during
conversation, a stethoscope may be plugged into the device and the
doctor can listen to the breath sounds, the doctor can diagnose and
treat the patient. The patients weight can be monitored and treated
via telehealth. A diabetics blood sugar can be monitored and
treated by telehealth Telehealth Advantages
6. 5. Can give diagnostic evaluation; Cat scans can be viewed
from the home of a radiologist and a decision can be made for
treatment, radiologist can view x-rays from home and advise
treatment, telehealth can be utilized for effective triage. 6. Has
the potential to lower malpractice cost. Clients were given a
videotape for later review and as a means to clarify their
comprehension, the original tape kept for future reference and as a
part of their medical record. Telehealth Advantages
7. 7. Can afford the client to stay in their community and use
their regular health care providers. 8. Telehealth serves as
central health record, and improves the quality of the health
record. 9. Assists with diagnosis, make and support decisions for
the patient, the nurse and even the home health aides. 10.
Information can be stored and disseminated for future use in
research. Collaboration among healthcare professionals is fostered
among interdisciplinary members of the healthcare team. Telehealth
Advantages
8. Regulatory barriers. State laws are either unclear or may
forbid practice across state lines. Lack of reimbursement for
consultative services. Most third-party payers do not provide
reimbursement unless the client is seen in person. Disadvantages of
Telehealth
9. Disadvantages of Telehealth Fear of healthcare system
changes. Personnel may fear job loss as more clients can be treated
at home and hospital units close. Costs for equipment, network
services, and training time. Equipment capable of transmitting and
receiving diagnostic-grade images is expensive.
10. Lack of acceptance by healthcare professionals. This may
stem from liability concerns and discomfort over not seeing a
client face-to-face. Lack of acceptance by users. This may stem
from discomfort with technology, the relationship with the
provider, and concerns over security of information and
confidentiality. Disadvantages of Telehealth
11. Remote Home Monitoring or Home Telemonitoring
Store-and-Forward Consultation Clinical Video Telehealth or
Teleconferencing Hybrid Consultation Teleradiology
12. Remote Home Monitoring or Telemonitoring Allows providers
to monitor the patients health and or vital signs remotely from
home
13. Store-and-forward Consultation Collecting and Storing Data
an example of store-and-forward are images, videos and sound. That
information can then be forwarded or retrieved by another
healthcare facility for evaluation.
14. Clinical Video Telehealth or Teleconferencing Allows
patients to see a specialist from their home or hospital bed, the
patient will not have a need to travel, instead the specialist
comes to the patient via video and it allows for live interactions.
When high quality images and patient interactions are
necessary.
15. Hybrid Consultation Is used for when high quality images
and patient interactions are necessary. Use both live and
store-and-forward consultations. Hybrid consultations are normally
used in specialist / subspecialties such as dermatology,
cardiology, orthopedics and family medicine. Case management, pain
management and long term care are a few telehealth services that
use Hybrid consultation.
16. Teleradiology Allows radiological images to be sent to
multiple locations. Before the images can be sent an image sending
station, a transmission network and a receiving / image station is
needed.
17. Also know as: HRSA Goal: to improve the use of telehealth
in the rural areas and underserved. This is achieved by: Providing
grants. Developing policies Creating and evaluating telehealth
programs and technologies. Providing technical assistance Health
Resources and Services Administration
18. Importance to Healthcare Reduces healthcare costs Home
Monitoring programs that reduce hospital visits. High cost patient
transfers for emergencies are reduced.
19. Importance to Healthcare Distribution of Limited Providers
-Physicians can see more patients faster. Providers will be able to
assess remotely and diagnose from a distance. Physicians can use
immediate assessment tools.
20. Importance to Healthcare
21. Patient Education Telehealth beneficial to patient
education Telehealth functions to help patients Understand health
information Be better informed about their medical condition Help
patients and providers share information Patients have access to
health education/information materials to facilitate care and
health promotion.
22. Patient Education Patients now have tools that can empower
them to learn about disease and disease management The tools can
include equipment to be used in the home. Providers will need to
assess the learning needs of patients. Education will need to be
given regarding equipment use, result uploads, and what to do with
abnormal values.
23. Patient Education With the use of the equipment: Providers
can monitor and have immediate access to results such as: daily
weights, blood pressure This facilitates learning opportunities
between the patient and provider Allows the patient to actively
participate in care Keeps provider aware of patient habits and
intervention can occur quickly.
24. Patient Education Patients have the opportunity to educate
themselves with the use of the internet. Online support groups
Social network pages Online medical libraries Insurance company
websites
25. Patient Education Involving patients with their care:
Increases compliance with prescribed regimen of care Increases
compliance with symptom management The use of devices in the home
that sends information to the provider makes a difference in the
patient healthcare and outcomes.
26. Patient Education Glucoboy Diabetic tool in a video game
The cartridge is inserted into a Nintendo game system and it helps
children manage their Type 1 Diabetes
27. Importance to Healtcare Even with the advantages and
disadvantages, there is an abundance of uses and overall the use of
telehealth is becoming a common resource that makes healthcare
more: -user friendly -time effective -cost effective -dependable
Shows great potential for advancing preventative medicine and the
treatment of chronic conditions. This is according to the HRSA
website (What is telehealth, para. 3).
28. Reference Hebda, T., & Czar, P. (2005). Telehealth. In
Handbook of informatics for nurses and health care professionals
(4th ed.). Upper Saddle River, N.J.: Pearson Prentice Hall. Fry, C.
(Director) (2015, April 3). Telehealth. Lecture 8. Lecture
conducted from University Alliance, .
29. Reference: Telehealth. (n.d.). Retrieved April 1, 2015,
from http://www.hrsa.gov/ruralhealth/about/teleh ealth What is
telehealth? (n.d.). Retrieved April 1, 2015, from
http://www.hrsa.gov/healthit/toolbox/ruralhe
althittoolbox/telehealth/whatistelehealth.htm l
