Home Care via Telemedicine

1. Home Care via Telemedicine ©K.J. Cleetus CERC

2. Telemedicine - Customer Funded • Medical College of Georgia • Kansas Univ Medical Center (Hays Medical Center) • Children's Hospital, Chicago

3. Telemedicine in Home Care • Goal - Replace some physical visits by nurses by ‘Tele-visits’: • Visits of a supervisory nature • Visits to check vital signs • Visits for information and reassurance • Visits of a ‘compassionate’ non-reimbursable nature Clinics Nurse Visits Home Care Agency Patient Roster Hospitals Plan of Care Physician Visits TeleVisits

4. Interactions • Patient: • Social contact through Videoconference • Learning self-management of disease • Nurse: • Follow-up through Videoconference • Provide patient education & counselling • Ensure medication compliance • Monitor Vital signs - 8 common types • Record Visit Notes • Physician: • Patient Status Report from Nurse for periodic check-ups

5. Other Ingredients • Security • Cost • Patient Monitors: approx. $15K for 8 common parameters • Plus about $3K for • modems • Tel lines • cameras • videoconference via TV or computer

6. Diagnoses • Templates for specific diagnoses guide the nurse in asking questions, and note-taking • Statistics for some hundreds of patient televisits is required to come to any conclusion

7. Deployment • St. Mary’s Home Health Services • Mon County Health Dept • Applications • Doctors on Call on-line • Kiosk

8. RMH 2/23/98 • Browser front-ends to back-end databases • Security on Internet data access • Building data repositories • Tools for above