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Challenges to Telehealth in Academic Medicine

Challenges to Telehealth in Academic Medicine. Alex Nason Program Director Office of Telehealth and Interactive Learning. Historic Billings Building. New Clinical Building. Expanding Our Global Presence. IT @ JHM - Critical Juncture. ‘Entity centric’ to ‘Patient centered’

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Challenges to Telehealth in Academic Medicine

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  1. Challenges to Telehealth in Academic Medicine Alex Nason Program Director Office of Telehealth and Interactive Learning

  2. Historic Billings Building

  3. New Clinical Building

  4. Expanding Our Global Presence

  5. IT @ JHM - Critical Juncture • ‘Entity centric’ to ‘Patient centered’ • Single tightly integrated solution • Patient centered care requires coordination of care across JHM • Enable operational efficiencies, cost controls, and productivity • Achieve quality and patient safety well beyond meaningful use • Requires careful TCO and ROI analysis • Require redesign of care

  6. The Origins of JHM • Education • Clinical Care • Research

  7. Consumerism in Health

  8. Challenges • Human Factors and Culture • Acceptance by Physicians/Patients/Users • IT Department • BYOD/Security • Reimbursement • Costs • License / Regulatory • Evaluation and Research

  9. Challenges • Business Planning – Sustainability • Training • Communication • Cultural Considerations • Environment • Local Legal Issues • Time Zones (DST)

  10. Real World Problems • Acute Care Response • Stroke • Chronic Disease Management • Diabetes, Obesity, CHF • Physician Shortages • i.e. Intensivists • Global Issues • Pandemic Flu • SARS • Hurricane Katrina - Asian Earthquake • Bio-terrorism • Global Economics

  11. Things to Consider • Social Networks / Social Media • Wisdom of Crowds • Education / Training • Security/Theft • Accountable Care Organizations • Patient Protection and Affordable Care Act • Research….Research…Research • Clear question • Documented approach • Efforts to ensure VALIDITY

  12. A Whole New Mind – Daniel Pink • Left Brain • Sequential • Logical • Textual • Right Brain • Holistic • Intuitive • Non-Linear

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