TeleHomeCare

1. TeleHomeCare Presented by Elizabeth Lee Kelsey Madden Judith Mercatili

2. Objectives • Describe TeleHomeCare Monitoring • Describe hardware • List, describe, and evaluate software • Describe and review the information system • Describe advantages/disadvantages • Examine legal and ethical issues • Describe the technology related competencies of the professional nurse working with TeleHomeCare • Describe the functions of the informatics nurse working with TeleHomeCare

3. TeleHomeCare Monitoring Description • Collects and securely transmits data quickly • Records and tracks patient information 24/7 • Completes health assessments accurately in the home environment • Features automatic prompting; and • Includes technological support (Honeywell, 2008)

4. System Hardware • Sentry Telehealth monitor • Collects and transmits patient data • Genesis Telemonitor • Monitors patient vital signs (Honeywell, 2008)

5. System Hardware cont’d • Computer system • Medical sensors -sphygmomanometer and stethoscope -scale -pulse oximetry • Human interface • Standard modem (Honeywell, 2008)

6. Software • Windows 95 or newer • Syngo

7. Siemens Syngo software • Workflow applications • Imaging applications • Knowledge applications • Soarian quality measures (Siemens, 2009)

8. Usability of software • Useful and safe • Increases productivity • Decreases cost • Manages resources • i.e. time, energy, error rates (Staggers, 2003)

9. Hospital information system • Manages information needed for daily operations • Associated with patient care information systems (McGonigle and Mastrian, 2009)

10. Software review • Hospital information system • Used by Registered Nurses • Function • Recommendation (Siemens, 2009)

11. Honeywell HomMed Evaluation • Patient Testimonial • Professional Testimonial

12. Advantages • Increase in: • Communication between patient and provider • Patient and professional satisfaction • Reduction in: • Hospital stays • Home visits • Recertification (Gauthier 2006)

13. Disadvantages • Less nurse-client interaction • Technical failure • Patient knowledge • High cost of equipment • Physician resistance • Reimbursement for services

14. Ethical/ Legal Issues • HIPAA • Possible violation within agency or home

15. Nurse Competencies • Effective, proficient, and safe use of telehealth technologies/medical devices • Understanding of technology limitations • Understanding of the knowledge, skills, and judgment necessary to identify, acknowledge, and interpret the changes that a distance factor creates

16. Nurse Competencies (cont’d) • Adequate knowledge to facilitate decisions about when a client requires an in-person evaluation • Enhanced communication skills are an integral part of using this medium to deliver healthcare

17. Functions of the Informatics Nurse Specialist • Functions • Responsibilities

18. Telehomecare Monitoring Overview • Collects and securely transmits data • Automatic prompting • Records and tracks patient data • Decreases ER visits and hospital stays

19. References Honeywell HomMed. (2007). The future of telehealth at your fingertips. Retrieved January 26, 2009, from Honeywell Web site: http://hommed.com McGonigle, D., Mastrian, K., (2009). Nursing Informatics and the Foundation of  Knowledge. Sudbury, MA: Jones and Bartlett Publishers. Siemens. (2009). Siemens healthcare. Retrieved February 20, 2009, from Siemens website: http://www.medical.siemens.com/webapp/wcs/stores/servlet/CategoryDisplay~q_catalogId~e_-1~a_categoryId~e_1017869~a_catTree~e_100010,1008631,1017866,1017869~a_langId~e_-1~a_storeId~e_10001.htm St-Jule, D. & Gauthier, Margaret. (2006). Regional home care service for chronic pulmonary diseases of Montreal. Retrieved January 26,2009, from Newittech Web site: http://www.newittech.com/homecare/telehealth/technical/documents/IDPM_COPD_Clinical_Study.pdf Staggers, Nancy (2003).Human factors: Imperative concepts for critical care. AACN Clinical issues. 14, 310-319.