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Chapter 18 by Sheldon Prial and Schuyler F. Hoss

Chapter 18 by Sheldon Prial and Schuyler F. Hoss. Overview of Home Telehealth. Objectives. Review the historical development of telehealth. Identify the clinical and economic benefits of telehealth. Explore the professional roles associated with telehealth. Predict future uses of telehealth.

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Chapter 18 by Sheldon Prial and Schuyler F. Hoss

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  1. Chapter 18by Sheldon Prial and Schuyler F. Hoss Overview of Home Telehealth

  2. Objectives • Review the historical development of telehealth. • Identify the clinical and economic benefits of telehealth. • Explore the professional roles associated with telehealth. • Predict future uses of telehealth.

  3. Key Terms Defined • Communications Hub • Data Capture • Digital Health Record • Home Health Agency

  4. Key Terms Defined • Long Term Care Facility • Payor Organization • Peripheral Devices • Real Environment Data

  5. Key Terms Defined • Telehealth • Telehealth Hardware • Telehealth Software • Trending

  6. Key Terms Defined • Triage • Visiting Nurse Association

  7. History of Telehealth • Advances in Telehealth • The National Institutes of Mental Health • The first reported use of television to monitor patients in a clinical facility • Sustaining the Advance of Telehealth.

  8. Home Telehealth “Hardware” • Use of Interactive Self Reporting Devices • What is a communication hub and what does it do? • What does a communication hub look like?

  9. Home Telehealth Software • Software Supporting Home Telehealth • Areas of Significant Improvement in Software • One Advantages of Home Telemonitoring • Trend Information

  10. Home Telehealth Software • Home Telemonitoring Systems • Sophisticated Software • Advanced Telemonitoring Software • Sophisticated Protocols

  11. Home Telehealth Software • How is telemonitoring systems information stored? • Web based records

  12. Home Telehealth Patients • Who is a candidate for home telemonitoring? • What about patients with limited access? • How are patients with chronic diseases affected? • Common chronic illnesses monitored by telehealth.

  13. Home Telehealth Patients • The Effectiveness of Telemonitoring • What is monitoring used for?

  14. Home Telehealth Patients • Who is benefited the most form telemonitoring? • Increasing Limits for Patients • Urban Core Area Challenges • Home telemonitoring as a Useful Transition Tool

  15. Home Telehealth Patients • Length of Stay (LOS) Reduction Strategies • Physicians and Surgeons Confidence in Telehealth • Telemedicine and Major Disasters • Telemedicine Broadens the Reaches of Medicine • The Largest Potential Market for Home Telemonitoring

  16. Home Telehealth Patients • Useful Tools in Sharing Information • Information can be made available to additional care team members

  17. Benefits of Telehealth • One Great Advantages of Using Telemonitoring • Patients Need Information Reviewed in a Timely Manner • Improvement from Telehealth Monitoring • The Effects of Changes in a Plan of Care Can be Easily Assessed

  18. Benefits of Telehealth • Home Telemonitoring Systems Create a Digital Health Record • The DHR and Billing Functions • A Continuous Stream of Patient Data • The Use of Telemonitoring

  19. Benefits of Telehealth • Telemonitoring Increases Levels Involvement in Care • Telemonitoring and Cost Reduction • Telemedicine and economic contributions

  20. Benefits of Telehealth • Telemonitoring is Seen as the Most Promising Tool • Also Allows Patients to Stay Home Longer • Ability to Increase Caseload and Maintain Quailty Care • The Help of Software in Home Monitoring

  21. Roles of Clinical Professions • Telemonitoring is Still New • The Role of Nurses • Telemonitoring Allows Nurses to Do More • Nurses Are Able to Spend More Time With the Patient

  22. Roles of Clinical Professions • What home telemedicine does for the physician. • The Effects of Emergency Medical Technicians • Technology and Case Managers • What new roles do support personnel have?

  23. Who Is Using Home Telemonitoring? • Where do analysts see telemonitoring going? • Who welcomes home telehealth? • What entities are utilizing this tool? • What has been the impact for hospitals? • Are payors covering the cost associated with home telehealth?

  24. Who Is Using Home Telemonitoring? • Is the government on board with telemonitoring? • The Importance of Cost Effectiveness • What is the private demand for telehealth? • What is the potential market for helehealth? • What is the long term effectiveness of monitoring programs?

  25. The Future • Technology and Home Telehealth • The Affordability of Monitoring Equipment • More Portable Equipment • Integration of Equipment • The Future Devises We Can Expect

  26. Thought Provoking Question Consider a recent patient care scenario and describe how it could have been managed at a distance. • What training would you need? • What equipment would you use? • How would your patient and his or her family respond to home telemonitoring?

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