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Telehealth

Telehealth. By: Loretta Suarez . Objectives . Define telehealth Explore how telehealth is made possible Describe hardware and software used in telehealth Evaluate the usability of software in telehealth Describe system used in telehealth. Objectives .

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Telehealth

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  1. Telehealth

    By: Loretta Suarez
  2. Objectives Define telehealth Explore how telehealth is made possible Describe hardware and software used in telehealth Evaluate the usability of software in telehealth Describe system used in telehealth
  3. Objectives Identify advantages & disadvantages of telehealth Observe advantages & disadvantages of telehealth Identify ethical and/or legal issues Explore competencies for nursing informatics Describe functions of the informatics nurse
  4. What is Telehealth?Telehealth provides health care, health information, and health education across a distance by using telecommunications technology and specially adapted equipment.Regardless of distance, it enables physicians, nurses, and healthcare specialists to: (Telehealth Leadership Initiative, 2008) T
  5. Telehealth is made possible by utilizing: Computers Interactive video Virtual reality Tele-robotics Telephones Picture phones Fax Emails (Telehealth Leadership Initiative, 2008)
  6. What types of hardware are used in Telehealth? (ANA, 1997)
  7. Hardware:Biomedical Peripherals Micro Audiometrics ECG (12 lead) Spirometer Video otoscope Vital signs monitor Digital camera (AFHCAN, 2009)
  8. Software used in Telehealth? AFHCAN tConsult™ Global Media CapSure™ HCC RX-1 CSX Telemed American Telecare NX Server Second Opinion
  9. AFHCAN tConsult™ software Design Usability Designed by health care professionals Touchscreen compatible Color coded for easy navigation Meets HIPPA privacy requirements Minimal user training Video conference and computer based training Easy access to peripherals Options for clinicians to use menus or free text (AFHCAN, 2009)
  10. tConsult™ Evaluation of Usability Based on the Three Axioms of Usability (Staggers, 2003)
  11. Clinical Information Systems Electronic Medical Records (EMR) Clinical Data Repositories (CDR) Decision Support Systems (DSS) Handheld devices Apply technology at the point of clinical care A CIS include: (McGonigle & Mastrian, 2009)
  12. Who utilizes Clinical Information Systems in Telehealth? Physicians & Physician Assistants Nurse Practitioners & Nurses Administrative assistants Billing Department
  13. What are most Telehealth CIS based on? Wide Area Network (WAN) & Wireless Local Area Network configuration Healthlevel 7 (HL7) standards ICD-9 or ICD-10 & SNOMED Disease and Procedure Classification System NANDA taxonomy & SNOMED RT nursing practice standards classification scheme (NorthropGrumman, 2009)
  14. Advantages of Telehealth Patient Advantages Provider Advantages improved access to medical specialists quicker, more accurate diagnosis and treatment improved patient outcomes reduced travel and cost fewer hospital admissions increased confidence in health management increased opportunities for education improved patient follow-up collaborative research decreased overall costs (Digital Telehealth Inc., 2007)
  15. Disadvantages of Telehealth Breakdown in the patient/healthcare professional relationship Poor infrastructure and inadequate regulation of telecommunications Maintaining quality of care Policies/protocols regulating the use of telehealth Potential medical malpractice liability due to uncertainties concerning the legal status of telemedicine within and between states Confidentiality due to increased access to patient records (Sarhan, 2009)
  16. Ethical Issues Related to Telehealth Depersonalization Emotional impact on the healing relationship Risk for exploitation Access discrimination Potential burden of technology for some patients, especially the sick & dying (Fleming, 2007)
  17. Legal Issues Related to Telehealth No licensure requirements Lack of accreditation Malpractice liability Confidentiality & Privacy Fraud & Abuse Antitrust (Klein & Manning, 1997)
  18. Informatics competencies required by any RN working in Telehealth: (Kaminski, 2008)
  19. (HIMSS, 2007)
  20. Telehealth is: Improving the health care delivery system Connecting providers with difficult to reach patients Informing patients and providers Preventing illness Educating patients and providers Enhancing the way we practice health care
  21. References: Alaska Federal Health Care Access Network (2009). AFHCAN Telehealth Solutions. Retrieved February 2, 2010 from http://www.afhcan.org/ Elford, R. (2004). Digital Health, Inc.: An Introduction to Telehealth. Retrieved April 11, 2010 fromhttp://www.telehealth.ca/intrototelehealth.html Fleming, D. (2007). Center for Health Ethics, University of Missouri. Telehealth: The Ethical Challenges of a New Technology. Retrieved on April 11, 2010 fromhttp://ethics.missouri.edu/Tele-Ethics.aspx HIMSS Nursing Awareness Task Force (2007). Informatics. Nursing Management, March p. 39-42. Kaminski, J (2008). Nursing Informatics 101. Retrieved on April 10, 2010 fromhttp://www.slideshare.net/junek/nursing-informatics-101-workshophttp://www.slideshare.net/junek/nursing-informatics-101-workshop
  22. References: Klein, S. & Manning, W. (1997). The Health Law Resource. Telemedicine and the Law. Retrieved April 11, 2010 fromhttp://www.netreach.net/~wmanning/telmedar.htm 1997 McGonigle, D. & Mastrian, K. (2009). Nursing Informatics and the Foundation of Knowledge. Sudbury, MA: Jones and Bartlett. Milholland, DK. (1997). Telehealth: A Tool for Nursing Practice. Nursing Trends & Issues, 2(4). Northrop Grumman (2009). Clinical Information Systems. Retrieved March 15, 2010 fromhttp://www.is.northropgrumman.com/by_solution/health_it/markets/health_cis/index.html
  23. References: Sarhan, F. (2009). Telemedicine in Healthcare 1: Exploring its uses, benefits, and disadvantages. Retrieved on April 13, 2010 fromhttp://www.nursingtimes.net/nursing-practice-clinical-research/telemedicine-in-healthcare-1-exploring-its-uses-benefits-and-disadvantages/5007796.article Staggers, N. (2003). Human Factors: Imperative Concepts for Information Systems in Critical Care. AACN Clinical Issue. 14(3) pp. 310-319. Telehealth Leadership Initiative (2008). What is Telehealth? Retrieved February 1, 2010 fromhttp://www.telehealthleadership.org/telehealth101.html
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