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Telemedicine

By Shnese Mills, RN Penn State University Nursing 457. Telemedicine. OBJECTIVES. Describe telemedicine Discuss hardware used for telemedicine Discuss software used for telemedicine Discuss information system components. OBJECTIVES. Discuss Advantages of Telemedicine

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Telemedicine

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  1. By Shnese Mills, RN Penn State University Nursing 457 Telemedicine

  2. OBJECTIVES Describe telemedicine Discuss hardware used for telemedicine Discuss software used for telemedicine Discuss information system components

  3. OBJECTIVES Discuss Advantages of Telemedicine Discuss Disadvantages of Telemedicine Discuss Legal and Ethical Issues Review Nursing Competencies

  4. OBJECTIVES Describe Informatics Competencies Review Nurse Informatics Specialist Summary

  5. DEFINITION • Telemedicine is an application of clinical medicine • Widely associated with populations living remotely or isolated • Hands on physical assessment and history component omitted • Communication/technology combined to provide clinical care (Kurtz, 1994)

  6. Telemedicine Defined • Appointment times set aside for patients to be contacted • Patients receive care advice without leaving home • Care can range from simple to complex

  7. TYPES OF TELEMEDICINE • Telemedicine has three main parts, they include: • store-and-forward • remote monitoring • interactive services

  8. Telemedicine Communication Hardware • PSTN/POTS • ISDN • LAN • GSM

  9. Telemedicine Communication Hardware • GSM/GPRS/G3 Wireless/Satellite links

  10. Software For Telemedicine • DICOM • Video-conferencing Units • PIR (Patient Information Records)

  11. DICOM & Software Used • Digital Imaging and Communication in Medicine • Recognized as medical imaging standard • Specific software required for DICOM usage

  12. DICOM Usability • Ease of use • Ease of learning • Satisfaction with using (Staggers, 2003)

  13. DICOM Usability • Efficiency of use • Error tolerance • Fit of system to the task (Staggers, 2003)

  14. Axioms Evaluated • Axiom 1 • Axiom 2 • Axiom 3

  15. Information Systems • Telemedicine uses Patient Care Information Systems: • Clinical information systems • Pharmacy Information Record • Laboratory Information Systems • Radiology Information Systems (McGonigle & Mastrian 2009)

  16. Information Systems Cont. • Patient Care information system • Used by health providers / administrative staff • Used for downloading medical records • Configured through LAN • Data System is Healthlevel 7 (HL7)

  17. Information System Cont. • Classification system • Nursing Classification scheme • Recommendations for future usage

  18. Discuss Advantages of Telemedicine • Medical appointment without leaving home • Decreased anxiety in own home • Reduced expenditure for traveling

  19. Discuss Disadvantages of Telemedicine • No hands on assessment • Insurance Payments • Equipment

  20. Discuss Ethical and Legal Issues • Confidentiality and HIPPA • Medical Providers Licensure • Professional Liability

  21. Describe Nursing Competency • Case Management and Triage skills • Knowledge of computer systems

  22. Review Informatics Competencies • Beginning Nurse • Experienced Nurse • Informatics Nurse Specialist • Informatics Innovator (McGonigle & Mastrian, 2009)

  23. Review Nurse Informatics Specialist Functions • Project Manager • Consultant • Educator • Researcher (McGonigle & Mastrian, 2009)

  24. Review Nursing Informatics Specialist Roles Cont. • Product Developer • Decision Support/Outcomes Manager • Advocate/Policy Developer • System Specialist • Entrepreneur (McGonigle & Mastrian, 2009)

  25. Summary • Computer Centered Care • Future of Telemedicine

  26. REFERENCES • Bidgood , W, Horii, S, Prior, F, & Van Sckyle, D. (1997). Understanding and using DICOM, The Data Interchange Standard for Biomedical Engineering . JAMIA, 4(3), 199-212 • Kurtz, GL. (1994). The Future of telecommunications in rural healthcare. Healthcare Information Management, 8(3), 5-9.

  27. REFERENCES • McGonigle, D, & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury: Jones and Bartlett Publishers. • Perednia, DA, & Allen, A. (1995). Telemedicine technologies and clinical applications. JAMIA, 273(6), 483-8

  28. REFERENCES • Staggers,N. ( 2003). Human factors: Imperative concepts for critical care. AACN Clinical Issues 14(3), 310-319

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