The Role of Telehealth in an Evolving Health Care Environment

The Role of Telehealth in an Evolving Health Care Environment
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 159
Release: 2012-12-20
Genre: Medical
ISBN: 0309262011

In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Telehealth Nursing

Telehealth Nursing
Author: Dawna Martich, MSN, RN
Publisher: Springer Publishing Company
Total Pages: 411
Release: 2016-12-13
Genre: Medical
ISBN: 0826132332

Including all of the information necessary for safe, competent practice, this is a practical, hands-on educational and training resource for nurses working in telephonic health care settings. It delivers the requisite tools and instruction for optimizing patient communication, performing assessments, and providing effective care of chronic conditions. Moving step-by-step from simple to complex information, the resource de-mystifies the process of telephonic nursing care and describes numerous tools such as learning outcomes, algorithms, exercises to reinforce learning, case studies, and critical thinking questions that help readers develop and hone telehealth nursing skills. The text instructs nurses on how to actively listen to the patient "between the lines" in the absence of an in-person examination and discern the right questions to ask and tone to adopt. Chapters provide enhanced communication techniques to perform comprehensive health assessments with only the sense of hearing and resources available through the telephone. Clinical pearls are scattered throughout the text from those who have been “in the trenches” and cared for a wide variety of patients using the telehealth nursing techniques illustrated in this book. Key Features: Helps nurses understand the keys to successful telehealth nursing Teaches enhanced, specialized communication techniques including "active listening" Guides nurses in assessing patients using only sense of hearing/active listening Includes case studies, algorithms, patient teaching resources and more Reviews body systems and disease processes with application exercises

Telemedicine

Telemedicine
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 287
Release: 1996-10-08
Genre: Medical
ISBN: 0309175399

Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.

Patient Safety and Quality

Patient Safety and Quality
Author: Ronda Hughes
Publisher: Department of Health and Human Services
Total Pages: 592
Release: 2008
Genre: Medical
ISBN:

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Telemedicine Technologies

Telemedicine Technologies
Author: D. Jude Hemanth
Publisher: Academic Press
Total Pages: 262
Release: 2019-05-04
Genre: Science
ISBN: 0128169494

Telemedicine Technologies: Big Data, Deep Learning, Robotics, Mobile and Remote Applications for Global Healthcare illustrates the innovative concepts, methodologies and frameworks that will increase the feasibility of the existing telemedicine system. The book also focuses on showcasing prototypes of remote healthcare systems, thus emphasizing the data processing side that is often recognized as the backbone of any telemedicine system. - Illustrates the innovative concepts, methodologies and frameworks that will increase the feasibility of the existing telemedicine system - Focuses on showcasing prototypes of remote healthcare systems

Telenursing

Telenursing
Author: Sajeesh Kumar
Publisher: Springer Science & Business Media
Total Pages: 207
Release: 2011-07-09
Genre: Medical
ISBN: 0857295292

Written by experts from around the globe (USA, Europe, Australia and Asia) this book explains technical issues, digital information processing and collective experiences from practitioners in different parts of the world practicing a wide range of telenursing applications including telenursing research by professionals in the field. This book lays the foundations for the globalisation of telenursing procedures, making it possible to know that a nursing service could perform on a patient anywhere in the world.

Telenursing

Telenursing
Author: Charles C. Sharpe
Publisher: Bloomsbury Publishing USA
Total Pages: 280
Release: 2000-11-30
Genre: Medical
ISBN: 0313004862

This is the first book to explore this emergent role of the nursing profession. It examines the unique legal, regulatory and professional issues this neoteric mode of nursing practice presents. Telenursing as a subset of telehealth is defined and a review of its history, present status, and future in the U.S. health care system is discussed. Concomitant legal accountability and risk for malpractice liability are examined. Risk management strategies and survival tactics in the event of a lawsuit are presented—particularly the legal significance of, and essential need for, defensive nursing documentation. A brief overview of malpractice law is provided and the essentials of requisite malpractice insurance for the telenurse practitioner are outlined. The book also addresses a number of other professional, regulatory, and licensure issues, particularly the contentious issue of multistate licensing and the various models to facilitate it that are being offered, and rejected, by nursing organizations and associations. The anticipated changes in our health care delivery system that will be engendered by breakthroughs in science and technology are described. The implications of such changes for patients as consumers of health care are analyzed—particularly the privacy and confidentiality of electronic medical records.

Understanding Telehealth

Understanding Telehealth
Author: Karen Schulder Rheuban
Publisher: McGraw Hill Professional
Total Pages: 337
Release: 2017-12-22
Genre: Medical
ISBN: 1259837416

The first complete guide to the rapidly expanding field of telehealth From email to videoconferencing, telehealth puts real-time healthcare solutions at patients’ and clinicians’ fingertips. Every year, the field continues to evolve, enhancing access to healthcare, supporting clinicians, and improving the patient experience. However, since telehealth is in its infancy, no text has offered a comprehensive, definitive survey of this up-and-coming field—until now. Written by past presidents of the American Telemedicine Association, Understanding Telehealth explains how clinical applications leveraging telehealth technology are optimizing healthcare delivery. In addition, this timely resource examines the bedrock principles of telehealth and highlights the safety standards involved in the diagnosis and treatment of patients through digital communications. Logically organized and supported by high-yield clinical vignettes, the book begins with essential background information, including a look at telehealth history, definitions and roles, and rural health. It then provides an overview of clinical services for adults, from telestroke to telepsychiatry. The third section addresses pediatric clinical services, encompassing pediatric emergency and critical care, telecardiology, and more. A groundbreaking resource: •Chapters cover a broad spectrum of technologies, evidence-based guidelines, and application of telehealth across the healthcare continuum •Ideal for medical staff, public healthcare executives, hospitals, clinics, payors, healthcare advocates, and researchers alike •Incisive coverage of the legal and regulatory environment underpinning telehealth practice

Fundamentals of Telemedicine and Telehealth

Fundamentals of Telemedicine and Telehealth
Author: Shashi Gogia
Publisher: Academic Press
Total Pages: 400
Release: 2019-10-27
Genre: Medical
ISBN: 012814310X

Fundamentals of Telemedicine and Telehealth provides an overview on the use of information and communication technologies (ICTs) to solve health problems, especially for people living in remote and underserviced areas. With the advent of new technologies and improvement of internet connectivity, telehealth has become a new subject requiring a new understanding of IT devices and how to utilize them to fulfill health needs. The book discusses topics such as digitizing patient information, technology requirements, existing resources, planning for telehealth projects, and primary care and specialized applications. Additionally, it discusses the use of telemedicine for patient empowerment and telecare in remote locations. Authored by IMIA Telehealth working group, this book is a valuable source for graduate students, healthcare workers, researchers and clinicians interested in using telehealth as part of their practice or research. - Presents components of healthcare that can be benefitted from remote access and when to rely on them - Explains the current technologies and tools and how to put them to effective use in daily healthcare - Provides legal provisions for telehealth implementation, discussing the risks of remote healthcare provision and cross border care