View
227
Download
0
Category
Tags:
Preview:
Citation preview
TelehealthPresented by Nicole Williams, RNC
Objectives
Describe Telehealth Describe and evaluate the hardware
and software used in Telehealth Assess the usability of Telehealth
Telehealth
Tele = distant, from a distance
Telehealth = health care that is given over a distance
(McGonigle and Mastrian, 2009)
NASA’s space program became the first demonstration of remote monitoring of health; therefore opening the door to
telehealth care.
(McGonigle and Mastrian, 2009)
Types of Telehealth
Store and forward
Real-time
Remote monitoring
Teletriage
(Brown, 2005) (Vasquez, 2008)
Telehealth Equipment Telephones Video Monitors/Cameras/Phones Central Stations, Web Servers, Portals Peripheral (medical) Equipment Personal Emergency Response
Systems Sensor and Activity-Monitoring
Systems Medical Management Devices Special Needs Telecommunications-
Ready Devices
(McGonigle and Mastrian, 2009)
Client
Nurse
Provider
Peripheral Medical Equipment
Stethoscope Sphygmomanometer Scale Glucometer Camera Floor Lamp Thermometers
(Lillibridge and Hanna, 2009)
Telehealth Software Trending
Triage
Communication
Data Access and Information Sharing
(McGonigle and Mastrian, 2009)
Communication
VideoconferencingTelecomm
Codec
AV In
AV Out
(Elford, n.d.)
Usability of Telehealth Software
1) User Centered Design
2) Iterative Design Process
3) Formal Evaluation Process
(Staggers, 2003)
Epic
Epic Review
Clinical Information System Used by patients and all healthcare
providers Eight essential functions Thin-Client Configuration/LAN Health level 7, ANSI, TCP/IP
(Epic Systems Corporation , 2009) (McGonigle and Mastrian, 2009) (Smith, 2001)
Benefits of Telehealth
Clinical› Real Environment
Data› Timeliness› Reduced
hospitalization› Increased patient
involvement
Economic› Reduced Cost› Increase in patients
independence & quality of life
(McGonigle and Mastrian, 2009)
Barriers to Telehealth
Buy-in from nurses Reimbursement Potential fraud and abuse Privacy
Legal Issues
Licensure
Accountability
Privacy
Telehealth Nursing Competencies
Technical Skills Application of the Knowledge Model
“Telehealth is a rapidly developing model of health service delivery in which nurses can expect to play a
key role. Many telecommunications-ready tools to assist nurses in
delivering this care are already available and their effectiveness in maintaining and improving patients
health outcomes is well documented.”
(McGonigle and Mastrian, 2009, pg. 307)
ReferencesBrown, Nancy (2005). Telemedicine Coming of
Age:. Retrieved June 1, 2009, from AnestaWeb Web site: http://www.telemedicineprograms.com/
Epic Systems Corporation (2009). Epic: You Can Have it All or Choose What Fits. Retrieved July 19, 2009 from http://www.epicsystems.com/software-index.php
Elford, R. (n.d.). Telehealth in the Developing World. Retrieved June 26, 2009 from Digital Telehealth Incorporated website: http://www.telehealth.ca/downloads/TelehealthDevelopingWorld.doc
ReferencesLillibridge, J., & Hanna, B. (2009). Using
telehealth to deliver nursing case management services to HIV/AIDS clients. Online Journal of Issues in Nursing, 14(1), 9-9. Retrieved June 26, 2009, from CINAHL database.
McGonigle, D, & Mastrian, K (2009). Nursing Informatics and the Foundation of Knowledge. Sudbury: Jones and Bartlett Publishers.
Staggers, N. (2003, August). Imperative Concepts for Information Systems in Critical Care. Human Factors, 14(3), 310-319.
ReferencesSmith, R. (2001, December). Building an
Enterprise-wide EMR. Imaging Economics. Retrieved July 19, 2009, from http://www.imagingeconomics.com/issues/articles/2001-12_12.asp
Swann, J. (2007, November). Telecare: looking to the future. International Journal of Therapy & Rehabilitation, 14(11), 512-517. Retrieved June 26, 2009, from CINAHL database.
References
Vasquez, Monica (2008 May). Down to the Fundamentals of Telehealth and Home Healthcare Nursing . Home Healthcare Nurse, 26:5, Retrieved June 1, 2009, from http://www.nursingcenter.com/prodev/ce_article.asp?tid=792353
Recommended