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