2. What is Telehealth?
A Telehealth consultation is similar to a regular
videoconferencing whereby a meeting is run
through a camera between a specialist in his/her
clinic, and you in the comfort and privacy of your
home .
3. The Telehealth Process
1. Scheduling: provides you with a confirmed
appointment
2. Consult Day:
Patient is registered
Medical records retrieved
All necessary forms signed
Videoconference connects
Fifteen minute interval for triage by the nurse
4. The Telehealth Process
Then the consultation begins with physician
discussing your treatment plan
Medication and follow up test and procedures
Schedule follow up exam as needed
7. Suitability and Safety
You are responsible for your health care at home
Telehealth’ s unique system assist you by using
technologies to improve your health and safety
It also address the issue of providing quality
health care in inaccessible areas because of cost or
geographic location
Not all consultations are suitable for telehealth
Only when there are barriers to face to face
contact
8. Suitability and Safety
Telehealth can improve compliance and
adherence to treatment plan
It provides greater access
It increases productivity of nurses – no more
delays in health care especially in rural areas
9. Technologies to be Used
There are many different technologies used in
telehealth including:
Telephones
videophones
videoconferencing systems
specialized telemedicine workstations
personal computers
store and forwarding systems
12. Security and Privacy
Privacy and patient confidentiality should be
maintained and respected at all times
Privacy requirements are the same as face to face
consultation
the health care provider should make use of
secure infrastructure and encryption
13. Legal Considerations
There are three general categories of legal issues
associated with telehealth:
1. Traditional medico – legal issues
2. Conflicts with State Laws
3. Issues unique to telehealth
14. Legal Considerations
Licensure:
Is the health care provider licensed? Ensures that
the facility meets quality standards
Accreditation:
Ensures that medical staff are competent in their
practice areas
15. Legal Considerations
Malpractice Liability:
The facility owes you a duty to prevent harm
negligently
Reimbursement:
for the most part telehealth services are not
reimbursed by government insurance agencies
However granted in special cases, if medical
necessity can be demonstrated
16. ICT Requirement and Cost
The cost of using telehealth services would depend
on:
Location
Services provided
The individual service provider
However it has been shown that the overall cost is
much less than traditional in hospital consults
17. ICT Requirement and Cost
Technical requirement for the routine telehealth
exchange are:
Simple messaging/ monitoring devices
Videotelemonitors
Videophones
All telehealth users need to be educated about the
systems and trained how to use them properly to
avoid fustration
18. Closing
Your medical telehealth team is committed to
providing you with the best care as close to home
as possible
The choice is yours, telehealth has the capacity to
improve your health while also lowering expense
Notas del editor
Reference:Telehealth Frequently asked questions. Australian Government. Retrieved from, http://www.ruralhealthwest.com.au/docs/telehealthTelehealth Network (2013) Clinical Telemedicine Process. Marquette General. A Duke Lifepoint Hospital. Retrieved from: http://ww4.mgh.org/telehealth/sitepages/clinicaltelemedicineprocess.aspxSchlacta-Fairland L, Elfrink V, Deickman A, Patient Safety, Telenursing and telehealth. In: Hughes RG, editor. Patient Safety and Quality: A evidence Based Handbook for nurses. Rockville (MD) Agency for Healthcare Research and Quality(US): 2008 Apr. Retrieve from: http://www.ncbi.nlm.nih.gov/books/NBK2687Klein S.R, & Manning W.L Telemedicine and the Law. Retrieved from http://www.netreach.net/~wmanning/telmedar.htm