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By Enda Edward
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 .
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
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
The Telehealth Process
The Telehealth Process
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
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
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
Technologies to be Used
Technologies to be Used
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
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
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
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
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
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
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

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Telehealth patient education

  • 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

  1. 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