...Telehealth utilizes electronic data and telecommunications to support long-distance, clinician-based patient and professional health education, public health and health administration (HHS, 2013). Components of telehealth include videoconferencing, the internet, store-and-forward imaging, streaming media, terrestrial and wireless communications (HHS, 2013). Telehealth systems such as the Health Resources and Services Administration aims to increase and improve the use of telehealth to meet the needs of its underserved patients by (HHS, 2013): •Developing relationships within HRSA and other Federal agencies, states and private organizations to create telehealth projects. •Administers telehealth grant programs. •Provides technical support. •Evaluation of telehealth technology and programs. •Development of telehealth policy initiatives aimed at improving care access and quality health services. •Promotion of knowledge exchange regarding best telehealth practices. Telehealth is an invaluable addition to multiple care settings. Store-and-forward programs provide the smaller hospital to draw upon the knowledge of its much larger counterparts (HHS, 2013). As such, teleradiology and teledermatology programs are of particular interest to critical care facilities and rural health centers (HHS, 2013). Applications such as teleradiology and remote EKG services carry a greater likelihood of being covered by third party payers as they do not typically involve...
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...Wesley D. Pointjour Final Research Paper: Telehealth In Nursing Homes Health Quality Management April 02, 2015 Introduction In many nursing home facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education...
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...Telenursing: The Way of the Future for Nursing Paula Heser, RN Chamberlain College of Nursing NR361: RN Info Systems in Healthcare Fall 2015 Telenursing: The Way of the Future for Nursing “The concept of Telehealth is not really new. When humans first began space exploration in the 1960s, astronauts’ health was monitored by transmitting physiologic parameters back to physicians on earth” (Stokowski, 2013). “Telehealth is the use of telecommunications technologies ad electronic information to exchange healthcare information and to provide and support service such as long distance clinical healthcare to clients” (Hebda &Czar, 2013). Telenursing is a new and exciting way of nursing that is innovative and shows the potential for growth in the ever-changing world of technology. Hebda & Czar defines Telenursing as the use of telecommunication and IT for the delivery of nursing services. An important role of the nurse is to completed the nursing process; assess, diagnosis, plan, implement and evaluate. In telenursing, a nurse conducts their patient centered care in the same way. As stated in Healthy People 2020, in addition, despite increased access to technology, other forms of communication are essential to ensuring that everyone, including non-Web users, is able to obtain, process, and understand health information to make good health decisions. Buy using telenursing, the nurse can assess and monitor the patient then advise and educate the patient and send...
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...Date: June 8, 2014 RE: SB 621– Telehealth Services Executive Summary On the behalf of Community Treatment Inc. and the Missouri Oral Health Coalition, I would like to encourage you to support bill SB 621. The bill defines the term telehealth and authorizes any licensed health care provider to provide telehealth services within his or her scope of practice with the same standard of care as services provided in person (SB 621, n.d.). Also, this bills "specifies individuals who are licensed in Missouri that are to be considered eligible health care providers for the provision of telehealth services in the MO HealthNet Program (Committee on legislative, n.d.)." This legislation would include the utilization of dental hygienist and other providers in telehealth services. SB 621, n.d.). Rural Missourians face immense and complex factors that create disparities in healthcare. Socioeconomic factors and lack of recognition by legislators and the isolation incurred from living in remote areas all impede our residents ability to lead a normal, healthy life. For years, telemedicine programs across the country have connected rural patients to specialists in nontraditional settings. This bill will help Comtrea increase oral health care access for safety net populations within Jefferson County. Context In 2013, a Missouri law House Bill 986 made private insurers accountable for compensating authorized providers offering telehealth services. The bill posed conditions that...
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...electronic medical record (EMR) in the home health setting in the United States. “EHR” and “EMR” are often used interchangeably. However, this paper will discuss the differences between an EHR and an EMR. It will cover the benefits and disadvantages of the EMR in the home health setting. This paper will also cover the potential costs associated with the use of the EMR in the home health setting. Finally, the paper will discuss the Technology Acceptance Model (TAM) of an EMR in home health. Outline I. Introduction a. Purpose b. Explanation of terms II. Background a. Home Health Care i. What is it ii. History iii. How it is changing b. Health Informatics in Home Healthcare i. History of informatics in HHC ii. Current use of informatics in HHC iii. Benefits of informatics in HHC III. Comparison of EMR/EHR a. Definitions b. Settings used c. Differences d. Similarities IV. Implementation of the EMR in Home Health a. Feasibility b. Cost c. Equipment d. Staff Acceptance V. Conclusion a. Summary of benefits/disadvantages b. Cost c. Implementation d. Recommendation for implementation for EHR/EMR in Home Health Electronic Health and Medical Records in Home Health Introduction Healthcare...
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...following characteristics: * * 65% of respondents are age 30 – 49 * Nearly all respondents are married and work full-time * Half of respondents combined annual household income in 2014 of $150,000 or more; 32% have incomes between $75,000 - $150,000 * 3 of 4 respondents were female - consistent with fact that women make most healthcare purchasing decisions for their families * 36.25% of respondents have a graduate degree; 26.25% have a bachelor degree & 26.25% attended some college but do not have a degree * 70% pay for healthcare via employer-sponsored insurance; 17% have individual/family plans * 66% share healthcare purchasing decisions with others; 1 in 3 is the sole decision maker Summary of Findings Consumption of heathcare services: Two thirds of respondents receive only an annual exam and up to 2 acute visits per year. A smaller group, 17.5% reported having a chronic health condition, using healthcare services frequently. And 13.75% indicated they rarely use healthcare services, perhaps once per year, but only when they are really sick. Value: Most people found reasonable value in their current healthcare but 41% feel rushed during their visit with a physician. Only 1...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...Nursing, as a profession, continues to be a growing and changing entity. As nurses, we must consider that our future is going to be much different than our past. This presentation will review four major topics that are worth consideration, and hopefully provide food for thought about each nurse’s plans and goals for his or her own career in the future. We will discuss evidence-based practice, nursing theory, research, and nursing roles and opportunities. Each of these topics includes a myriad of ideas, publications, and opportunities for self assessment and growth. Evidence-based nursing, evidenced-based practice, and evidence-based medicine are all based on the idea that health care treatment has transitioned from “practice that was based on intuition, experience, clinical skills and guesswork” to practice based in science (Chitty, 2010, p. 258). This has allowed nurses to make decisions based on research, and to provide the most skilled, advanced, and expert care. Nurses should know where to find research to support evidence-based care decisions. According to Ciliska, Haynes, and Marks (2013), a nurse could review textbooks, online data bases, journal articles, and the internet. One should consider that both consolidated and distilled information resources are available, and remember that distilled information resources do not always provide the most accurate and up to date information. The consolidate resources can be plentiful and one may have some difficulty choosing...
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...77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve improvements in care, efficiency, and population health. However, these technologies – including electronic health records (EHRs), personal health records (PHRs), telehealth devices, remote monitoring technologies, and mobile health applications – are remarkably underutilized today. In 2010, only 25 percent of physician offices and 15 percent of acute care hospitals took advantage of EHRs. i...
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...Institute for Health Technology Transformation Population Health Management A Roadmap for Provider-Based Automation in a New Era of Healthcare Acknowledgements Alide Chase, MS Senior Vice President for Quality and Service Kaiser Foundation Health Plan, Inc. & Kaiser Foundation Hospitals Connie White Delaney, PhD, RN, FAAN, FACMI School of Nursing Professor & Dean Academic Health Center Director, Biomedical Health Informatics (BMHI) Acting Director of the Institute for Health Informatics (IHI) University of Minnesota Don Fetterolf, MD, MBA Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively...
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...the highest level. (“Agency Overview,” n.d.) * In order to support their mission in raising the health status to the highest possible level and to improve and protect the health of every community, the IHS facilities have chosen to participate in accreditation through the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Accreditation through JCAHO provides many positive benefits and outcomes for the IHS. By seeking accreditation through JCAHO, the community and patients in the IHS system are able to recognize that IHS is committed to clinical quality. JCAHO accreditation sets standards on levels of quality assessment and quality improvement activities. JCAHO monitors programs that are in place within the organization and reviews policies and procedures to ensure life-safety standards are being met. The benefits to IHS in obtaining JCAHO accreditation can be realized with an increase in efficiency throughout the organization thereby reducing cost and lowering liability insurance premiums. (“Accreditation,” 2007, Chapter 7) An additional benefit of JCAHO accreditation is that through obtaining accreditation, IHS becomes eligible for reimbursement by many third party payers and immediately becomes eligible...
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...Caring for Populations: Assessment and Diagnosis Introduction Beautiful green fields of alfalfa, soy beans, and corn, big wide blue skies, clean clear water in the form of rivers, lakes, streams, and babbling brooks, cows and horses basking in the full day sun in pastures filled with wild flowers, and some of the most amazingly detailed rolling hills carved by the glaciers one could ever lay their eyes upon. This is Wisconsin, clean air, friendly people, and wonderful schools and healthcare. One could only fall in love. Each place has its beauty, each its special place in the hearts of those who reside there. Even with a feeling of home, one wonders what challenges face each community. Just like with maintaining a home, if left in ill repair it will surely crumble to the ground, as is also true for the people who live within these communities. They too need up-keep via access to education and healthcare. This paper wishes to complete an assessment and diagnosis of healthcare needs in just one small community, Blair Wisconsin. Community Blair was originally founded in the 1850’s on the banks of the Trempealeau River. The majority of the population of Blair is as it was in the 1800’s, primarily Norwegian, with a small group of German’s. Farming is Wisconsin, but within city limits there are many dual income families, single household families, and retirees. Services available in Blair include the following. There is one long term care...
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...| | | December 21,2013 | [Head Start or false start] | A strategy to adequately plan projects in the intense and rapid changing healthcare setting of today is imperative to implementing successful projects. | Executive Summary Currently, healthcare is one of the leading topics across the nation ranging from quality improvements to cost reductions. No matter the public focus, projects have become a major part of health systems large and small. As complex projects trend upward in the healthcare industries, the implementation for project management best practices has become a necessity. Many organizations lack experienced project management methods and may even neglect to see the importance of such principles. These factors along with the extreme pressures to execute projects quickly and effectively has given light to increased project false starts. A project false start negatively impacts the project, the organization morale, and ultimately the company’s bottom line. Causes can range from lack of project management knowledge, simple neglect, or tight deadlines. Whatever the cause, there are preventive measures available. In elementary terms, the best defense is to PLAN first. But, even more so, your organization must complete proper project selection and initiation phases before progressing into the next phases of the project lifecycle. Introduction New ideas often bring excitement and momentum; however, rushing into project execution may actually increase the likelihood...
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...Papers ................................................................................................................................. Keynote presentation Q Telemedicine support for the developing world Richard Wootton Centre for Online Health, University of Queensland, Australia Summary Telemedicine has been used for some years in the industrialized world, albeit with rather mixed success. There is also a considerable literature on the potential use of telemedicine for the developing world. However, there are few reports of the actual use of telemedicine there. A review identified five telemedicine networks providing second opinions; each network had been in operation for over five years. Although they have different aims and methods of operation, they exhibit some common features. In particular, none of them appear to be dealing with markedly increasing referral rates. Rough calculations suggest that only about 0.1% of the potential telemedicine demand from the developing world is being met. Possible reasons include the referrers being too busy and a perceived loss of control. If this analysis is correct, then the right strategy for future telemedicine in developing countries will be to concentrate on the construction of within-country networks that demonstrably alter health outcomes, can be shown to be cost-effective and sustainable, and will provide a model for other countries to copy. .............................................................. Telemedicine...
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...1. Read and study information related to: Integration of technology in health care evaluation and planning. Planning of health care services. Effectiveness of the delivery of health care services. 2. Prepare an outline of the most relevant aspects of the readings to be discussed in class. A. Integration of technology in health care evaluation and planning. a. As part of the strategy for the nation to put information technology to work in health care. This includes a variety of electronic methods used to manage information on health and health care of people 1.- Clinical decision support 2.- Diseases computerized records 3.-Computerized provider order entry 4.-Electronic medical records (EMR, EHR and PHR) 5.-Telehealth b. It makes it possible for health care providers to better manage patient care through secure use and sharing of health information. By developing records and private insurance for most Americans and provide electronic health information electronic health when and where needed, can improve healthcare quality, even as it makes health care be more profitable. B. Planning of health care services. a. Health care plan means a plan that promises to make arrangements for the provision of health care services to enrollees, or to pay or reimburse any of the cost for these services, in exchange for a fee paid in advance or periodic paid by or on behalf of the subscribers or enrollees. Also known as the service plan specialized medical care. C. Effectiveness...
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