...COMMUNICATION Clinical Telehealth Across the Disciplines: Lessons Learned Sandra Jarvis-Selinger, Ph.D.,1,2 Elmira Chan, M.Ed.,2 Ryan Payne, B.A.,2 Kerenza Plohman, LLM,2 and Kendall Ho, M.D., FRCPSC2,3 cost and remuneration issues, development of organizational protocols for system use, and strategies to promote interprofessional collaboration). 1 Department of Surgery, 2Division of Continuing Professional Development and Knowledge Translation, 3Division of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada. Key words: clinical telehealth, videoconferencing, literature review, quality of service Introduction Abstract Videoconferencing technologies can vastly expand the reach of healthcare practitioners by providing patients (particularly those in rural/remote areas) with unprecedented access to services. While this represents a fundamental shift in the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields of medicine...
Words: 4951 - Pages: 20
...concerning health care. For instance, communication with health care professionals, transportation, availability of doctors, and shortage of doctors. Literature review to identify and review new methods of improving access to health, quality of care, and improving the effectiveness of delivering health care services in remote Alaskan villages. MEDLINE, EMBASE, and CINAHL databases that index health research were used along with Artic health databases. Abstracts and full articles were review, and categorized into four sections. Organizational structure of health services, telehealth, ehealth, and medical transportation. “Despite the challenges facing rural and remote regions, there is a distinctly positive message from this broad literature review. Evidence-based initiatives exist across a range of areas - which include operational efficiency and integration, access to care, organizational structure, public health, continuing education and workforce composition that have the potential to positively impact health care quality and health-related outcomes” (Masucci, Mitton, & Dionne, 2011). The literature review did not identify any past research associated with new ideas to improve access, quality, and efficiency in the organizational structures and delivery of health care services in northern rural and remote and rural populations. This review was directed toward the redesign of health care systems in Nunavut territory in Canada. When conducting research in an academic or professional...
Words: 998 - Pages: 4
...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...
Words: 2405 - Pages: 10
...The use of research in telehealth implementations | | | Recent advances in, and increasing availability and utilisation of technology are presenting opportunities to provide greater access to services for those who live in regional and remote locations. This is particularly the case in health, where specialist services are usually limited to metropolitan areas. Those who live in regional or remote locations are therefore often required to travel long distances to gain access to these services (Wootton, 1998 and WHO 2010). Telehealth has many perceived benefits including the potential for enhancing access, quality, efficiency, and cost-effectiveness (Craig and Patterson, 2005). Additionally, evidence suggests many socioeconomic benefits to patients, families, health practitioners and the health system, including enhanced patient-provider communication and educational opportunities (Wootton, 1998 and Jennett et al. 2003). This is particularly useful for communities traditionally underserved – those in remote or rural areas with few health services and staff – as telehealth lessons the barriers of distance and time to specialised services. While technology exists that facilitates the provision of these specialist services - unfortunately they are not always utilised with many projects not proceeding beyond the pilot phase (Klecun-Dabrowska, 2003) and even worse, according to one estimate, three quarters of healthcare ICT implementations are considered failures...
Words: 1281 - Pages: 6
... Guidelines and Grading Rubric Purpose The purpose of this assignment is to explore the specialty of telehealth, and more specifically telenursing, as one example of the use of technology in various practice settings. Advantages and disadvantages for the patient and legal and ethical principles for the nurse of this technology will be explored. Course Outcomes This assignment enables the student to meet the following course outcomes: CO #2: Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO #4) CO #6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO #6) Points This assignment is worth a total of 200 points. Due Date Your completed paper is due at the end of Week 4. Submit it to the basket in the Dropbox by Sunday at 11:59 p.m. mountain time. Post your questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points. Background Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology...
Words: 1661 - Pages: 7
...Electronic Health and Medical Record in Home Health Nathaniel J. Reid University of Wisconsin – Milwaukee HCA: 700 Abstract The purpose of this paper is to examine the electronic health record (EHR) and 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...
Words: 4413 - Pages: 18
...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 .........................
Words: 19005 - Pages: 77
...Social isolation in community-dwelling seniors Abstract In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry's newly released Aging at Home Strategy.After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person's transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series.AGING IN THE COMMUNITY: Summary of Evidence-Based AnalysesPrevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based AnalysisBehavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based AnalysisCaregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based AnalysisSocial Isolation...
Words: 1585 - Pages: 7
...and how it has affected the change in healthcare. There are three main areas of focus that will be considered. As stated, we will discuss and assess the technology currently being used to provide telemedicine services. This technology is broad and can cover vast amounts of information, but the focus will be to explain the main contributors of telemedicine technology and the adoption of this technology by providers. The first part of emphasis of application will include technology that is utilized by hospitals, clinics and physician offices and how this technology differs depending on the setting of the provider, for example, rural hospital and developing countries. The second part of technology emphasis and its application will be to review those institutes in which use telemedicine but are not considered health care providers,...
Words: 6607 - Pages: 27
...MASTER IN HEALTH ECONOMICS PROPOSED MASTER STUDIES MASTER IN ECONOMICS (HEALTHCARE) A Review of Healthcare Financing System in Developed Countries and Malaysia. By: Wong Lim Ping Finance Division Ministry of Health Putrajaya May 2011 MASTER IN HEALTH ECONOMICS TABLE OF CONTENT: 1. 2. 3. 4. 5. 6. 7. 8. Introduction Field of research Objective of study Literature review Scope of research Research Methodology Work Schedule Brief bibliography Wong Lim Ping 790904-13-5151 2 MASTER IN HEALTH ECONOMICS 1.0 INTRODUCTION As Malaysia strikes toward the high income economic through its various initiatives under Government Transformation Programme (GDP) and Economic Transformation Programme (ETP), healthcare has been identify as one of the trust under Mission Cluster Groups (MCG) in driving the nation‟s development path. Healthcare is a very important component of national development and that the creation of a healthy and productive workforce is essential to support and sustain the growth of the nation. In Malaysia, the Government under the Ministry of Health (MOH) is the provider, regulator and funder of the healthcare system, thus, raising the question of dependency of government subsidized healthcare services that serve the inefficiency use of government resources. In year 2009, the government expenditure on healthcare as a percentage of total Gross Domestic products (GDP) is 4.8% of which the 1.8% is from the government expenditure and 3% from...
Words: 1737 - Pages: 7
...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...
Words: 4021 - Pages: 17
...process. In BSN course, we see the same nursing process again. This time, we apply the nursing process in a deeper context. We apply ADPIE to our current knowledge and theory to provide holistic care to various patients. One of the things that I found interesting is how culturally competent care is part of the BSN course. Last semester, we studied many cultural nursing practices in Cultural Competency in Nursing class (NURS3102). The class discussions challenged our critical thinking with many cultural and environmental sensitive questions. In each discussion, we used assessment to question the current practice at our facilities. We came up with a question of validation, which was our diagnosis. We planned and intervene through literature reviews and evidence-based practice in nursing. Lastly, we used evaluation to determine the effectiveness of change. The nursing process is one of the ultimate critical thinking ways that nurses utilize the most. As we learn the evidenced-based practice, we are taking the nursing process to the next level. The nursing process did not stop at NCLEX-RN exam. We took the nursing process with us to BSN courses. Then, we took it with us to our nursing practice and beyond it. When we think of critical thinking, we think of the ADPIE, we think of the nursing process. Even after BSN graduation, we will keep using it. Building up our current knowledge of nursing, we can use the nursing process to improve our holistic care to the patient. Manage...
Words: 1389 - Pages: 6
...technology in the health sector. Government deployed health information system projects shall be presented as additional references to draw out conclusions for the research. The implementation of a Health Information System (HIS) is a big step to take for developing countries like the Philippines. Encumbered with numerous problems, the Philippines have to prioritize and exhaust all efforts to resolve issues to address the needs of the country. Through the efforts of some private sectors and some government agencies, the country’s health information system is undergoing major changes towards a national implementation. This research will take a retrospective look into the beginnings of the Philippine Health Information Systems. Assessment and reviews on the current status of health information system projects from other studies shall be presented to determine its effectiveness and improvement to the health sector. This research examines the undertakings, advantages, and difficulties that the implementation of a health information system in the Philippines and how it may be a basis of study or research for other countries similar in status to our own....
Words: 4425 - Pages: 18
...The specialist practice nurse is employed as a British Heart Foundation (BHF) Heart Failure (HF) nurse and is based in secondary care. Along with networking with a wide range of health care practitioners providing a seamless service between primary and secondary care her role also involves evidence-based care to clients with chronic heart failure (CHF). CHF is a complex syndrome that results from a structural or functional cardiac disorder that impairs the ability of the heart to function as a pump. This results in the heart not being able to pump enough blood to meet metabolic demands of the body (Clinical Resource Efficiency Support Team (CREST), 2005). The most common cause of HF is coronary artery disease, hypertension and valvular disease. It is a chronic condition, which may fluctuate, and result in repeated hospital admissions. The incidence and prevalence of heart failure is on the increase and with the current ageing population it is likely to continue along this trend. It is currently the most common cause of hospital admission in clients over the age of 65 years and accounts for 1 - 3 % of the National Health Service’ expenditure, the majority of which is associated with inpatient care (CREST, 2005). The Nursing and Midwifery Council (NMC, 2010) defined specialist practice as “...the exercising of higher levels of judgement, discretion and decision making in clinical care” and requires that specialist practice nurse is competent in clinical assessment and...
Words: 2734 - Pages: 11
...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 seeking healthcare. The emphasis clearly is shifting from volume to value, and organizations that focus on providing patient-centered, quality healthcare across a population will come out ahead. This guide represents the first comprehensive effort to define a roadmap for providers that are exploring population health management (PHM). The literature on patient-centered medical homes and...
Words: 8702 - Pages: 35
