...Few programs have been scaled out, and their implementation has typically been fragmented and uncoordinated. Until now, the literature eHealth in low- and middle-income countries has mainly consisted of studies focusing on single uses of technology in delivering services, as well as theoretical reviews and frameworks related to the proposed of eHealth applications, programs and related policies. Some research papers and articles examine the global landscape of these programs, but they fail to provide an implementation framework for developing countries' regulatory, social, and political environments. After a careful analysis of related literature, the author has encountered a white paper commissioned by Advanced Development for Africa that features a series of case studies, and provides best-practice recommendations from eHealth experts that are applicable for African countries that have restricted budgets and underdeveloped infrastructures. Another paper reviews the evidence on the impact of eHealth in low- and middle-income countries. The aforementioned WHO survey of Member States’ utilization of m-health presents a systematic landscaping of health programs; nevertheless, the survey relies on local government knowledge, which is often limited when...
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...The telehealth care is the inclusion of computerized clinical medical devices for home use with a personal computer for transmitting digital images, graph, picture, photos, audio, and video to a healthcare practitioner or physician for evaluation of health and for diagnosing a disease to prescribe treatment with electronic prescription. Telehealth care is the correlation to primary care for testing, evaluating, and diagnosing health for treatment services. Telehealth for clinical services include medical device that can be apply to performing clinical test by following instruction for operation and connection, 'thinklabs' is site for converting medical equipment use for testing in primary care to digital devices for computer use. The computerized...
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...Technology Plan Paper Akosua Adjei Sentara College of Health Sciences Technology Plan Paper Introduction As remote monitoring of patients gradually more becomes a vital part of our health care delivery system globally, and patients become more comfortable to its ease, hospitals, health systems, insurance providers, and clinicians will have to seek out new ways to use the fast developing technology in diverse and modern ways. While telemonitoring technology is gaining interest as a plan to improve the care of patients with chronic diseases such as diabetes, asthma, heart failure; they frequently also raise their own different set of legal and compliance challenges, particularly in the area of privacy and security. This paper will analyze needs and recommend ways in creating a remote monitoring program for patients with heart failure with information to how to implement it throughout the organization. What is Telemonitoring? Key information technology application domains in health care include telemedicine and home telecare. On the one hand, telemedicine is defined as the direct provision of clinical care, including diagnosing, treating, or consultation, via telecommunications for a patient at a distant (Wainwright &Wootton, 2003). Remote monitoring, or telemonitoring, can be regarded as a subdivision of telemedicine, which is the use of electronic and telecommunications technologies to provide and support health care when distance separates the participants (Nangalia...
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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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...Evaluating the Research Process Wendy Witt HCS/465 July 22, 2013 Yvette Mallory RN, MSN Remote communities face several challenges 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...
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...BRIEF 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...
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...Significance Telehealth is vital to those in need of substance abuse treatment. It is estimated that 90 Americans die each day due to an overdose of opioid use. There has been an uptrend of misuse and addictions of opioids which includes prescription pain relievers, heroin, and synthetic opioids. This is considered a national crisis that is having a major impact on public health. The Centers for Disease Control and Preventions has estimated that the economic burden to the United States of opioid misuse is $78.5 billion a year. This estimation includes the cost of healthcare, treatments, and the criminal justice involvement (National Institutes of Health, 2018). This is one of the reasons why it is of great importance to get treatment...
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...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...
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...and present of healthcare technology to create a safe, quality-driven, individualized, and cost-efficient healthcare system. Additionally, over the past twenty to thirty years, the use of technology has allowed the patient and medical professionals to be able to endure several changes, not only in the medical field, but, in the patient’s environment also. Healthcare technology has evolved in such a manner that the individual is able to see the transformation in the organization through enhancement of workflow and operations. The decision-making process in the organization is also supported by innovations in healthcare technology, as more research can be supported through the internet which has increased in use over the past thirty years as the main tool for decision support. Health care providers can use the web-based system to research statistics, benchmark information, clinical data, and communicate with other healthcare entities to expeditidite patient care delivery. The web-based healthcare system can also allow clinicians and patients to be able to view their clinical and billing information such as test...
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... 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...
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...Telemedicine can also improve the training and education for health care providers through integration of the latest innovations in technology and research into the academic training programs for certification, education and training of staff.3 It is not only a helpful tool for health care providers but for patients as well. Several studies had been conducted to measure the effectiveness and acceptability of incorporating technology in health care delivery specifically delivering preventive and counseling services that would otherwise be overlooked by patients and require a lengthy referral system using traditional medicine system. A randomized clinical trial conducted to compare the effectiveness of smoking counseling and cessation services...
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...The Data Are In: Best Home Care Marketing Practices Revealed Part 2 White Paper 06-001 WP06-001 Contents 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Background Participant Agency Characteristics Outcomes Conversion Ratio Areas of Interest Written Marketing Plan Formal Marketing Budget Sales Team Training Specialty Programs Findings Interpretation Conclusion Side Bar: Action Plan for Sales and Marketing Success About the Authors Page 1 Pages 2-3 Pages 3-4 Pages 5-6 Page 6 Pages 6-7 Pages 7-9 Pages 9-10 Pages 11-12 Pages 12-14 Page 14 Pages 15-16 Page 16 Page 17 Page 17 WP06-001 The conclusion of a two-part series, this article provides the first look at the responses from a study evaluating the best marketing practices of home health agencies across the country. In Part 1, we profiled a few exemplary agencies with the goal of describing a set of common attributes that have lead to success. In Part 2 (below), we delve deeper into the component measures by exploring the first industry-specific benchmarks of marketing success! Background With each passing day, sophisticated sales and marketing becomes a more important trait among the industry’s leading providers. Ninety percent of survey respondents indicated that they have experienced increased competition over the last three years. Only 51 percent reported that they had increased referrals over the same period with 33 percent citing decreases. The million dollar question, then, is, “What practices are prevalent and...
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...Phillip Waite Final Paper: Value‐based Care and the Physician The change to a value‐based system of healthcare reimbursement is something that I find rather daunting and somewhat scary. The traditional fee‐for‐service system, with all of its flaws, was quite simple to understand—you pay for the care that is given and if you don’t want to pay more, take care of yourself outside of the physician’s office. But, I guess my fear and apprehension about value‐based reimbursement have their foundation in not fully understanding the change and not being able to foresee its impact far into the future. Now, nobody can predict the future, but as I’ve come to find out, that plays a big role in remaining profitable in a value‐based system. Despite my initial thoughts on moving from a fee‐for‐service system, I’ve come to believe that it is the right move, insomuch as it is forcing providers and organizations to focus on preventative care for their patients. Under a fee‐for‐service model, healthcare organizations and providers profited from the ailments of their patients. More procedures meant more money. Less and less thought was given to prevention because it wasn’t profitable. This is one of the factors that has led to an increase in healthcare costs over the years.1 Under a value‐based system, the physicians and organizations are incentivized to improve quality of care delivery and cut costs. The Centers for Medicare & Medicaid Services (CMS) has...
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...Healthcare Introduction Health informatics as defined by Shi and Singh 2015, as the application of information science to improve efficiency, accuracy, reliability of healthcare service, and inclusion of healthcare delivery. Healthcare informatics is becoming more complex than any other time in recent memory, the foundation needed to bolster device utilization and interoperability is more expanded, and there is even a more extensive scope of utilization to consider. As the populace ages, there is added pressure to provide patient care choices at home and in the community, implying that medical devices are getting to be a piece of a much bigger ecosystem spreading over the steadily developing continuum. This paper will analyze health informatics and discuss its benefits, trends, current issues, the impact health informatics in healthcare settings, and the role of health managers and the future. An interview will be conducted with a health professional to get their point of view of how health informatics have impacted their workplace, with further discussion of human resources, careers and the future. History The U.S. National Library of Medicine defines health informatics as a collaborative effort of designing, developing, adopting, and applying IT-based ideas in healthcare services delivery, management and planning (Kramer, 2012). In 1949, Gustav Wager of Germany founded the first professional organization for informatics and established...
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...LAGUNA NORTHWESTERN COLLEGE COLLEGE OF NURSING AND MIDWIFERY SY 2011 SUMMER NURSING INFORMATICS COURSE SYLLABUS Course Description: Integrates nursing science with computer technology and information science to identify, gather, process, and manage information. Emphasis on technology based health applications which support clinical, administrative, research, and educational decision making enhancing the efficacy of nursing endeavors. Course Purpose: This course provides an overview of nursing informatics for all student nurse. Focus is on developing an understanding of concepts relevant to health care informatics. Current trends and issues in using, designing, and managing heath care information systems will be examined. Students, applying knowledge from assigned readings, will analyze the design and implementation of health care information systems. The course includes email, electronic discussion forums, computer applications, worldwide web, and internet assignments. Course Objectives: 1. Identify key trends and issues in nursing informatics and the impact on health care information systems. 1.1 Describe the historical perspectives of nursing and computers 1.2 Discuss the term nursing informatics. 1.3 Define basic terms related to hardware, software, World Wide Web, and the Internet. 1.4 Identify informatics visions for the profession of nursing. 1.5 Discuss technology applications utilizing speech recognition...
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