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What is Telemedicine?

. . . the use of electronic

information and communications

technologies to provide and

support health care when distance

separates the participants.

Institute of Medicine, 1996

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Telemedicine

Background

Applications

Benefits and

Challenges

Research

Conclusions

Recommendations

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Telemedicine

Applications

1. Remote Consultation

2. Remote Monitoring

3. Remote Education

4. Telementoring

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1. Remote Consultation

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1.a Telepsychiatry

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1.b. Telemedicine for Children

with Disabilities

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2. Remote Monitoring

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2.a Collaboration

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3. Remote Education

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Video Clip #3

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4. Telementoring

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Video Clip #4

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When

do we use telemedicine?

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When do we use telemedicine?

Maldistribution of health resources urban and/or rural

Capitated populations

Access

Distance/Time/Travel

Patients and Families

Outreach Physician

Isolation of Provider

National/International

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Telemedicine

Benefits and Challenges

It is an amazing invention,

but who would ever want to

use one

Rutherford Hayes, 1882

on the using telephone for the first time

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Trends

Market place reform/managed care

Shifting site of care Hospital>Clinic>Home

Case Management/Team Care

Improved communications between provider and

patientHealth care practices and affiliations

Digital convergence

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Benefits

Patient Perspective

Access: Time, Travel, Expense

Health Provider Collaboration

Enhanced Communications

TV & Computer Applications common and non-

threatening

Added attention may enhance confidence that all

that can be done is being done

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Benefits

Provider Perspective

Communication/Collaboration with

specialists

ER front-line support

CME/Life Long Learning

Saves time, travel to outreach clinics

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Challenges

Lack of reimbursement

Licensing and Credentialing

issues

Liability

Privacy

Infrastructure

End-user Issues

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Recommendations

Conduct a comprehensivetelemedicine audit/assessment

Explore Financial Issues

Develop a short, mid and long rangetelemedicine plan

Build training initiatives

Systematic implementation of plan

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Audit and Assessment

Medical Services Data

Descriptive elements

Current Services

Current technologies

Service Opportunities/Needs

Miscellaneous

Observations/Comments

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Financial Issues

Program Budgets

Finding Funds Maximizing Investments

Measuring Intangibles

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The Plan

Clarifying Goals

Prioritizing Objectives

Policies and Procedures

Operational Issues

Personnel

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Training is essential!