The health care environment is evolving and one in particular aspect of that is telehealth. According to the U.S Department of Health & Human Services telehealth can be defined as “the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include video conferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications” (Telehealth Programs, 2017). A more specific term that is found to be used interchangeably with telehealth is remote patient monitoring (RPM). Whereas telehealth is the broader term, RPM is the use of specific technology that allows for facilitation from a physician to a patient interaction from the comfort of their home (Care Innovations, 2017). Examples of RPM can include glucose meters and heart or blood pressure monitors for cardiac care patients. The role of telehealth advancing in healthcare is greatly impacting the industry; for instance, on new emerging payment systems, …show more content…
Data could start being recorded on January 1st, 2017 and close December 31, 2017 with a final performance data submission by March 31, 2017. Once data is submitted, Medicare provides feedback, potential to receive a positive MIPS payment adjustment beginning January 2019 (The Merit-based IP, p.28, 2016). This system will pay clinicians on the quality and resources used and a variety of other things. There are certain program criteria to meet in order for it to be applied. Telehealth can be used, and in some instances remote patient monitoring to help meet the guidelines of the program for payment. Meaning a clinician could use RPM to prescribe a proper dose of medication based of information gathered remotely or coordinate care via telehealth (Telehealth and RPM, p.2,
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
Schlachta-Fairchild, L. (2001). Telehealth: a new venue for health care delivery. In Seminars in oncology nursing (Vol. 17, No. 1, pp. 34-40). WB Saunders.
“Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status” (American Telemedicine Association, 2013). Telemedicine is the use of technology such as email, mobile devices, and computers to communicate health information (Mayoclinic.com, 2014). Telemedicine has enabled the use of communication technologies by healthcare professionals for the evaluation, diagnose, and the treatment of patients in rural areas (GlobalMed.com, 2014). Telemedicine is used in a variety of health care services like primary care, patients monitoring, health information sharing, health education (America Telemedicine Association, 2013). These services are delivered using various mechanisms such as video conferencing, personal health apps, e-visits (Mayoclinic.com, 2014). These technologies have been proven to increase access, to be cost efficient, to improve quality, and intensify patients’ satisfaction according to the America Telemedicine Association.
Telenursing is the application of information and telecommunications technology to offer the nursing or healthcare services to the patients. The most advanced field of telehealth is in household telenursing healthcare. Telenursing devices like computers, telephones and videophones enable nurses to increase successfully the patient numbers seen daily while reducing the entire workload (Arnaert & Delesie, 2001). Nurses are capable of doing this without having to leave the doctor’s office or hospital hence saving a considerable amount of
Telehealth allows a lower-level healthcare practitioner to communicate with a physician or specialist when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas. When procedures call for a physician, an internet or satellite link provides a teleconference with a physician who can prescribe appropriate treatment (Gangon, Duplantie, Fortin & Landry 2006). This could be implemented in lower income urban areas, allowing free clinics to lower costs, and require fewer physicians. Programs that increase the level of healthcare available to school children could be increased.
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
Providers are faced with having to weigh the expense of investing in telehealth technologies with the ability to generate enough revenue to cover these costs. This is often difficult as expenses in the literature can cover those directly linked with the delivery of care (healthcare costs) and those that are not directly related to providing care (non-heath care costs) (Bergmo, 2009). Some of the healthcare costs a practitioner must consider are items such as computers, video cameras, microphones, modems, routers, software and other components such as specialized stethoscopes and imaging equipment needed to assess an individual patient. The cost of these items can add up quickly. As one study estimates, the capital expenditure for the implementation of telehealth video conferencing can reach as much as $80,000. The cost of transmitting data in order to deliver these services can also reach $800-$2000 per month in spoke and hub type telehealth systems (Gamble, Savage, & Icenogle, 2004). These costs incur even more ...
Kansas is considered a rural state in the United States. Merriam-Webster (2012) defines rural theoretically as “open land” or “relating to the country, country people or life, or agriculture”. The U.S. Census Bureau considers rural to be “open country and settlements with fewer than 2,500 residents” (Cromartie, 2007). Nearly 17% of the U.S. population lives in rural areas, which is about 80% of all U.S. territory (Cromartie, 2009). What this means that there is more land mass compared to the people inhabiting the land; rural communities have fewer people living in larger, more remote areas. Individuals living in rural communities have different cultures and experiences than those living in urban communities, which can become problematic in regards to healthcare.
Telemedicine hold a great promise in health information technology, it not only promises to improve health care delivery but it also aids in serving the most vulnerable of patients.
Telehealth definition according to our textbook by Hebda, T., & Czar, P., 2013 is the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients. It provides health care to patients that may not be able to have access to care. Telehealth requires a patient to have electronic tools to facilitate this type of service. Electronic tools can be a telephone, computer, or a video camera. The patient is able to call or enable video conferencing to have access to their health care provider. Telehealth allows the patient to have access to preventative care and education on their disease process and how to manage it at home.
Perceive a new dimension in healthcare brought about by remote physician Scope of telemedicine is broad enough to encompass exclusive care, and distinctively denotes the provision of healthcare services and instruction remotely, by telecommunications technology. It's defined as the usage of electronic linkages and information technology to offer clinical solutions to patients in different locations. Instances of telemedicine comprise video consultations with experts, distant medical assessments and diagnosis and digital broadcast of medical imaging. Telemedicine companies allow patients to remain safe and autonomous in their own houses, through usage of telecommunications including phones, PCs and transportable monitoring devices like warden alarms, mechanical gas shut-off tools plus home-entry videophones. This involves nonstop distant monitoring of patients to get alerts regarding real-time emergencies and to detect lifestyle alterations over time.
Technology is truly taking a turn for the worst on mental health. Technology is the future, it’s supposed to be the greatest thing to ever happen. Although technology may be helping the world out, it is hurting the people who use it. Technology is taking over lives and damaging mental health, it is the main cause of mental health issues and it needs to be taken seriously. Technology is not beneficial for mental health because it is causing isolation, depression, and mental illness in children.
From state and federal levels, the healthcare industry has come a very long way, experiencing changes along the way. The development of advanced technology that has enhanced the quality of healthcare delivery systems will help all patients to be able to benefit. Doctors are able to access patient records at a faster rate and respond to their patients in a much more timely fashion. E-mail, electronic transfer of records and telemedicine will give all patients and physicians the tools needed to be more efficient, deliver quality care and deliver quality telecommunication at a faster pace than before.
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008).