The Impact Of Telemedicine On Health Care Management

In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Telemedicine Based Screening of Infantsat Risk for Retinopathy of Prematurity -- ByOPHTEL:A Bavarian Project for RapidTelemedical Exchange of Knowledge, Files and Skills between Practitionersand Hospitals in Eye Care -- Collaborative Telemedicine between Optometry and Ophthalmology: An Initiative from the University of Houston -- Dermatology -- Web-based Teledermatology Consult system: Preliminary results from the first 100 cases -- Are Dermatologists in Private Practice Interested in Teledermatological Services? -- Pathology -- European Field Tests with HISTKOM Telepathology Equipment -- Radiology -- Economic Analysis of Teleradiology Applications with KAMEDIN -- WWW-Based Access to Radiological Patient Data: Two Years of Experience -- Family Practice and Home Care/Home Monitoring -- Southern Health Board - Advanced Telematic / Telemedicine in Healthcare Services in the South West Of Ireland -- Remote Communities Services Telecentre Project -- HausTeleDienst"--A CATV-based Interactive Video Service for Elderly People -- Fonetix: Building Virtual Speech Therapy Practicum over the Internet -- Psychiatry -- Evaluation of a Canadian Telepsychiatry Service -- Telemedicine in Military -- Functional Characteristics of the Telemedical Network for the Medical Service of the Bundeswehr for Support of Operations Outside Germany and Civil-military Co-operation -- Webliography -- Suggested Telemedicine Websites -- Author Index

Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.

Telemedicine, which involves electronic communications and software, provides the same clinical services to patients without the requirement of an in-person visit. Essentially, this is considered remote healthcare. Though telemedicine is not a new practice, it has become an increasingly popular form of healthcare delivery due to current events, including the COVID-19 pandemic. Not only are visits being moved onto virtual platforms, but additional materials and correspondence can remain in the digital sphere. Virtual lab results, digital imaging, medical diagnosis, and video consultations are just a few examples that encompass how telemedicine can be used for increased accessibility in healthcare delivery. With telemedicine being used in both the diagnosis and treatment of patients, technology in healthcare can be implemented at almost any phase of the patient experience. As healthcare delivery follows the digital shift, it is important to understand the technologies, benefits and challenges, and overall impacts of the remote healthcare experience. The Research Anthology on Telemedicine Efficacy, Adoption, and Impact on Healthcare Delivery presents the latest research on best practices for adopting telehealth into medical practices and its efficacy and solutions for the improvement of telemedicine, as well as addresses emerging challenges and opportunities, including issues such as securing patient data and providing healthcare accessibility to rural populations. Covering important themes that include doctor-patient relationships, tele-wound monitoring, and telemedicine regulations, this book is essential for healthcare professionals, doctors, medical students, academic and medical libraries, medical technologists, practitioners, stakeholders, researchers, academicians, and students interested in the emerging technological developments and solutions within the field of telemedicine.

This book explains how telemedicine can offer solutions capable of improving the care and survival rates of cancer patients and can also help patients to live a normal life in spite of their condition. Different fields of application – community, hospital and home based – are examined, and detailed attention is paid to the use of tele-oncology in rural/extreme rural settings and in developing countries. The impact of new technologies and the opportunities afforded by the social web are both discussed. The concluding chapters consider eLearning in relation to cancer care and assess the scope for education to improve prevention. No medical condition can shatter people’s lives as cancer does today and the need to develop strategies to reduce the disease burden and improve quality of life is paramount. Readers will find this new volume in Springer’s TELe Health series to be a rich source of information on the important contribution that can be made by telemedicine in achieving these goals.

"The History of Telemedicine provides a comprehensive and in-depth analysis of the evolution of telemedicine from ancient Greece to the present time. It places the development of this field in the context of the never ending quest for providing equitable access to health care and re-casting the medical care landscape, while trying to assure quality and contain cost. The book describes the origin of modern telemedicine in experiments such as those by Willem Einthoven's 1905 long distance transfer of electrocardiograms through the pioneering era of teleradiology and telepsychiatry of the 1950s, its coming of age in the 1970s, its maturation in the 1990s, and finally the recent transformation and adoption by the mainstream." -- BOOK PUBLISHER WEBSITE.

Telemedicine and telehealth are changing the face of health care delivery and becoming a multi-billion dollar industry. Dr. Darkins and Dr. Cary share their knowledge and provide practical insights and advice on making telemedicine programs into successful clinical services and a productive business. The book gives background knowledge and useful tips on starting up and managing programs in an array of settings. Most importantly, the book is based on the recognition that patients are customers of health care and telemedicine companies developing new products vital to delivering care to rural or inaccessible clients is vital to health care's future.

Ethics in the era of managed care This collection of AMA Council Reports from 1990 to 1997 examine a variety of ethical issues concerning managed care. Report topics include financial incentives to limit care, cost containment involving prescription drugs, restrictions on disclosure in managed care contracts, ethical issues in negotiating discounts for specialty care, capitation, and more. An analysis of current issues in medical ethics is also included.

The first complete guide to the rapidly expanding field of telehealth From email to videoconferencing, telehealth puts real-time healthcare solutions at patients’ and clinicians’ fingertips. Every year, the field continues to evolve, enhancing access to healthcare, supporting clinicians, and improving the patient experience. However, since telehealth is in its infancy, no text has offered a comprehensive, definitive survey of this up-and-coming field—until now. Written by past presidents of the American Telemedicine Association, Understanding Telehealth explains how clinical applications leveraging telehealth technology are optimizing healthcare delivery. In addition, this timely resource examines the bedrock principles of telehealth and highlights the safety standards involved in the diagnosis and treatment of patients through digital communications. Logically organized and supported by high-yield clinical vignettes, the book begins with essential background information, including a look at telehealth history, definitions and roles, and rural health. It then provides an overview of clinical services for adults, from telestroke to telepsychiatry. The third section addresses pediatric clinical services, encompassing pediatric emergency and critical care, telecardiology, and more. A groundbreaking resource: •Chapters cover a broad spectrum of technologies, evidence-based guidelines, and application of telehealth across the healthcare continuum •Ideal for medical staff, public healthcare executives, hospitals, clinics, payors, healthcare advocates, and researchers alike •Incisive coverage of the legal and regulatory environment underpinning telehealth practice

Knowledge management goes beyond data and information capture in computerized health records and ordering systems; it seeks to leverage the experiences of all who interact in healthcare to enhance care delivery, teamwork, and organizational learning. Knowledge management - if envisioned thoughtfully - takes a systemic approach to implementation that includes the embodiment of a learning culture. Knowledge is then used to support that culture and the knowledge workers within it to encourage them to share what they know, thusly enabling their peers, their organizations and ultimately their patients to benefit from their experience to proactively dismantle hierarchy and encourage sharing about what works, and what doesn’t to focus efforts on improvement. Knowledge Management in Healthcare draws on relevant business, clinical and health administration literature plus the analysis of discussions with a variety of clinical, administrative, leadership, patient and information experts. The result is a book that will inform thinking on knowledge access needs to mitigate potential failures, design lasting improvements and support the sharing of what is known to enable work towards attaining high reliability. It can be used as a general tool for leaders and individuals wishing to devise and implement a knowledge-sharing culture in their institution, design innovative activities supporting transparency and communication to strengthen existing programs intended to enhance knowledge sharing behaviours and contribute to high quality, safe care.