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Telehealth

Telehealth. By: David Guthrie. Objectives. Describe telehealth as an informatics trend Evaluate the hardware and software used in telehealth Summarize an information system used in telehealth List the advantages and disadvantages of telenursing

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Telehealth

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  1. Telehealth By: David Guthrie

  2. Objectives • Describe telehealth as an informatics trend • Evaluate the hardware and software used in telehealth • Summarize an information system used in telehealth • List the advantages and disadvantages of telenursing • Explain the ethical and legal issues in telenursing • Review the competencies and role of informatics in telehealth

  3. What Is Telehealth? • Videoconferencing • The internet • Store-and-forward imaging • Streaming media • Terrestrial and wireless communications (HRSA, 2008)

  4. Benefits of Telehealth • Long distance care • Remote monitoring • Advice regarding disease without travel • Treatment follow-ups via telecommunications • Tele-triage

  5. Hardware • Telephone • Computer • Fax machine • Monitoring equipment • Diabetes monitors • Cardiovascular monitors

  6. Hardware Cont. Cardiovascular Monitoring Equipment • Has been proven to reduce cardiovascular risk • Available in remote areas • Proven favorable to traditional patient check ups (Cardiol, 2008)

  7. Telehealth Software • Microsoft Windows/Operating Systems • Databases • Internet browsers • Email clients • Conferencing software • UpToDate

  8. Software Cont.UpToDate • Database accessed via the world wide web • Helps patients better understand treatments • Helps patients better understand medical conditions • Provides access to most recent studies and health information (UpToDate, 2009)

  9. Software ContUpToDate: Usability • Ease of use - excellent • Ease of learning-fair • Satisfaction with using –excellent • Efficiency of use-very efficient • Error tolerance- excellent • Fit of system to the task-excellent

  10. Information Systems • Elemental Clinic • Mental health information software • Electronic medical record • Can be hosted locally or from a distance • Web based software (open sourcery, 2002)

  11. Review of Elemental Clinic • Clinical information system • Available for use with all healthcare professionals • Performs variety of tasks and functions • Web based accessibility (open sourcery, 2002)

  12. Telenursing Advantages • Nursing can be provided to remote locations • Cost efficient • Time saving • Increases patient involvement in self care (Hoglund and Holmstrom, 2008)

  13. Telenursing Disadvantages • Nurses unable to visualize the patient • Faceless encounter for patient • Ethical dilemmas for nurses • Technological difficulties (Hoglund and Holmstrom, 2008)

  14. Ethical/Legal Issues in Telenursing • Privacy • Security • Confidentiality • Autonomy (Hoglund and Holmstrom, 2008)

  15. Telenursing Competencies • Use of email • Use of database software • Use of videoconferencing software when applicable • Use of web browser (McGonigle and Mastrian, 2009)

  16. Functions of the Informatics Nurse in Telehealth • Installation of hardware • Patient education • Monitoring devices • Troubleshooting equipment (Starren et al., 2005)

  17. Summary of Telehealth • Growing trend utilizing various forms of communication • Encompasses telemedicine, and telenursing • Hardware and software are key operational components • Allows healthcare professionals to practice at a distance

  18. References • HRSA, HRSA Telehealth. Retrieved June 4, 2009, from http://www.hrsa.gov/telehealth/ • Cardiol, Can, J. (2008, January). Cardiovascular risk reduction via telehealth: a feasibility study.PubMed, 24, Retrieved June 23,2009, from http://www.ncbi.nlm.nih.gov.ezaccess.libraries.psu.edu/pubmed/18209771?ordinalpos=14&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum • UpToDate, (2009). About the Company. Retrieved June 24, 2009, from UpToDate Web site: http://www.uptodate.com/home/about/about.html • Open sourcery, (2002). A different kind of EMR. Retrieved July 11, 2009, from elemental Clinic Web site: http://www.elementalclinic.com/home • Hoglund, A, & Holmstrom, I (2008). Ethical issues in telenursing. InternationalHospital Equipment & Solutions, 34, Retrieved July 31, 2009, from http://www.ihe-online.com/index.php?id=2695. • McGonigle, D, & Mastrian, K (2009). Nursing informatics and the foundation of knowledge.Sudbury, Massachusetts: Jones and Bartlett Publishers. • Starren, J, Tsai, C, Bakken, S, Aidala, A, Morin, P.C., Hilliman, C, Weinstock, R.S., Goland, R, Teresi, J, & Shea, S (2005, July). The role of nurses in installing telehealth technology in the home.. Computers, informatics, nursing:CIN., 23, Retrieved Jul 30, 2009, from http://www.ncbi.nlm.nih.gov/pubmed/16027532

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