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Telehealth Tips Video conferencing without tears Presented at; RMA- ACRRM Annual Conference 2011. Dr David Allen MBBS(Hons), DPH, FAFOEM(RACP) Occupational and Environmental Physician QOH and Telehealth Solutions Australia. www.telehealth.net.au. www.telehealth.net.au. How to approach it.

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telehealth.au

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  1. Telehealth Tips Video conferencing without tears Presented at; RMA- ACRRM Annual Conference 2011 Dr David Allen MBBS(Hons), DPH, FAFOEM(RACP) Occupational and Environmental Physician QOH and Telehealth Solutions Australia www.telehealth.net.au www.telehealth.net.au

  2. How to approach it • Think of VC as an addition to telephone consultation – if video fails then you always have a phone • Learn basic functionality • Practice, practice, practice • Familiarise with features in casual use • Check that the system works well a few hours before consult • Get consent

  3. Housekeeping • Have a lamp behind your monitor to illuminate you • Door locked and sign outside • Background behind you should be simple and appropriate – consider framed degrees or plain background • Position the video image on the screen near the webcam • Avoid interruptions (if possible)

  4. Internet connection poor or variable? • Using the telephone rather than the video conference telephony (more stable) • Explain to the patient the limitations of the connection - ?blame someone else • Slow the visual examination down • Reduce frame rate in software or system • Be patient – consultation may take longer, but remember the saving in travel time

  5. How to examine the patient • Think of how you do the consultation examination – imagine patient is in same room behind a glass partition – how would you “examine” them? • Considering PTZ cam? – adds complexity and cost • Have spare/second webcam on desk to show patient/GP/RN how to position it whilst online • Consider special devices later

  6. Auscultation with digital stethscope Ear exam with digital otoscope

  7. Bandwidth considerations ADSL ADSL2 Annex M Cable SHDSL 3G 4G

  8. Hardware issues Operating systems Processor speeds Video acceleration

  9. Questions david.allen@telehealth.net.au 02 98977699

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