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Virtual Doctor Visits

Virtual Doctor Visits. Presented by Kara Harris, RN. Objectives. Describe virtual doctor visits. Identify hardware and software used. Analyze usability of software. Describe the information system used. Recommendation. Objectives. Advantages and disadvantages Ethical and legal issues

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Virtual Doctor Visits

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  1. Virtual Doctor Visits Presented by Kara Harris, RN

  2. Objectives • Describe virtual doctor visits. • Identify hardware and software used. • Analyze usability of software. • Describe the information system used. • Recommendation

  3. Objectives • Advantages and disadvantages • Ethical and legal issues • Informatics competencies • Nurse functions and responsibilities • Summary

  4. Virtual Doctor Visits • Internet-based technology • Can use instant messaging and/or webcam • “Videoconference” visit

  5. Healthcare Of The Future • Change from traditional “face to face” care • Doctor-patient model could be internet based. (Gundersen, 2009)

  6. Hardware • Computer • Router for internet access • Webcam optional • Electronic kiosk for public use

  7. Electronic Kiosk • Large computer terminal • Public use • Placed in high traffic areas • Unsupervised use • BP, HR, pulse ox and weight (Lerner, 2009)

  8. Software • BreakThrough • My Healthy Access • DoubleCheckMD • FreeMD • American Well -leading company of virtual visit software

  9. American Well • Log on • Request visit • MD review/evaluation • Virtual visit • Pay co-pay, if applicable • Transcription (Berry & Dolan, 2008)

  10. Usability • Axiom 1: Users must be continuous focus • Axiom 2: Iterative design • Axiom 3: Empirical usability measures C+ (Mastrian & McGonigle, 2009)

  11. Type Of Information System • Clinical information system • Patient centered • Data collection • Electronic medical record (EMR) (McGonigle & Mastrian, 2009)

  12. Professional Use • Physicians • Nurses • Pharmacy • Health Insurers • Billing personnel

  13. Configuration & Data Standards • Server computer • Standards similar to EMR.

  14. Classification System • ICD-9 • HCPCS

  15. Recommendation • Adequate support? • Meets Medicare and Medicaid standards • Recommend for patients and providers

  16. Advantages • Fast and convenient • Increased provider productivity • Increased productivity for employers • 24/7 availability • Cost-efficient

  17. Disadvantages • No physical exam • Potential for abuse

  18. Ethical And Legal Issues • Same as face-to-face care • Ways to prevent issues: -Refer appropriately -Follow prescription regulations -Report suspected abuse (American Well, 2009)

  19. Informatics Competencies • Information literacy • Computer literacy -Email -Online chat -Web-cam -Office management software (McGonigle & Mastrian, 2009 )

  20. Functions & Responsibilities • Optimizing virtual visit software • Research • Education

  21. Summary

  22. References • American Well. (2009).Provider Considerations for the Practice of Online Care. Retrieved on November 1, 2009, from American Well website: http://www.americanwell.com/ProviderConsiderationsForThePracticeOfOnlineCare.pdf • Berry, E. & Dolan,P. (2008). Virtual medicine: Companies using webcams for real-time patient encounters. Amednews.com. Retrieved on October 9, 2009 from http://www.ama-assn.org/amednews/2008/09/01/bisa0901.htm

  23. References • Gundersun, J. (2009). Virtual doctor visits satisfactory for both patients and clinicians. Medical News Today. Retrieved on September 15, 2009 from http://www.medicalnewstoday.com/articles/150242.php • Healthcare Common Procedure Coding System. (2009, July 28). In Wikipedia, the free encyclopedia. Retrieved October 30, 2009, from http://en.wikipedia.org/wiki/Healthcare_Common_Procedure_Coding_System

  24. References • Lauer, G. Virtual visits moving into medical mainstream. iHealthBeat. Retrieved on October 30, 2009, from http://www.ihealthbeat.org/Features/2008/Virtual-Visits-Moving-Into-Medical-Mainstream.aspx • Lerner, M. (2009). The doctor will see you-log on now. StarTribune.com. Retrieved on October 8, 2009, from http://www.startribune.com/lifestyle/health/42882762.html?elr=KArks7PYDiaK7DU2EkP7K_V_GD7EaPc:iLP8iUiD3aPc:_Yyc:aUU

  25. References • McGonigle,D. & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. (1st ed.). Boston: Jones and Barlett. • Rubin.J (1994). Handbook of usability testing: How to plan, design, and conduct effective tests. New York: Wiley & Sons.

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