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IT IN THE NEWS ISM 5021 Information and Technology Management Melissa Faux Dawn Golden Susan Greenert Holly Newell. TELEMEDICINE . Introduction Applications Benefits & Barriers Worldwide Examples & Trends Companies and Products Interesting Facts Conclusion. agenda. introduction.
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IT IN THE NEWS ISM 5021 Information and Technology Management Melissa Faux Dawn Golden Susan Greenert Holly Newell TELEMEDICINE
Introduction Applications Benefits & Barriers Worldwide Examples & Trends Companies and Products Interesting Facts Conclusion agenda
Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve the patients' health status. ATA Definition
A visit with the doctor has evolved over the years. Originally doctors made house visits in order to evaluate the patient. INTRODUCTION
Dr visits then evolved into a mass production, whereby patients traveled to the doctor’s physical office to be evaluated. This enabled the doctor to see many patients in a single day due to the elimination of the doctor’s travel time. The patients in turn incurred travel time, time wasted in the waiting rooms, and time spent waiting in the patient rooms for the doctor or nurse to appear. INTRODUCTION
At times it can be difficult to see a doctor due to the limited number of appointments available. If a doctor could not provide a diagnosis, the patient would be sent to another doctor’s physical office to be evaluated. INTRODUCTION
Telemedicine is not intended to replace the doctor visits, but to supplement doctor visits. One major application is to obtain expert advice from all around the country or nation. With the development of telemedicine, experts can review x-rays, blood results, and various other test results via the computer and provide their input as to their opinions or diagnosis. applications
Diagnostics can be performed remotely for: • Radiology • Mental Health APPLICATIONS
Cardiology • Opthalmology APPLICATIONS
Ultrasound • Pathology APPLICATIONS
Homebased Consultations can be performed through video conferencing. APPLICATIONS
Home Vital Signs Monitoring allows ECG, blood glucose, blood pressure, temperature, weight, and ultrasound measurements to be taken from home and sent to the doctor. APPLICATIONS
Data Trending Automatic Alerts Distance Learning Peer Reviews OTHER APPLICATIONS
Saves money on travel for specialized care Allows patients in remote locations to get the opinion of a specialist (better access to care) Also allows different/regional medicine options to be available to a wider range of people (Ayurvedic, Traditional Chinese, etc) Telemedicine is convenient and requires less travel or time off from work PATIENT BENEFITS
Assists people in isolated communities who cannot get to a doctor or hospital Supports local clinics, doctors and pharmacies (by allowing them a wider range of services) Allows participation in clinical trials for Rural communities COMMUNITY BENEFITS
Increases efficiency / decreases medical errors • Allows doctors to diagnose overseas patients without leaving the office • Facilitates volunteer work in undeveloped countries • Specialists can monitor several patients or hospitals at once • Doctors can monitor patients’ diagnostics via cell (blood pressure, glucose, etc) • Patients can see a local provider who can consult a specialist (or another doctor) via internet Provider benefits
High costs associated with start up and implementation Insurance plans may not support use of telemedicine Rural areas do not have internet connectivity BARRIERS
Lack of confidentiality/security concerns Slow acceptance of technology More difficult to monitor doctor licenses and ability BARRIERS
USA: Approximately 10 percent of the US population is covered under Medicare. However, it accounts for over one quarter of all medical expenditures. WORLDWIDE EXaMPLES
Both Medicare and Tricare recipients can now use Telemedicine. According to the American Telemedicine Association, reimbursement to the health professional is the same as the current fee schedule. WORLDWIDE EXaMPLES
USA: According to The New York Times, of the 3.7 million military retirees that have access to health insurance through their civilian employer or group, approximately two million of them stay on Tricare, the military's lifetime health insurance program. WORldwide examples
The Defense Secretary, Robert M. Gates, has been making attempts to cut Pentagon spending and has considered the use of Telemedicine as a way to reduce the impact of the 10 million people eligible for benefits in the coming years. WORldwide examples
INDIA • PathoIndia is a virtual community for pathologists in India. The portal is hosted by University of Basel, Switzerland. Worldwide examples
AFRICA • West African Doctors & Healthcare Professionals Network • A virtual meeting place for doctors and other health-care professionals to share information and knowledge. • Telemedicine Africa • A web based patient consultation and training service tailored to needs of local communities in Africa. Worldwide examples
NEPAL • HealthNet Nepal • The project’s main objective is to “overcome the isolation of health professionals by creating a network of people and organizations linked by appropriate, simple and inexpensive communication technology.” Worldwide examples
Pakistan • Creating awareness • University collaboration • Rawalpindi Medical College • Agha Khan University • National University of Science & Technology • Approximately two hundred medical students were enrolled in the five-year "Elixir Internship Program" in order to learn Telemedicine, content building, web maintenance and how to carry out health related research. • The progress and learnings from this venture was then relayed to top universities such as Stanford, University of California, Los Angeles and University of Southern California. WORLDWIDE EXAMPLES
Telemedicine’s involvement in preventative care has taken a huge step forward. Home health care monitoring has been expanded through the use of smartphones. Speakers at the 2010 World Congress summit spoke of the importance of smartphones in telemedicine. Harry Wang, director of mobile and health research at Parks Associates noted in a PC World reports article that his firm believes more than 70 percent of Americans will have smartphones by 2015. WORLDWIDE TRENDS
He noted that some hospitals already are using iPhones as glucose monitors and patients can see reduced expenses when conducting tests such as at-home sleep studies. Parks Associates, a Dallas-based research company, forecasts U.S. sales of wireless home-health technology to soar to $4.4 billion in 2013 from just $304 million this year, in part due to the federal stimulus money for health IT. WORLDWIDE TRENDS
AMD provides monitoring devices and software. COMPANIES & PRODUCTS
Cisco uses HealthPresence, Telepresence, and WebEx to provide remote care in Argentina. COMpanies and products
A and D Medical features a Connected Health product line including a wireless activity monitor. COMPANIES AND PRODUCTS
The Bosch Health Buddy connects patients to their care providers and reduces hospital visits. COMPANIES AND PRODUCTS
TMED provides an affordable solution with encrypted web based video conference and patient monitoring on a standard PC. COMPANIES AND PRODUCTS
CARDIOCOM’s OMNIVISOR enables case or disease managers and clinicians to receive information about patients' daily vital signs and symptoms. BLOOD PRESSURE • GLUCOMETER • PEAK FLOW • MEDICAL SCALE • PULSE OXIMETER COMPANIES AND PRODUCTS
Nonin’s Wrist Pulse Oximeter provides wireless monitoring. Companies and products
EasyMedMobile provides • Automated medication reminders • Real-time monitoring • Data collection (questionnaires) • Electronic Health Records • Remote access via smartphone or web browser Companies and products
CJPS Medical’s Vitalpoint provide better care by providing continuous monitoring to help prevent re-admissions and early detection of a potentially harmful event. Companies and products
Express MD Solutions provides an electronic monitoring system and web service to connect the patient and physician for chronic care management. Companies and products
Sigma’s Skop records heart and lung sounds and transmits them over the internet. Companies and products
MD Live Care provides a network of telemedicine healthcare providers and lets you make virtual appointments. Companies and products
ZoomMD provides an I-phone application for prescriptions to be sent directly to a pharmacist. Companies and products
NuPhysicia – Medicineatwork examines heart, lungs, skin, throat, ears. Companies and products
GE –provides a pocket sized ultrasound imaging device. Companies and products
ICUcare – Edoc provides a routine medical exam on wheels with video conferencing. Companies and products
Intouch Health – Remote Presence removes barriers of time and distance. The RP7 robot provides virtual presence and allows direct connection to Class II medical devices to send data. Increases hospital capacity. Companies and products
