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  1. IT IN THE NEWS ISM 5021 Information and Technology Management Melissa Faux Dawn Golden Susan Greenert Holly Newell TELEMEDICINE

  2. Introduction Applications Benefits & Barriers Worldwide Examples & Trends Companies and Products Interesting Facts Conclusion agenda

  3. introduction

  4. Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve the patients' health status. ATA Definition

  5. A visit with the doctor has evolved over the years. Originally doctors made house visits in order to evaluate the patient. INTRODUCTION

  6. 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

  7. 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

  8. applications

  9. 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

  10. Diagnostics can be performed remotely for: • Radiology • Mental Health APPLICATIONS

  11. Cardiology • Opthalmology APPLICATIONS

  12. Ultrasound • Pathology APPLICATIONS

  13. Homebased Consultations can be performed through video conferencing. APPLICATIONS

  14. 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

  15. Data Trending Automatic Alerts Distance Learning Peer Reviews OTHER APPLICATIONS

  16. Benefits and barriers

  17. 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

  18. 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

  19. 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

  20. High costs associated with start up and implementation Insurance plans may not support use of telemedicine Rural areas do not have internet connectivity BARRIERS

  21. Lack of confidentiality/security concerns Slow acceptance of technology More difficult to monitor doctor licenses and ability BARRIERS

  22. Worldwide examples and trends

  23. 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

  24. 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

  25. 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

  26. 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

  27. INDIA • PathoIndia is a virtual community for pathologists in India. The portal is hosted by University of Basel, Switzerland. Worldwide examples

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. Companies and products

  34. AMD provides monitoring devices and software. COMPANIES & PRODUCTS

  35. Cisco uses HealthPresence, Telepresence, and WebEx to provide remote care in Argentina. COMpanies and products

  36. A and D Medical features a Connected Health product line including a wireless activity monitor. COMPANIES AND PRODUCTS

  37. The Bosch Health Buddy connects patients to their care providers and reduces hospital visits. COMPANIES AND PRODUCTS

  38. TMED provides an affordable solution with encrypted web based video conference and patient monitoring on a standard PC. COMPANIES AND PRODUCTS

  39. 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

  40. Nonin’s Wrist Pulse Oximeter provides wireless monitoring. Companies and products

  41. EasyMedMobile provides • Automated medication reminders • Real-time monitoring • Data collection (questionnaires) • Electronic Health Records • Remote access via smartphone or web browser Companies and products

  42. 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

  43. Express MD Solutions provides an electronic monitoring system and web service to connect the patient and physician for chronic care management. Companies and products

  44. Sigma’s Skop records heart and lung sounds and transmits them over the internet. Companies and products

  45. MD Live Care provides a network of telemedicine healthcare providers and lets you make virtual appointments. Companies and products

  46. ZoomMD provides an I-phone application for prescriptions to be sent directly to a pharmacist. Companies and products

  47. NuPhysicia – Medicineatwork examines heart, lungs, skin, throat, ears. Companies and products

  48. GE –provides a pocket sized ultrasound imaging device. Companies and products

  49. ICUcare – Edoc provides a routine medical exam on wheels with video conferencing. Companies and products

  50. 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