Telemedicine: Will telemedicine improve the quality of healthcare and its delivery for remotely located advanced healthcare para-professionals?
The basic purpose of this study is to discuss whether telemedicine will improve the quality of health care and it's delivery for remotely located advanced health care para-professionals.
The scope of the study is over seeing as it covers the implication of implementation of telemedicine as a professional genre. It would also show how the installation of telemedicine means to other researchers, who want to take this field further and analyze it other context such as financial system of medical systems, telemedicine implicaiton on Medicare etc.
The researcher plans to adopt a case study / historical methodology of research by first collecting a literature review and then finally using it as a base for the analysis of the hypothesis questions. The researchers will also plan to use both primary and secondary sources. Primary sources will consist…...
mlaBibliography
1. Dakins, D.R., [1995]. "Wild-Eyed Revenue Projections Create Moving Target for Home Healthcare Market," Telemedicine and Telehealth Networks, 2:3:3.
Author not available, [1993]. Consensus Statement, First Mayo Telemedicine Symposium.
Grigsby J, Barton PL, et al. [1994]. Analysis of expansion of access to care through use of telemedicine and mobile health services. 3: Telemedicine policy: quality assurance, utilization review, and coverage. Denver: Center for Health Policy Research;:8.
Fishman, Dorothy J., [07-01-1997]. Telemedicine: bringing the specialist to the patient.. Vol. 28, Nursing Management, pp 30(3).
The greater availability of patient records can make it easier to create false claims, through electronic tampering. This is yet another risk of telemedicine, which must be guarded against through encryption and proper security infrastructure.
Selling patient information to external entities?
People with long-term diseases like diabetes, or even those only genetically predisposed to genetic conditions, could be denied job opportunities or refused health insurance "if information stolen from data banks were sold to corporate bidders (Dark side, 1999, Science Daily, par. 3-4). Given the expense chronic conditions can cause, and the highly competitive job market, patient data must be unassailable, and it must be illegal to sell what should be protected information. Otherwise, patients may be deterred from seeking genetic testing or care because of fears that the information could be used against them.
hat are some policies on the release of information, retention, and destruction of records?
Ethical guidelines observed by…...
mlaWorks Cited
Allan, Roger. (2006). A brief history of telemedicine. Electronic Design. Retrieved July 31, 2009
At http://electronicdesign.com/Articles/ArticleID/12859/12859.html
The dark side of telemedicine -- Hacking into medical data. (1999, June 21). Science Daily.
Retrieved July 31, 2009, from / releases/1999/06/990621042830.htmhttp://www.sciencedaily.com ?
Barring this, however, clinics can still offer doctors incentives to come to underserved areas. First of all, doctors can be offered greater autonomy in dispensing patient care than the burdensome oversight they might experience in a large hospital. Less bureaucracy, less red tape, and a less punishing schedule are all reasons that doctors might wish to relocate to a rural area to work in a clinic. In contrast to a vast urban hospital where doctors may see many patients whom they never see again, and have to work 'the graveyard shift,' especially if they are new residents, a rural hospital may offer the attractions of face-to-face patient care and a humane schedule.
Specifically targeting new graduates might be an excellent marketing technique. New doctors often have to work the worst hours at hospitals, and never get to see their families. For young doctors with small children, working in a rural…...
mlaWorks Cited
Pak, Hon & Gunter Berg. (2008, May 30). Store-and-Forward Teledermatology. eMedicine.
Retrieved February 19, 2009 at http://emedicine.medscape.com/article/1130993-overview
Patients also benefit as they can now access healthcare and treatment without having to visit the hospital physically.
Telemedicine is cost effective as patients reduce their visits to hospitals. A hospital visit will involve travelling, and having to wait in lines for long hours, but using telemedicine a patient can record their symptoms and forward them to the healthcare professional. The patient will then continue with their daily routine as they await the response from the professional. There is also increased efficiency as there is better management especially for chronic diseases. Using telemedicine patients do not have to be admitted in hospitals and this reduces their medical expenses.
esearch has shown that there is no difference in the quality of care patient receive using telemedicine. The quality is the same as that provided in hospital consultations. There are some cases that telemedicine is able to provide superior quality of care. Patients…...
mlaReferences
Krupinski, E.A., & Weinstein, R.S. (2013). Telemedicine in an Academic Center -- the Arizona Telemedicine Program. [Article]. Telemedicine & e-Health, 19(5), 349-356. doi: 10.1089/tmj.2012.0285
Locatis, C., & Ackerman, M. (2013). Three Principles for Determining the Relevancy of Store-and-Forward and Live Interactive Telemedicine: Reinterpreting Two Telemedicine Research Reviews and Other Research. [Article]. Telemedicine & e-Health, 19(1), 19-23. doi: 10.1089/tmj.2012.0063
Rashid L. Bashshur, G.W.S., Elizabeth a. Krupinski et al. (2009). National Telemedicine Initiatives: Essential to Healthcare Reform. Telemedicine and e-Health, 15(6), 600-610.
Santosh Krishna and Suzanne Austin Boren. (2008). Diabetes Self-Management Care via Cell Phone: A Systematic Review. Journal of Diabetes Science and Technology, 2(3), 509-517.
Telemedicine
Some of the traditional barriers to health care have been eliminated or reduced by the use of technology that helps deliver health care to patients from a distance. This is defined as telemedicine. According to the American Telemedicine Association, telemedicine is defined thus: "the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status." ("What is Telemedicine," 2016).
There are a variety of uses and applications of telemedicine and the users are growing rapidly. There are regular innovation and upgrades of the applications of telemedicine in the medical world. While the use of two-way video, or email, or over smartphones and other wireless tools and devices making use of the internet or telecommunications technology has become commonplace in the modern health care system, the application is finding its real use in delivering regular and much-needed health care services and products to…...
mlaReferences
Doarn, C. & Merrell, R. (2011). Oh What a Year 2010 Was! Impact on Telemedicine and e-Health.Telemedicine And E-Health, 17(1), 1-1. http://dx.doi.org/10.1089/tmj.2011.9997
L'Esperance, S. & Perry, D. (2015). Assessing advantages and barriers to telemedicine adoption in the practice setting: A MyCareTeamTMexemplar. Journal Of The American Association Of Nurse Practitioners, 28(6), 311-319. http://dx.doi.org/10.1002/2327-6924.12280
What is Telemedicine. (2016). Americantelemed.org. Retrieved 15 June 2016, from http://www.americantelemed.org/about-telemedicine/what-is-telemedicine#.V2EVCNJ97IU
s
Telemedicine: How does it impact patient care?
Introduction
The modern health care system is better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the modern health care system is a managed one, and it widely uses technology in contrast to previous health care systems (Conklin, 2002). The many uses of technology in the modern health care system include the use of technology for diagnosis, for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved healthcare and has enhanced patent experience.
Furthermore, many mobile applications have been invented to help both patients and doctors specifically. Moreover, they are not only helping patients recover but also improving their quality of life (Tiago et al., 2016). This paper…...
Telemedicine Case Study
The TeleStroke platform at Massachusetts General Hospital has been successful under the direction of Shawn Farrell because its scope and procedures were extensively researched before they were implemented. apidly expanding the telemedicine offerings at the hospital is not something which can be done easily and will require equal amounts of research and development for each new project and department.
First and foremost is the concern that the expanded use of telemedicine in pediatrics might not be financial feasible, given that emergency pediatric conditions are less common than stroke and may not justify the cost (Gogan & Garfield, 2012, p. 9). Also, the checklist for stroke consultations is far less complicated than it is for a more general array of pediatric concerns. Because it was only a single condition, the pricing for a stroke consultation may be far easier to determine than it would be for a general array of…...
mlaReferences
Gogan, J. & Garfield, M. (2012). Telemedicine: Opportunity or distraction? Case Research
Journal, 32 (2): 1-19
Telemedicine
There have been a number of important and pivotal inventions, process improvements and new technologies that have changed the medical field forever. Just a few that come to mind are CT scanners, electronic healthcare records and immunizations. When looking at more modern and recent changes, meaning over the last generation or so, there are a few besides electronic healthcare records that are changing things for the better. One such thing is telemedicine. Indeed, not every medical problem requires an in-person doctor's visit and whatever can be done to speed up or otherwise improve access should be done for the betterment of humanity. While telemedicine is very much a work in progress, it has improved by leaps and bounds and should absolutely remain an option for situations where time and/or the nature of the situation calls for it.
Analysis
What was stated in the introduction was largely a summary that was created by…...
mlaReferences
Caldarola, P., Gulizia, M. M., Gabrielli, D., Sicuro, M., De Gennaro, L., Giammaria, M., &
Gensini, G. F. (2016). [ANMCO/SIT Consensus document: Telemedicine and the emergency/urgency care network]. Giornale Italiano Di Cardiologia (2006), 17(6), 508-
528. doi:10.1714/2262.24356
Danis, J., Forczek, E., & Bari, F. (2016). [Telemedicine in dermatological practice:
Therefore in the economic sense many institutions have been viewed to lay back.
Knowledge and Expertise in Telemedicine
Another challenge has to do with the limited knowledge and expertise in telemedicine as well as the need for enhanced and modified telemedicine systems. In this sense, little knowledge currently exists among medical practitioners on how to effectively and practically use various forms of telemedicine. This knowledge gap on insight into telemedicine, in effect, hinders the creativity to explore more efficient and effective modalities of telemedicine applications. As a result, teaching medical practitioners to learn and adopt this new way of accomplishing health services, through telemedicine, has become a significant hurdle to implementation Turner, 2003.
Special competence is also required before implementation of telemedicine can be allowed and render success to those concerned. In this regard, a unique term, telecompetence, was created to describe the required skills and credentials practitioners must have in order…...
mlaReference
Aragon, S.R. (2003). Creating social presence in online environments. New Directions for Adults & Continuing Education. 100(57-69).
Bar-Yam, Y. (2006). Improving the Effectiveness of Health Care and Public Health: A Multiscale Complex Systems Analysis. American Journal of Public Health, 96(3), 459-466.
Bashshur, R., & Armstrong, P. (1976). Telemedicine: A new mode for the delivery of health care. Medical Inquiry, 13, 233-244.
Brookfield, D., & Smith, D. (2006). Managerial Intervention and Instability in Healthcare Organizations: The Role of Complexity in Explaining the Scope of Effective Management. Risk Management, 8(4), 268-293.
Telemedicine Solution
Located in a rural region of the Midwestern United States, Grand Hospital is a relatively small yet well-staffed medical center comprised of 209 beds, serving a diverse geographic community. Grand Hospital is a community non-for-profit that offers a broad range of services, ranging from inpatient and outpatient services, employing approximately 1,600 individuals with the majority being full-time employees (1,250 employees) and 225 practitioners. Grand Hospital runs on an operating budget that often exceeds $130M and has a net asset base of $150M. It is also well managed from a financial standpoint, earning an A credit rating from Moody's, Standard & Poor's, and Fitch atings. Despite the rural location the hospital has over 100 comparable medical facilities within a close geographic proximity. At present, Grand Hospital is serving the needs of approximately 11,000 inpatients and 160,000 outpatients, managing to also address more than 36% of the primary service area's…...
mlaReferences
Coughlan, J., Eatock, J., & Eldabi, T. (2006). Evaluating telemedicine: A focus on patient pathways. International Journal of Technology Assessment in Health Care, 22(1), 136-42.
Josey, P., & Gustke, S. (1999). How to merge telemedicine with traditional clinical practice. Nursing Management, 30(4), 33-6.
Lockamy, Archie, I., II, & Smith, D.L. (2009). Telemedicine: A process enabler for enhanced healthcare delivery systems. Business Process Management Journal, 15(1), 5-19.
Paul, D.L., Pearlson, K.E., & McDaniel, Reuben R. Jr. (1999). Assessing technological barriers to telemedicine: Technology-management implications. IEEE Transactions on Engineering Management, 46(3), 279-288.
" (Doukas, Maglogiannis and Kormentzas, 2006) The following illustration shows the evaluation Platform Architecture.
Figure 3
The Evaluation Platform Architecture
Doukas, Maglogiannis and Kormentzas (2006) state that the patient state vital signs are monitored through a PDA device attached to the patient and transmitted to a computer for evaluation through wireless access or luetooth. Additionally the patient site is monitored through use of a camera. The software that has been developed is used to monitor the patient status as well as the network status and determines the proper coding of the data collected on the patient. Doukas, Maglogiannis and Kormentzas states that two patient states have been identified as (1) normal; and (2) urgent. (2006) Sensors used to monitor patient data include those of: (1) ECG, P (non-invasive blood pressure); (2) PR (Pulse Rate); (3) HR (Heart Rate) and (3) Sp02 (Hemoglobin Oxygen Saturation). (Doukas, Maglogiannis and Kormentzas, 2006) The following illustration lists…...
mlaBibliography
Kodandaram, Naveen (2009) Telemedicine: Healthcare for the Future. ECN Asia Magazine. 2009, Sept. Online available at: http://www.ecnasiamag.com/article-26251-telemedicinehealthcareforthefuture-Asia.html
Tambouris, E., Williams, M.H., and Makropoulos, D. (2000) Co-operative Health Information Networks in Europe: Experiences from Greece and Scotland
http://www.jmir.org/2000/2/e11/
Roth, Arie, Carthy, Ziv, and Benedek, Michael (1997) Intensive Cardiac Care Unit, Sourasky Medical Center, Tel Aviv, Israel: Shahal Medical Services, Ltd. Tel Aviv, Israel. Online available at; http://www.shahal.co.il/multimedia/upl_doc/doc_110607_71793.pdf
Passing Congress with bipartisan support, the Health Insurance Portability and Accountability Act (HIPAA, Public Law 104-191) became the legislative vehicle to address those issues. Your health information cannot be used or shared without your written permission unless this law allows it. Because telemedicine allows medical information to be sent anywhere in the world, there is a possibility that protected patient information may fall into unauthorized hands. For example, the information could be sent to the wrong addressor left out on the telemedicine desk for unauthorized personnel to look at. Extra security must be built into the telemedicine system to prevent information falling into the wrong hands.
V. eimbursement
The absence of consistent, comprehensive reimbursement policies is often cited as one of the most serious obstacles to total integration of telemedicine into health care practice. This lack of an overall telemedicine reimbursement policy reflects the multiplicity of payment sources and policies within…...
mlaReferences
Bower, L. L (1998) Strategic Directions InTelemedicine. MegaTech Resources:Dallas, TX.
Field, M.J. Telemedicine: a guide to assessing telecommunications in health care. Washington, D.C.:: National Academy Pr, 1996.
Granade, P.F. Malpractice Issues in the practice of telemedicine. Telemed Journal 3: 269-96.
Grisby, J. And Sanders, J.H. (1998) Telemedicine: Where it is and where it is going. Ann Intern Med, 129: 123-127.
Telemedicine Solutions
Case Synopsis
Grand Hospital is non-profit health care organization located in Midwestern state. The Hospital holds 209 beds and provides a wide range of outpatient and inpatient services. The organization employs 1600 personnel among them 1250 full-time employees. The hospital has a 225 medical staff and an operating budget of over 130 million dollars (Wager & Glaser, 2009). Due to its quality services and excellent facilities, the organization has a "A" credit rating. However, the Hospital operates in a remarkably competitive environment given that there are over 100 hospitals surrounding it. Due to the increased health care needs of its patients, the hospital is currently been expanded and renovated. As a result, Grand hospital is striving to recruit physicians to help meet the health care needs of the developing population as well as to take the place of the retiring physicians. In this regard, the hospital leadership is exploring…...
mlaReferences
Gullo, A. (2011). Anesthesia, pharmacology, intensive care and emergency A.P.I.C.E: Processing of the 23rd annual meeting-International symposium on critical care medicine, Volume 23. New York: Springer.
Latifi, R. (2004). Establishing telemedicine in developing countries: From inception to implementation. London: IOS Press.
Wager, K., & Glaser, J. (2009). Health care information systems: A practical approach for health care management. London: John Wiley & Sons.
Projection Memo
This memo serves to project the volume that will be encountered at a tele-medicine operation. Of course, projections do not always hold true but they are usually closed if prepared correctly. However, the projection process must be done carefully and in an adept manner so that the proper workforce is on hand or is at least at the ready if activity spikes and the current staff on hand cannot handle the volume. When it comes to any sort of medicine or healthcare operation, it is important to keep wait times to a minimum and the customers happy. As such, a strong customer service mindset and proper projection methods should be in place. While keeping things lean and mean can seem attractive from a money standpoint, doing so can create a firestorm when the volume and overall lack of timely service starts to emerge.
Analysis
When it comes to projecting volume for…...
mlaReferences
Mitchell, A., & Helsel, P. (2015). Drug CEO Will Lower Price of Daraprim After Hike Sparked Outrage. NBC News. Retrieved 25 September 2015, from http://www.nbcnews.com/news/us-news/drug-ceo-will-lower-price-daraprim-after-outrage-n431926
Saboo, A. (2015). Mobile video pilot aims to reduce ambulance, hospital admission costs. Fiercemobilehealthcare, pp. 1-3.
Smydo, J. (2015). Telemedicine gives patients an alternative. McClatchy - Tribune Business News, pp. 1-3.
profession of telemedicine finds itself being pursued with vigor given the widely believed perception that one of the main advantages it offers is that of cost savings in the field of healthcare. These economical considerations may appear in both forms- tangible as well as intangible. Telemedicine, however, is also an outcome of the lesser number of healthcare professionals in proportion to the rise in number of patients. The other factor that has contributed in actualization of telemedicine is the rise of ICT sector and ease of communication over the distance (McLean et al., 2013).
One aspect of Telemedicine that appears immediately is whether it is safe, given the general feeling of trust one encounters when meeting one's physician and his reassuring tone. In this regard, one well-researched article in Sweden notes that after decades of resorting to Telemedicine, one realizes that the parameter of safety revolves around the ambient social…...
mlaReferences:
Bergmo, T. (2009). Can economic evaluation in telemedicine be trusted? A systematic review of the literature. BioMed Central, 2009; 7: 18.(PMC2770451). http://doi.org/10.1186/1478-7547-7-18
Johnson, C., Wilhelmsson, S., Borjeson, S., & Lindberg, M. (2014). Improvement of communication and interpersonal competence in telenursing -- development of a self-assessment tool. Journal of Clinical Nursing, n/a -- n/a. http://doi.org/10.1111/jocn.12705
Marta Roing, U.R. (2013). Threats to patient safety in telenursing as revealed in Swedish telenurses' reflections on their dialogues. Scandinavian Journal of Caring Sciences. http://doi.org/10.1111/scs.12016
McLean, S., Sheikh, A., Cresswell, K., Nurmatov, U., Mukherjee, M., Hemmi, A., & Pagliari, C. (2013). The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview. PLoS ONE, 8(8), e71238. http://doi.org/10.1371/journal.pone.0071238
A Health Care Informatics Risk Assessment is one of the tools used in healthcare management. They examine workflow issues that have the ability of positively or negatively impacting several important factors, such as the quality of care, overhead costs, and overall efficiency. One of the areas of health care that can benefit from a Health Care Informatics Risk Assessment program is telemedicine. Another area of health care that could benefit from a Health Care Informatics Risk Assessment program is vaccine administration in large groups.
If the COVID-19 pandemic has any lasting impact on the provision of....
Health informatics, also known as healthcare informatics or biomedical informatics, refers to a discipline that is a hybrid of science and engineering and involves the application of informatics fields to medicine. There are number of different topics that fall under the healthcare informatics umbrella, though the creation of electronic health records for patients is probably the most widely used application.
Essay Titles and Essay topics for Health Informatics
Tallying the Tests: How Monitoring COVID-19 Test Results Has Helped Track the Pandemic in the U.S. and Abroad
Vaccine Records and Privacy Concerns: How Do State....
Title: The Impact of Technology on Modern Society
Introduction:
Technology has become an integral part of our daily lives, significantly transforming various aspects of modern society. In this paper, we will explore the profound impact technology has had on areas such as communication, education, and healthcare. By examining both the positive and negative effects, we aim to gain a comprehensive understanding of how technology has shaped our lives.
I. Communication:
The advancements in technology have revolutionized the way people communicate with each other.
A. Improved connectivity:
1. The emergence of smartphones and social media platforms has allowed individuals to stay connected 24/7.
....
1. The benefits and challenges of switching to Electronic Medical Records in healthcare settings.
2. The impact of Electronic Medical Records on patient care and outcomes.
3. The role of Electronic Medical Records in improving healthcare efficiency and reducing costs.
4. The importance of data security and privacy in Electronic Medical Records systems.
5. The potential for interoperability and data exchange between different Electronic Medical Records systems.
6. The future of Electronic Medical Records and the potential for advanced technologies like artificial intelligence and machine learning.
7. The ethical considerations and implications of Electronic Medical Records, particularly in regards to patient consent and data sharing.
8. The....
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