Health Informatics Course_Unit 1.5- Telehealth_final_VF.pptx

Health Informatics

1. Introduction to Health Informatics: Telehealth Health Informatics in Low- and Middle-Income Countries Short Course for Health Information System Professionals

2. Teleheath Discuss how telehealth communication technologies support clinical care Discuss the effectiveness and economic benefit of telehealth Examine how smart technology in the home and remote links to health information systems can enhance the quality of patient care Learning Objectives 2

3. mHealth Technologies Mobile phones and smartphones Personal digital or data assistants and palmtop computers Wireless tablet computers Wearable devices, such as watches, fitness monitors, wireless bio‐sensors, and wireless chronic disease monitoring devices mHealth applications Source: Nelson, 2012, para. 2 3

4. 4

5. Telehealth World Health Organization definition: “ Telehealth involves the use of telecommunications and virtual technology to deliver health care outside of traditional health-care facilities. Telehealth, which requires access only to telecommunications, is the most basic element of ‘eHealth,’ which uses a wider range of information and communication technologies (ICTs).” 5 Source: World Health Organization (2018). Telehealth. Retrieved from: http://www.who.int/sustainable-development/health-sector/strategies/telehealth/en/

6. How Telehealth Supports Clinical Care Long-distance clinical healthcare Patient and professional health-related education Public health and health administration 6

7. Telehealth Long-distance clinical healthcare Applications : client monitoring, diagnostic evaluation, and data exchange, such as real-time video images Benefits : Improved access to care including specialist care, Elimination of the barrier of distance, e.g., patients receive needed care without the cost of traveling, patients can be checked on more frequently, and More timely initiation of treatment 7

8. Effectiveness and Economic Benefits of Telehealth Provides greater access to care Reduces the number of interventions required Eliminates unnecessary visits to the home or emergency room Provides easier access to specialists’ advice 8

9. Effectiveness and Economic Benefits of Telehealth Availability of physicians if needed to physician extenders Added capability of providing continuous care Increased availability of education 9

10. 10 Photo: © 2015 Girdhari Bora for IntraHealth International, courtesy of Photoshare

11. Telehealth Characteristics Well-integrated in existing procedures Uses existing infrastructure where possible Provides obvious improvement over alternative mechanisms 11

12. Role of Smart Technology in the Home Telehealth Remote patient monitoring 12

13. Smart Technology in Use Diabetes self-management Smart phones Application software Wearables 13

14. Telehealth Patient monitoring systems Purpose, attributes, and functions Primary applications Data integration and clinical decisions Telehealth and clinical care Benefits of telehealth Smart technology in the home Summary 14

15. Telehealth References American Telemedicine Association. (n.d.). Telemedicine/Telehealth terminology. Retrieved from http://www.americantelemed.org/files/public/standards/glossaryofterms.pdf Center for Technology and Aging. (2011). Remote patient monitoring. Retrieved from http://www.techandaging.org/rpm_program_page.html Centers for Medicare and Medicaid Service. (n.d.). Telemedicine. Retrieved from http://www.cms.gov/telemedicine/ American Health Information Management Association. Florida Health Information Management Association comments on the Florida HIE Plan Overview. (2009). Retrieved from http://www.fhin.net/pdf/archive/FLHIEplan/comments/FHIMA.pdf Goedert, J. (2010, October 14). AT&T to use, market diabetes tool. HealthData Management. Retrieved from http://www.healthdatamanagement.com/news/health-care-technology-news-diabetes-smart-phone-mobile-41164-1.html Health Resources and Services Administration. (n.d.). Telehealth. Retrieved from http://www.hrsa.gov/telehealth/default.htm Hebda, T., Czar, P., & Mascara, C. (1998). Handbook of informatics for nurses and health care professionals. Menlo Park, CA: Addison-Wesley. Miller, L. M., & Young, K.M. (2000). Telehealth. In Young, K. M. (Ed.), Informatics for healthcare professionals (pp. 221-233). Philadelphia, PA: F. A. Davis Company. Mostashari, F. (201, April 22). Testimony on aging in place: The national broadband plan and bringing health care technology home. Retrieved from http://aging.senate.gov/events/hr220fm.pdf Nelson, R. (2012). Exploring mobile health consumer trends. Clinical Informatics Insights. Retrieved from https://www.himss.org/news/exploring-mobile-health-consumer-trends?ItemNumber=4574 15

16. This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024. This material was updated by Normandale Community College, funded under Award Number 90WT0003. This presentation was produced with the support of the United States Agency for International Development (USAID) under the terms of MEASURE Evaluation cooperative agreement AID-OAA-L-14-00004. MEASURE Evaluation is implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with ICF International; John Snow, Inc.; Management Sciences for Health; Palladium; and Tulane University. Views expressed are not necessarily those of USAID or the United States government. www.measureevaluation.org