Telemedicne and telehealth in healthcare ppt

Health information technology

1. TELEMEDICINE AND
TELEHEALTH
1
Mr. Mahad Mohamed Rage (Yusri)
B.Sc., MPH in Epidemiology
Senior lecture at HU, UNISO, & JU

2. Learning Objectives
Uponcompletionofthischapter,thestudent
willbeableto:
Definethetermsoftelemedicineand
telehealthandtheirdifference.
Describetheadvantages&disadvantages
oftelemedicineandtelehealth.
Identifytechnologyneededtosustain
telehealthandtelemedicine.
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3. Learning Objectives
Identifycommonareasneedtoapply
telehealth
Discussdifferentapproachesproposedin
telehealthandtelemedicinecommunication.
Describelegalandpracticeissuesthataffect
telemedicineandtelehealth.
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4. Introduction
Clinicalcarecanavailableanytimeandanywhere
Clinicianscouldobtainconsultationswithmedical
centersofexcellenceanytimeandanywhere
Medicaleducationprogramswereavailableanytimeand
anywhere
Patientsthoseintheirhomescouldbemonitored
remotelyanytimeandanywhere
Thesearethepotentialoftelemedicine&telehealth.
Tele-“atadistance”“Theuseofelectronic
communicationstoexchangemedicalinformationto
improvepatientoutcomes.”
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5. Telehealthistheuseofdigitaltechnologies
todelivermedicalcare,healtheducation,
andpublichealthservicesbyconnecting
multipleusersinseparatelocations.
Telehealthencompassesabroaddefinition
oftechnologyusedinhealthcareservices
andmayincludestelemedicine(diagnosis
andtreatmentofillnessorinjury),and
servicessuchasassessment,monitoring,
communications,preventionandeducation.
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6. Itinvolvesabroadrangeof
telecommunications,healthinformation,
videoconferencing,anddigitalimage
technologiestohelppolicymakers,
practitioners,andpayers,sothat,the
patientswillunderstandhowtoaccurately
discuss“telehealth”anditskey
components.
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7. Telemedicineistheuseofmedical
informationexchangedfromonesiteto
anotherviaelectroniccommunicationsto
improveapatient’sclinicalhealthstatus.
Telemedicineincludesagrowingvarietyof
applicationsandservicesusingtwo-way
video,smartphones,wirelesstoolsand
otherformsoftelecommunications
technology.
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8. Startingoverfortyyearsagowithin
hospitalsextendingcaretopatientsin
remoteareas,theuseoftelemedicinehas
spreadrapidlyandisnowbecoming
integratedintotheongoingoperationsof
hospitals,specialtydepartments,home
healthagencies,privatephysicianoffices,as
wellasconsumer’shomesandworkplaces.
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9. Differencebetween
telemedicine and telehealth
1.Telehealthcoversawiderangeofremote
clinicalandnon-clinicalserviceswhile
telemedicineisjustapartoftelehealth.
2.Telehealthismorethanthephysician-
patientconversationalthoughtelemedicine
isrestrictedonlytothephysician-patient
dialogue.
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10. 3.Telehealthservicesprovidedbyhealthcare
workers(HCWs),healthcareprofessionals
(HCPs),educators,pharmacists,andfrontline
workers(FLWs)whereastelemedicineonly
HCPsplayavitalrolehere.
4.Telehealthincludesawiderangeoflabtest
reports,healthcareeducation,training,a
collaborationbetweentechnologyandthe
healthcaresector,etc.whereastelemedicine
limitstodigitalmodeofserviceprovidedby
physicians.
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11. When telehealth and telemedicine
needed?
Clinicianshortages
Misdistributionofprovidersrural/urbanfornot
havingsufficientservice
Agingpopulation
Traveltime,cost&hardship
Delayedtreatment
Languagebarriers
Clinicaleducationprograms
Administrativemeetings
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12. Types of telemedicine
Thescopeandcategorizationoftelemedicine
practicehavechangedasthetechnologyhas
developed.Currentlytherearethreedifferent
types:
Teleconsultation;
Tele-educationand
Tele-monitoring.
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13. Teleconsultation:Themedicalconsultation
istheheartofclinicalpractice.Therefore,
teleconsultationtosupportclinicaldecision
makingisthemostfrequentexampleof
tele-medicalprocedures.
Ateleconsultationcantakeplacebetween
twoormoreprofessionalswithoutpatient
involvementorbetweenoneormore
professionalsandapatient.
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14. Tele-education:Onlineinformationsources,
oftenavailableovertheinternet,andarenow
ordinary.
Thepurposeoftele-educationtransmission
mayinclude:
Clinicaleducationfromteleconsultation;
Clinicaleducationviatheinternet;
Academicstudyviatheinternetand
Publiceducationviatheinternet.
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15. Tele-monitoring:istheuseofa
telecommunicationslinktogatherroutineor
repeateddataonapatient’sconditionorrefers
tothetransmissionofsymptoms,physiological
dataincludingheartrate,bloodpressure,
oxygensaturation,andweightdirectlytocare
providers.
Thegainingprocessmaybemanual,inwhich
casethepatientrecordsthedataandtransmits
thembytelephone,copypapersora
computer/modemsystem.
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16. Two ways of technology
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17. Telemedicine Pros and Cons
Pros of telemedicine
1.Moresuitable,accessiblecareforall
patientsequally
2.Reducedexposuretopathogens
3.Extendsaccesstoconsultsfrom
specialists
4.Increasingpatientappointment
5.Betterqualitypatientcare
6.Middle-of-the-nightcare
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18. 7.Improvesdoctorsafety
8.Supportforpatientswithchronic
diseases
9.Onlinepsychiatricsupport
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19. Cons of telemedicine
1.Requirestechnicaltrainingandequipment
2.Reducedcarecontinuity
3.Fewerin-personconsultations
4.Difficultpoliciesandinsurancecoverage
5.Protectingmedicaldata,hackersandother
criminalsmaybeabletoaccessapatient’s
medicaldata
6.Notapplicablewhenthereisaneedfor
urgentmedicalintervention.
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20. Three common areas need to
apply telehealth
Clinical services
Primary & specialty care
eICU
Emergency department
Educational Services
Provider education
Patient education
Administrative meetings
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21. Advantages of Telehealth
1.Increaseaccesstocareandtospecialist
2.Increasesefficiencyforproviders
3.Extendthecareservices
4.Centralizedhealthrecord
5.Collaboration among healthcare professionals
6.Improved decision making
7.Increases patient satisfaction and education
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22. 8.Reduces overall health care costs
9.Improves quality of care
10.Improves health outcomes
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23. DisadvantagesofTelehealth
1.Somevisitsneedtobeinperson.
2.Reliesoninternet
3.Requirestechnologydevices
4.Limitassessment
5.Geographicalbarriers
6.Patientdatasecurity
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24. Evaluation of telemedicine
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25. 25

26. Different approaches for telemedicine
& telehealth communication
Liveinteractive
Storeandforward
Emergencyresponse
Homehealthmonitoring
Educationalservices
Videoconferencing
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27. Live interactive telemedicine
Patientvisitsusing
videoconferencingwhere
patient&providerare
communicatinginreal
time.
Allowsprovidertoassess
patientusingmedical
scopesadaptedforimage
allowance.
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28. Canbeappliedinmany
situationsandlocations
Outpatient clinics
Mental health centers
Intensive care units
Emergency
departments
Surgery suites
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29. Video interpretation services
Improvequalityofcare
–avoidmedicalerrors
Multilingual
Trainedinmedical
terminology
Meetlegalrequirements
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30. Store and forward
Whenface2facevisitisnotnecessary
Imagesareobtainedatalocalcarecenter
andtransmittedorreviewbyaclinicianat
aremotesite
Pictureandhistoryadequatefordiagnosis
Allowscliniciantodoworkwhenitis
appropriatetodosoand
Maximizesuseofcliniciantime
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31. Emergency response
TheEmergencytelehealth
service(ETS)istoprovide
specialistemergencymedical
supporttodoctorsandnurses
incountrybyvideoand
voicecall.Itisavailable24
hoursaday,sevendaysa
week.
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32. Home health monitoring
Technologythat
supports
monitoringof
chronicconditions
COPD–peak
flow
Diabetes&
hypertension
monitoring.
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33. Provider and patient education
Allowsclinicalstaffto
participate in
educationalprograms
withoutleavingtheir
communities.
Allowspatientsto
receivehealtheducation
andhealthcounseling
services.
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34. Legal aspects of telemedicine
and telehealth
Datasecurity
Riskmanagement
Credentialsandcertification
Avoidingmedicalmalpractice
Telecommunicationslawsandregulations
Keepingpatientprivacyandconfidentiality
Avoidingfraudandabuse
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