by shnese mills, rn penn state university nursing 457
Post on 19-Dec-2015
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TRANSCRIPT
OBJECTIVES Describe telemedicine Discuss hardware used for telemedicine Discuss software used for telemedicine Discuss information system
components
OBJECTIVES Discuss Advantages of Telemedicine Discuss Disadvantages of Telemedicine Discuss Legal and Ethical Issues Review Nursing Competencies
DEFINITION Telemedicine is an application of clinical
medicine
Widely associated with populations living remotely or isolated
Hands on physical assessment and history component omitted
Communication/technology combined to provide clinical care (Kurtz, 1994)
Telemedicine Defined
Appointment times set aside for patients to be contacted
Patients receive care advice without leaving home
Care can range from simple to complex
TYPES OF TELEMEDICINE
Telemedicine has three main parts, they include:
store-and-forward
remote monitoring
interactive services
DICOM & Software Used
Digital Imaging and Communication in Medicine
Recognized as medical imaging standard
Specific software required for DICOM usage
Information Systems
Telemedicine uses Patient Care Information Systems: Clinical information systems Pharmacy Information Record Laboratory Information Systems Radiology Information Systems
(McGonigle & Mastrian 2009)
Information Systems Cont.
Patient Care information system Used by health providers /
administrative staff Used for downloading medical
records Configured through LAN Data System is Healthlevel 7
(HL7)
Information System Cont.
Classification system
Nursing Classification scheme
Recommendations for future usage
Discuss Advantages of Telemedicine
Medical appointment without leaving home
Decreased anxiety in own home
Reduced expenditure for traveling
Discuss Ethical and Legal Issues
Confidentiality and HIPPA
Medical Providers Licensure
Professional Liability
Review Informatics Competencies
Beginning Nurse
Experienced Nurse
Informatics Nurse Specialist
Informatics Innovator (McGonigle & Mastrian, 2009)
Review Nurse Informatics Specialist Functions Project Manager
Consultant
Educator
Researcher (McGonigle & Mastrian, 2009)
Review Nursing Informatics Specialist Roles Cont.
Product Developer Decision Support/Outcomes Manager Advocate/Policy Developer System Specialist Entrepreneur (McGonigle & Mastrian,
2009)
REFERENCES
Bidgood , W, Horii, S, Prior, F, & Van Sckyle, D. (1997). Understanding and using DICOM, The Data Interchange Standard for Biomedical Engineering . JAMIA, 4(3), 199-212
Kurtz, GL. (1994). The Future of telecommunications in rural healthcare. Healthcare Information Management, 8(3), 5-9.
REFERENCES
McGonigle, D, & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury: Jones and Bartlett Publishers.
Perednia, DA, & Allen, A. (1995). Telemedicine technologies and clinical applications. JAMIA, 273(6), 483-8