TELEMEDICINE

IT IN THE NEWSISM 5021 Information and Technology ManagementMelissa FauxDawn GoldenSusan GreenertHolly Newell

AGENDA Introduction Applications Benefits & Barriers Worldwide Examples & Trends Companies and Products Interesting Facts Conclusion

INTRODUCTION

ATA DEFINITION Telemedicine is the use of

medical information exchanged from one site to another via electronic communications to improve the patients' health status.

INTRODUCTION A visit with the doctor

has evolved over the years. Originally doctors made house visits in order to evaluate the patient.

INTRODUCTION 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 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.

APPLICATIONS

APPLICATIONS 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 Diagnostics can be performed

remotely for: Radiology

Mental Health

APPLICATIONS Cardiology

Opthalmology

APPLICATIONS Ultrasound

Pathology

APPLICATIONS Homebased

Consultations can be performed through video conferencing.

APPLICATIONS 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.

OTHER APPLICATIONS Data Trending Automatic Alerts Distance Learning Peer Reviews

BENEFITS AND BARRIERS

PATIENT BENEFITS 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

COMMUNITY BENEFITS 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

PROVIDER BENEFITS 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

BARRIERS High costs associated with start up and

implementation Insurance plans may not support use of

telemedicine Rural areas do not have internet

connectivity

BARRIERS Lack of confidentiality/security

concerns Slow acceptance of technology More difficult to monitor doctor licenses

and ability

WORLDWIDE EXAMPLES AND TRENDS

WORLDWIDE EXAMPLES 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 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 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 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 INDIA

PathoIndia is a virtual community for pathologists in India. The portal is hosted by University of Basel, Switzerland.

WORLDWIDE EXAMPLES 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 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 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 TRENDS 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 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.

COMPANIES AND PRODUCTS

COMPANIES & PRODUCTS AMD provides monitoring devices and

software.

COMPANIES AND PRODUCTS Cisco uses HealthPresence,

Telepresence, and WebEx to provide remote care in Argentina.

COMPANIES AND PRODUCTS A and D Medical features a Connected

Health product line including a wireless activity monitor.

COMPANIES AND PRODUCTS The Bosch Health Buddy connects

patients to their care providers and reduces hospital visits.

COMPANIES AND PRODUCTS TMED provides an affordable solution

with encrypted web based video conference and patient monitoring on a standard PC.

COMPANIES AND PRODUCTS 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 Nonin’s Wrist Pulse Oximeter provides

wireless monitoring.

COMPANIES AND PRODUCTS EasyMedMobile provides

Automated medication reminders Real-time monitoring Data collection (questionnaires) Electronic Health Records Remote access via smartphone or web

browser

COMPANIES AND PRODUCTS 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 Express MD Solutions provides an

electronic monitoring system and web service to connect the patient and physician for chronic care management.

COMPANIES AND PRODUCTS Sigma’s Skop records heart and lung

sounds and transmits them over the internet.

COMPANIES AND PRODUCTS MD Live Care

provides a network of telemedicine healthcare providers and lets you make virtual appointments.

COMPANIES AND PRODUCTS ZoomMD

provides an I-phone application for prescriptions to be sent directly to a pharmacist.

COMPANIES AND PRODUCTS NuPhysicia –

Medicineatwork examines heart, lungs, skin, throat, ears.

COMPANIES AND PRODUCTS GE –provides a pocket sized ultrasound

imaging device.

COMPANIES AND PRODUCTS ICUcare – Edoc

provides a routine medical exam on wheels with video conferencing.

COMPANIES AND PRODUCTS 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 Cybernet Medical trends patient data

and alerts a physician on their mobile device.

COMPANIES AND PRODUCTS Socket – A handheld PDA for medical

use includes a barcode reader and RFID reader to manage bedside drug delivery and patient records.

COMPANIES AND PRODUCTS Logitech – HD technology can be used

for speech therapy. Lifesize provides telepresence in a compact platform.

COMPANIES AND PRODUCTS Welch Allyn – The EHR connectivity

initiative makes their medical devices accessible to a universal standard for recording medical device data. Their products include vital signs monitors, cardio monitors, digital otoscopes.

COMPANIES AND PRODUCTS Capsule – touchscreen data collection

and connectivy platform. Enterprise Connectivity Solution for hospitals brings together any device with the hospital health information system.

COMPANIES AND PRODUCTS Websites such as Cardiosmart allow

you to track your vital signs.

COMPANIES AND PRODUCTS My Mood Monitor is a

website that lets you screen for depression and anxiety symptoms.

COMPANIES AND PRODUCTS The myHalo system helps

aging seniors stay in their own home longer by automatically detecting falls and signaling for help when needed. myHalo visualizes key vitals (heart rate, temperature, and ADLs) from an interactive 24/7 dashboard; and tracks compliance levels and quantifies physical activity.

INTERESTING FACTS

INTERESTING FACTS Studies by the several agencies within

the U.S. Department of Health and Human Services, private vendors and assessments by ATA of its membership place the number of existing telemedicine networks in the United States at roughly 200.

INTERESTING FACTS The impact of these programs can be

felt 10 times over, as they link almost 2,000 medical institutions throughout the country. Of these programs, about 100 are actively providing patient care services on a daily basis while the others are primarily used for administrative or educational use.

INTERESTING FACTS Cost savings from Telemedicine can be

considerable. British health officials have recently included the use of Telemedical technology as part of a $31.6 billion dollar cost-savings plan.

INTERESTING FACTS At a recent health IT conference, a speaker

noted home monitoring-related savings through reduced hospital admissions, emergency care, and readmissions by almost $78.9 million.

The conference’s focus surrounded empowering individuals to make better decisions about their own health, while eliminating industry jargon and long wait times.

CONCLUSION

CONCLUSION - TELEMEDICINE Technology

CONCLUSION - TELEMEDICINE Integration

CONCLUSION-TELEMEDICINE Rapid Response

CONCLUSION-TELEMEDICINE Cost Savings

CONCLUSION-TELEMEDICINE Improved Healthcare

THANK YOU

REFERENCES

SOURCES American Telemedicine Association http://www.americantelemed.org AMD Telemedicine http://www.amdtelemedicine.com/ http://atatelemedicinedirectory.com/ Telemedicineinsider.com Accessrx.com Executivehm.com Cancergrace.org www2.kumc.edu internetinnovation.org maat.si webbol.webb-consult.com marketinghealth.groupsite.com edrugstore.md meddean.luc.edu imginfosolutions.com examiner.com lazydb.blogspot.com linics.blogspot.com corbisimages.com

SOURCES Study: Remote health monitoring growing, but restrained by payment policies -

FierceMobileHealthcare http://www.fiercemobilehealthcare.com/story/study-remote-health-monitoring-growing-restrained-payment-policies/2010-03-30#ixzz1AOegClP2 FierceMobileHealthcare-FierceMobileHealthcare

http://www.fiercemobilehealthcare.com/story/uk-health-officials-push-home-monitoring/2010-10-12 http://www.fiercemobilehealthcare.com/story/choosing-employ-money-saving-mobile-technologies-

matter-priorities-west-wireless-cmo-says/2010 http://www.fiercemobilehealthcare.com/story/wireless-home-health-said-grow-nearly-15-fold-2013/

2009-08-11 http://www.sigmatelemed.com/ http://www.cjps-medicalsystems.com/ http://www.expressmdsolutions.com/ http://www.healthvault.com/personal/index.aspx http://www.socketmobile.com/ http://www.mdlivecare.com/pages/index.html http://tmed.net/ http://www.nuphysicia.com/NuPhysicia_LLC/Welcome_to_NuPhysicia.html http://www.cisco.com/web/strategy/healthcare/cisco_healthpresence_solution.html http://www.amdtelemedicine.com/ http://www.gehealthcare.com/euen/healthymagination/products.html http://www.icucare.com/

SOURCES http://www.welchallyn.com/ http://www.intouchhealth.com/ http://www.lifesize.com/ http://www.aandd.jp/products/medical/telemedicine.html http://www.bosch.com/content/language2/html/index.htm http://www.cardiocom.com/ http://www.nonin.com/PulseOximetry www.easymedmobile.com http://zoommed.com/ www.cybernetmedical.com http://www.capsuletech.com/ http://www.mymoodmonitor.com/ http://www.halomonitoring.com/ http://www.polycom.com/solutions/industry/healthcare.html?id=hpsol&link=health http://www.fiercehealthit.com/story/despite-benefits-telemedicine-barriers-remain-high

/2008-03-10 http://www.ortcc.org/PDF/BenefitsofTelemedicine.pdf http://www.nytimes.com/2010/11/29/us/29tricare.html?_r=3&emc=tnt&tntemail0=y

SOURCES Music

Intro by Antiloop Kalimba by Mr. Scruff Baladi We Hetta by Hossam Ramzy Atomic Dance Explosion 333 by Cabala JellyHead