telemedicine applications (part 1): overview

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Telemedicine Applications (Part 1): Overview Ronald S. Weinstein, MD Director, Arizona Telemedicine Program Lecture #1

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Power Point Sample #2Ronald S. Weinstein, MD Director, Arizona Telemedicine Program
Lecture #1
Telemedicine Consultation
How are clinics structured?
Hub Site • Medical Director • Site Coordinator
What makes a good teleconsultation?
Complete data • Avoid the incomplete
consult!
• Site Coordinator • Medical Director • Specialist • Professional appearance
Modalities
Visual
Auditory
• Routine radiology (X-rays) • Scanners – (CT, MRI, PET) • Ultrasound – (Sound Waves)
• Telemammograhy (breast) • Tele-echocardiology (heart) • Fetal-ultrasound (fetus)
Medical Imaging
Non-mydriatic Retinal Screening • GI Track (i.e., colonoscope)
Imaging Scopes
• Medicine • Surgery • Pediatrics • Neurology/Neurosurgery • Rheumatology • Orthopedics • Dermatology
Physical Exams (Assistants)
Dr. Conrad Clemens uses real-time video conferencing and digital stethoscope technology to evaluate a child's asthma.
Modalities
Visual
Auditory
• Psychiatry/psychology • Genetic Counseling • Pain Management • Nutrition • Support group • Hospice care
Su pp
Alaska California Guam Hawaii Idaho Oregon Washington
HRSA MCHB 1 -UH7MC30774-02
Utah, Massachusetts, Southern California @ Irvine
and Health Departments of Hawaii & Washington
Telegenetics Counseling Training
This training was in coordination with the University of Arkansas and the University of Arizona. Participants came from Washington, Hawaii, Arkansas and Kansas. This was a two-day training session with AMA and CEU credits.
1. Rural Telemedicine Projects
2. Direct-to-Hospital Telemedicine (DTH)
3. Direct-to-Consumer Telemedicine (DCT)
© 2020, Arizona Telemedicine Program
1. Gap Services
2. Urgent Services
3. Mandatory Services
Weinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M, Barker GP, Krupinski EA. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. The American Journal of Medicine. 2014 Mar 1;127(3):183-7.
© 2013, Arizona Telemedicine Program
1. Gap Services
2. Urgent Services
3. Mandatory Services
1. Gap Services
2. Urgent Services
3. Mandatory Services
Strokes
Photograph depicting the bedside National Institutes of Health Stroke Scale (NIHSS) assessment scenario.
Demaerschalk B M et al. Stroke 2012;43:3271-3277
Copyright © American Heart Association
Stroke 2012: 43; 3095-3097
1. Gap Services
2. Urgent Services
3. Mandatory Services
© 2020, Arizona Telemedicine Program
HIV/AIDS Dr. Stephen Klotz
Fredda Kremes, Director Clinical Projects and Carolyn Jacobs, Chief Nursing Officer
Local Telemedicine Experts in Pain Management & TeleDialysis
Dax Trujillo, MD, Outpatient Pain Services Department Chair
Matthew Gembala, MD, MPH(video) Arizona Kidney Disease & Hypertension Center
Facility Tour with Kristi Iannucci, Network Director, IT Supervisor
Congratulations to Fredda Kermes Director of Clinical Projects, Telemedicine and Professional
Development
1. Rural Telemedicine Projects
2. Direct-to-Hospital Telemedicine (DTH)
3. Direct-to-Consumer Telemedicine (DCT)
How are clinics structured?
ModalitiesVisualAuditory“Talk is the treatment”
ModalitiesVisualAuditory“Talk is the treatment”
ModalitiesVisual
Medical Imaging
Telepsychiatry
Slide Number 36
Telegenetics Counseling Training
Slide Number 38
Telemedicine Services (Customers)
Slide Number 40
Slide Number 41
Slide Number 42
Slide Number 43
Gap Service and Tele-urgent Services1. Gap Services2. Urgent Services3. Mandatory Services
Slide Number 45
Gap Service and Tele-urgent Services1. Gap Services2. Urgent Services3. Mandatory Services
Teleradiology – 1,400,000+ cases
Gap Service and Tele-urgent Services1. Gap Services2. Urgent Services3. Mandatory Services
Slide Number 49
Slide Number 50
Slide Number 51
Slide Number 52
Slide Number 53
Stroke. 2012; 43:3271-3277
Slide Number 55
Slide Number 56
Gap Service and Tele-urgent Services1. Gap Services2. Urgent Services3. Mandatory Services
Slide Number 58
Slide Number 59
Slide Number 61
Slide Number 62
Slide Number 63
Slide Number 64
Facility Tour with Kristi Iannucci, Network Director, IT Supervisor
Congratulations to Fredda KermesDirector of Clinical Projects, Telemedicine and Professional DevelopmentShow Low, AZ, November 8, 2019
Telemedicine Services (Customers)