telemedicine in today’s healthcare arena jason m. kramer, rn phrn
TRANSCRIPT
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Telemedicine In Today’s Healthcare Arena
Jason M. Kramer, RN PHRN
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ObjectivesObjectives• Define telemedicine• Define the types of telemedicine• Describe current telemedicine
practices• Define the hardware used in
telemedicine• Define the software used in
telemedicine• Evaluate the usability of
software
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Objectives
• Define Information Systems
• Discuss Advantages of Telemedicine
• Discuss Disadvantages of Telemedicine
• Discuss Ethical and Legal Issues of Telemedicine
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Objectives
• Discuss Informatics Competencies
• Discuss Functions and Responsibilities of Informatics Nurses
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What is Telemedicine
• Telemedicine
– To communicate with patients outside of the hospital/clinic.
– For health care providers to communicate with health care providers.
– To monitor patients while they are at home.
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Definition of Telemedicine
• “The use of medical information exchanged from one site to another via electronic communication to improve patients’ health status.”
(American Telemedicine Association, n.d., Telemedicine Defined Section ¶ 1)
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Types of Telemedicine
• Real Time – Synchronous
• Store and Forward – Asynchronous
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Current Telemedicine Practices
• Radiology – Accessing and Reading Films from a remote site.
• Cardiology – Interrogation of Pacemakers and AICD’s in a patients home by telephone.
• Uploading of vital signs from home to a remote monitoring center
• Diabetes – Linking of Glucometers with Insulin Pumps and Physician offices.
• EMS – Video conferencing with Physicians from the field.
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Hardware in Telemedicine
• Personal Computer
• Communication Link
• Digital or Video Camera
• Printer/Scanner
• Video Conferencing System
(EDT, n.d.)
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“Medtronic” Hardware Information
• Personal Computer
• Insulin Pump
• Glucometer
• Continuous Glucose Monitor
(Untitled Photograph, n.d.)
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Telemedicine Software
• CareLink Software
• CapSure Software
• AMD Software Solutions
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“Medtronic” Software Information
• “CareLink” software for Medtronic Insulin Pumps– Effects of Insulin– Charting– Patterns
(Untitled Photo, n.d.)
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Usability of “Medtronic” Software
• Insulin Pump Software
• Computer Software - Carelink
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Information Systems
• An information system is a collection of methods, practices, algorithms and methodologies that transforms data into information and knowledge desired by, and useful for, individual and group users in organizations and other entities.
• (“Learn more about”, n.d. What is an Information System ¶ 1)
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Information Systems
• Information that is collected and stored– Lists of customers/patients– Vital Signs– Physician documentation
• The entire electronic health record system
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Medtronic Information System
• Type of System– Special Purpose/Clinical
• Users– Patients– Physicians– Nurse Practitioners and Physician assistants
• Use– Diagnose– Document
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Medtronic Information System
• Configuration– Local Area Network– Mainframe
• Data Standards– Health Care Informatics Standards Planning Committee
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Advantages of Telemedicine
• Improved Access
• Cost Effectiveness
• Patient Demand
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Disadvantages of Telemedicine
• Legal Issues
• Liability
• Reimbursement
• Physicians/Patients
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Legal/Ethical Issues of Telemedicine
• Interstate vs. Intrastate
• Licensure
• Accreditation
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Legal/Ethical Issues of Telemedicine (cont.)
• Reimbursement
• Professional Liability Insurance
• Privacy Issues
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Informatics Competencies
• Beginning Nurse
– To Communicate with other systems
• Access Data
• Upload and Download
– Use Computerized Monitoring System
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Informatics Competencies
• Experienced Nurse
– Apply Monitoring System Appropriately
– Perform Basic Trouble Shooting
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Functions/Responsibilities of Informatics Nurse Specialist (INS)
• Informatics Nurse Specialists– Devising strategies for installing
applications/systems – Applying installation tools during implementation – Managing the installation process – Developing testing, implementation, conversion,
and backup plans – Assisting in the resolution of basic software
problems
• (Starren, Tsai, Bakken, Aidala & Morin, 2005)
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Functions/Responsibilities of Informatics Nurse Specialist (INS)
– Performing complex troubleshooting in applications
– Producing short- and long-term training plans – Producing training manuals and operating
manuals– Delivering user training programs – Evaluating user training programs
• (Starren, Tsai, Bakken, Aidala & Morin, 2005)
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Summary
• What is Telemedicine
• Real time –Synchronous
• Store and Forward – Asynchronous
• Usage
• Components
• Informatics Systems
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Summary (Cont.)
• Advantages
• Disadvantages
• Informatics Competencies
• Functions and Responsibilities of the Informatics Nurse Specialist
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Bibliography• American Telemedicine Association. (2010).
Telemedicine Defined. Retrieved September 11, 2010, from http://www.americantelemed.org/i4a/pages/index.cfm?pageid=3333
• Busey, J.C., & Michael, P. (2008, August). Telehealth—opportunities and pitfalls . Journal of the American Dietetic Association, 108(8), Retrieved from http://www.sciencedirect.com.ezaccess.libraries.psu.edu/science?_ob=ArticleURL&_udi=B758G-4T25TH5-6&_user=209810&_coverDate=08%2F31%2F2008&_rdoc=1&_fmt=high&_orig=search&_origin=search&_sort=d&_docanchor=&view=c&_acct=C000014439&_version=1&_urlVersion=0&_userid=209810&md5=eeeac2f643fcf966299a06d441c983be&searchtype=a
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Bibliography (Cont.)
• CareLink Personal Therapy Management Software. (n.d.). Insulin Pumps, CGM (Continuous Glucose Monitoring), Minilink Transmitter, Paradigm Revel, Diabetes Glucose sensors and meters | Medtronic Diabetes | Formerly Minimed. Retrieved October 5, 2010, from http://www.minimed.com/products/software/index.html
• Encounter Management Software Tools | AMD Global Telemedicine. (n.d.). Telemedicine Equipment & Telehealth Technology - AMD Global Telemedicine. Retrieved October 5, 2010, from http://amdtelemedicine.com/telemedicine-equipment/encounter-management-software/index.html
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Bibliography (Cont.)
• Grady, D. (1999, October 22). Doctor at south pole received medical help via video. The New York Times, Retrieved from http://www.nytimes.com/1999/10/22/us/doctor-at-south-pole-received-medical-help-via-video.html
• HEALTH DATA STANDARDS: THE PLAYERS. (n.d.). UW Faculty Web Server. Retrieved October 28, 2010, from http://faculty.washington.edu/ocarroll/infrmatc/database/data/players.htm
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Bibliography (Cont.)
• Learn More About Information Systems (IS). (n.d.). UMBC An Honors University in Maryland. What is an Information System. Retrieved November 11, 2010, from http://www.is.umbc.edu/about_us/aboutIS.asp
• Medical Imaging Telemedicine Telehealth Store and Forward. (n.d.). Global Telemedicine Telehealth Medical Imaging Technology . Retrieved October 5, 2010, from http://www.globalmedia.com/telemedicine/capsure.html
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Bibliography (Cont.)
• Starren, J., Tsai, C., Bakken, S., Aidala, A., & Morin, P. (2005, August 5). The role of nurses in installing telehealth technology in the home. Retrieved from http://www.medscape.com/viewarticle/508913
• Telemedicine. (n.d.). Dr. Sachin Kale, MD. (Pathology), Aurangabad, Maharashtra, India.. Retrieved October 5, 2010, from http://sachinkale1.tripod.com/telemedicine.htm
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Bibliography (Cont.)
• What is Telemedicine. (n.d.). Center for Rural Health, University of North Dakota School of Medicine and Health Sciences. Retrieved November 16, 2010, from ruralhealth.und.edu/pdf/whatistele.pdf
• What is Telemedicine and Telehealth?. (n.d.). American Telemedicine Association. Retrieved November 16, 2010, from www.americantelemed.org/files/public/abouttelemedicine/What_Is_Telemedicine.pdf
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Photographic Bibliography
• EDT (Credit given), Tempus IC System [Photograph] retrieved October 5, 2010 from http://www.esa.int/SPECIALS/Technology/SEM6OOMO7EG_1.html#subhead2
• Untitled Photograph of Medtronic Insulin Pump and Hardware. Retrieved October 5, 2010 from http://www.minimed.com/products/
• Untitled Photograph of Medtronic CareLink USB wireless upload device. Retrieved October 5, 2010 from https://www.medtronicdiabetes.com/store/products/details/PS-ALL/MMT-7305NA#