HCS 483 Final Project

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  • Today’s technology has improved significantly with the ability to electronically record, transfer, share, and store medical data. Although these new advances improve the delivery of health care, it also creates questions regarding access to data, and how information stays protected. There is always a technical threat by potential unauthorized intrusions that may occur, such as computer hackers whose ultimate goal is to tap into illegal private information on computer networks. These computer hackers have the ability to gain access and alter patient’s records. Whether it is banking records, employment history, or health information, consumers and patients welcome participation in electronic commerce, and want protection for their personal identifiable information. Telemedicine concerns regarding privacy and security are no secret. Telemedicine policy maker’s challenges are identifying emerging concerns. There is a profound implication, lack of privacy and security standard process for telemedicine services. The focus points for treating technologies telemedicine would be substance abuse, mental illnesses, and other social stigmas. Security is not just technology, but also includes policies and training. Legal protection regarding health information generates at state level. Privacy protection varies from state to state, comprehensive health-care information confidentially statutes from a dozen states. However, the states of Montana and Washington passed the Uniform Health –Care Information Act of the National Conference of Commissioners on Uniform State Laws, (NCCUSL) (1985). There are other states that govern specific classes of health information to be conducted, such as mental health information, HIV infection and AIDS patient information, and other communicable disease information held by public health agencies.“Federal protection of privacy is even more limited than that provided by the states. No explicit right to privacy is guaranteed under the Constitution and privacy protection is derived from case law. The only Federal health record confidentiality law covering the nation is one controlling disclosure of substance abuse patient information, and only specialized substance abuse facilities and units are subject to the law While there are a number of Federal initiatives underway that examine the protection of electronic patient information, there has been little consideration given to privacy issues related specifically to telemedicine” (www.ntia.doc.gov/legacy/reports/telemed/privacy.htm‎).Reference:"Privacy, Security and Confidentiality." Privacy, Security and Confidentiality. Telemedicine Report to Congress, 31 Jan. 1997. Web. 21 July 2013 
  • When looking at telemedicine there are many factors one must take into consideration to evaluate just how effective it is especially in health care. Some strategies can include how well the implementation process is going and what type of a difference the new process is making to help the organization reach its goals. Because many times telemedicine is brought into an organization to better the quality and services that have already been available its important that all aspects are looked at regularly to ensure the change is happening and moving the organization in the correct direction. If telemedicine is introduced as a refinement of the existing process of health care, it may be sufficient to measure variables that, essentially, provide information about the process (Taylor, 2005). Control committees or groups are another form of strategies that must be in place to help determine how well the change to telemedicine is benefitting those that are utilizing the services. These groups will stay on top and have the ability to make necessary changes if say the new technology isn’t effectively changing how the organization is being ran and taking things back to the first step of the implementation process. Another strategy would be to allow for a team meeting to be ran by the control committee that is in place to have employees address any issues or problems they might have and this allows for all things that have been seen to be addressed and this can help management make the necessary changes for success of the organization in the future when utilizing new technology such as telemedicine.
  • When it comes to management they play a huge role in the organization and how well a system will be implemented. It depends on these leaders to make the appropriate choices in how to do things and what processes need to be taken to help achieve this. The main job associated with management is leading the organization in the right direction and helping the other employees reach goals that are set by those that are working with management to better the overall experience. Management also has big decisions along with the CEO of the company to make the appropriate choice as far as choosing an information system that works best for the company which meets the needs of everyone involved. Telemedicine is seen as simply a tool that permitted more equitable distribution of comprehensive specialty and sub-specialty healthcare services to remote populations (Logan, 1998). This shows the importance of making the choice to meet these specific needs in all areas where healthcare isn’t fully attainable. If the wrong system is chosen it could lead to money lost, wasted time spend on training individuals, and could take years to make things go in the right direction ultimately leading to failure or closure of the organization. Once a process has been chosen management’s job is to make sure all things are running smoothly in a form such as keeping up to date on evaluations which will catch a problem in first stages and not at a later time when things are more likely to end. Many times management doesn’t see a problem and employees feel that its not necessary to bring the issue to light and this can cause for more work in trying to reach specific goals that have been set as standards. When working in large health care organizations its important that there is continual open communication between all employees and those that are in charge of the implementation. This allows for things to be worked on together and make the necessary adjustments to keep up with the plan and ensure the time frame for the completion of the new software is being met. It also allows for issues to be in the open so that if that issue were to happen again all individuals would know what steps to take and how to fix the problem without having to take it up with management.
  • What are the educational and training needs for the use of this technology in healthcare?Telemedicine implementation is becoming increasingly important in the healthcare industry. Telemedicine will also play a significant role in the areas of research training and biomedical by facilitating access to remote/expensive instrumentation and collaborations that is otherwise unavailable. Telemedicine not only involves adding new devices to already existing workflows. But it can also determine adjustments to how healthcare as a whole is delivered. Education and training needs for telemedicine should be at the forefront of all healthcare organizations. Many healthcare organizations should be aware of the broad potential of telemedicine, such as, telementoring, telelearning, telerobotic surgery, teleconsulting, and telesurgical planning environments will allow training and learning to occur anytime and anywhere in regards to the same standards as a classroom standard. However, key innovations need to be considered, for example, online access, scalable, on demand computational that can be accessed from low end computers, simulation of software framework, and portable telepresence systems just to name a few. This will allow telemedicine vision to become a reality. Reference:Telehealth Program Area [Internet]. Bethesda (MD) National Institutes of Health, National Institute of Biomedical Imaging and Bioengineering [updated May 4, 2009] Above questions and picture was retrieved from internet on July 31, 2013 (http://www.globalmed.com/training-education/how-to-get-started.php)


  • 2.  Types of Telemedicine across health care continuum  Uses of Telemedicine across health care continuum  Anticipated effects of Telemedicine on health care  Privacy risks and security safeguards of Telemedicine  Strategies used to evaluate Telemedicine effectiveness  Management’s role in Telemedicine initiative  Telemedicine benefits that support quality initiatives  Educational and training needs for the use of Telemedicine in health care
  • 3. Types of Telemedicine
  • 4. Uses of Telemedicine
  • 5. Anticipated effects of Telemedicine on health care
  • 6. Privacy risks and security safeguards of Telemedicine  Avoid breaches of sensitive information which protects       organizations and its patients. Mitigate any risk of breaches and all other security incidents. Healthcare organizations must take a proactive, preventative approach with attention to future security and privacy needs. Healthcare organizations should build their security and privacy practice upon industry standards. Organizations should implement a security and privacy risk assessment base approach. An organization should properly plan out their security and privacy policy, along with incorporating applicable regulations. Organizations should look into using Intel hardware to assist in security technologies. Holistic implementation ensures hardware and maximizes the values of an organization
  • 7. Strategies used to evaluate Telemedicine effectiveness  Impact of the implementation  Control committees and groups  Keeping on top of all necessary changes  Appointing a set group to oversee all issues pertaining to the software
  • 8. Management’s role in Telemedicine initiative  Leading the organization  Choosing the right information system  Keeping up to date evaluations  Open communication
  • 9. Telemedicine benefits that support quality initiatives
  • 10. Educational and training needs for the use of Telemedicine in health care        “Telemedicine equipment can be leaned fairly quickly A plan needs to be set in place prior to training for telemedicine to acknowledge levels of expertise. The following questions should first be asked to individuals: How do you expect the telemedicine program to tie into your regular in-person practice? Are you planning to extend your practice and open satellite offices staffed by mid-level providers? What type of clinic hours will you devote to telemedicine? What time could you save by implementing telemedicine? How will your telemedicine program be used? Will your equipment work with: An existing hospital system where you have privileges (or hope to have privileges)? The existing “legacy” equipment?” (http://www.globalmed.com/training-education/how-toget-started.php)
  • 11. Conclusion
  • 12. References  Logan, L. (1998) Canada Health Infoway: Home Telehealth Business Case Report. Toronto, Ontario: Praxia Information Intelligence and Hay Group.  Taylor, P. (2005). Evaluating Telemedicine Systems and Services. Journal of Telemedicine and Telecare, Pg. 167-177.
  • 13. References
  • 14. References