TeleHealth Technology Landscape - Linda Branagan

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Panel Session: TeleHealth Technology Landscape
Moderator: Dave Marvit, VP, Internet Services Innovation Group, Fujitsu Laboratories of America
Panelists:
Dr. Marc Goldyne, Chair Teledermatology SIG, American Telemedicine Association
Dr. Linda Branagan, Principal, SecondLook
John DeSouza, CEO, MedHelp

Fujitsu Labs of America Technology Symposium 2011
Healthcare Technology Convergence: Smart Consumers Meet Care Delivery of the Future
June 01, 2011
Computer History Museum
Mountain View, CA

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TeleHealth Technology Landscape - Linda Branagan

  1. 1. Telemedicine and Physician Collaboration<br />Linda Branagan, PhD<br />
  2. 2. Quick Definitions<br />Telehealth – use of technology to deliver health-related services over distance<br /><ul><li>Remote monitoring
  3. 3. Patient education
  4. 4. Medical training</li></ul>Telemedicine – use of technology to allow doctors to treat patients at a distance<br /><ul><li>Medium for collaboration and consultation
  5. 5. Patients may or may not participate directly</li></li></ul><li>Access to Specialty Care<br />Treating physician provides case information to a remotely-located specialist for assistance with diagnosis, and/or treatment planning<br />Encounters can be:<br /><ul><li>Real-time
  6. 6. Store-and-forward
  7. 7. Hybrid</li></li></ul><li>Store-and-Forward Technology<br />MUCH less complicated than you might think<br />Often done with consumer-quality digital cameras, good lighting, and the Internet<br />Lots of devices for collecting other data available<br />Radiology interoperability is largely a solved problem, and one that other specialties benefit from<br />
  8. 8. Store-and-Forward Examples<br />Most radiology<br />Emergency / Trauma:<br /><ul><li>Burn evaluation
  9. 9. Microsurgery (limb reattachment)</li></ul>Dermatology<br />Ophthalmology<br />Cardiology<br />Nephrology<br />
  10. 10. Real-time Technology<br />Phone consults<br />Video conferencing<br />Typically involve other data in addition to video image, either collected/displayed in real time or assembled and forwarded in advance<br />Participants vary based on need:<br /><ul><li>Patient, treating physician, specialist
  11. 11. Patient, treating nurse, specialist
  12. 12. Treating physician, one or more specialists</li></li></ul><li>Real-time Technology<br />
  13. 13. Neither new nor experimental<br />Programs in nearly every state<br />Involves almost every medical specialty<br />Billions of dollars of grant funding over past two decades<br />Dedicated academic journals<br />Professional standards and guidelines<br />Incorporated into medical training curricula<br />
  14. 14. Business Case<br />Telemedicine provides opportunities to both create new revenue and reduce cost<br /><ul><li>Faster time to diagnosis and treatment
  15. 15. Patients stay with referring provider for treatment and follow-up
  16. 16. Specialist time is used very efficiently
  17. 17. Provider retention</li></li></ul><li>Barriers to ubiquity<br />Reimbursement is either not available, or incredibly complicated<br /><ul><li>CMS continues to “study” the issue
  18. 18. Other payers more likely to follow than lead
  19. 19. State Medicaid programs vary</li></ul>Sustaining programs are difficult (but not impossible) to create<br />
  20. 20. Barriers to ubiquity<br />Building it doesn’t mean they’ll come <br />Implementation is more than just installation and training<br />Physicians need to be able easily integrate remote consultation into their work lives and their clinical tool set<br />Affects work activities throughout health care organizations<br />

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