telehealth ppt

Handbook of InformaticsHandbook of Informatics
for Nurses & Healthcare Professionalsfor Nurses & Healthcare Professionals
Fifth EditionFifth Edition
CHAPTER
Handbook of Informatics for Nurses & Healthcare Professionals, Fifth Edition
Toni Hebda • Patricia Czar
Telehealth
25

Learning OutcomesLearning Outcomes
1. Define the term telehealth.
2. List the advantages of telehealth.
3. Identify equipment and technology
needed to sustain telehealth.
4. Discuss present and proposed
telehealth applications.
5. Describe legal and practice issues that
affect telehealth.

Learning OutcomesLearning Outcomes
6. Review the implications of telehealth
for nursing and other health
professions.
7. Identify several telenursing
applications.
8. Discuss some issues pertaining to the
practice of telenursing.

TelehealthTelehealth
• The use of
telecommunication
technologies and
computers to
exchange healthcare
information and to
provide services to
clients at another
location, previously
known as
telemedicine.

What is telehealth?What is telehealth?

Telehealth – Telemedicine ??Telehealth – Telemedicine ??
• Store-and-forward
• Interactive conferencing

TelehealthTelehealth

EquipmentEquipment

Basic homecare SystemBasic homecare System

BenefitsBenefits
• Increase access to care and to specialist
• Increase quality of care (home, time, continous)
• Extend the care services
• Centralized health record
• Collaboration among healthcare professional
• Improved decision making
• Education
• May lower cost of healthcare

The Scope of TelehealthThe Scope of Telehealth
• The United States led in the
development of technologies that
enable telehealth
• Current world leaders in the use of
telehealth:
– Australia
– Canada
– Norway
– Sweden

Legal and Privacy IssuesLegal and Privacy Issues
• Reimbursement and licensure issues
• Referral and Payment
• Support Personnel
• Liability
• Licensure issue
• Confidentiality issue

Other Telehealth IssuesOther Telehealth Issues
• Lack of standards
• Need for technical support
• Lack of available infrastructure
• Accreditation and regulatory
requirements
• Limitations
• Lack of funding
• Quality of service rendered

TelenursingTelenursing
The use of telehealth/telemedicine technology to
deliver nursing care and conduct nursing practice
Uses:
– Telephone triage
– Follow-up calls
– Obtaining test result & physiologic parameter
– Education & consultation
– Patient assessment
– telepresent

RequirementRequirement
• Licensure (NLC)
• Competencies (AAACN & ANA)

Nurse LicensureNurse Licensure
Compact (NLC)Compact (NLC)
• Multistate licensure for eligible nurses to
practice in any participating state
• Participating states “recognize” the
licensure of the original state in which the
nurse practices, eliminating the need to be
licensed in the second state
• Currently recognized in approximately half
of the states
• Supported by the National Council of State
Boards of Nursing

Primary residence in compact state = multistate license
Primary residence in noncompact state = single state license

Telehealth ResourcesTelehealth Resources
• American Telemedicine Association -
http://www.americantelemed.org/
• The American Nurses Association Core
Principles on Telehealth
• American Academy of Ambulatory Care
Nursing, Telehealth Nursing Practice
Standard, 4th ed.
• HRSA Rural health
http://www.hrsa.gov/ruralhealth/about/telehealth/index.html
• International TeleNurses Association (ITNA)

Future DirectionsFuture Directions
• Telehealth is expected to change the
way that healthcare is delivered and
create new roles for providers.
• The role of the healthcare consumer is
also evolving with the development of
telehealth applications.
• Telehealth offers the means to help
keep an elderly population independent
in their own homes.

• http://www.ecnmag.com/articles/2011/
03/wireless-technologies-build-
momentum-telehealth-systems

telehealth ppt

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