The document discusses a conference on the role of telehealth in managing rural neuroemergencies. It provides context on the healthcare environment including reforms, technology advances, and challenges in access to care. Telehealth and health information technology are presented as part of the solution to close gaps in rural healthcare access through clinical consultations, education, and health information exchange. Examples of telehealth applications described include telestroke assessments, maternal-fetal medicine, teleradiology, and remote patient monitoring.
The document discusses the potential for telehealth and health information technologies to improve healthcare access and outcomes. It outlines how telehealth can be used for clinical consultations, direct patient care, education, research, and administrative purposes. The document also discusses how health information exchange can complement telehealth and support healthcare transformation goals like meaningful use. Blended telehealth and health information exchange approaches may help address major public health issues in rural communities by improving access to services for conditions like hepatitis C, behavioral health issues, diabetes and more.
This document discusses the evolution of telehealth from traditional fixed systems to a new era of mobile telehealth, or "Telehealth 2.0". It describes how mobile devices and wireless connectivity now provide a robust platform for telehealth. Key applications like telestroke are incorporating mobile technologies to provide doctors access to patient information and consult with specialists from anywhere via smartphones and tablets. This new mobile approach addresses limitations of prior telehealth systems and could help drive broader adoption of telehealth.
Dr. Khondkar Siddique-e-Rabbani (Department of Biomedical Physics & Technology, University of Dhaka) presents the ION Bangladesh Keynote on telemedicine.
Harris interactive ctia mobile health presentationJennifer05273
The document discusses a study on consumer and physician attitudes toward mobile healthcare. It found that while about a third of consumers and over half of doctors have heard of mobile healthcare, few are very familiar with the details. Most consumers and nearly 80% of specialists want to learn more. Consumers see benefits like convenience and security, while doctors see increased efficiency and benefits for patients. Both feel mobile healthcare could help a wide range of people.
The document discusses the transition from traditional medicine to smart health. Key points include:
- The shift from reactive, hospital-centric care to proactive, preventative, patient-centric care based at home.
- The move from fragmented, local data to interconnected electronic health records available anywhere.
- Empowering engaged, informed patients through participation and evidence-based decision support.
- Creating smart homes, communities and an ecosystem to support patient wellness, quality of life and care coordination.
Presentation by Prof. Fernando Martin-Sanchez at the "Carlton Connect" Interdisciplinary conference in Melbourne, 2012.
http://www.carltonconnect.com.au/Conference/Conference.html
Telepsychiatry uses telecommunication technologies to provide psychiatric services remotely. It allows patients in underserved areas to access mental healthcare. A successful telepsychiatry program requires verifying patient identity and location, obtaining informed consent, ensuring private physical environments, coordinating with treatment teams, managing emergencies, using technical guidelines, and addressing challenges like remote locations and patient disabilities. Overall, telepsychiatry increases access to services for patients who otherwise may go without care.
Technological innovations such as internet-based therapy, interactive cell phone programs, and computerized cognitive behavioral therapy are increasing access to behavioral health services. Research on these innovations shows some promise, such as computerized CBT programs being as effective as standard counseling for drug treatment. However, the evidence is still limited and mixed. While technology increases access, it lacks the personal connection of direct therapist contact. More research is still needed, especially among criminal justice populations, to fully understand the impacts and cost-effectiveness of these innovations.
The document discusses the potential for telehealth and health information technologies to improve healthcare access and outcomes. It outlines how telehealth can be used for clinical consultations, direct patient care, education, research, and administrative purposes. The document also discusses how health information exchange can complement telehealth and support healthcare transformation goals like meaningful use. Blended telehealth and health information exchange approaches may help address major public health issues in rural communities by improving access to services for conditions like hepatitis C, behavioral health issues, diabetes and more.
This document discusses the evolution of telehealth from traditional fixed systems to a new era of mobile telehealth, or "Telehealth 2.0". It describes how mobile devices and wireless connectivity now provide a robust platform for telehealth. Key applications like telestroke are incorporating mobile technologies to provide doctors access to patient information and consult with specialists from anywhere via smartphones and tablets. This new mobile approach addresses limitations of prior telehealth systems and could help drive broader adoption of telehealth.
Dr. Khondkar Siddique-e-Rabbani (Department of Biomedical Physics & Technology, University of Dhaka) presents the ION Bangladesh Keynote on telemedicine.
Harris interactive ctia mobile health presentationJennifer05273
The document discusses a study on consumer and physician attitudes toward mobile healthcare. It found that while about a third of consumers and over half of doctors have heard of mobile healthcare, few are very familiar with the details. Most consumers and nearly 80% of specialists want to learn more. Consumers see benefits like convenience and security, while doctors see increased efficiency and benefits for patients. Both feel mobile healthcare could help a wide range of people.
The document discusses the transition from traditional medicine to smart health. Key points include:
- The shift from reactive, hospital-centric care to proactive, preventative, patient-centric care based at home.
- The move from fragmented, local data to interconnected electronic health records available anywhere.
- Empowering engaged, informed patients through participation and evidence-based decision support.
- Creating smart homes, communities and an ecosystem to support patient wellness, quality of life and care coordination.
Presentation by Prof. Fernando Martin-Sanchez at the "Carlton Connect" Interdisciplinary conference in Melbourne, 2012.
http://www.carltonconnect.com.au/Conference/Conference.html
Telepsychiatry uses telecommunication technologies to provide psychiatric services remotely. It allows patients in underserved areas to access mental healthcare. A successful telepsychiatry program requires verifying patient identity and location, obtaining informed consent, ensuring private physical environments, coordinating with treatment teams, managing emergencies, using technical guidelines, and addressing challenges like remote locations and patient disabilities. Overall, telepsychiatry increases access to services for patients who otherwise may go without care.
Technological innovations such as internet-based therapy, interactive cell phone programs, and computerized cognitive behavioral therapy are increasing access to behavioral health services. Research on these innovations shows some promise, such as computerized CBT programs being as effective as standard counseling for drug treatment. However, the evidence is still limited and mixed. While technology increases access, it lacks the personal connection of direct therapist contact. More research is still needed, especially among criminal justice populations, to fully understand the impacts and cost-effectiveness of these innovations.
Health Care Emerging WiMax (Senza Consulting)Going Wimax
WiMAX has the potential to greatly improve healthcare access and quality in developing nations by enabling secure, real-time wireless broadband connections for remote and mobile healthcare workers. This allows workers to access patient records, test results, specialists for consultations, and online training from anywhere. It also empowers patients with more comprehensive healthcare and access to information through nurses and doctors in their communities. WiMAX can help developing nations more efficiently meet healthcare needs with limited resources.
Rethinking and Retooling Brain Health and Mental HealthSharpBrains
8–8.45. Rethinking and Retooling Brain Health and Mental Health
Dr. Tom Insel, Co-founder and President of Mindstrong Health and former Director of the National Institute of Mental Health (NIMH)
9–10.30. How to detect problems early: Examples in Alzheimer’s Disease, Parkinson’s, anxiety and PTSD
Dr. Srijan Sen, Professor of Depression and Neurosciences at University of Michigan
Jan Samzelius, Co-Founder and Chief Scientist of NeuraMetrix
Dr. Tony Chang, Associate at Merck Ventures
Chaired by: Dr. Deanna Belsky, Associate at Dolby Family Ventures
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
How to intervene early: Examples in depression, epilepsy and smoking cessationSharpBrains
Virtual reality and augmented reality technologies show promise for a wide range of medical applications from treating mental health conditions to assisting with physical rehabilitation. VR/AR interventions have been clinically validated for conditions such as PTSD, phobias, anxiety, depression, chronic pain, and addiction in over 3,000 studies. As the technology becomes more affordable, scalable and accessible due to developments from companies like Oculus, Samsung, Sony and Microsoft, its adoption is projected to grow significantly in healthcare over the next 5-6 years. Companies are now developing digital therapeutics using VR/AR and validating them through clinical trials to treat medical conditions via prescription.
Using digital videos displayed on personal digital assistants (pd_as) to enha...InSTEDD
This document describes a study that evaluated using digital videos on personal digital assistants (PDAs) to enhance patient education in clinical settings. 51 patients with HIV/AIDS watched a 17-minute video on a PDA about their disease and medication regimen. Participants showed statistically significant improvements in knowledge and adherence based on pre- and post-video surveys conducted on the PDA. At follow-up 4-6 weeks later, participants continued to report better adherence. The study demonstrated that PDAs can effectively deliver health information to patients.
Web based substance abuse interventions for offendersTom Wilson
This document discusses using technology-assisted care to provide behavioral health services to rural populations. It begins with definitions of key terms like substance use disorder and telehealth. It then discusses the needs of rural populations, barriers they face in accessing care, and examples of how technologies like videoconferencing and mobile apps can expand access. Specific tools are described, such as online screenings, support groups, and cognitive behavioral therapy programs. The document concludes with a case study of a counseling center that developed web-based substance abuse interventions for rural offenders, finding completion rates increased and recidivism rates were comparable to in-person programs.
Maheu+ica+2014+legal+&+ethical+strategies+for+successful+distance+counselingTom Wilson
This document discusses legal and ethical strategies for distance counseling. It outlines three learning objectives related to ethical dilemmas that may arise from using platforms like Skype, Google, Facebook, and blogs in counseling. It also discusses legal issues around practicing across state or international borders, HIPAA compliance, and informed consent in online counseling. Finally, it notes that an effective risk management plan for online counseling should include outlining key elements for working safely with clients remotely.
Blue button mashup webinar 20120719 health2.0health2dev
The Blue Button Mash Up Challenge webinar presentation provided information about the challenge to develop apps that utilize personal health data downloaded using the Blue Button standard. The challenge aims to support the three-part aim of better health, better care, and lower costs. Entrants must use Blue Button data and data from two of the three-part aim categories. Winners will be chosen based on how their app supports the three-part aim, their commercialization plan, usability, and ability to engage patients. The submission period is from June 5 to September 5, 2012 with $75,000 total in prizes.
October Webinar: Healthcare Leaves the DesktopResearch Now
This document summarizes a presentation about how mobile research impacts the healthcare industry. It finds that mobile device usage is growing rapidly among both patients and physicians. Over 80% of doctors use smartphones and 62% use tablets in their practice. The presentation also describes case studies where mobile surveys were effectively used to conduct market research with diabetes patients and physicians. A study of physicians found that most own smartphones and are very interested in participating in mobile surveys on topics like new treatments. The presentation concludes that mobile device usage for patient interactions will continue increasing in the coming years.
Orange Healthcare provides communication solutions to help modernize healthcare infrastructure and connect medical professionals and patients. Personalized medicine is evolving from a focus on cancer to utilizing new technologies like big data, enabling access to information, and remote monitoring. In the future, DNA sequencing will cost $100, predictive medicine will be available for everyone, and patients will generate their own health data through mobile devices and the medical cloud. However, personalized medicine will require moving past the myths of the omniscient physician and patient-led healthcare revolution, and ensuring healthcare professionals can properly monitor and interpret the large amounts of data being collected.
The document proposes a mobile microwork solution called 3MD to provide affordable, high-quality healthcare diagnostics in developing countries. It focuses on outsourcing the screening of common, low-risk diagnoses that can be identified through digital images. As a case study, it describes how 3MD could be used to screen for diabetic retinopathy through retinal photographs analyzed by microworkers. Strict quality control measures and medical certification for microworkers would help ensure accuracy while minimizing legal risks. The process has the potential to significantly increase diagnosis rates and reduce healthcare costs.
The Patient Journey Record System (PaJR) uses lay care guides to remotely monitor patients with chronic illnesses through daily phone calls. The calls analyze patients' health and social situations to predict health risks and chances of hospitalization. PaJR has completed Phase 1, comparing hospitalization rates between monitored patients and controls. Phase 2 is an ongoing regional trial monitoring over 130 patients. Preliminary results show the control group has approximately 3 times higher unplanned admission rates. PaJR aims to detect health issues earlier to reduce avoidable hospitalizations through low-cost monitoring and support.
The Patient Journey Record System (PaJR) uses lay care guides to remotely monitor patients with chronic illnesses through daily phone calls. The calls analyze patients' health and social situations to predict health risks and the need for hospitalization. PaJR has completed Phase 1, which found lower hospitalization rates among monitored patients compared to controls. Phase 2 is ongoing in two sites and continues to recruit more patients and controls. Preliminary results again show lower admission rates for monitored patients. The system aims to detect health issues earlier through closer monitoring to reduce avoidable hospitalizations and shift care to the community.
Videoconferencing as a therapeutic tool for victimsDeniseDJ
This document discusses using videoconferencing as a therapeutic tool for victims. It proposes providing online counseling via synchronous videoconferencing to rural populations who have experienced domestic violence and sexual assault. Research shows this approach can effectively deliver trauma-focused therapy and reduce PTSD and depression symptoms. The benefits of online counseling include increased access, reduced geographical barriers, and lower costs compared to in-person sessions. Privacy, legal and ethical guidelines must still be considered.
Update by Mel Barsky, Director at Centre for Aging + Brain Health Innovation ...SharpBrains
During Expo Day selected Summit Sponsors and Partners showcased their most promising brain health & wellness initiatives and solutions.
Mel Barsky, Director at Centre for Aging + Brain Health Innovation (CABHI), will introduce a new call for innovation where CABHI will be funding novel ideas from point-of-care workers that can help to improve brain health in older adults.
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Digital medicine comes of age - ISDM E-Newsletter Feb 2020David Wortley
This newsletter discusses the growing use of digital technologies in healthcare. It covers how digital tools are being used to track and model the spread of coronavirus. It also discusses applications of virtual reality for medical training, pain management, and personal health. Upcoming events on digital therapeutics and innovation in healthcare are also listed.
Peoplelink Corporate solutions Pvt ltd is an Indian based It Telecom product development company has launched a Video conferencing solution which uses Software based codec’s and can be accessible from any Laptop/desktop from any where at any time, hence this is a software based video conferencing solution this saves 75% cost on the investment for video conference infrastructure also it saves the recurring cost to the band width.
An electronic early warning score system was proposed to address the shortcomings of a manual paper-based system. The electronic system would calculate scores based on recorded vital sign observations and trigger alerts and escalation pathways for deteriorating patients. The system could be deployed on mobile devices at bedsides or fixed iPads to facilitate real-time data entry and alerts. It leverages an existing electronic medical record platform already in use in New Zealand to provide an integrated, feasible solution.
Telehealth has played a major role in managing the COVID-19 crisis by enabling social distancing. During the pandemic, telehealth allowed for early diagnosis, remote monitoring of symptoms, and reduced strain on healthcare systems. The crisis demonstrated that telehealth can strengthen healthcare systems by allowing physicians to monitor many patients remotely using technologies like mobile ICU units and AI-powered screening. Going forward, telehealth should be further integrated into mainstream healthcare.
How to address privacy, ethical and regulatory issues: Examples in cognitive ...SharpBrains
How to address privacy, ethical and regulatory issues: Examples in cognitive enhancement, depression and ADHD
Dr. Karen Rommelfanger, Director of the Neuroethics Program at Emory University
Dr. Anna Wexler, Assistant Professor at the Perelman School of Medicine at UPenn
Jacqueline Studer, Senior VP and General Counsel of Akili Interactive Labs
Chaired by: Keith Epstein, Healthcare Practice Leader at Blue Heron
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Health Care Emerging WiMax (Senza Consulting)Going Wimax
WiMAX has the potential to greatly improve healthcare access and quality in developing nations by enabling secure, real-time wireless broadband connections for remote and mobile healthcare workers. This allows workers to access patient records, test results, specialists for consultations, and online training from anywhere. It also empowers patients with more comprehensive healthcare and access to information through nurses and doctors in their communities. WiMAX can help developing nations more efficiently meet healthcare needs with limited resources.
Rethinking and Retooling Brain Health and Mental HealthSharpBrains
8–8.45. Rethinking and Retooling Brain Health and Mental Health
Dr. Tom Insel, Co-founder and President of Mindstrong Health and former Director of the National Institute of Mental Health (NIMH)
9–10.30. How to detect problems early: Examples in Alzheimer’s Disease, Parkinson’s, anxiety and PTSD
Dr. Srijan Sen, Professor of Depression and Neurosciences at University of Michigan
Jan Samzelius, Co-Founder and Chief Scientist of NeuraMetrix
Dr. Tony Chang, Associate at Merck Ventures
Chaired by: Dr. Deanna Belsky, Associate at Dolby Family Ventures
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
How to intervene early: Examples in depression, epilepsy and smoking cessationSharpBrains
Virtual reality and augmented reality technologies show promise for a wide range of medical applications from treating mental health conditions to assisting with physical rehabilitation. VR/AR interventions have been clinically validated for conditions such as PTSD, phobias, anxiety, depression, chronic pain, and addiction in over 3,000 studies. As the technology becomes more affordable, scalable and accessible due to developments from companies like Oculus, Samsung, Sony and Microsoft, its adoption is projected to grow significantly in healthcare over the next 5-6 years. Companies are now developing digital therapeutics using VR/AR and validating them through clinical trials to treat medical conditions via prescription.
Using digital videos displayed on personal digital assistants (pd_as) to enha...InSTEDD
This document describes a study that evaluated using digital videos on personal digital assistants (PDAs) to enhance patient education in clinical settings. 51 patients with HIV/AIDS watched a 17-minute video on a PDA about their disease and medication regimen. Participants showed statistically significant improvements in knowledge and adherence based on pre- and post-video surveys conducted on the PDA. At follow-up 4-6 weeks later, participants continued to report better adherence. The study demonstrated that PDAs can effectively deliver health information to patients.
Web based substance abuse interventions for offendersTom Wilson
This document discusses using technology-assisted care to provide behavioral health services to rural populations. It begins with definitions of key terms like substance use disorder and telehealth. It then discusses the needs of rural populations, barriers they face in accessing care, and examples of how technologies like videoconferencing and mobile apps can expand access. Specific tools are described, such as online screenings, support groups, and cognitive behavioral therapy programs. The document concludes with a case study of a counseling center that developed web-based substance abuse interventions for rural offenders, finding completion rates increased and recidivism rates were comparable to in-person programs.
Maheu+ica+2014+legal+&+ethical+strategies+for+successful+distance+counselingTom Wilson
This document discusses legal and ethical strategies for distance counseling. It outlines three learning objectives related to ethical dilemmas that may arise from using platforms like Skype, Google, Facebook, and blogs in counseling. It also discusses legal issues around practicing across state or international borders, HIPAA compliance, and informed consent in online counseling. Finally, it notes that an effective risk management plan for online counseling should include outlining key elements for working safely with clients remotely.
Blue button mashup webinar 20120719 health2.0health2dev
The Blue Button Mash Up Challenge webinar presentation provided information about the challenge to develop apps that utilize personal health data downloaded using the Blue Button standard. The challenge aims to support the three-part aim of better health, better care, and lower costs. Entrants must use Blue Button data and data from two of the three-part aim categories. Winners will be chosen based on how their app supports the three-part aim, their commercialization plan, usability, and ability to engage patients. The submission period is from June 5 to September 5, 2012 with $75,000 total in prizes.
October Webinar: Healthcare Leaves the DesktopResearch Now
This document summarizes a presentation about how mobile research impacts the healthcare industry. It finds that mobile device usage is growing rapidly among both patients and physicians. Over 80% of doctors use smartphones and 62% use tablets in their practice. The presentation also describes case studies where mobile surveys were effectively used to conduct market research with diabetes patients and physicians. A study of physicians found that most own smartphones and are very interested in participating in mobile surveys on topics like new treatments. The presentation concludes that mobile device usage for patient interactions will continue increasing in the coming years.
Orange Healthcare provides communication solutions to help modernize healthcare infrastructure and connect medical professionals and patients. Personalized medicine is evolving from a focus on cancer to utilizing new technologies like big data, enabling access to information, and remote monitoring. In the future, DNA sequencing will cost $100, predictive medicine will be available for everyone, and patients will generate their own health data through mobile devices and the medical cloud. However, personalized medicine will require moving past the myths of the omniscient physician and patient-led healthcare revolution, and ensuring healthcare professionals can properly monitor and interpret the large amounts of data being collected.
The document proposes a mobile microwork solution called 3MD to provide affordable, high-quality healthcare diagnostics in developing countries. It focuses on outsourcing the screening of common, low-risk diagnoses that can be identified through digital images. As a case study, it describes how 3MD could be used to screen for diabetic retinopathy through retinal photographs analyzed by microworkers. Strict quality control measures and medical certification for microworkers would help ensure accuracy while minimizing legal risks. The process has the potential to significantly increase diagnosis rates and reduce healthcare costs.
The Patient Journey Record System (PaJR) uses lay care guides to remotely monitor patients with chronic illnesses through daily phone calls. The calls analyze patients' health and social situations to predict health risks and chances of hospitalization. PaJR has completed Phase 1, comparing hospitalization rates between monitored patients and controls. Phase 2 is an ongoing regional trial monitoring over 130 patients. Preliminary results show the control group has approximately 3 times higher unplanned admission rates. PaJR aims to detect health issues earlier to reduce avoidable hospitalizations through low-cost monitoring and support.
The Patient Journey Record System (PaJR) uses lay care guides to remotely monitor patients with chronic illnesses through daily phone calls. The calls analyze patients' health and social situations to predict health risks and the need for hospitalization. PaJR has completed Phase 1, which found lower hospitalization rates among monitored patients compared to controls. Phase 2 is ongoing in two sites and continues to recruit more patients and controls. Preliminary results again show lower admission rates for monitored patients. The system aims to detect health issues earlier through closer monitoring to reduce avoidable hospitalizations and shift care to the community.
Videoconferencing as a therapeutic tool for victimsDeniseDJ
This document discusses using videoconferencing as a therapeutic tool for victims. It proposes providing online counseling via synchronous videoconferencing to rural populations who have experienced domestic violence and sexual assault. Research shows this approach can effectively deliver trauma-focused therapy and reduce PTSD and depression symptoms. The benefits of online counseling include increased access, reduced geographical barriers, and lower costs compared to in-person sessions. Privacy, legal and ethical guidelines must still be considered.
Update by Mel Barsky, Director at Centre for Aging + Brain Health Innovation ...SharpBrains
During Expo Day selected Summit Sponsors and Partners showcased their most promising brain health & wellness initiatives and solutions.
Mel Barsky, Director at Centre for Aging + Brain Health Innovation (CABHI), will introduce a new call for innovation where CABHI will be funding novel ideas from point-of-care workers that can help to improve brain health in older adults.
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Digital medicine comes of age - ISDM E-Newsletter Feb 2020David Wortley
This newsletter discusses the growing use of digital technologies in healthcare. It covers how digital tools are being used to track and model the spread of coronavirus. It also discusses applications of virtual reality for medical training, pain management, and personal health. Upcoming events on digital therapeutics and innovation in healthcare are also listed.
Peoplelink Corporate solutions Pvt ltd is an Indian based It Telecom product development company has launched a Video conferencing solution which uses Software based codec’s and can be accessible from any Laptop/desktop from any where at any time, hence this is a software based video conferencing solution this saves 75% cost on the investment for video conference infrastructure also it saves the recurring cost to the band width.
An electronic early warning score system was proposed to address the shortcomings of a manual paper-based system. The electronic system would calculate scores based on recorded vital sign observations and trigger alerts and escalation pathways for deteriorating patients. The system could be deployed on mobile devices at bedsides or fixed iPads to facilitate real-time data entry and alerts. It leverages an existing electronic medical record platform already in use in New Zealand to provide an integrated, feasible solution.
Telehealth has played a major role in managing the COVID-19 crisis by enabling social distancing. During the pandemic, telehealth allowed for early diagnosis, remote monitoring of symptoms, and reduced strain on healthcare systems. The crisis demonstrated that telehealth can strengthen healthcare systems by allowing physicians to monitor many patients remotely using technologies like mobile ICU units and AI-powered screening. Going forward, telehealth should be further integrated into mainstream healthcare.
How to address privacy, ethical and regulatory issues: Examples in cognitive ...SharpBrains
How to address privacy, ethical and regulatory issues: Examples in cognitive enhancement, depression and ADHD
Dr. Karen Rommelfanger, Director of the Neuroethics Program at Emory University
Dr. Anna Wexler, Assistant Professor at the Perelman School of Medicine at UPenn
Jacqueline Studer, Senior VP and General Counsel of Akili Interactive Labs
Chaired by: Keith Epstein, Healthcare Practice Leader at Blue Heron
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Heavily based on a presentation I gave for the CMS 2020 National Quality Forum. Emphasis is on dialysis (particularly home dialysis). Discusses regulatory framework, medical devices used to render the services and outcomes of studies performed to day
Mobile health (mHealth) uses mobile communication technologies to improve health outcomes. In Tanzania, mHealth aims to make healthcare more accessible, sustainable, scalable, secure, coordinated and innovative. Examples of mHealth projects in Tanzania include disease surveillance, logistics, telemedicine, and messaging to support community health workers. While mHealth shows promise, challenges remain around scaling projects, data standards, costs, infrastructure, and managing collaborations between sectors.
Telemedicina i pacients crònics / Telemedicine in chronic patientsAntoni Parada
Telemedicina i pacients crònics. Conferència impartida pel Professor canadenc Denis Protti Health Information Science - Victoria University. Barcelona, 2 de febrer de 2012. Organitzada per la Fundació TicSalut i l’Agència d’Informació, Avaluació i Qualitat en Salut.
The document discusses priorities for an ELSA on eHealth in Europe including improving chronic disease management, integration of healthcare services, and empowering citizens. It outlines challenges facing European health systems like aging populations and rising chronic diseases. Examples of past health ICT research funded under the EU Framework Programme are provided, but there is a need for large-scale demonstrations and validation of this research in real-world settings to realize its full impact and benefits. An ELSA could provide such a platform to translate research results into products and daily experience.
Telehealth and Geriatrics How telehealth improves medicati.docxAASTHA76
Telehealth and Geriatrics:
How telehealth improves medication management
and patient safety in the geriatric patient
Avrakham Rubinov
Adelphi University
College of Nursing and Public Health
December 3rd, 2018
What is Geriatrics?
Geriatrics is a subspecialty of internal medicine and primary care that was named in 1909 by Ignatz Leo Nascher.
Geriatrics is that specialty of medicine that addresses the health needs of the elderly.
Gellis, Z. D., Kenaley, B., McGinty, J., Bardelli, E., Davitt, J., & Ten Have, T. (2012).
2
Telemedicine is a highly effective
and necessary tool in geriatrics.
The global population of elderly people is increasing at a remarkable rate,
This is expected to continue for some time.
Older patients require more care.
The current model of care delivery indicated costs are expected to rise.
Telemedicine is a great opportunity for medical practice to evolve to cost effective and new levels of engagement with patients
Chang, W., Homer, M., & Rossi, M. (2018).
3
Geriatics, HIT and Patient Safety
CONCERNS:
SOLUTIONS:
Patient safety is a concern.
Telehealth: Difficult to monitor conditions in a patient’s home.
Safety risks such as falls and inability to get in and out of the tub or shower.
Fewer In-Person Consultations
Doctors worry about technical problems associated with telemedicine. poor broadband connections could lead to “possible patient mismanagement.”
Many physicians and patients alike still like a “personal touch,” and not all procedures – even simple checkups – can be performed digitally.
Difficult to monitor depression or other emotional issues.
Health information technology (HIT) is the future of improving care and outcomes for older adults.
There is a growing program of research. HIT are solutions to improving the safety, quality and efficiency of care.
Gerontological nurse scientists are at the forefront of advancing this work.
Electronic health records (EHRs)and telehealth will blend care of older adults.
Multimedia/advanced directives from HIT provided to patients recovering from critical illness have increased the intent to sign an advanced directive by 25 times
Liu, L., Stroulia, E., Nikolaidis, I., Miguel-Cruz, A., Rincon, A. R. (2016).
4
The HITECH Act resulted growth in the development and implementation of the EHR.
The impact of an integrated EHR in 29 Kaiser Permanente hospitals was significant on process and outcome indicators for patient falls and hospital acquired pressure ulcers and other measures of patient safety.
The EHR system was associated with improved documentation of falls/pressure ulcers and significant improvements for pressure ulcer risk assessment documentation.
Bowles, K. H., Dykes, P., & Demiris, G. (2015).
5
NICHE
(Nurses Improving Care for Healthsystem Elders)
NICHE builds decision support within the workflow of nurses caring for old.
Connected information technology has the potential to drive service integration and accountability in aged care, but several challenges must be addressed. As the global population ages, joint public and private sector approaches are needed to meet the increasing needs of older adults who require support. While connectivity could allow information sharing to improve care coordination and quality management, assumptions about how service integration will unfold should be examined. True potential will only be achieved through concurrent policy changes, funding, organizational development, and systems changes at all levels.
This document discusses the concept of participatory health and the role of mobile technologies, known as mHealth. It argues that mHealth will transform healthcare by enabling active participation of patients, providers, and other stakeholders through technologies like mobile phones. This will allow things like continuous communication between visits, accessing health information and decision support at the point of care, remote monitoring for disease management, and financial applications like real-time billing. However, challenges like interoperability and standards must be addressed. The document advocates for providers to prepare for this change by developing mHealth strategies and balancing new technologies with workflow impacts. Overall, mHealth is presented as a way to improve outcomes while reducing costs through more participatory and connected care.
Using Social Media and Health IT to Promote Health and Wellness and Provide Healthcare Education to Health Workers Manish Nachnani
Telemedicine and Use of Emerging Technologies - Kinect(microsoft) and Augmented Reality Manish Nachnani,
Social Media- Health IT - Behavioural Finance Improving Healthcare Behaviour by Using Social Media and Health 2.0 Manish Nachnani,
Social Media for Health and Wellness Promotion Manish Nachnani,
This document summarizes Bruce Taffel's presentation on using health information technology to improve healthcare delivery. It discusses:
1) The current fragmented healthcare system with incomplete patient information between multiple providers leads to medical errors, unnecessary care, and high costs.
2) There is a need and mounting political pressure to create a national health information infrastructure to give providers immediate access to complete patient data at the point of care in order to improve quality, safety and efficiency.
3) Initiatives like SharedHealth in Tennessee are working to build regional health information exchanges by merging administrative claims data with clinical data from across the healthcare system to create comprehensive community health records.
Consumer Health Information & Telehealth andreakyer
Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009
This document summarizes literature on the use of telehealth in Australia to manage chronic leg ulcers, particularly in remote populations. It discusses how telehealth can help assess ulcers, provide nurse interventions, and improve healing rates. Several Australian examples are described where telehealth was used by podiatrists, in remote indigenous communities, and integrated into a health information system. The conclusion emphasizes identifying target group needs, evaluating improved health outcomes, and balancing direct patient contact with telehealth benefits.
DQ 5-1Responses1. Telemedicine is the use of technology to com.docxelinoraudley582231
DQ 5-1
Responses
1. Telemedicine is the use of technology to communicate among health professions on the status of a patient’s health. It could include primary care or specialist referral services in which there is need to monitor a patient’s medical and health information. (Jonas & Kovners, 2015). This type of medicine transition patient care from the physician’s office to the patient’s home. Telemedicine holds the promise of being able to provide services to each population with the use of technology in the fields of both health care and communications. For those in remote regions of any state or province, video conferencing and distant consultation could be used to provide care over very large distances.
Describe how it is typically being used in either a rural or an urban setting at the present time.
In the rural setting, a telemedicine health care network consists of rural health care centers that are connected to regional hospitals through telecommunication/data technology and (telemedicine-enabled) medical equipment. The centers have medical personnel who help with doctor -patient interactions and medical examinations. The diagnosis and patient monitoring are all done remotely. (Ishfaq, R., & Raja, U., 2015).
For the setting you chose, what are telemedicine's overall strengths? What are its overall weaknesses?
The overall strengths in the rural setting is the ready assess to health care. The advantages of this include removal of transportation issues to major cities, reduction in cost of health care and the mere fact that health care is available to the people in the rural areas. The overall weakness will include the availability of enough health care centers to cater for the health needs of a community
Next, select an allied health profession and describe how telemedicine is now or could affect patient care in that field.
Laboratory testing is an integral part of any health care diagnosis and treatment therefore it is important to have quick and accurate laboratory results. Point-of-care testing(POCT) has been in existence for a long time and has been proven to be effective. The quick and convenient way of using POCT and the fact that it can be done anywhere is of great importance to many patients in rural areas. There is however the need for training to use the equipment accurately. Other areas of concern would be the weather conditions in the rural areas which could affect the efficacy of the reagents in the equipment.
Reference
Ishfaq, R., & Raja, U. (2015). Bridging the Healthcare Access Divide: A Strategic Planning Model for Rural Telemedicine Network. Decision Sciences, 46(4), 755-790. doi:10.1111/deci.12165 Retrieved on January 1, 2018 from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=109115177&site=eds-live&scope=site
Jonas, S. and Kovner, A.R., 2015 “Health Care Delivery in the United States” Retrieved on January 1, 2018 from http://gcumedia.com/digital-resources/springe.
Chapter 17 TelemedicineRobert Hoyt MDThomas Martin PhD.docxzebadiahsummers
Telemedicine uses electronic information and telecommunications technologies to support remote clinical healthcare, education, and administration. It has grown in popularity due to rising healthcare costs and physician shortages. Common telemedicine practices include teleradiology, teleneurology, and telepsychiatry which allow specialists to consult remotely. While telemedicine provides benefits like improved access to care, it also faces barriers such as reimbursement issues, high costs, and legal/regulatory challenges. Public health informatics applies information science to public health practice, research and learning. It involves surveillance systems that collect and analyze health data to monitor diseases and protect population health.
This document discusses how digital media can bring patients, staff, and hospitals together in healthcare. It describes how digital signage can reduce patient anxiety by educating them before procedures. It allows staff to more easily access patient information and locate each other. For hospitals, digital signage provides tools for advertising, fundraising, and reducing medical errors. The key is developing a strategy to implement these technologies effectively within the healthcare environment.
The document discusses how Polycom solutions can help address challenges in the healthcare industry through collaborative healthcare. The healthcare landscape is facing rising costs, an aging population, and increased chronic diseases. This is straining limited resources and requiring improved access to care. Collaborative healthcare using Polycom's voice and video communications can help by promoting greater interactions between providers and patients, giving patients better access to care wherever located, and making hospitals more efficient. Polycom's solutions support applications for healthcare administration, education, telemedicine, and improving patient care.
The document discusses the United Nations Millennium Development Goals and focuses on Goal 4 of reducing child mortality. It provides statistics on child mortality rates globally and in Kenya. It then describes an initiative called Goal4 that aims to reduce under-five mortality in the village of Sega, Kenya through establishing a connected community of health practitioners, increasing access to healthcare knowledge and supplies, and implementing programs like an electronic medical record system, connecting community health workers, expanding local health facilities, launching a telemedicine program, and improving public sanitation. The goal is to address the major causes of under-five deaths in the region through an integrated community health approach.
This document discusses telemedicine projects and initiatives in India. It outlines the benefits of telemedicine including improved access to specialized healthcare for rural populations, cost savings from reduced travel, and continued education for healthcare professionals. It describes the types of telemedicine technologies used in India and provides an overview of the current telemedicine landscape and infrastructure in the country. Key goals of national telemedicine networks are highlighted along with ongoing challenges and the need for standardized software, trained personnel, and stable electricity and bandwidth.
This document discusses telemedicine/telehealth and its current and future applications. It outlines how telemedicine can provide clinical care anytime and anywhere by allowing remote monitoring and consultations. The document describes how telemedicine benefits include increased access, efficiency, cost reduction, and quality of care. It provides examples of telemedicine applications in various medical specialties and settings. The document also discusses technology considerations, components, barriers, and the goal of telemedicine to overcome limitations in healthcare access and resources.
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
1. The Role of Tele-health in the Management of Rural
Neuro-Emergencies Conference
September 14, 2012
Healthcare in a Perfect Storm:
A Time for Telemedicine & HIT
Dale C. Alverson, MD, FAAP
Medical Director, Center for Telehealth and Cybermedicine
Research, University of New Mexico
October 3, 2011
IT Medical Director, LCF Research
Albuquerque, New Mexico
Past President, American Telemedicine Association
Health Care Reform/PPACA Emerging Enabling Information
Communication Technologies
Economic Downturn
Need for more Access to Care
An Aging Population/Baby Boomers
Critical Shortage of Healthcare Providers
EHR Adoption/HIE
Meaningful Use
ICD10
PCMH
ACOs
A Time for Telemedicine & HIT
Major Public Health Issues Impacting our Rural
Communities and their Economic Development
Gaps in Access to Health Services
in Rural New Mexico
Hepatitis C
Behavioral Health
Diabetes
Asthma
Cancer
Oral Health
Cardiac and
Stroke Care
1
2. Critical Gaps in Health Expertise and
Services in New Mexico
Mal-distribution of Providers
Lack of Access to Health Services in Rural
Communities
Only 3/33 counties
exceed the National average of physicians
per 100,000 population
64% of physicians practice in 3/33 counties.
These three counties comprise only 39% of New Mexico’s
Population
NMBME 2003
Mal-distribution of Health Specialty
Providers in New Mexico
The blue circles indicate
65 mile distances from
the 6 major specialist
centers
•Albuquerque
•Santa Fe
•Las Cruces
•Farmington
•Gallup
•Roswell
NMBME 2003
5
Telehealth and
Health Information Technologies
are Part of the Solution in Closing the Gaps
2
3. Defining Telemedicine and
Telehealth
1. “Tele-” comes from the Greek root word
meaning “distant or remote”/ “at a
distance”.
• Tele-phone
• Tele-vision
• Tele-graph
• Tele-scope
• Tele-Etc, etc, etc
How is Telehealth used?
Clinical: Consultation, Direct patient Care, Case
Reviews
Educational: Providers, Students, and Patients
Research: Community-based Participatory, Outcomes
driven
Administrative: Strategic planning, Operations
Health Information Exchange
Enhanced Disaster Response
Telehealth Networks
Rural/Remote Health Providers Can Access Expert Medical Opinions,
Knowledge, Education via Telehealth
Rural
or Remote Specialty
Location Telehealth
Network Medical Center
Audio
Patient High-Resolution Images & Video
Medical
Student
Local Health Consultation Specialist
Provider Direct Patient Care
Case Reviews
Education
Training
Health Information Exchange
Community-Based Research
3
5. ECHO: Treatment Outcomes
Outcome ECHO UNMH P-value
N=261 N=146
Minority 68% 49% P<0.01
SVR (Cure) Genotype 1/4 50% 46% NS
SVR (Cure) Genotype 2/3 70% 71% NS
SVR=sustained viral response
NEJM : 364: 23, June 9-2011, Arora S, Thornton K, Murata G, et.al.
Direct Patient Care
Maternal Fetal Medicine-High Risk Pregnancy
“Store and Forward”
Capturing an image and storing it to then be forwarded for
review by a medical specialists
Examples include teleradiology, telepathology and
teledermatology, tele-ophthalmology (retinal scans)
“Telemedicine” or HIE?/Large Data Files Need Broadband
Teleradiology and Image Transfer Web‐Based Portals
5
6. Video Phone or “VOIP” with video
Family Visitation
School Based Health Centers
Telehealth assistants at the school
or child care center provide the link
to examine the eyes, ears, throat,
lungs and skin.
Videoconferencing provides the
“face to face” interaction.
Getting providers to think of their
desktop computer as an exam
room is the trick.
18
6
7. Trauma Triage
44% Transfer
Avoidance
27% Management
Recommendation
Changes
Moya M, Valdez J,
Yonas H, Alverson
DC. The Impact of
a Telehealth Web-
based Solution on
and Consultation.
Telemedicine and
eHealth, 2010;
16:945-949
IRA HAYES Project – PTSD/TBI
Telehealth
Toolkit
Skype
Videophone (H.324)
Software IP Based (H.323) Desktop IP Based (H.323)
Small Conference Room IP Based (H.323)
7
8. Telehealth
Toolkit
SaaS (SIP)
Videophone (H.324)
Skype
Software IP Based (H.323)
Desktop IP Based (H.323)
Small Conference Room IP Based (H.323)
Hand Held Devices- “mHealth”
iPhone
Droid
iPhone
BlackBerry Treo/Palm
Smart Phones
8
9. Remote Monitoring
The “Smart Band-Aid”
Geospatial Information Systems
(GIS) and Public Health
Superimposing health data onto maps for enhanced
visualization
Improves situational awareness and consequence
management
Allows distribution of resources in a more targeted
manner, better mitigation of consequences, and improved
outcomes.
A transdisciplinary collaborative approach between
experts in:
GIS, modeling and simulation,
public health
health providers
Center for Telehealth and Cybermedicine Research
The Center for Telehealth
at UNM Health Sciences Center:
•Developing New Programs
•Technical, Operational,
Business, and Evaluation
Planning
9
10. Http://www.lcfresearch.org
LCF Research’s Mission Statement
To improve the quality, access, and cost-effectiveness of health care
provided to the US population by conducting research in healthcare
delivery and public health, providing continuing professional
education, and advancing the meaningful use of health information
technology.
• Health Services Research and Development (HSRD)
• Health Information Exchange (HIE): NMHIC
• HIT REC: EHR Adoption, Achieving Meaningful Use
• Direct Secure Messaging (DSM)
•Task Force to Explore Expanding Access to and use of 28
Patient Information via NMHIC (TEAPIN)
How the NMHIC HIE Works
Clinician Requests Access to Patient Records with Patient Consent
EHR Gateway
State Public
Health Depts.
Hospital
Locates
the Patient’s
Records
Clinician
Patient NMHIC Office
HIE Network
Gathers & Lab
Assembles
the Patient’s
Records
Clinician Emergency
Room
Nationwide Health Information Network (NwHIN)
29
Cloud Based
10
13. UNM and Other Healthcare Entities Have Established a Working IHS Taos Clinic
Telehealth Network in New Mexico through Collaboration Taos Public
Health Office
IHS Dulce
Clinic
Health Centers
Of NNM Raton Public
Health Office
UNM and Other Healthcare
Entities Have Established a Las Vegas
Working Telehealth Public Health
Network in New Mexico Office
through Collaboration
Health Centers
IHS Zuni Clinic Of NNM
First Choice
Albuquerque
South Valley SDCCHP
Adm. Office
First Choice-Edgewood
Hidalgo Medical
Services Albuquerque
Indian Health Service
Area Office
•Sangre de Cristo CHP
-SBIRT NM TechNet
-SBHC Albuquerque Office
•DOH
LCDF East Mesa
•DOC
Hidalgo Medical Already over 50
•UNM:
Services
-ECHO NM communities
-REACH LCDF Chaparral and over 200
•CHECS Net LCDF Anthony sites connected
LCDF Las Cruces and still growing
SBIRT partner sites
SWTAG is a “Network of Networks”
The 4 “C’s”
Cooperation
Coordination
Collaboration
Communication
13
14. Telemedicine and
Licensure Portability
All of these Telehealth Technologies
and their Health Applications have
the potential for interstate use and
would benefit from licensure
portability
14
15. The Elephant in the Living
Room
Credentialing and Privileging
Allowing by “Proxy”
The fundamental telemedicine question:
Who’s being transported to whom?
The provider to the patient or the
patient to the provider?
If you transport yourself physically to a provider
in another state, you rely on their licensure,
credentialing and privileging in that state where
the provider practices
The provider doesn’t need to be licensed,
credentialed and privileged in your state of
residence
Why not the same for a telemedicine
transport?
Telemedicine and Need for
Interstate Licensure
Information and Communication Technologies can
transcend state borders
Provides a means to distribute and share limited
resources among states and fill gaps in access to
services and decrease health disparities
Healthcare Reform will increase the demand for
primary and specialty services and telemedicine
can play an important role in meeting that demand
Consumers of care will see the advantages of
accessing services independent of state borders
15
16. Telemedicine and
Licensure Portability
A more uniform system can enhance the interstate
CVS process and better insure effective monitoring,
patient safety, and quality of care without
compromising state medical board autonomy,
authority, and responsibility
A Web-base system can improve efficiency and ease
of use (The “VetPro” model)
Three elements are crucial for portability success:
1] Uniform online applications
2] Centralized credentialing
3] Faster processing
Allow the option of Credentialing and Privileging “by
proxy” with appropriate CVS (TJC Model)
Liability and Risk Management
• Misuse
• Failure to use
• Becoming a Standard of Care
• Standards and Guidelines
http://www.americantelemed.org
16
17. http://www.ctel.org/
http://www.telehealthresourcecenter.org/
American Telemedicine Association (ATA)
and Telemedicine
Hitting the Target: “The Triple AIMS”
Improve
Access
ATA
and ATA
Improve
Telemedicine Health
Reduce
Costs
International Telemedicine and eHealth:
Transforming Systems of Care in the Global
Community
Reasons to do International Telehealth
Most health issues are global!
17
19. Distributed Medical
Intelligence
• Knowledge Sharing
Networks/Just in
Time/On Demand
• Best Practices
• Evidence based
55
International
Union
Against TB
La Lancha Medica
en la Amazonia
19
21. Exchange of Students and Faculty
Health Care Reform/PPACA Emerging Enabling Information
Communication Technologies
Economic Downturn
Need for more Access to Care
An Aging Population/Baby Boomers
Critical Shortage of Healthcare Providers
EHR Adoption/HIE
Meaningful Use
ICD10
PCMH
ACOs
A Time for Telemedicine & HIT
21
22. Navigating the Perfect Storm with
Telemedicine & HIT
Use a broad spectrum of information communication technologies
Effective distribution of limited resources and expertise
Increasing Access to care
Bringing care to the patient; Aging in place
Decreasing unnecessary variations in care; evidence-based best practices
Improving continuity and coordination of care;The Patient Centered Medical Home
Avoiding unnecessary hospitalizations, duplication of tests, & decreasing errors
Improving health outcomes
Reducing costs; avoiding more costly care and complications, decreasing travel
Questions?
http://hsc.unm.edu/som/telehealth
dalverson@salud.unm.edu
22