The document discusses how the Ontario Telemedicine Network (OTN) has helped reduce wait times for medical consultations through telemedicine, citing studies that found reductions in wait times for specialties like dermatology and endocrinology as well as decreased hospital admissions and emergency department visits through telehomecare programs. It also outlines OTN's goals of making telemedicine a mainstream part of healthcare delivery and increasing access to quality care for over 1 million patients by 2015.
This presentation is an introduction to telemedicine and telehealth. It explains common terminology and the different types of technology used. It concludes with findings from the American Medical Association on national physician use and links to additional resources.
Medibank Managing Director speaks at Amercian Chamber of CommerceLaura Harris
Medibank Managing Director, George Savvides presented at the American Chamber of Commerce in Melbourne about Medibank’s approach to primary care and its integrated care pilots.
This presentation is an introduction to telemedicine and telehealth. It explains common terminology and the different types of technology used. It concludes with findings from the American Medical Association on national physician use and links to additional resources.
Medibank Managing Director speaks at Amercian Chamber of CommerceLaura Harris
Medibank Managing Director, George Savvides presented at the American Chamber of Commerce in Melbourne about Medibank’s approach to primary care and its integrated care pilots.
The 2017 Texas Legislature adopted a new definition and a new approach to telemedicine and the remote delivery of health care. Two health care lawyers prepared this deck to help Texas physicians understand the new law, how it came about, and what it could mean for the practice of medicine in Texas.
"Telemedicine and Digital Health: New Texas Law, Opportunities, and Challenges" was presented at the Texas Medical Association 2017 Fall Conference, Sept. 16, 2017, as the Philip R. Overton Annual Lectureship in Medicine and the Law.
Prof Diana Schmidt's Talk at AIIMS on 8th January 2008Sukhdev Singh
Prof Diana Schmidt, School of Medical Informatics of Heidelberg University and Heilbronn University Germany, would be gave a talk on “Factors for success and failure of Telemedicine in Germany and USA” on 8th January 2008. She has permitted me to upload her presentation for the benefit of "Indian Association for Medical Informatics" members. It is being shared through IAMI Delhi Chapter Blog - http://iamidelhi.blogspot.com
Medibank Managing Director speaks at Amercian Chamber of CommerceLaura Harris
Medibank Managing Director, George Savvides presented at the American Chamber of Commerce in Melbourne about Medibank’s approach to primary care and its integrated care pilots.
Telemedicine definition
History
Types
Medical specialties using telemedicine
Benefits
Teleconsultation definition
Purposes
Teleconsultation organization
Top 5 Telemedicine Regulatory Hurdles To OvercomeVSee
For more information please visit: https://vsee.com/blog/top-5-telemedicine-regulatory-hurdles-to-overcome/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
First of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
We've produced an annual report for the West of England Academic Health Science Network to showcase how the organisation is helping to enhance healthcare delivery.
The challenges and opportunities in telemedicine during COVID 19 pandemic
Project supervisors: Dr. Rosalind Silverman and Dr. Lorelei Silverman
Background A multidisciplinary team consisting of premedical and predental students, internationally trained doctors, and IT professionals will showcase the present and future of telemedicine post COVID 19 era.
Methodology Our team researched literature and surveyed telemedicine clinics in Canada to identify the usage of telemedicine, devices, advantages and disadvantages of telemedicine in 18 medical disciplines.
Results We will present new technologies and best practice in telemedicine and tele dentistry as well as the practical use in clinics across Canada, USA, and internationally. We will also demonstrate the further role of telemedicine in expanding the field, and challenges and opportunities during COVID19. In addition, we will share our survey of application of telemedicine to telepsychiatry, teleradiology, telepathology, telecardiology, tele respirology, pediatrics, women health, ophthalmology, ENT, emergency response, physiatry, gastroenterology, infertility, dermatology, oncology, palliative care, allergology, rheumatology, and plastic surgery. The advantages of telemedicine such as fast access to care, reduced cost, cutting down on commuting, travelling in bad weather, taking time off from work, need for childcare, immobile patients, remote areas, cultural taboos are also assessed. The disadvantages of telemedicine are mainly present in older population that has less exposure to technology and the concern over data security.
Conclusion In sum, using virtual health care tools and telemedicine we can shorten wait times to see a provider, reduce the risk of community infection, improve training, and expand the range of access to specialists who live further away or need to be consulted for a second opinion
From High Hopes to HITECH: Money and Meaningful Use. Centricity Healthcare User Group. This presentation covers meaningful use, IT Adoption, interoperability, network effects, transparency and better outcomes from the use of Health Information Technology.
The 2017 Texas Legislature adopted a new definition and a new approach to telemedicine and the remote delivery of health care. Two health care lawyers prepared this deck to help Texas physicians understand the new law, how it came about, and what it could mean for the practice of medicine in Texas.
"Telemedicine and Digital Health: New Texas Law, Opportunities, and Challenges" was presented at the Texas Medical Association 2017 Fall Conference, Sept. 16, 2017, as the Philip R. Overton Annual Lectureship in Medicine and the Law.
Prof Diana Schmidt's Talk at AIIMS on 8th January 2008Sukhdev Singh
Prof Diana Schmidt, School of Medical Informatics of Heidelberg University and Heilbronn University Germany, would be gave a talk on “Factors for success and failure of Telemedicine in Germany and USA” on 8th January 2008. She has permitted me to upload her presentation for the benefit of "Indian Association for Medical Informatics" members. It is being shared through IAMI Delhi Chapter Blog - http://iamidelhi.blogspot.com
Medibank Managing Director speaks at Amercian Chamber of CommerceLaura Harris
Medibank Managing Director, George Savvides presented at the American Chamber of Commerce in Melbourne about Medibank’s approach to primary care and its integrated care pilots.
Telemedicine definition
History
Types
Medical specialties using telemedicine
Benefits
Teleconsultation definition
Purposes
Teleconsultation organization
Top 5 Telemedicine Regulatory Hurdles To OvercomeVSee
For more information please visit: https://vsee.com/blog/top-5-telemedicine-regulatory-hurdles-to-overcome/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
First of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
We've produced an annual report for the West of England Academic Health Science Network to showcase how the organisation is helping to enhance healthcare delivery.
The challenges and opportunities in telemedicine during COVID 19 pandemic
Project supervisors: Dr. Rosalind Silverman and Dr. Lorelei Silverman
Background A multidisciplinary team consisting of premedical and predental students, internationally trained doctors, and IT professionals will showcase the present and future of telemedicine post COVID 19 era.
Methodology Our team researched literature and surveyed telemedicine clinics in Canada to identify the usage of telemedicine, devices, advantages and disadvantages of telemedicine in 18 medical disciplines.
Results We will present new technologies and best practice in telemedicine and tele dentistry as well as the practical use in clinics across Canada, USA, and internationally. We will also demonstrate the further role of telemedicine in expanding the field, and challenges and opportunities during COVID19. In addition, we will share our survey of application of telemedicine to telepsychiatry, teleradiology, telepathology, telecardiology, tele respirology, pediatrics, women health, ophthalmology, ENT, emergency response, physiatry, gastroenterology, infertility, dermatology, oncology, palliative care, allergology, rheumatology, and plastic surgery. The advantages of telemedicine such as fast access to care, reduced cost, cutting down on commuting, travelling in bad weather, taking time off from work, need for childcare, immobile patients, remote areas, cultural taboos are also assessed. The disadvantages of telemedicine are mainly present in older population that has less exposure to technology and the concern over data security.
Conclusion In sum, using virtual health care tools and telemedicine we can shorten wait times to see a provider, reduce the risk of community infection, improve training, and expand the range of access to specialists who live further away or need to be consulted for a second opinion
From High Hopes to HITECH: Money and Meaningful Use. Centricity Healthcare User Group. This presentation covers meaningful use, IT Adoption, interoperability, network effects, transparency and better outcomes from the use of Health Information Technology.
This presentation focuses on functionality of rural water supply and the role of accountability. It highlights experiences and lessons learned from SNV projects in Nepal and Tanzania. In Nepal SNV developed a Social Accountability (SA) toolkit, which included the Community Score Card, social audit and public hearing tools. Presented by Jessie Bokhoven (SNV) on 6 July 2016 at the IRC event: "Accountability tools to improve WASH service delivery" in The Hague.
Barriers and Challenges to Telecardiology Adoption in Malaysia Context IJECEIAES
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation, cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
Barriers and Challenges to Telecardiology Adoption in Malaysia Context Yayah Zakaria
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and
health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation,
cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
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.
I did a visit to new zealand in 2003 and did a number of talks from 2003 to 2005 on the transformation taking place in new zealand. back in NZ in 2014 so looked at those early slide so impressed with the leadership and the robust primary care
Accountable and Collaborative Care: Lessons Learned from Across the Globe.
Alan spoke about how important it is to have Collaborative Care; especially in chronic conditions, such as diabetes and COPD. Collaborative Care is facilitated by multi-specialty facilities which makes it more convenient for the patients to get tests results; for example, to make less visits to the doctors office. This can give patient care continuity, since everyone is working for the same cause: You, the patient.
Also bundled payments give physicians the incentive to be more efficient with how they treat their patients.
Presentation by Terry Whalley, Director of Delivery, Cheshire & Merseyside Health & Care Partnership at ECO 19: Care closer to home on Tuesday 9 July at Deepdale Stadium.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Light House Retreats: Plant Medicine Retreat Europe
Telemedicine Contribution to Wait Times
1. 3/25/2012
The Taming of the Queue 2012
Telemedicine’s Contribution
Contents
Telemedicine’s impact:
– The Ontario Telemedicine Network (OTN) results
– Other studies
How telemedicine can reduce wait times while
improving access and efficiency
1
2. 3/25/2012
OTN
An independent not-for-profit organization primarily
funded by the Government of Ontario
• Members include all hospitals and hundreds of other
health delivery and education organizations in Ontario
Partners with:
– Federal and Provincial e-Health
Organizations
– Keewaytinook Okamakanak
(Northern Chiefs) Tribal Council
Page 3
OTN: Available Everywhere
One of the world’s
largest & most active
TM networks.
Programs & services
delivered
collaboratively at
more than 1,400
sites using 2,600
telemedicine
systems
Page 4
2
4. 3/25/2012
OTN “Virtual” Channels
1. Healthcare Office 2. Emergency Care
3. Learning 4. Home and
Community
2011 Clinical Utilization
Clinical Events* 170,875
Annual growth rate 39%
Consultants 1,622
Physician Consultants 1,180
* Includes videoconferencing and store-forward telemedicine consultations;
Excludes telehomecare
4
5. 3/25/2012
OTN Annual Results 2011
By using telemedicine rather than travelling for an in-person
consultation, 170 million km of patient travel was avoided in Ontario
92 million km of travel was avoided in Northern Ontario which would
have cost the Northern Health Travel Grant Program $38 million
Hospitals avoided 625 admissions/transfers through emergency
mental health crisis access
Telestroke enabled 187 tPA deliveries that might otherwise have not
been possible
Using teleophthalmology, Retinal specialists reported to being able
to assess 10 patients in 40 minutes vs 2 hours when seen in person
90% of referring physicians said telemedicine improved their ability
to manage patients in their own community and 76% reported
improved access for their patients.
OTN Wait Time Impacts
Dermatology consult wait times reduced from 5 weeks to 10 days
Endocrinology consult wait times reduced from 4-6 weeks to less
than 4 weeks
Diabetic retinopathy screening wait times reduced from 6 months to
4 weeks
Emergency child & adolescent psychiatry consultation wait times
decreased from 6 – 9 months to within 72 hours
5
6. 3/25/2012
OTN Study: Telehomecare in Chronic
Disease Management
Self-reported data from 813 enrolled patients with
CHF and COPD
64 – 66 % decrease in hospital admissions
72 – 74% reduction in emergency department visits
16 – 33% decrease in number of primary care physician visits
95 – 97% reduction in walk-in clinic visits
High levels of patient and provider satisfaction
Other Published Examples
Canada Health Infoway studied digital imaging and found that
radiologists were 27% more efficient using the technology
Alaska telehealth studied their store-forward ENT service over 16
years and found a reduction in average wait to see an ENT surgeon
from 4.2 months prior to telemedicine introduction to 2.1 months
after three years of introduction.
The VA studied 17,025 chronic disease patients receiving
telehomecare and documented a 25% reduction in number of bed
days
Kaiser implemented PCP to specialist e-consults in San Francisco
and found a 13, 18, 26, 42% reduction in the need for a face-to-face
visit for Rheumatology, Cardiology, GI and Endocrine respectively
6
7. 3/25/2012
OTN Vision - By 2015
Over 1,000,000 patients served, with improved access to
better integrated, quality care
Over 40,000 telehomecare patients annually with
increased self-management skills and reduced utilization
of more expensive health system resources
Over 25,000 healthcare providers using telemedicine to
collaborate around patient care, best practices and
health education
13
Cardiology Clinic
Next
Available
Clinic
Jan 31
Feb 10
Feb 18
Mar 1
Nov 21
7
8. 3/25/2012
Telemedicine will make the health care
system and providers more efficient
Reduce unnecessary travel and transfers
Enhance provider efficiency through store-forward
Leverage lower-cost providers to do more
Address geographic maldistribution of providers and
associated wait time variation
Reduce ED visits and hospitalization rates by improving
self-management of chronic disease
Improve collaboration among providers
Empower new and better models of care delivery
How can we accelerate adoption?
Policy:
1. Overcome systemic payment and payment model barriers to e-
consults and provider collaboration
2. Share efficiency benefits among providers and funder
Lower the cost and increase the simplicity of
telemedicine:
3. Invest in telemedicine service development
4. Develop solutions that fit provider workflow
Assist in matchmaking
5. Provide real-time information on available resources and wait
times
6. Simplify provider requests and information exchange
8
9. 3/25/2012
Appendix
APPENDIX
“Store Forward” or “eConsult”
Telemedicine Definition
Send pictures and patient data to a specialist for
advice or a consultation
Examples: dermatology, ophthalmology, ENT
9