Download or read book Improving Rural Health Through Telehealth guided Provider to provider Communication written by Annette Marie Totten and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12-14, 2021. DATA SOURCES: We conducted a comprehensive literature search of Ovid MEDLINE(r), CINAHL(r), Embase(r), and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. REVIEW METHODS: Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. RESULTS: We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. CONCLUSIONS: While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.

Download or read book Telehealth handbook written by Arthur M. Bennett and published by . This book was released on 1978 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Rural Health Care Support Mechanism Us Federal Communications Commission Regulation Fcc 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-10-15 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rural Health Care Support Mechanism (US Federal Communications Commission Regulation) (FCC) (2018 Edition) The Law Library presents the complete text of the Rural Health Care Support Mechanism (US Federal Communications Commission Regulation) (FCC) (2018 Edition). Updated as of May 29, 2018 In this document, the Federal Communications Commission reforms its universal service support program for health care, transitioning its existing Internet Access and Rural Health Care Pilot programs into a new, efficient Healthcare Connect Fund. This Fund will expand health care provider access to broadband, especially in rural areas, and encourage the creation of state and regional broadband health care networks. Access to broadband for medical providers saves lives while lowering health care costs and improving patient experiences. This book contains: - The complete text of the Rural Health Care Support Mechanism (US Federal Communications Commission Regulation) (FCC) (2018 Edition) - A table of contents with the page number of each section

Download or read book Telehealth in Rural Hospitals written by CJ Rhoads and published by CRC Press. This book was released on 2017-07-27 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving the quality of healthcare, while increasing accessibility and lowering costs, is a complex dilemma facing rural communities around the world. The Center for Rural Pennsylvania believed that telehealth, the use of electronic information and telecommunications technologies to support long-distance clinical healthcare was a viable solution so it recently provided grants to conduct a thorough investigation into the factors involved. Telehealth in Rural Hospitals: Lessons Learned from Pennsylvania reports the outcome of this year-long investigation. Illustrating telehealth implementations in rural settings, it supplies an overview of telehealth as well as an assessment of its economic impact. The book skillfully intertwines the research and academic aspects of telehealth with helpful insights from the author. One of the most important discoveries made by the author and her team of researchers is that all too often money is wasted by implementing telehealth for services that don't impact many people. This book shares valuable insights on using telehealth for integrative health practices that could improve the health of a greater portion of the population. This book illustrates how telehealth can, indeed, be the healthcare savior that some people believe it will be, but only under the right circumstances. It details exactly what those circumstances are so that everyone, including clinicians, patients, government entities, and vendors, can steer toward the best future path. The author identifies the obstacles preventing wider implementation of telehealth and explains how recent federal legislation will affect telehealth implementation in rural communities. She also points out the folly of developing electronic health records before federal data standards are put into place.

Download or read book Telemedicine written by Mike Richards and published by . This book was released on 2020-10-19 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Do you want to provide the best healthcare to your patients without risking their lives? Do want to reach more patients and increase your income? If the answer to these questions is yes, keep reading to know how Telemedicine is the solution to your problems. This book was written to guide medical professionals (and everyone else interested) about telehealth, whether they're just curious, looking to start a telehealth business or looking for employment in telehealth. You'll learn about benefits, laws and regulations, employment and more. Let's Define Telehealth Technology has revolutionized the way people communicate with each other and it has a great potential to help solve contemporary global health problems. Telehealth can be as simple as two doctors talking on the phone about a patient's care, or as complex as using robotic technology to perform surgery from a remote site. Today, telehealth is frequently associated with remote monitoring of a patient's condition; for example, blood pressure, heart rate, and other measures of health status can be obtained by a device worn by the patient and sent electronically to medical personnel. Telehealth is a great tool for the dissemination of information on the care and prevention of chronic diseases such as cardiovascular, respiratory and of course epidemics. "Telemedicine" is one of the most prominent, well-known and used branches of telehealth. It's the exchange of medical information through some electronic means of communication, between two people who are not located in the same space. While telehealth is the health system as such, making use of ICT, with special emphasis on the preventive nature. In its broadest definition, telehealth includes a full range of activities that help the patient and the general population to be healthy: prevention, promotion, diagnosis, self-care and treatment. What types of telehealth technologies exist and how are they improving healthcare? Teleconsultations allow a doctor in a rural area to receive advice from a specialist, who may be in a distant location, about patients with special or complex conditions. Remote Patient Monitoring (RPM) is a technology that allows patients to be monitored outside of conventional clinical settings, such as at home. MRP requires sensors in a device that wirelessly transmits or records physiological information to be analyzed by a healthcare professional. Intraoperative monitoring (IOM) is a technique that allows a surgeon to perform continuous checks, records, and tests during a difficult surgical procedure. In neurological surgeries, MIO is used to detect potentially harmful changes in the brain, spinal cord, and peripheral nerve function before irreversible damage occurs. Rural hospital staff rarely has the necessary experience to perform this type of monitoring. In this book you will learn this and more: Introduction to Telehealth and How It Works Difference between Telehealth and Telemedicine Remote Patient Monitoring Advantages for Doctors and Patients Costs of Developing a Telemedicine App This book is a complete guide explaining everything you need to know to get into the Telehealth industry, whether to start your own business or to find employment. It includes the pros and cons, the costs, how to start on your own, laws and regulations, what kind of services you can offer and more. You can make the best of this information to improve your life and many others. What are you waiting for?

Download or read book U S Rural Health Telemedicine written by Fran Fields and published by . This book was released on 1997-08-01 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Improving Clinical Communication written by Ernesto Gil Deza and published by Springer Nature. This book was released on with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Rural Health and Health Communications written by and published by . This book was released on 1978 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Telehealth Survey Report written by Rural Policy Research Institute (U.S.) and published by . This book was released on 1999 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Advanced Practice Providers written by Maria Lofgren and published by Sigma Theta Tau. This book was released on 2023-12-14 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This is a must-read for all healthcare organizational leaders where advanced practice registered nurses (APRNs) and physician assistants (PAs) are a part of the healthcare team. Being able to understand how to best support and utilize this workforce is crucial in the success of any healthcare delivery system. The authors of this book have brilliantly laid out a blueprint to build a strong and engaged APRN/PA staff.” –Risa Zimmerman, MBA, MPAS, PA-C, DFAAPA Director, Office of Advanced Practice Nebraska Medicine “Within these pages lies a treasure trove of evidence-based tools, templates, pitfalls to avoid, and more for anyone who is interested in advanced practice in healthcare. Maria Lofgren and the Iowa team, with learnings from 15+ years creating a sustainable APP model, have given a huge gift to healthcare delivery globally. I’m especially excited about the thoughtful reflections on staying attuned to relationships between providers as well as the figures and sidebars that highlight policy implications and provide specific examples for implementation.” –Ann Williamson, PhD, RN, NEA-BC Former Chief Nurse and Healthcare Executive “With the rapid expansion of advanced practice providers (APPs) nationwide, new APP leaders seek guidance and insight on building a program of fully optimized providers. Lofgren et al. have accomplished this task, providing a complete and comprehensive road map for C-suites and APP leaders to follow, creating the pillars of supporting practice from student to expert for healthcare organizations.” –Bonnie Proulx, DNP, APRN, PNP-BC, FAAN Senior Vice President Physician Enterprise Kaufman Hall Healthcare Management and Consulting Advanced practice providers (APPs) are a quickly growing part of the healthcare workforce, helping to bridge the gap between the demand for physicians and nurses and keeping healthcare costs lower while maintaining a high quality of care. As hospitals, clinics, and healthcare organizations integrate APRNs and PAs into their clinical operations, healthcare leaders need direction on operationalizing these APPs into practice. Advanced Practice Providers: An Operational Guide for Workforce Integration provides a blueprint for organizations—academic, hospital, and clinic-based —as well as academic programs teaching APRNS and PAs to assimilate the uniqueness of the APP group into existing infrastructures, effectively using resources within organizations to help advance healthcare toward higher quality care, patient safety goals, and team care initiatives. TABLE OF CONTENTS Chapter 1: Comparison of Medicine and Nursing Infrastructures and the Growing APP Workforce Chapter 2: Understanding the Organizational Blueprint Chapter 3: Establishing an Infrastructure Chapter 4: APRN and PA Scope of Practice Chapter 5: Establishing an APP Workforce Chapter 6: APP Onboarding Chapter 7: Operationalizing Telehealth Chapter 8: APRN and PA Students Chapter 9: APP Business Pro Forma Chapter 10: Credentialing and Privileging Chapter 11: Organizational Compliance Chapter 12: Professional Development Chapter 13: Mentoring Chapter 14: Metrics That Matter Chapter 15: Team-Based Care Chapter 16: Patient Access Center Chapter 17: Organizational Initiatives Chapter 18: Looking to the Future Appendices ABOUT THE AUTHORS Maria Lofgren, DNP, ARNP, NNP-BC, CPNP, FAANP, is a Clinical Associate Professor and Director of Faculty Practice at the University of Iowa College of Nursing and the Director of Advanced Practice Providers at University of Iowa Health Care. Christine Gust, MBA, PHR, SHRM-CP, is Human Resources Generalist at University of Iowa Health Care, Carver College of Medicine, Office of Advanced Practice Providers. Her work has led to aligning HR strategies to advanced practice provider organizational objectives, policies, programs, and initiatives. Douglas Van Daele, MD, FACS, is a Professor in the Department of Otolaryngology, Head and Neck Surgery at the University of Iowa Carver College of Medicine and is affiliated with the Iowa City Veterans Affairs Health Care System.

Download or read book Rural Telehealth written by and published by . This book was released on 1993 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Brocklehurst s Textbook of Geriatric Medicine and Gerontology E Book written by Howard M. Fillit and published by Elsevier Health Sciences. This book was released on 2016-05-06 with total page 1499 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading reference in the field of geriatric care, Brocklehurst's Textbook of Geriatric Medicine and Gerontology, 8th Edition, provides a contemporary, global perspective on topics of importance to today's gerontologists, internal medicine physicians, and family doctors. An increased focus on frailty, along with coverage of key issues in gerontology, disease-specific geriatrics, and complex syndromes specific to the elderly, makes this 8th Edition the reference you'll turn to in order to meet the unique challenges posed by this growing patient population. - Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy. - More than 250 figures, including algorithms, photographs, and tables, complement the text and help you find what you need on a given condition. - Clinical relevance of the latest scientific findings helps you easily apply the material to everyday practice. - A new chapter on frailty, plus an emphasis on frailty throughout the book, addresses the complex medical and social issues that affect care, and the specific knowledge and skills essential for meeting your patients' complex needs. - New content brings you up to date with information on gerontechnology, emergency and pre-hospital care, HIV and aging, intensive treatment of older adults, telemedicine, the built environment, and transcultural geriatrics. - New editor Professor John Young brings a fresh perspective and unique expertise to this edition.

Download or read book The Role of Telehealth in an Evolving Health Care Environment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-20 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Download or read book Understanding Telehealth written by Karen Schulder Rheuban and published by McGraw Hill Professional. This book was released on 2017-12-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first complete guide to the rapidly expanding field of telehealth From email to videoconferencing, telehealth puts real-time healthcare solutions at patients’ and clinicians’ fingertips. Every year, the field continues to evolve, enhancing access to healthcare, supporting clinicians, and improving the patient experience. However, since telehealth is in its infancy, no text has offered a comprehensive, definitive survey of this up-and-coming field—until now. Written by past presidents of the American Telemedicine Association, Understanding Telehealth explains how clinical applications leveraging telehealth technology are optimizing healthcare delivery. In addition, this timely resource examines the bedrock principles of telehealth and highlights the safety standards involved in the diagnosis and treatment of patients through digital communications. Logically organized and supported by high-yield clinical vignettes, the book begins with essential background information, including a look at telehealth history, definitions and roles, and rural health. It then provides an overview of clinical services for adults, from telestroke to telepsychiatry. The third section addresses pediatric clinical services, encompassing pediatric emergency and critical care, telecardiology, and more. A groundbreaking resource: •Chapters cover a broad spectrum of technologies, evidence-based guidelines, and application of telehealth across the healthcare continuum •Ideal for medical staff, public healthcare executives, hospitals, clinics, payors, healthcare advocates, and researchers alike •Incisive coverage of the legal and regulatory environment underpinning telehealth practice

Download or read book Telemedicine written by Institute of Medicine and published by National Academies Press. This book was released on 1996-10-08 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.

Download or read book Telehealth Innovations in Remote Healthcare Services Delivery written by A.J. Maeder and published by IOS Press. This book was released on 2021-04-29 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: The need to promote academic activities in telehealth remains a high priority as the discipline expands into new areas of healthcare. Response during 2020 to the COVID-19 pandemic has provided an excellent example of the rapid diversification and impact attainable with telehealth, and may kindle a new momentum for accelerated service design and adoption processes in the future. This book, Telehealth Innovations in Remote Healthcare Services Delivery, is the tenth in the Global Telehealth series. Due to the prevailing COVID-19 pandemic and the restrictions placed on academic gatherings, the organizers issued a general call for contributions, with the intention of attracting a wide cross-section of contributions reflecting the breadth of different aspects of telehealth internationally. The resulting collection offers snapshots of research projects and studies of service experience from five continents, with an emphasis on delivering benefits in regional settings in keeping with the theme of the book’s title. Articles range from descriptions of telehealth networks and clinical-service instances such as cardiac health, mental health and pathology, several in Pacific-rim settings, to more generic papers on the evolution of such services, as well as commentaries on innovative considerations for telehealth such as the emergence of the concept of virtual care, the suitability of health apps, and the status of eHealth readiness in the developing world. This book is a valuable contribution to the body of knowledge on current telehealth research interests and trends, and will be of interest to all those working in the field.

Download or read book The Promise of New Technologies in an Age of New Health Challenges written by A.J. Maeder and published by IOS Press. This book was released on 2016-11-24 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a changed emphasis in many health services, with conventional pressures such as budget and workforce constraints, combined with the indirect forces of social change and strategic direction, bringing about the need for more flexible approaches for the longer term. By enabling different care models and delivery channels, telehealth offers demonstrably effective and sustainable solutions for issues such as access to and quality of care. This book presents 18 papers delivered at the 5th Global Telehealth Conference, held in Auckland, New Zealand, in November 2016. The theme chosen for Global Telehealth 2016 is 'The Promise of New Technologies in an Age of New Health Challenges', and the papers included here cover a wide variety of topics, from theoretical and abstract contributions through to discussions of practical projects and highly specific applied contributions. The book also includes two invited papers which detail recent contributions to two global issues in which telehealth plays a major role: universal health coverage and personal health monitoring. With papers ranging in scope from computer assisted screening technology for diabetic retinopathy to behavior change through computer games, this book will be of interest to all those involved in the design and provision of healthcare services.