NURS 345 Module 9 Telehealth and Careers Questions And Answers With Latest Quiz

telehealth - health services delivered by telecommunication tools (telephone, videophone, computer) to prevent disease, promote health, and cure illness telehealth is the use of any X to provide X remotely - technology, care telehealth is not a new concept, but X - currently technology has taken remote care to new levels telehealth helps - minimize barriers to providing health services (geographical distance, socioeconomic status, and time constraints) types of telehealth defined by medicare - 1. medical care/consultation between patient at home and distant clinician 2. patient in the presence of one clinician with another distant clinician 3. without the patient present 4. remote monitoring of the patient at home, in hospital or other facility 5. secure asynchronous electronic transfer of information (store and forward) History: late 1800s (late 19th century) - first transmission of stethoscope sound over telephone in late 1800s shortly after the invention of the phone early part of 20th century - radio communications used to provide medical support to ship crews in the early part of 20th century 1960s - modern telehealth grew out of remote monitoring of astronauts by NASA examples of large scale applications of telehealth - 1989- NASA provided international telehealth services to victims of earthquake in Armenia in 1989after earthquake in Haiti in 2010, telemedicine played a part in coordinating and re-establishing health services telehealth is used to treat prisoners in state run facilities in Texas - decreasing costs and reducing risks of transporting prisoners influences that increased access to telehealth - telecommunications act of 1966 made access to advanced telecommunications and information services a priority ARRA- 24 government agencies provide grant moneys to fund telehealth projects chronic conditions that use the most resources or have the most barriers to care are the highest priority for research and development of programs the CURES act of 2016 provides increased funding for telehealth Australia, Canada, Norway and Sweden are world leaders in telehealth X X have influenced the adoption of telehealth - policy initiatives telecommunications act of 1966 - provided support for the telecommunications infrastructure and made explicit the national priority for all to have access to telecommunications American Reinvestment and Recovery Act of 2009 - authorized incentive money for providers and hospitals that adopt EHRs also provided grant moneys to fund telehealth CURES act of 2016 - made telehealth a priority. paying for health care have made resource-heavy chronic conditions a priority and are invested in funding options to improve care and outcomes for chronic conditions.Is telehealth a separate specialty? - No telehealth is X rather than a separate specialization - tool teleheath does not meet the X of separate medical or nursing specialty - definition may change with X of nurses in telehealth - certification nurses and other health care workers in telehealth are members of XXX - health care team Expansion of Telehealth: when did the medicare telehealth visis increased by 500%? - from 2008 to 2014 in what year the VA provided telehealth services to 736,000 patients? - 2015 worldwide money spent on telehealth will have more than tripled in X years - 7 University of Southern California and Wyoming Institute of Population Health - Pilot Projects in Telehealth - telepharmacy program Pilot Projects in Telehealth Emory university - - remote telemonitoring for rural ICU patients Pilot Projects in Telehealth George Washington University - telemonitoring for end stage renal disease patients at home Pilot Projects in TelehealthOchsner Foundation - telemonitoring of post-discharge stroke patient Pilot Projects in Telehealth Upper San Juan Health Services - telemedicine to screen and treat cardiovascular disease Pilot Projects in Telehealth healthLinkNow - telehealth for mental health care in rural areas Pilot Projects in Telehealth University of Miami - telehealth services (nutrition, primary care, mental health) to Miami area schools telehealth can provide everything except - acute care telehealth can provide everything including... - pharmacy services post acute surveillance chronic disease mental health school health services reasons for telehealth - 1. US demographics 2. nursing and other health care shortages 3. increased in chronic diseases 4. Educated consumers 5. need to decrease healthcare costs 6. uneven access to healthcare services in rural areas US demographics and telehealth - 1/5 people over age 65 by 2040, coupled with emephasis on keeping the aged functional in their own homeHealthcare shortages and telehealth - supply not keeping up with demand increased chronic diseases and telehealth - chronic illness accounts for 75% of healthcare expenditures educated consumers and telehealth - push demand need to decrease healthcare costs and telehealth - technology helps fill gaps rural areas and telehealth - uneven access to healthcare services in rural areas "store and forward" technology - images are captured, stores, forwarded response is generated commonly used in dermatology, radiology, and pathology not done in real time real time (interactive) telehealth application - two way audio and video allows for interaction used in mental health, home rehab, home care, and hospice/palliative care can be used between a patient and a clinician or between two clinicians with or without the patient being present remote monitoring - home dialysis, cardiac monitoring, home monitoring of VS, uterine contraction and fetal heart rate monitoringmany years of use becoming more sophisticated and able to monitor more parameters telephony - scheduled patient encounters via phone school telehealth example - clinical uses for telehealth (5) - 1. transmit images for assessment or diagnosis (images of wounds or skin lesions for diagnosis) 2. transmit clinical data for assessment, diagnosis, or diseases management - remote monitoring 3. disease prevention and promotion of health (patient reminders) 4. telephone health care in emergencies like triage or "ask a nurse" 5. real time video for health services or education telehealth on home care becomes common but research results on X, X, X are mixed - outcomes, patient satisfaction, and costs polisena-"home telehealth for chronic disease management: a systemaic review and an analysis of economic evaluations - showed cost savings hansen-"cost factors in implementing telemonitoring programs in rural home health agencies" - showed no cost savinstelehealth call centers - run by managed care organizations, hospitals, other health care organizations with or without telemonitoring care equivalent to in-prison care- RNs do case management or preform triage help avoid emergency room visits and rehospitalization 3 interventions to minimize problems with exceeding the RN scope of practice during a call - 1. clearly inform callers that the advice-givers are nurses 2. prompt parents to recognize their own authority to make decisions for their children 3. reframe medical questions as child development issues to keep within boundaries of nursing practice who will benefit from telehealth services? - 1. pt with chronic illness or disabilities 2. isolated pt 3. pt just released from the hospitals 4. emergency response (I've fallen and i can't get up) 5. concerned patients and families 6. assisted living and subacute patients 7. employers and wellness programs