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Telehealth is a two-way, real- ww ww ww ww
time interactive communication between a patient and a physician or practitioner at a distant site t
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hrough telecommunications equipment that connects the patient and clinician through real-
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time audio and video technology (AMA, 2025)
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Telehealth adoption allows health care providers to bridge the gap in care by increasing continuit
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y of care, reducing patient travel burden, especially in rural and other underserved populations, w
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hich ultimately helps health systems and physician practices focus more on chronic disease mana
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gement, enhancing patient wellness, improving efficiency, providing higher quality of care, and i
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ncreasing patient satisfaction. Some studies have shown how interventions involving telehealth i
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mplementation improved HbA1c levels, treatment adherence, and self- ww ww ww ww ww ww ww
efficacy in diabetic patients. Implementing telehealth within this organization provides the opti
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mal alternative solution to traditional in-
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person care delivery for the underserved patients in our community who live further than 45 min
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utes away from our facilities and suffer from chronic health conditions such as hypertension and
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diabetes.
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This Gantt chart displays a structured representation of the System Development Life Cycle (SD
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LC) for implementing a new telehealth system in a midsize rural hospital using the waterfall mod
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el. It outlines the five key phases of SDLC—
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planning, analysis, design and development, implementation, and evaluation—
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each phase with designated subtasks, task managers, and timelines. The chart highlights task depe
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ndencies and milestone achievements, ensuring seamless integration across multiple medical offic
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es. The development process spans a defined period, with a multidisciplinary team, with each me
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mber being assigned to specific subtasks. This timeline, with implementations, displays a 2-
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month, 1- ww
week structured deployment of the new telehealth system for this organization. Ultimately, this G
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antt chart serves as a strategic roadmap to guide the successful development and integration of th
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e new telehealth system.
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STAKEHOLDERS:
Successful implementation of a telehealth system should be built with consideration of the peopl
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e that the system is being designed for. Therefore, the team of stakeholders will be composed of
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many players to ensure diverse perspectives are represented throughout the design and implemen
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tation process. The team will include clinical representatives such as physicians, nurses, and othe
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r care team members, administration representatives such as schedulers, billing/ coders, and end-
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users such as patients and their caregivers.
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The core stakeholders for this implementation project will include the Chief Information Officer
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(CIO), Chief Financial Officer (CFO), Information System Architect (ISA/ IST), Systems Analy
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st (SA), and the Nurse Informaticist who will also be responsible for the role of the Project Manag
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er (PM). ww
The Chief Information Officer (CIO) is a senior executive responsible for aligning the organization's IT str
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ategy with its business objectives. the CIO will maintain a global perspective by ensuring daily
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, business operations run efficiently, driving innovation in key value-
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creating business areas, and exploring long-term strategic opportunities for IT and the business.
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The Chief Financial Officer (CFO) is the senior executive responsible for overseeing an organization's fi
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nancial operations. As a key advisor, the CFO analyzes the financial aspects of this project from the b
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eginning which entails knowing how much it will cost, how it will be financed, the financial imp
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act of the project implementation phase, and evaluate budget and Return On Investment (ROI) a
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gainst project objectives. The CFO will also explore diverse funding opportunities through gover
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nment grants, sponsorships, community support, vendor discounts, and internal budget adjustme
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nts.
The Information Systems Technician (IST), or the Information Systems Architect (ISA), will assume the
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pivotal role for this implementation, by applying a comprehensive approach to system design, meticul
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ously planning the architecture and infrastructure to support the project's objectives, implementing sy
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stem integration, implementing robust measures to safeguard data and systems, strategic vendor selec
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tion, conducting thorough evaluations of emerging technologies, and contributing to meticulous budge
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t planning
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The Systems Administrator (SA) plays a vital role in maintaining the operational integrity of an o
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rganization's IT infrastructure by ensuring the smooth functioning of both software and hardware
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, proactively monitoring system performance, and swiftly resolving technical issues to guarantee
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stability and security. ww ww
The Informatics Nurse Specialist-
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Project Manager (PM) is a crucial leader who oversees healthcare technology projects from start
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to finish. They are responsible for team formation, resource allocation, ensuring the project meet
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deadlines, budgets, and quality standards, managing risks; as well as effectively communicating
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project progression with the multidisciplinary team and stakeholders.
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PLANNING:
The planning phase of the Software Development Life Cycle (SDLC) is crucial for defining a tel
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ehealth project's scope, objectives, and direction. This involves conducting feasibility studies, ens
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uring EHR infrastructure alignment and regulatory compliance, and gathering stakeholder input t
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o identify system needs and workflows. Key activities include developing timelines, budgets, an
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d risk mitigation plans, culminating in final approvals for project progression.
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1. Defining the Project Scope: This step places emphasis on thorough planning and market
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research. The Chief Information Officer (CIO) and Nurse Informaticist- ww ww ww ww ww ww ww ww
Project Manager (PM) collaborate to establish and define the needed core functionalities
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of the telehealth application, define clear project objectives, determine its size, and set pa
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rameters that align with the organization's strategic goals. They will perform a comprehe
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nsive market analysis in order to definitively identify the target audience to obtain a bette
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r understanding of the user needs. This process typically takes three days to complete
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