Chapter 18by Sheldon Prial and Schuyler F. Hoss

Overview of Home Telehealth

Objectives

• Review the historical development of telehealth.

• Identify the clinical and economic benefits of telehealth.

• Explore the professional roles associated with telehealth.

• Predict future uses of telehealth.

Key Terms Defined

• Communications Hub• Data Capture• Digital Health Record• Home Health Agency

Key Terms Defined

• Long Term Care Facility• Payor Organization• Peripheral Devices• Real Environment Data

Key Terms Defined

• Telehealth• Telehealth Hardware• Telehealth Software• Trending

Key Terms Defined

• Triage

• Visiting Nurse Association

History of Telehealth

• Advances in Telehealth • The National Institutes of Mental Health • The first reported use of television to

monitor patients in a clinical facility • Sustaining the Advance of Telehealth.

Home Telehealth “Hardware”

• Use of Interactive Self Reporting Devices • What is a communication hub and what

does it do? • What does a communication hub look like?

Home Telehealth Software• Software Supporting Home Telehealth• Areas of Significant Improvement in

Software• One Advantages of Home Telemonitoring • Trend Information

Home Telehealth Software

• Home Telemonitoring Systems • Sophisticated Software • Advanced Telemonitoring Software• Sophisticated Protocols

Home Telehealth Software

• How is telemonitoring systems information stored?

• Web based records

Home Telehealth Patients

• Who is a candidate for home telemonitoring?

• What about patients with limited access?• How are patients with chronic diseases

affected? • Common chronic illnesses monitored by

telehealth.

Home Telehealth Patients

• The Effectiveness of Telemonitoring

• What is monitoring used for?

Home Telehealth Patients

• Who is benefited the most form telemonitoring?

• Increasing Limits for Patients• Urban Core Area Challenges • Home telemonitoring as a Useful Transition

Tool

Home Telehealth Patients • Length of Stay (LOS) Reduction Strategies• Physicians and Surgeons Confidence in

Telehealth • Telemedicine and Major Disasters• Telemedicine Broadens the Reaches of

Medicine• The Largest Potential Market for Home

Telemonitoring

Home Telehealth Patients

• Useful Tools in Sharing Information • Information can be made available to

additional care team members

Benefits of Telehealth

• One Great Advantages of Using Telemonitoring

• Patients Need Information Reviewed in a Timely Manner

• Improvement from Telehealth Monitoring• The Effects of Changes in a Plan of Care Can

be Easily Assessed

Benefits of Telehealth

• Home Telemonitoring Systems Create a Digital Health Record

• The DHR and Billing Functions• A Continuous Stream of Patient Data• The Use of Telemonitoring

Benefits of Telehealth

• Telemonitoring Increases Levels Involvement in Care

• Telemonitoring and Cost Reduction • Telemedicine and economic contributions

Benefits of Telehealth• Telemonitoring is Seen as the Most

Promising Tool• Also Allows Patients to Stay Home Longer • Ability to Increase Caseload and Maintain

Quailty Care • The Help of Software in Home Monitoring

Roles of Clinical Professions

• Telemonitoring is Still New • The Role of Nurses • Telemonitoring Allows Nurses to Do More• Nurses Are Able to Spend More Time With

the Patient

Roles of Clinical Professions

• What home telemedicine does for the physician.

• The Effects of Emergency Medical Technicians

• Technology and Case Managers • What new roles do support personnel

have?

Who Is Using Home Telemonitoring?

• Where do analysts see telemonitoring going?

• Who welcomes home telehealth? • What entities are utilizing this tool? • What has been the impact for hospitals? • Are payors covering the cost associated

with home telehealth?

Who Is Using Home Telemonitoring?

• Is the government on board with telemonitoring?

• The Importance of Cost Effectiveness • What is the private demand for telehealth? • What is the potential market for

helehealth? • What is the long term effectiveness of

monitoring programs?

The Future

• Technology and Home Telehealth• The Affordability of Monitoring Equipment• More Portable Equipment • Integration of Equipment • The Future Devises We Can Expect

Thought Provoking Question

Consider a recent patient care scenario and describe how it could have been managed at a distance.

• What training would you need?• What equipment would you use?• How would your patient and his or her

family respond to home telemonitoring?