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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?