Director, Air Force Medical Operations Agency

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Presentation transcript:

Director, Air Force Medical Operations Agency Telemedicine Evaluation National Forum: Global Telemedicine and its International Implications Charles H. Roadman, II Major General, USAF, MC Director, Air Force Medical Operations Agency

Tectonic Pressures TECHNOLOGY ECONOMY SOCIETY POLITICS LEADERSHIP DOCTRINE LEADERSHIP

Adaptive Countermeasures TECHNOLOGY ECONOMY STRATEGY TACTICS LOGISTICS ADMINISTRATION PROFESSIONALISM LEADERSHIP SOCIETY POLITICS DOCTRINE LEADERSHIP

Technology Digital Revolution Trigger of Discontinuity Information Capability Telemedicine Distance Learning Trigger of Discontinuity Automate Current Process Reengineer Total Delivery System Push vs Pull

Technology Peacetime Wartime Ethical Implications Technical Capability Information Security Legal - Interstate Commerce Proliferation of Technology Effectiveness Efficiency Cost

Technology DoD is Great Testbed of Healthcare Reform Policy Technology Practice Patterns Structural Alignments

Projected Causes of Growth in Medicare Spending 1995 - 1999 Percentage Source: CBO, Preliminary Baseline Estimates, January 1995

Key to Medical Conflicts Emphasis on Technical Aspects of Healthcare Best Technical Outcome Quality Future Healthcare Lowest Unit Cost Emphasis on Cost Aspects of Healthcare Emphasis on Service Aspects of Healthcare Maximum Customer Satisfaction

Telemedicine Evaluation National Forum: Global Telemedicine and its International Implications Why evaluate Telemedicine? What questions need to be answered? How to evaluate Telemedicine? What will we do with the information?