Karen Wilkinson Amanda Gildea

 Define and describe Telehealth (TH).  List and describe TH hardware and software.  Identify, describe and review TH.  Describe advantages/disadvantages of using TH  Examine legal and ethical issues related to the use of TH.  Describe technology-related competencies needed by the professional nurse working with TH.  Describe functions of the informatics' nurse working with TH.

 Delivery of health-related services/information via telecommunications  An expansion of telemedicine  Gives advice on prevention of diseases  Promotion of health by patient monitoring and followup  Provides nursing assessment without person- to-person contact.  Telehealth--delivery of health-related services and information via tele- communications technologies.

 Weight scale  Blood pressure monitor  Pulse oximeter  Thermometer  Spirometer  Touch screen self reporting device (communication hub/Turtle 400)

 Known as the communication hub  Organizes data  Encrypts to assure confidentiality  Has a digital readout  Installs easily in patient’s home  Transmits organized data to telehealth RN via wireless network

 ViTel Telecommunications Network, Inc. ViTel Net  E-Telehealth  Carematrix  HomMed LLC  Viterion TeleHealthcare LLC  Stryker

 Disease specific education modules  Automatically captures the medical readings from the devices  Triages abnormal readings  Trending and statistical analysis using scoring results  Minimizes patient navigational process  Health assessment questions displayed individually and accompanied with audio.

 Ease of using an application  Automatically capture medical readings from devices  Software is loaded when Turtle powered on  Ease of learning  Touch-screen buttons Menu Question Education Clear Send

 Ease of remembering interaction methods  Touch-screen  Audio  Readings entered directly from devices  User satisfaction with system use  Set up and user friendly  Efficiency of use  Patient enters yes or no questions  Provides disease specific education

 Error-free and error-forgiving interactions  Patient’s entered responses are able to be cleared  Patient’s entered responses submitted by touching send button  Records recent submission data including time and date  Confirms data sent.

 Realistic measure of vital signs  Improve timeliness of clinical decision making  Access to patient trend data  Instant identification of pertinent changes in patient’s condition  Allows chronically ill patients to be maintained in the home  Reduces unnecessary acute care costs

 Non-compliance of patient use  Fear of using new technology (patient and family)  High cost of repairing the equipment  No follow through after abnormal patient data submitted  Obtaining buy-in from nurses  Staff not educated on telehealth

Potential Legal Concerns related to Informed consent Potential security concerns Confidentiality concerns Telephone use related to patient Autonomy & privacy Internet chat vs Malpractice liability

 Education on technology  Education of installation  Communication skills while conducting visits  Computer and Turtle400 literacy

 Investigate the latest trends with the use of telehealth  Educating nurses/administration on the use of telehealth  Evaluate the effectiveness of the different hardware/software systems with telehealth

 Nursing care through distant technology is becoming more popular  Factors highlighted throughout this presentation have identified the need of this popular trend  With the cooperation of doctors and nurses working as a team along with informatics education, it is evident telehealth medicine will be a success with the future informatics healthcare system

 Express MD Solutions. (2005, December). Express MD Solutions (p. 1). Retrieved from D_data_sheet.pdf D_data_sheet.pdf  Lorentz, M. M. (April 2008). Telenursing and Home Healthcare. Home Healthcare Nurse, 26 (4),  McGonigle, D. & Mastrian, K. ( 2009). Nursing informatics and the foundation of knowledge,267. Boston: Jones & Bartlett Publishers.  Telehealth Vendors. (2005, April). Telehealth Vendors (p. 1,3). Retrieved from Toolkit/09_VENDORS/06-TelehealthVendors.pdf Toolkit/09_VENDORS/06-TelehealthVendors.pdf

 Vasquez, Monica S., RB-C. (May 2008). Down to the Fundamentals of Telehealth and Home Healthcare Nursing. Home Healthcare Nurse, 26 (5), 284.  ViTel Net. (2006). ViTelCare™ Standard and Likert Health Assessment, (¶ 1,3). Retrieved from Vital Net:  Wikipedia (2010). Telehealth,(¶1-3). Retrieved from wiki/Telehealth wiki/Telehealth