 TGTG The Future of Health Care In A Networked World Jay H. Sanders, MD

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Telemedicine What’s In A Name?

 TGTG What Is It? Is defined by what it does not Who Does It or What Does It or Where it is Done or When it is Done

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What Is A Store and Forward Consultation?

 TGTG The Portfolio of Point-Of-Care Access Technologies Phone Fax VTC IP PACs PDA/MDA/Video Phone Multi-Media Platforms Sensors Cyberfiles Robotics

 TGTG The Portfolio of Telemedicine Applications Rural/Urban/Global Education Corrections Military Maritime Public Health EMS ICU Space Home/Worksite

 TGTG We Must Bring The Examination Room To the Patient!

 TGTG IF “Home is where the heart is…” THEN

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We Must Migrate From A System Based On Episodic Or Periodic Evaluation To One That Provides Continuous Assessment!

 TGTG We Must Bring The Office To The Practitioner!

 TGTG We Must Bring The Collective Expertise Of The Practitioner To The Patient’s Bedside!

 TGTG It May Be Data But Is It Knowledge?

 TGTG The Name Game… Telematics

 TGTG We Must Encourage/Expect/Require Patients To Be Their Own Primary Care Provider!

 TGTG Food Doesn’t Cause Obesity, People Do!

 TGTG We Must Explore Unique Health Care Environments

 TGTG Corporate Health

 TGTG Homeland Security: Intellectual Naiveté Or Societal Opportunity

 TGTG We Must Learn From and Collaborate With Other Service Industries

 TGTG Never Underestimate One Of The Most Powerful Of Human Instincts…

 TGTG Resistance To Change

 TGTG “That it will ever come into general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit of trouble, both to the patient and to the practitioner because its hue and character are foreign and opposed to all our habits and associations” The London Times, 1834

 TGTG The subject:

 TGTG “This ‘telephone’ has too many shortcomings to be seriously considered as a means of communications. The device is inherently of no use to us.” Western Union internal memo, 1876

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Do not go where the path may lead. Go instead where there is no path, And make a trail Ralph Waldo Emerson

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