1. Cebu Normal University College of Nursing - Graduate Studies Clinical Nursing Information System A report by Carmenila S. Inso, RN Submitted to Domino B. Puson, RN MN

2. Health problems: diabetes chronic heart failure COPD depression or PTSD

3. Older patients: difficult for them to remain living independently in their own home necessary for them to go into a nursing home where their symptoms and vital signs can be checked frequently.

4. Home Telehealth can connect a patient to a hospital from home using regular telephone lines Home Telehealth can help patients to remain at home and live independently.

5. Telehealth Advancement Act of 2011 in Section 2290.5 of the California Business and Professions Code Telehealth The mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care while the patient is at the originating site and the health care provider is at a distant site.

6. Telehealth facilitates patient self-management and caregiver support for patients.

7. Home Telehealth service that gives the clinician the ability to monitor and measure patient health data and information over geographical, social, and cultural distances.

8. This monitoring includes use of both video and non-video technologies.

9. Application of these technologies allows for: *increased access to health services *improved disease management *improved self-care management and earlier *proactive interventions for positive outcomes

10. Technologies utilized include: Store & Forward Video messaging Remote monitoring

11. ECG, Pulse oximetry vital signs stethoscope weight glucose

12. Home telehealth technologies can support: post-discharge home health chronic care management

13. Home telehealth technologies can support: Schools skilled nursing facilities sub-acute care senior living facilities

14. Home telehealth & remote monitoring technologies can provide: education monitoring patient self-directed care

15. Home telehealth & remote monitoring technologies can provide: ability for individuals to have more effective access to health care

16. How Telehealth Works Helping to improve clinical outcomes and reduced acute care hospitalizations Patient at Home Takes vital signs and customized surveys with monitoring devices.

17. Secure Data Infrastructure With specialized algorithms, data server processes clinical data into manageable information with bi-directional data communication with electronic health records (EHR).

18. Multi-Disciplinary Care Team

19. Telehealth Nurse

21. Home telehealth Flow 1. A physician prescribes telehealth and refers the patient to a home health agency.

22. Home telehealth Flow 2. The agency installs the telehealth equipment and trains the patient on its proper use.

23. Home telehealth Flow 3. The patient takes their vital signs and answers personalized, clinician-directed surveys.

24. 4. Results are automatically sent to a website via a landline or cellular signal. Home telehealth Flow

25. 5. The agency's telemonitoring nurse monitors the patient daily and alerts the patient and care team when results fall outside pre-defined limits. Home telehealth Flow

26. 6. Physicians receive trending reports from the home health agency Home telehealth Flow or they can access patient information through a secure web portal.

27. Home Telehealth Advantages improves their health increases peace of mind provides a means to age in place lower healthcare costs

28. References Berger, B et. al. (2012). Home Telehealth in California. Retrieved from: http://www.tabsafe.com/Docs/AgeTech_CA_Home_Telehealth.pdf Duckett, K. (2012). Home Telehealth & Remote Monitoring SIG. Retrieved from: http://www.americantelemed.org/members/ata- member-groups/special-interest-groups/home-telehealth-remote- monitoring Koninklijke Philips Electronics. (2012). How Telehealth Works. Retrieved from: http://www.telehealth.philips.com/how_telehealth_works.html U.S. Department of Veterans Affairs. (2014). Home Telehealth. Retrieved from: http://www.telehealth.va.gov/ccht/ http://www.tabsafe.com/Docs/AgeTech_CA_Home_Telehealth.pdfhttp://www.americantelemed.org/members/ata- member-groups/special-interest-groups/home-telehealth-remote- monitoringhttp://www.telehealth.philips.com/how_telehealth_works.htmlhttp://www.telehealth.va.gov/ccht/

29. Acknowledgement God Almighty Inso Family Mr. Domino Puson, RN MN Ms. Stella Marie Tandoc, RN Microsoft Office Present.me Windows 8 Samsung Edmodo Philips Google

30. THANK YOU!

31. Cebu Normal University College of Nursing - Graduate Studies Clinical Nursing Information System A report by Carmenila S. Inso, RN Submitted to Domino B. Puson, RN MN