1. www.telehealth.net.au Telehealth Tips Video conferencing without tears Presented at; RMA- ACRRM Annual Conference 2011 Dr David Allen MBBS(Hons), DPH, FAFOEM(RACP) Occupational and Environmental Physician QOH and Telehealth Solutions Australia

2. Think of VC as an addition to telephone consultation – if video fails then you always have a phone Learn basic functionality Practice, practice, practice Familiarise with features in casual use Check that the system works well a few hours before consult Get consent How to approach it

3. Have a lamp behind your monitor to illuminate you Door locked and sign outside Background behind you should be simple and appropriate – consider framed degrees or plain background Position the video image on the screen near the webcam Avoid interruptions (if possible) Housekeeping

4. Using the telephone rather than the video conference telephony (more stable) Explain to the patient the limitations of the connection - ?blame someone else Slow the visual examination down Reduce frame rate in software or system Be patient – consultation may take longer, but remember the saving in travel time Internet connection poor or variable?

5. Think of how you do the consultation examination – imagine patient is in same room behind a glass partition – how would you “examine” them? Considering PTZ cam? – adds complexity and cost Have spare/second webcam on desk to show patient/GP/RN how to position it whilst online Consider special devices later How to examine the patient

6. Auscultation with digital stethscope Ear exam with digital otoscope

8. ADSL ADSL2 Annex M Cable SHDSL 3G 4G Bandwidth considerations

9. Operating systems Processor speeds Video acceleration Hardware issues

10. david.allen@telehealth.net.au 02 98977699 Questions