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Telehealth: Reaching Out to Patients and Providers

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Nursing Informatics

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Abstract

The integration of telehealth modalities into clinical, research and education systems is an evolving area of health informatics. While many of these technology concepts are not novel, their applications in today’s healthcare ecosystem provide the opportunity for the development of high-quality, secure interactions to better support patients, caregivers and their providers. Important regulatory, professional and legislative guidelines have been established to guide the development of technologies and practices across various practice settings, geographic areas and patient populations. This chapter explores telehealth applications and innovations related to service development specific to the integration of telehealth into health informatics systems and in partnership with broader healthcare teams.

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References

  1. What is telehealth? | HHS.gov [Internet]. Health Resources and Services Administration (HRSA). 2020 [cited 2020 Jul 17]. Available from: https://www.hhs.gov/hipaa/for-professionals/faq/3015/what-is-telehealth/index.html

  2. Telehealth Basics–ATA [Internet]. American Telemedicine Association. 2020 [cited 2020 Jul 17]. Available from: https://www.americantelemed.org/resource/why-telemedicine/

  3. Burke BL, Hall RW. Telemedicine: Pediatric Applications. 2015; Available from: www.pediatrics.org/cgi/doi/10.1542/peds.2015-1517

  4. Our Story | Project ECHO [Internet]. The University of New Mexico School of Medicine. 2020 [cited 2020 Jul 17]. Available from: https://echo.unm.edu/about-echo/#:~:text=Project ECHO (Extension for Community,people%2C right where they live.

  5. Novak M. Telemedicine Predicted in 1925. Smithsonian.com [Internet]. 2012 [cited 2020 Jul 17];1905. Available from: https://www.smithsonianmag.com/history/telemedicine-predicted-in-1925-124140942/

  6. Field M. Evolution and current applications of telemedicine. In: Telemedicine: a guide to assessing telecommunications for health care [Internet]. National Academies Press (US); 1996 [cited 2020 Jul 17]. p. 34–54. Available from: https://www.ncbi.nlm.nih.gov/books/NBK45445/

  7. Bird KT. Cardiopulmonary frontiers: quality health care via interactive television [Internet]. Vol. 61, Chest. Elsevier; 1972 [cited 2020 Jul 17]. p. 204–5. Available from: http://journal.chestnet.org/article/S001236921535892X/fulltext

  8. Center for Connected Health Policy. Home Page | CCHP Website [Internet] [cited 2020 Jul 17]. Available from: https://www.cchpca.org/

  9. Bauerly BC, McCord RF, Hulkower R, Pepin D. Broadband access as a public health issue: the role of law in expanding broadband access and connecting underserved communities for better health outcomes. J Law Med Ethics [Internet]. 2019 Jun 1;47(2_suppl):39–42. https://doi.org/10.1177/1073110519857314.

  10. King K, Ford D, Haschker M, Harvey J, Kruis R, McElligott J. Clinical and technical considerations of an open access telehealth network in South Carolina: definition and deployment. J Med Internet Res. 2020;22(5):e17348. Available from: https://www.jmir.org/2020/5/e17348/

    Article  Google Scholar 

  11. Drake C, Zhang Y, Chaiyachati KH, Polsky D. The limitations of poor broadband internet access for telemedicine use in rural america: An observational study. Ann Intern Med. American College of Physicians. 2019;171:382–4.

    Google Scholar 

  12. Koumpouros Y, Georgoulas A. A systematic review of mHealth funded R&D activities in EU: trends, technologies and obstacles. Informatics Heal Soc Care. 2020;45(2):168–87. Available from: https://www.tandfonline.com/doi/full/10.1080/17538157.2019.1656208

  13. Struminger BB, Arora S. Leveraging telehealth to improve health care access in rural america: it takes more than bandwidth. Ann Intern Med. American College of Physicians. 2019;171:376–7.

    Google Scholar 

  14. Davis J. Must-have telehealth, remote work privacy and security for COVID-19. Helath IT Security Cloud News [Internet]. 2020; [cited 2020 Jul 17]; Available from: https://healthitsecurity.com/news/must-have-telehealth-remote-work-privacy-and-security-for-covid-19

  15. Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (2008; 110th Congress H.R. 6353) [Internet]. GovTrack.us. 2008 [cited 2020 Jul 17]. Available from: https://www.govtrack.us/congress/bills/110/hr6353/text

  16. Congressional Research. The special registration for telemedicine: in brief. Washington, D.C; 2018.

    Google Scholar 

  17. U.S. Department of Justice Drug Enforcement Agency. COVID-19 Information Page [Internet]. usdoj.gov. 2020 [cited 2020 Jul 17]. Available from: https://www.deadiversion.usdoj.gov/coronavirus.html

  18. Center for Connected Health Policy. Telehealth and Medicare [Internet] [cited 2020 Jul 17]. Available from: https://www.cchpca.org/telehealth-policy/telehealth-and-medicare

  19. Health Information Technoloy [Internet]. Center for Connected Health Policy. 2020 [cited 2019 Mar 4]. Available from: https://www.cchpca.org/telehealth-policy/health-information-technology

  20. Center for Connected Health Policy. Telehealth Medicaid and State Policy [Internet]. 2020 [cited 2020 Jul 17]. Available from: https://www.cchpca.org/telehealth-policy/telehealth-medicaid-and-state-policy

  21. Center for Connected Health Policy. State Laws and Reimbursement Policies [Internet]. Public Health Institute. 2016 [cited 2020 Jul 17]. Available from: https://www.cchpca.org/telehealth-policy/current-state-laws-and-reimbursement-policies

  22. Garber KM, Chike-Harris KE. Nurse practitioners and virtual care: a 50-state review of APRN telehealth law and policy. Telehealth Med Today. 2019 Jun;28:4.

    Google Scholar 

  23. Council of State Boards of Nursing N. NCSBN’s environmental scan a portrait of nursing and healthcare in 2020 and beyond. J Nurs Regul. 2020;10(4):S1–35. Available from: www.journalofnursingregulation.com

    Article  Google Scholar 

  24. Gogia S. Fundamentals of telemedicine and telehealth. Fundamentals of Telemedicine and Telehealth Elsevier. 2019:1–412.

    Google Scholar 

  25. Edelman PM and JK. Global Digital Health Index [Internet]. 2019. Available from: https://www.digitalhealthindex.org/stateofdigitalhealth19

  26. WHO. Global diffusion of eHealth: Making universal health coverage achievable [Internet]. Report of the third global survey on eHealth Global Observatory for eHealth. 2016. Available from: http://apps.who.int/bookorders.

  27. Lurie N, Carr BG. The role of telehealth in the medical response to disasters. JAMA Intern Med. 2018;178(6):745. Available from: http://archinte.jamanetwork.com/article.aspx?doi=10.1001/jamainternmed.2018.1314

  28. Centers for Medicare and Medicaid Services. Telehealth General Inforamtion [Internet] [cited 2020 Jul 17]. Available from: https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth

  29. American Academy of Family Physicians. Population Health [Internet] [cited 2020 Jul 17]. Available from: https://www.aafp.org/about/policies/all/population-health.html

  30. Morris S. How telemedicine is transforming healthcare [Internet]. HealthTechZone. 2019 [cited 2020 Jul 17]. Available from: https://www.healthtechzone.com/topics/healthcare/articles/2019/06/28/442557-how-telemedicine-changing-healthcare.htm

  31. Hah H, Goldin D. Exploring care providers’ perceptions and current use of telehealth technology at work, in daily life, and in education: qualitative and quantitative study. J Med Internet Res. 2019;21(4):e13350. Available from: https://mededu.jmir.org/2019/1/e13350/

    Google Scholar 

  32. Noah B, Keller MS, Mosadeghi S, Stein L, Johl S, Delshad S, et al. Impact of remote patient monitoring on clinical outcomes: An updated meta-analysis of randomized controlled trials. npj Digit Med. 2018 Dec 15;1(1):1–12. https://doi.org/10.1038/s41746-018-0027-3.

    Article  Google Scholar 

  33. Ellimoottil C, An L, Moyer M, Sossong S, Hollander JE. Challenges and opportunities faced by large health systems implementing telehealth. Health Aff. 2018;37(12):1955–9. https://doi.org/10.1377/hlthaff.2018.05099.

    Article  Google Scholar 

  34. Von Feldt K. Physician burnout: is telehealth the cure? iSalus Healthcare. 2019; Available from: https://isalushealthcare.com/blog/physician-burnout-is-telehealth-the-cure/

  35. National Academies of sciences, engineering and MNA of MC on SA to IPC by SCW-B. taking action against clinician burnout: a systems approach to professional Well-being. Taking Action Against Clinician Burnout National Academies Press; 2019. 334 p.

    Google Scholar 

  36. Michael D. Where millennials end and generation Z begins | pew research center. Pew Res Cent. 2019;17:1–7. Available from: https://www.pewresearch.org/fact-tank/2019/01/17/where-millennials-end-and-generation-z-begins/

    Google Scholar 

  37. 6 Key Statistics About Millennials and Telemedicine [Internet]. Media Logic 2017 [cited 2020 Jul 17]. Available from: https://www.medialogic.com/blog/healthcare-marketing/6-key-statistics-millennials-telemedicine/

  38. Pew Research Center. Demographics of Mobile Device Ownership and Adoption in the United States [Internet]. Pew Research Center 2019. [cited 2020 Jul 17]. Available from: https://www.pewresearch.org/internet/fact-sheet/mobile/

  39. Shigekawa E, Fix M, Corbett G, Roby DH, Coffman J. The current state of telehealth evidence: a rapid review. Health Aff. 2018 Dec 3;37(12):1975–82. https://doi.org/10.1377/hlthaff.2018.05132.

    Article  Google Scholar 

  40. Chike-Harris KE, Durham C, Logan A, Smith G, DuBose-Morris R. Integration of telehealth education into the health care provider curriculum: a review. Telemed e-Health. 2020 Apr 3;27(2):137–49. https://doi.org/10.1089/tmj.2019.0261.

    Article  Google Scholar 

  41. van Galen LS, Wang CJ, Nanayakkara PWB, Paranjape K, Kramer MHH, Car J. Telehealth requires expansion of physicians’ communication competencies training. Med Teach. 2019 Jun 3;41(6):714–5. https://doi.org/10.1080/0142159X.2018.1481284.

    Article  PubMed  Google Scholar 

  42. Pourmand A, Ghassemi M, Sumon K, Amini SB, Hood C, Sikka N. Lack of telemedicine training in academic medicine: are we preparing the next generation? Telemed e-Health. 2020; Apr 15

    Google Scholar 

  43. Kirkland EB, DuBose-Morris R, Duckett A. Telehealth for the internal medicine resident: a 3-year longitudinal curriculum. J Telemed Telecare. 2019;27(9):599–605. https://doi.org/10.1177/1357633X19896683.

    Article  PubMed  Google Scholar 

  44. Telehealth Implementation Playbook [Internet] 2020. Available from: https://www.ama-assn.org/system/files/2020-04/ama-telehealth-playbook.pdf

  45. 2020 Midyear Digital Health Market Update: Unprecedented funding in an unprecedented time [Internet]. Rock Health. 2020 [cited 2020 Jul 17]. Available from: https://rockhealth.com/reports/2020-midyear-digital-health-market-update-unprecedented-funding-in-an-unprecedented-time/

  46. AiT Staff Writer. AI In Telemedicine: Augmenting Healthcare Services in 2020 [Internet]. AiThority. 2020 [cited 2020 Jul 26]. Available from: https://aithority.com/ait-featured-posts/ai-in-telemedicine/#:~:text=AI in telemedicine is disrupting, develop new remote healthcare models.

  47. Borole D. The Future of Telemedicine with the Rise of Artificial Intelligence [Internet]. DataFloq. 2019 [cited 2020 Jul 26]. Available from: https://datafloq.com/read/future-telemedicine-rise-artificial-intelligence/6744

  48. Garber KM, Chike-Harris KE. Nurse practitioners and virtual care: a 50-state review of APRN telehealth law and policy. Telehealth Med Today. 2019 Jun 28;4. Available from: https://telehealthandmedicinetoday.com/index.php/journal/article/view/136/177

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Correspondence to Ragan DuBose-Morris .

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Appendix: Answers to Review Questions

Appendix: Answers to Review Questions

  1. 1.

    What is the definition of telemedicine?

    While the terms telehealth and telemedicine have been used interchangeably, the definition of telemedicine is related to providing health care at a distance whereas telehealth may not may not include actual health care.

  2. 2.

    What telehealth modality involves the use of electronic devices to monitor patients at a distance?

    Remote patient monitoring is the use of electronic collection devices which are used to assess a patient’s information, such as weight, heart rate, blood pressure or blood glucose, by a distant provider.

  3. 3.

    Which statement is true regarding the use of telehealth across state lines?

    In order to provide care across state lines using telemedicine, a provider must be licensed both in the state where he is located and in the state where the patient is located.

  4. 4.

    What are the four phases of disaster management?

    Mitigation, preparation, response and recovery are the four phases or disaster management that should be used.

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DuBose-Morris, R., Chike-Harris, K.E., Garber, K., Shimek, A.M., Stroud, K. (2022). Telehealth: Reaching Out to Patients and Providers. In: Hübner, U.H., Mustata Wilson, G., Morawski, T.S., Ball, M.J. (eds) Nursing Informatics . Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-91237-6_22

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  • DOI: https://doi.org/10.1007/978-3-030-91237-6_22

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