Describe Telehealth
 Describe and evaluate the hardware
and software used in Telehealth
 Assess the usability of Telehealth


Tele = distant, from a distance

Telehealth = health care that is given
over a distance
(McGonigle and Mastrian, 2009)

Store and forward


Real-time
Remote monitoring

Teletriage
(Brown, 2005) (Vasquez, 2008)
(McGonigle and Mastrian, 2009)
Client
Nurse
Provider
 Stethoscope
 Sphygmomanometer
 Scale
 Glucometer
 Camera
 Floor Lamp
 Thermometers
(Lillibridge and Hanna, 2009)

Trending

Triage

Communication

Data Access and Information Sharing
(McGonigle and Mastrian, 2009)

Videoconferencing
AV In
Telecomm
Codec
AV Out
(Elford, n.d.)
1)
User Centered Design
2)
Iterative Design Process
3)
Formal Evaluation Process
(Staggers, 2003)





Clinical Information System
Used by patients and all healthcare
providers
Eight essential functions
Thin-Client Configuration/LAN
Health level 7, ANSI, TCP/IP
(Epic Systems Corporation , 2009) (McGonigle and
Mastrian, 2009) (Smith, 2001)

Clinical
› Real Environment
Data
› Timeliness
› Reduced
hospitalization
› Increased patient
involvement

Economic
› Reduced Cost
› Increase in patients
independence &
quality of life
(McGonigle and Mastrian, 2009)
Buy-in from nurses
 Reimbursement
 Potential fraud and abuse
 Privacy


Licensure

Accountability

Privacy
Technical Skills
 Application of the Knowledge Model

“Telehealth is a rapidly developing
model of health service delivery in
which nurses can expect to play a key
role. Many telecommunications-ready
tools to assist nurses in delivering this
care are already available and their
effectiveness in maintaining and
improving patients health outcomes is
well documented.”
(McGonigle and Mastrian, 2009, pg. 307)
Brown, Nancy (2005). Telemedicine Coming of Age:.
Retrieved June 1, 2009, from AnestaWeb Web site:
http://www.telemedicineprograms.com/
Epic Systems Corporation (2009). Epic: You Can Have
it All or Choose What Fits. Retrieved July 19, 2009
from http://www.epicsystems.com/softwareindex.php
Elford, R. (n.d.). Telehealth in the Developing World.
Retrieved June 26, 2009 from Digital Telehealth
Incorporated website:
http://www.telehealth.ca/downloads/TelehealthD
evelopingWorld.doc
Lillibridge, J., & Hanna, B. (2009). Using telehealth to
deliver nursing case management services to
HIV/AIDS clients. Online Journal of Issues in
Nursing, 14(1), 9-9. Retrieved June 26, 2009, from
CINAHL database.
McGonigle, D, & Mastrian, K (2009). Nursing
Informatics and the Foundation of Knowledge.
Sudbury: Jones and Bartlett Publishers.
Staggers, N. (2003, August). Imperative Concepts
for Information Systems in Critical Care. Human
Factors, 14(3), 310-319.
Smith, R. (2001, December). Building an
Enterprise-wide EMR. Imaging Economics.
Retrieved July 19, 2009, from
http://www.imagingeconomics.com/issues/
articles/2001-12_12.asp
Swann, J. (2007, November). Telecare: looking
to the future. International Journal of Therapy
& Rehabilitation, 14(11), 512-517. Retrieved
June 26, 2009, from CINAHL database.
Vasquez, Monica (2008 May). Down to the
Fundamentals of Telehealth and Home Healthcare
Nursing . Home Healthcare Nurse, 26:5, Retrieved
June 1, 2009, from
http://www.nursingcenter.com/prodev/ce_article.
asp?tid=792353