Telehealth

List of critical success factors for telemedicine deployment – European Momentum for Mainstreaming Telemedicine Deployment in Daily Practice – 6 May 2014

Posted on July 2, 2014. Filed under: Telehealth |

List of critical success factors for telemedicine deployment – European Momentum for Mainstreaming Telemedicine Deployment in Daily Practice – 6 May 2014

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Coverage of and Payment for Telemedicine – American Medical Association – report 7 of the Council on Medical Service – 11 June 2014

Posted on June 16, 2014. Filed under: Telehealth |

Coverage of and Payment for Telemedicine – American Medical Association – report 7 of the Council on Medical Service – 11 June 2014

News release: AMA Adopts Telemedicine Policy to Improve Access to Care for Patients

“The American Medical Association (AMA) believes that the appropriate use of telemedicine to deliver care to patients could greatly improve access and quality of care, while maintaining patient safety. During its Annual Meeting today the AMA voted to approve a list of guiding principles for ensuring the appropriate coverage of and payment for telemedicine services. The principles aim to help foster innovation in the use of telemedicine, protect the patient-physician relationship and promote improved care coordination and communication with medical homes.”

… continues on the site

 

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Case Study: A Framework for Telehealth Program Evaluation – Telemedicine and eHealth 2014 April v.20 (4) 393-404

Posted on April 9, 2014. Filed under: Telehealth |

Case Study: A Framework for Telehealth Program Evaluation – Telemedicine and eHealth 2014 April v.20 (4) 393-404

“Abstract
Evaluating telehealth programs is a challenging task, yet it is the most sensible first step when embarking on a telehealth study. How can we frame and report on telehealth studies? What are the health services elements to select based on the application needs? What are the appropriate terms to use to refer to such elements? Various frameworks have been proposed in the literature to answer these questions, and each framework is defined by a set of properties covering different aspects of telehealth systems. The most common properties include application, technology, and functionality. With the proliferation of telehealth, it is important not only to understand these properties, but also to define new properties to account for a wider range of context of use and evaluation outcomes. This article presents a comprehensive framework for delivery design, implementation, and evaluation of telehealth services. We first survey existing frameworks proposed in the literature and then present our proposed comprehensive multidimensional framework for telehealth. Six key dimensions of the proposed framework include health domains, health services, delivery technologies, communication infrastructure, environment setting, and socioeconomic analysis. We define a set of example properties for each dimension. We then demonstrate how we have used our framework to evaluate telehealth programs in rural and remote Australia. A few major international studies have been also mapped to demonstrate the feasibility of the framework. The key characteristics of the framework are as follows: (a) loosely coupled and hence easy to use, (b) provides a basis for describing a wide range of telehealth programs, and (c) extensible to future developments and needs.”

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Digital health: working in partnership – Healthcare [UK] – 18 December 2013

Posted on December 20, 2013. Filed under: Health Informatics, Telehealth |

Digital health: working in partnership – Healthcare [UK] – 18 December 2013

“Many healthcare providers see that digital health offers a fresh approach to healthcare. Telecare, telehealth, mobile healthcare and similar services all offer more efficient and effective healthcare delivery with the patient or service user at the core.

This publication sets out why the UK is at the forefront of digital health. It includes case studies of how UK health providers are working in partnerships around the world to provide expertise to individual countries and healthcare systems.”

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The telework kit: making telework a success. A guide for leaders, managers and employees – Australian Dept of Communications – 2013

Posted on November 18, 2013. Filed under: Telehealth, Workforce |

The telework kit: making telework a success. A guide for leaders, managers and employees – Australian Dept of Communications – 2013

 

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A Unified Approach for the Evaluation of Telehealth Implementations in Australia – Institute for a Broadband-Enabled Society – September 2013

Posted on October 9, 2013. Filed under: Health Informatics, Telehealth | Tags: |

A Unified Approach for the Evaluation of Telehealth Implementations in Australia – Institute for a Broadband-Enabled Society – September 2013

ISBN 978 0 7340 4865 3

Extract from the executive summary:

“This paper was produced as part of a one year study, funded by the University of Melbourne
interdisciplinary seed grant. This paper will firstly provide a conceptual framework that incorporates the
key dimensions, criteria and measures that need to be considered in the evaluation of telehealth
implementations in Australia.”

 

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A National Telehealth Strategy for Australia 2013 – 2018 – The Australasian Telehalth Society – April 2013

Posted on May 7, 2013. Filed under: Health Informatics, Telehealth | Tags: |

A National Telehealth Strategy for Australia 2013 – 2018 – The Australasian Telehealth Society – April 2013

“Health systems worldwide face sustainability pressures and challenges, leading to widespread reform agendas including ‘new models of care’ and ‘enabling technologies’. Australia must deliver health care to a varied population spread from dense urban and regional settings to sparse rural or remote areas, creating access and quality differentials. With appropriate high level direction driven by a National Strategy, Telehealth can play a significant role in enabling the changes required to respond to these needs. In this discussion paper we argue that the directions to be set by a National Strategy for Telehealth should be targeted, purposeful and efficient in nature. Based on input obtained from a multi-sectoral roundtable discussion, we propose a set of key strategies and corresponding operational plan elements, which we believe can help advance the development of a full National Strategy for Telehealth in Australia.”

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Caring for the last 3%: telehealth potential and broadband implications for remote Australia – CSIRO – 26 November 2012

Posted on November 30, 2012. Filed under: Rural Remote Health, Telehealth | Tags: |

Caring for the last 3%: telehealth potential and broadband implications for remote Australia – CSIRO – 26 November 2012

Dr Sarah Dods, Ms Sarah Wood

“Australians living in rural and remote communities currently live with poorer health outcomes than those in urban areas. The current roll out of nationwide broadband connectivity brings new potential for telehealth services to these areas. While most premises will receive broadband by optical-fibe, the most remote areas will receive fixed-wireless or satellite services.

This report discusses how differences in bandwidth and latency between these types of broadband connection can have critical implications for telehealth services.”

 

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The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary – Institute of Medicine – November 2012

Posted on November 28, 2012. Filed under: Telehealth | Tags: |

The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary – Institute of Medicine – November 2012

ISBN-10: 0-309-26201-1   ISBN-13: 978-0-309-26201-9

“In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers.

Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others.

The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.”

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ADOPT Toolkit: Helping Organizations Design and Implement Health Technology – Center for Technology and Aging

Posted on October 16, 2012. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt, Health Informatics, Telehealth |

ADOPT Toolkit: Helping Organizations Design and Implement Health Technology – Center for Technology and Aging

“The Center for Technology and Aging’s ADOPT Toolkit will help you more quickly and easily design health technology-focused programs and to accelerate diffusion of proven technologies.

The tools on this website build on the Center’s broad research and real-world experience and are designed for organizations committed to using technology to dramatically improve chronic disease management.

Technologies that assist care coordination and improve the independence of older adults cover a very wide spectrum. The ADOPT Toolkit offers tools in four areas: Remote Patient Monitoring, Medication Optimization, Care Transitions, and Mobile Health.

Select a toolkit below and then a specific tool from that area’s page and you will discover practical guides, checklists, lessons learned, and other valuable resources. Tools are further organized into Workstreams that help to simplify the complex steps required to successfully deploy a technology.”

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Telehealth and telecare service for COPD in Milton Keynes gives 28% return – British Journal of Healthcare Computing – 28 June 2012

Posted on June 29, 2012. Filed under: Chronic Disease Mgmt, Telehealth |

Telehealth and telecare service for COPD in Milton Keynes gives 28% return – British Journal of Healthcare Computing – 28 June 2012

“[Milton Keynes, UK/ Implementations] –  A telehealth and telecare project implemented jointly by Milton Keynes health and social care services has resulted in improved quality of life for COPD patients, reduced hospital admissions, reduced visits to GPs and a long-term socioeconomic return of 28%.

The Milton Keynes project is part of the EU co-funded CommonWell project, which aims to overcome the communication gaps that separate health and social care service provision. Ten partners working in four member states — Milton Keynes in England, Bielefeld in Germany, Andalucia in Spain, Veldhoven in the Netherlands — co-operated to develop integrated service delivery to better support older people and those with long-term conditions.”

… continues on the site

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The impact of telehealth on use of hospital care and mortality – Nuffield Trust – 22 June 2012

Posted on June 25, 2012. Filed under: Chronic Disease Mgmt, Telehealth |

The impact of telehealth on use of hospital care and mortality – Nuffield Trust – 22 June 2012

“This report evaluates the impact of telehealth on hospital use and mortality from the Department of Health’s Whole System Demonstrator pilots – believed to be the largest ever trial of telehealth.

In an era of financial challenge, telehealth – technology designed to help people with long-term conditions maintain their independence and avoid unnecessary hospitalisation – is often cited as vital to increasing the efficiency of health care delivery. But how robust is the evidence base?

The Department of Health’s Whole System Demonstrator trial – the largest of its kind conducted to date – analysed the effects of telehealth on over 3,000 patients across three areas in England: Cornwall, Kent and Newham.

The project strand led by the Nuffield Trust considered the impact of telehealth on patients’ hospital use and mortality in the three areas. In this research summary, Senior Research Analyst Adam Steventon and Head of Research Martin Bardsley highlight the main findings, whilst offering reasons for caution against being over-optimistic about what telehealth can deliver. They also provide some suggestions as to how future studies might best be designed.”

… continues

Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial
BMJ 2012; 344 doi: 10.1136/bmj.e3874 (Published 21 June 2012)

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How trusts can make radiology reporting world class – Health Service Journal – 22 March 2012

Posted on April 23, 2012. Filed under: Radiology, Telehealth |

How trusts can make radiology reporting world class – Health Service Journal – 22 March 2012

by Charles House, Rhiannon Williams

“A new initiative could transform the way trusts manage their radiology reports and deliver substantial efficiency benefits.

It’s 2am, a time when most radiologists are tucked up in bed. As they sleep, urgent diagnostic images ping their way through a secure virtual private network from University College Hospital, in the heart of London, to Australia, where it’s lunchtime. Here they are picked up by UK-qualified consultant radiologists, reported and sent back across to London to the referring doctor.

This is an example of the NHS at its innovative best, working in a commercial partnership to improve efficiency and productivity along with the quality of care for patients. Radiology Reporting Online is a joint venture between University College London Hospitals Foundation Trust and Imaging Partners Online, a private company based in Sydney. It provides a rapid, round-the-clock reporting system that is already paying dividends.”

… continues on the site

Sollefteå and Borås hospitals. Sjunet, Sweden – radiologyconsultations between Sweden and Spain – European Commission – October 2006

“Tele radiology enables radiology departments in hospitals to connect with, and expand, the performance of their radiology services without having to employ extra locum or additional permanent radiologists. Reacting to a shortage of radiologists in Sweden, the involved hospitals implemented the analysed eHealth application, allowing regular teleconsultations for Swedish patients given by specialists in Spain.

This case study evaluates the economic impact of such services at two Swedish hospitals. Radiology nurses at Sollefteå and Borås hospitals conduct magnetic resonance imaging (MRI) examinations, and for less urgent cases the images are sent to the Telemedicine Clinic in Barcelona for analysis via the Swedish secure ICT network for healthcare, Sjunet. Borås also regularly sends a number of computed tomography (CT) images. This lowers the pressure on the radiologists in Sollefteå and Borås, and shortens the patient waiting lists. The hospitals can not only better cope with the shortage of specialists in Sweden, but are also more flexible in coping with short term peaks in demand.”

… continues on the site

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What impact does telehealth have on long-term conditions management? – King’s Fund – 15 March 2012

Posted on March 16, 2012. Filed under: Chronic Disease Mgmt, Telehealth | Tags: |

What impact does telehealth have on long-term conditions management? – King’s Fund – 15 March 2012

“Our online prezi presentation sheds light on the impact telehealth can have (positive or negative) on the management of people with long-term conditions.

To find out more about how we carried out the study and what our results show, read our review of the evidence.”

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Whole system demonstrator programme: Headline findings – Department of Health [UK] – 5 December 2011

Posted on December 9, 2011. Filed under: Chronic Disease Mgmt, Telehealth |

Whole system demonstrator programme: Headline findings – Department of Health [UK] – 5 December 2011

“The Whole System Demonstrator programme was set up by the Department of Health to show just what telehealth and telecare is capable of. To provide a clear evidence base to support important investment decisions and show how the technology supports people to live independently, take control and be responsible for their own health and care.”

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Perspectives on telehealth and telecare – The King’s Fund – 3 November 2011

Posted on November 4, 2011. Filed under: Telehealth | Tags: |

Perspectives on telehealth and telecare – The King’s Fund – 3 November 2011

Authors: Richard Giordano, Senior Lecturer, School of Health Sciences, University of Southampton and Mike Clark, Co-Project Lead, Whole System Demonstrator Action Network (WSDAN) with Nick Goodwin, Senior Fellow, The King’s Fund and Co-Project Lead, WSDAN

“This paper, the third in a series of Whole System Demonstrator Action Network (WSDAN) briefing papers, examines the experiences of the network’s 12 member sites in implementing telehealth and telecare.

It examines the challenges and barriers they faced, and the progress they made, in developing and adopting new technologies.”

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A review of telehealth in Scotland – Audit Scotland – 13 October 2011

Posted on October 18, 2011. Filed under: Telehealth |

A review of telehealth in Scotland – Audit Scotland – 13 October 2011

“The NHS in Scotland should do more to consider telehealth when introducing or redesigning services. It provides an opportunity to treat patients in new ways, and to help manage rising costs and demand.

An Audit Scotland report published today, A review of telehealth in Scotland, looks at how the health service is providing care to patients at a distance, using a range of technologies such as mobile phones, the internet, digital televisions, video-conferencing and self-monitoring equipment. This could include a consultation between a patient and a doctor being carried out at different locations using video-conferencing.

The report says NHS boards must look at new ways of delivering care, particularly as the NHS is facing growing demand. Telehealth has the potential to help deliver a range of clinical services more efficiently and effectively, and boards should be considering it when introducing or redesigning services.

Telehealth is popular with patients, doctors and nurses who have used it. Its benefits include less travel, faster diagnoses and fewer hospital admissions. However there have been limited opportunities for clinical staff to gain experience of using it, and more education and training is needed.”  … continues

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Report of the inquiry into the role and potential of the National Broadband Network – Standing Committee on Infrastructure and Communications – 29 August 2011

Posted on September 1, 2011. Filed under: Health Informatics, Telehealth |

Report of the inquiry into the role and potential of the National Broadband Network – Standing Committee on Infrastructure and Communications  – 29 August 2011

On Thursday 25 August 2011, the Standing Committee on Infrastructure and Communications tabled its report on the inquiry into the role and potential of the National Broadband Network entitled Broadening the debate.

Chapter 3 is on health

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The Impact of Telehealth and Telecare on Clients of the Transition Care Program (TCP) – May 2011

Posted on August 4, 2011. Filed under: Aged Care / Geriatrics, Health Informatics, Telehealth |

The Impact of Telehealth and Telecare on Clients of the Transition Care Program (TCP) – May 2011

Cartwright C, Wade R, Shaw K
This project was funded by the Australian Government Department of Health and Ageing

Extract from the Executive Summary

“This report outlines the findings of a randomised controlled trial of Telehealth and Telecare in the management of frail older people who are receiving post-acute care in their own homes under the Transition Care Program (TCP). Results of this study demonstrate numerous benefits to clients receiving post-acute care augmented by Telehealth and Telecare solutions. In particular, clients experienced improvements in personal wellbeing, particularly in perceptions of health, safety and future security.”

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Review of access to telecommunications by people with disability, older Australians and people experiencing illness

Posted on August 4, 2011. Filed under: Aged Care / Geriatrics, Health Informatics, Telehealth |

Review of access to telecommunications by people with disability, older Australians and people experiencing illness

The closing date for submissions is 19 August 2011.

“Background

The Australian Government is undertaking a review of the services available to help people in need of assistance to access and make the most of the telecommunication choices available to them, including the National Relay Service (NRS).

People with disability may experience difficulty in using telecommunication services, such as those provided through telephone, internet or mobile devices. For example, people who are deaf or have a hearing or speech impairment may need assistance to access telephone services.

The NRS provides such assistance through an Australia-wide telephone service. The service allows people to communicate using text and voice through a relay officer. It is provided as part of the government’s Universal Service Obligation in relation to standard telephone services.

While relay services provide vital support, new technologies—such as those enabled by the internet and smartphones—allow people in need of assistance to access telecommunications services to communicate with greater independence at an affordable cost. The rollout of the National Broadband Network will further increase telecommunication options available to Australians.

Given the increasing use of newer technologies, the government wants to consider how it can best support access to telecommunication services by people with disability in the future. With this in mind, in 2010 the Minister for Broadband, Communications and the Digital Economy announced a review of access to telecommunication services by people with disability.”

… continues

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Older Australians and the internet – July 2011

Posted on August 4, 2011. Filed under: Aged Care / Geriatrics, Health Informatics, Telehealth |

Older Australians and the internet – July 2011

“In late 2009, Sandra Haukka secured funding from the auDA Foundation to explore what older Australians who never or rarely use the Internet (referred to as ‘non-users’) know about the types of online products and services available to them, and how they might use these products and services to improve their daily life. This project aims to support current and future strategies and initiatives by:

1) exploring the extent to which non-users are aware of the types and benefits of online products and services, (such as e-shopping, e-banking, e-health, social networking, and general browsing and research) as well as their interest in them

b) identifying how the Internet can improve the daily life of older Australians

c) reviewing the effectiveness of support and services designed to educate and encourage older people to engage with the Internet

d) recommending strategies that aim to raise non-user awareness of current and emerging online products and services, and provide non-users with the skills and knowledge needed to use those products and services that they believe can improve their daily life.

The Productive Ageing Centre at National Seniors Australia, and Professor Trevor Barr from Swinburne University provided the project with in-kind support.”

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Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations – National Research Council [US] – 2011

Posted on July 25, 2011. Filed under: Chronic Disease Mgmt, Health Informatics, Telehealth |

Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations – National Research Council [US] – 2011

“Every day, in households across the country, people engage in behavior to improve their current health, recover from disease and injury, or cope with chronic, debilitating conditions. Innovative computer and information systems may help these people manage health concerns, monitor important indicators of their health, and communicate with their formal and informal caregivers. Human factors is an engineering science dedicated to understanding and improving the way people use technology and other things in the environment.

Consumer Health Information Technology in the Home introduces designers and developers to the practical realities and complexities of managing health at home. It provides guidance and human factors design considerations that will help designers and developers create consumer health IT applications that are useful resources to achieve better health.”

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Health Care Comes Home: The Human Factors – National Research Council [US] – 2011

Posted on July 20, 2011. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt, Community Services, Health Informatics, Telehealth | Tags: |

Health Care Comes Home: The Human Factors – National Research Council [US] – 2011

“Description

In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost.

Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book’s recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives.

Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.”

ISBN-10: 0-309-21236-7
ISBN-13: 978-0-309-21236-6

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Better care for people with long-term conditions: the quality and good governance of telehealth services. A report from the Good Governance Institute – July 2011

Posted on July 14, 2011. Filed under: Chronic Disease Mgmt, Telehealth | Tags: |

Better care for people with long-term conditions: the quality and good governance of telehealth services. A report from the Good Governance Institute – July 2011
Andrew Corbett-Nolan, Dr. John Bullivant, Martin Green and Michael Parker

ISBN 978-1-907610-06-6

Extract from the executive summary

“This report is about telehealth services, and our recommendations for how telehealth should be implemented.We describe how telehealth provides the potential to help health services address the main focus of the new health reforms: the known expansion in care needs for the future. It is a ‘White Paper’ in style, taking the reader through the challenges for all Western healthcare  services and then explaining the role that telehealth will have in providing a realistic means of meeting future care needs within a sustainable financial envelope; and how those implementing new services will need to think through the governance, quality and safety issues. We include a series of recommendations for those leading healthcare providers, those commissioning services and for policy makers to ensure that as telehealth rolls out across the country its potential to transform the care of patients is fully grasped.”  … continues

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Telehealth Benefits and Adoption: Connecting People and Providers Across Canada – 30 May 2011

Posted on June 30, 2011. Filed under: Telehealth |

Telehealth Benefits and Adoption: Connecting People and Providers Across Canada – 30 May 2011

Extract from the executive summary:

“The objective of the Telehealth Adoption and Benefits Study was to inform Telehealth stakeholders, including funders of Telehealth programs, health system administrators, clinicians and patients, about the evidence of value of Telehealth activities in Canada. The study focused on the quality, access, and productivity benefits being achieved by these Telehealth activities. The benefits were assessed utilizing the Canada Health Infoway (Infoway) Benefits Evaluation Framework.”

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Digital Agenda: eHealth survey shows most hospitals online but telemedicine services not fully deployed – Europa – 10 May 2011

Posted on May 20, 2011. Filed under: Health Informatics, Telehealth | Tags: |

Digital Agenda: eHealth survey shows most hospitals online but telemedicine services not fully deployed – Europa – 10 May 2011

“More than 90% of European hospitals are connected to broadband, 80% have electronic patient record systems, but only 4% of hospitals grant patients online access to their electronic records, according to the results of a survey conducted for the European Commission. European hospitals are more advanced than US hospitals in terms of external medical exchange, but they lag behind in using eHealth to view laboratory reports or radiology images. The survey provides useful data for the work of the EU eHealth Task Force on assessing the role of information and communications technologies (ICT) in health and social care, which is due to suggest ways for ICT to speed up innovation in healthcare to the benefit of patients, carers and the healthcare sector. ”  … continues on the site

For more information
The survey’s final report and related annexes are available

Digital Agenda website

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mHealth Technologies: Applications to Benefit Older Adults Draft Position Paper – Center for Techonology and Aging – March 2011

Posted on April 21, 2011. Filed under: Aged Care / Geriatrics, Telehealth | Tags: |

mHealth Technologies: Applications to Benefit Older Adults Draft Position Paper –  Center for Techonology and Aging – March 2011
Extract from the Executive Summary

“Mobile technologies are becoming ubiquitous in the U.S. and the world, changing the way we communicate, conduct commerce, and provide care and services. Certainly some of the most compelling benefits of mobile technologies are in the areas of disease prevention, chronic disease management and improving healthcare delivery. For all the advances that are occurring in mobile health, or mHealth, its full potential for one very large group of beneficiaries – older adults and the persons who support them – is only starting to emerge.”

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Andrew Lansley says telehealth will transform NHS – 6 April 2011

Posted on April 7, 2011. Filed under: Telehealth |

Andrew Lansley says telehealth will transform NHS – 6 April 2011

Health secretary says that superfast broadband should enable more tests and consultations in the home
 
SA Mathieson
Guardian Professional

“ICT-driven techniques, including telehealth, mobile computing and access to data, will enable the NHS to improve its record on quality and efficiency, according to health secretary Andrew Lansley.

Speaking at the HC2011 informatics conference in Birmingham yesterday, the day after announcing a pause in the progress of his health and social care bill, Lansley said the roll out of broadband working at or faster than 40Mbps – equivalent to a fast cable internet service – would enable the wider use of telehealth services. If 1% of consultations could take place in the home, that could save £250m annually, he said.”  … continues on the Guardian site

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Remote Patient Monitoring Technologies–A Strategic Assessment – Frost and Sullivan – 30 September 2010

Posted on March 8, 2011. Filed under: Telehealth |

Remote Patient Monitoring Technologies–A Strategic Assessment – Frost and Sullivan – 30 September 2010

Date Published: 30 Sep 2010

“The research service on Remote Patient Monitoring Technologies-A Strategic Assessment presents the readers with information on technology trends and developments alongside some recommendations in the emerging market of remote patient monitoring (RPM), which may help them understand the market dynamics pertaining to the industry. The research service also identifies key investment trends and investment opportunities areas, where an insightful analysis on return of investment is provided for key technological developments in RPM solutions.”

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The Connected Patient: Charting the Vital Signs of Remote Health Monitoring – February 2011

Posted on February 23, 2011. Filed under: Health Informatics, Telehealth |

The Connected Patient: Charting the Vital Signs of Remote Health Monitoring
Jane Sarasohn-Kahn, THINK-Health

“Remote health monitoring technologies — devices that gather a patient’s health data and relay it to a care provider — have been the subject of much study in recent years. Proponents have lauded their potential to reduce health care costs and improve patients’ quality of life, while skeptics pointed to the lack of persuasive clinical evidence supporting such claims. Meanwhile, technology vendors have begun testing the waters, launching both pilot projects and products into what they hope will prove to be a robust market.

Whether those expectations can be met remains an open question. Although numerous research projects have tested the benefits of remote health monitoring, the results continue to be mixed, at best. And difficult questions persist about who wants, who needs, and who stands to benefit from remote health applications, as well as who should bear the cost.

This report describes the range of technologies that can enable remote health monitoring, along with the evidence for and against their efficacy and the forces that are driving and impeding broader adoption. The analysis concludes that even if all the remaining issues are favorably settled, widespread use will require a fundamental shift in the way health care services are structured and paid for.”

The Connected Patient: Charting the Vital Signs of Remote Health Monitoring (1.16Mb)

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Videoconference consultants boost emergency stroke care – 16 February 2011

Posted on February 17, 2011. Filed under: Neurology, Rural Remote Health, Telehealth | Tags: |

Videoconference consultants boost emergency stroke care.  Allowing consultants to order drugs remotely is saving lives and money, according the medical lead of the NHS Stroke Improvement Programme – 16 February 2011

“Dr Damian Jenkinson said that letting groups of hospitals share stroke consultants, who use videoconferencing to examine patients and view brain scans, increases the use of clot-busting drugs.

There are too few consultants to provide round-the-clock cover at every major hospital in person, he told the Mobile and Wireless Healthcare conference in Birmingham: “We need network solutions to make this happen.”

Consultants aim to use the clot-busting drugs within three hours of a stroke taking place, as they help arrest the rapid death of brain cells caused by the condition.

Jenkinson, who is national clinical lead for the NHS Stroke Improvement Programme, said Lancashire and Cumbria had calculated that it would be able to provide the drugs to 400 patients from the 4,000 stroke admissions the area makes each year, rather than 20 as at present. In doing so it would save £2m annually, in return for one-off spending of £285,000 and annual costs of £115,000, with the savings including reduced hospital stays.”

…continues on the site

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The Role of Human Factors in Home Health Care: Workshop Summary – National Academies Press – 2010

Posted on February 11, 2011. Filed under: Community Services, Telehealth | Tags: |

The Role of Human Factors in Home Health Care: Workshop Summary – National Academies Press – 2010
ISBN-10: 0-309-15629-7
ISBN-13: 978-0-309-15629-5

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research–the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments.

To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices.

On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

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New technologies bring more independence to seniors – Alberta Health – 10 February 2011

Posted on February 11, 2011. Filed under: Chronic Disease Mgmt, Telehealth |

New technologies bring more independence to seniors – Alberta Health – 10 February 2011

“Pilot program adds to families’ and caregivers’ peace of mind

Edmonton… The Government of Alberta is working with seniors to test new technologies aimed at providing increased safety for those who live on their own.

Seniors in the Grande Prairie and Medicine Hat areas are testing 3 new technologies. Alberta Health Services (AHS) Home Care will be using wander management systems, personal emergency response programs that detect falls and alert caregivers, and medication management systems that provide reminders to help home care clients maintain their independence.

The 2-year, $1.9-million pilot project is one of the actions to provide more choice for continuing care under Becoming the Best: Alberta’s 5-Year Health Action Plan.” 

…continues on the site

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Health and Well-Being in the Home: A Global Analysis of Needs, Expectations, and Priorities for Home Health Care Technology – RAND – 2010

Posted on February 8, 2011. Filed under: Chronic Disease Mgmt, Telehealth | Tags: |

Health and Well-Being in the Home: A Global Analysis of Needs, Expectations, and Priorities for Home Health Care Technology – RAND – 2010

by Soeren Mattke, Lisa Klautzer, Tewodaj Mengistu, Jeffrey Garnett, Jianhui Hu, Helen Wu

“In both industrialized and transitioning countries, population aging and better survivability have led to a rapid increase of the prevalence of chronic disease and disability. As a result, there is growing concern about the financial sustainability of health care systems, which is compounded by capacity constraints and workforce shortages. Advanced home health care solutions promise to mitigate these pressures by shifting care from costly institutional settings to patients’ homes and allowing patients to self-manage their conditions. A global study of the needs, priorities, and expectations of key stakeholders regarding home health care in six countries (China, France, Germany, Singapore, the United Kingdom, and the United States) revealed that, despite their potential, such technologies face a number of barriers to adoption. Restrictive coverage and existing incentives for in-person home care create obstacles, as does limited patient readiness because of insufficient health literacy. Concerns about audience-appropriate product design and support and limited data on effectiveness and efficiency also impede uptake. Realizing the promise of telecare requires a concerted stakeholder effort, including creation of a conducive policy environment, design of convincing products, and development and dissemination of persuasive evidence.”

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Connecting Health Services with the Future: Modernising Medicare by Providing Rebates for Online Consultations – November 2010

Posted on February 1, 2011. Filed under: Health Economics, Telehealth | Tags: |

Connecting Health Services with the Future: Modernising Medicare by Providing Rebates for Online Consultations

The Department of Health and Ageing has released a discussion paper on proposed telehealth e-consultations to be funded under Medicare.

Medical Technology Association of Australia response to the discussion paper on telehealth

“MTAA recommends that Medicare Benefits Schedule (MBS) item numbers for telehealth include reimbursement for the assessment and monitoring of medical data collected from a patient’s home (remote patient monitoring).  MBS item numbers for telehealth should be flexible enough to cover services provided by a doctor, nurse, allied health professional or specialist. A transitional period for MBS telehealth item numbers should be considered.

MTAA welcomes any initiatives that keep patients out of hospitals and residential care facilities by enabling access to medical care in their own homes.  The provision of MBS item numbers for telehealth is the first step in this process. MTAA proposes flexible MBS item numbers for telehealth consultations which include a range of practices (e.g. video conference consultations, remote monitoring) and enable better access to healthcare and technology, for all patients, regardless of location.  “

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Remote control: The patient-practitioner relationship in a digital age – NHS Confederation – 20 January 2011

Posted on January 20, 2011. Filed under: Health Informatics, Telehealth | Tags: |

Remote control: The patient-practitioner relationship in a digital age – NHS Confederation – 20 January 2011
ISBN: 9781859471883 

“There are ambitious claims for the potential of multi-channel, remotely delivered healthcare to lead a self-service  transformation of the NHS. Currently the UK is not perceived to be at the forefront of telehealth, relying heavily on face-to-face consultations to achieve continuity of care. Success is mixed, with half of patients still feeling that they are insufficiently involved in making decisions about their health.

As an increasingly digital society changes the nature of one-to-one relationships, this report asks whether health technology will involve patients more or exclude them even further.

In considering these issues, we present evidence that illustrates how powerful everyday technology can be in disrupting the  roles and relationships of patients and practitioners. Sometimes the effects are positive, sometimes not. The real opportunity lies in elevating shared decision-making to be as important a concern for health technology as cost savings and efficiency. Where this is done, the digital future can offer patients far more opportunities to be involved in decisions about their care, while protecting face-to-face services for the people it has value for.”   …continues

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Telemedicine – Opportunities and developments in Member States – WHO Global Observatory for eHealth – 13 January 2011

Posted on January 18, 2011. Filed under: Telehealth | Tags: |

Telemedicine – Opportunities and developments in Member States – WHO – 13 January 2011

“Telemedicine can bring the eyes of a specialist to examine a critically ill patient from halfway around the globe. It bridges the distance between people and the best health care available and can be applied to a vast range of situations – from home care to specialized clinical settings. This second volume of the Global Observatory for eHealth series examines trends in the uptake of telemedicine, from the well established to newly emerging telemedicine applications. With an emphasis on the needs of developing countries, it looks to the future with an analysis of the strategic actions required to support and strengthen telemedicine in countries. The publication is targeted at telemedicine practitioners and policymakers in health and information technology, as well as health care practitioners interested in adopting telemedicine services.”

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Alvolution – website for comparing assisted living technologies

Posted on September 21, 2010. Filed under: Telehealth | Tags: , |

Alvolution is a division of MedilinkWM and is dedicated to the assisted living market. It is focused on the role of modern technology in intelligent healthcare, on supporting independent living for the elderly and those living with long-term health conditions, and on stimulating the next stage in the evolution of technological advances for home based healthcare.

At its core is the discovery, collaboration, stimulation, demonstration and promotion of high quality technological initiatives developed by manufacturers for the assisted living sector. MedilinkWM developed and runs the Alvolution Assisted Living Demonstrator house – previously known as the i-House – in West Bromwich, which in its adapted living space, brings together and showcases all electronic and digital healthcare products aimed at adding quality of life for those with disability or long term health needs, usually within the home environment, whilst simultaneously facilitating access for the healthcare professional to review these advances in situ and hands-on.”

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Telemedicine: improving the health care system through innovation – Montreal Economic Institute – 16 September 2010

Posted on September 21, 2010. Filed under: Health Economics, Telehealth |

Telemedicine: improving the health care system through innovation – Montreal Economic Institute – 16 September 2010

Economic Note on the improvement of the efficiency of Quebec’s health care system  by Nathalie Elgrably-Lévy & Germain Belzile

Publication (PDF format)

“The Quebec health care system has long been a target of criticism. Since the mid-1970s, newspapers have been reporting on staff shortages, emergency room overcrowding, challenges in finding family doctors, waiting lists that keep getting longer, and so on. Optimal use of resources is vital if we wish to reduce waiting times and provide better and faster service to patients. Technological innovations, including telemedicine, are a way of improving the efficiency of the health care system and increasing the choices offered to patients. Sadly, the current government monopoly in the health care sector eliminates most natural incentives to innovate and make optimal use of resources.”

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Telehealthcare Commissioning & Evaluation Toolkit – NHS West Midlands

Posted on September 14, 2010. Filed under: Telehealth |

Telehealthcare Commissioning & Evaluation Toolkit – NHS West Midlands

..”contains a set of resources that provide guidance, tools and links that support the crafting of business cases for telehealthcare.”

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Ontario phone health help line underutilized, Auditor General Report

Posted on December 11, 2009. Filed under: Telehealth |

Ontario health help line underutilized, Auditor General says
December 11, 2009 
Info copied from Health Edition
 
“Ontario’s telephone health service is underutilized, provincial Auditor General Jim McCarter says in his annual report. “We found that Ontario’s telephone health service logged 905,000 phone calls last year while Quebec, with just 60 per cent of our population, had two million calls,” Mr. McCarter says in a news release. “Even Alberta, which has just one-quarter of Ontario’s population, logged one million calls.” Furthermore, one-in-four callers hung up before speaking to a nurse. In other chapters of his report, Mr. McCarter maintains that the government has to do a much better job managing the money it spends for assistive devices such as wheelchairs and hearing aids, and enforcing its eligibility rules. He says the health ministry is allowing excessive price mark-ups by vendors. More information at www.auditor.on.ca
 
Specifically on Teletriage
 
Specifically on the OntarioBuys Program

Specifically on the disability support program

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Can economic evaluation in telemedicine be trusted? A systematic review of the literature – October 2009

Posted on November 3, 2009. Filed under: Telehealth |

Review : Can economic evaluation in telemedicine be trusted? A systematic review of the literature   Trine S Bergmo
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, N-9038 Tromsø, Norway in:   Cost Effectiveness and Resource Allocation 2009, 7:18   doi:10.1186/1478-7547-7-18

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Telehealth Literature Review

Posted on October 27, 2009. Filed under: Telehealth |

Telehealth Literature Review Canadian Society of Telehealth
 
Information below copied from E-watch Newsletter

 “The following review presents a snapshot of news and recent developments in telehealth over a two year period and is intended to help facilitate readers with a point of entry into areas of further interest and analysis. For those currently working in specific areas this review has been divided into major topics and discussions within telehealth and helps direct you to those individuals and organizations currently working in your areas of interest.”

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Whole Systems Demonstrators: an overview of telecare and telehealth – UK

Posted on June 23, 2009. Filed under: Telehealth |

Whole Systems Demonstrators: an overview of telecare and telehealth

This leaflet provides an overview of the Whole System Demonstrator (WSD) programme, a two year research project funded by the Department of Health to find out how technology can help people manage their own health while maintaining their independence. The WSD programme is believed to be the largest randomised control trial of telecare and telehealth in the world to date. The WSD Action Network (WSDAN) has been established to disseminate the lessons learned on the three sites and will become a source for the collected worldwide evidence on the effectiveness of Telehealth and Telecare.

Department of Health – publications

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Home Telehealth for Chronic Disease Management

Posted on April 7, 2009. Filed under: Chronic Disease Mgmt, Telehealth |

Canadian Agency for Drugs and Technologies in Health – CADTH’s health technology assessment report on home telehealth for chronic disease management examines the clinical- and cost-effectiveness of information and communication technologies for chronic disease management compared with usual care. The report also includes an environmental scan of home telehealth programs in Canada.   December 2008

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