A Case Study of Benefits &amp; Potential Savings in Rural Home Telemedicine

Dimmick, Susan L; Mustaleski, Carole; Burgiss, S. G.; Welsh, Teresa S.

doi:10.1097/00004045-200002000-00013

Cited by 48 publications

(29 citation statements)

References 10 publications

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“…Seven studies, reported in 10 articles, challenge these assumptions. 3,10,11,[19][20][21] Jenkins and McSweeney 3 and Johnson-Mekota et al 10 reported that more of their patients were satisfied with the telehealth consultation than with the in-person consultation. However, patients felt they better understood their condition when they saw the nurse in person.…”

Section: Effects On Older Adult Patientsmentioning

confidence: 99%

“…Nurses reported that using telehomecare technology added dimensions to caring by creating new types of bonds with patients, and that patients who received telehomecare were more focused and more comfortable managing their diseases. 20 Nurses also reported it was useful for monitoring vital signs, saved time and money, increased productivity, 11 and gave them to ability to provide better care to patients. 10 However, nurses noted that the complexity of technology can be frustrating and anxiety provoking.…”

Section: Effects On Providersmentioning

confidence: 99%

“…Increased convenience and privacy are selling points. 11 However, patients do not want to lose in-person contact completely, 3,10 so a combination of telehomecare and in-person visits seems best.…”

Section: Applying the Evidence To Optimize Carementioning

confidence: 99%

“…9 , 10 One small study reported using telehomecare for managing HF, wounds, and chronic obstructive pulmonary disease (COPD), and expanded its use to cancer and stroke patients. 11 The earliest studies examined the feasibility of telehomecare with mixed results. Whitten et al12 studied 31 patients' perceptions of telehomecare technology that included an interactive video system.…”

Section: Introductionmentioning

confidence: 99%

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Applying Research Evidence to Optimize Telehomecare

Bowles

Baugh

2007

The Journal of Cardiovascular Nursing

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Telemedicine is the use of technology to provide healthcare over a distance. Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. Most home care agencies are adopting telehomecare to assist with the care of the growing population of chronically ill adults. This article presents a summary and critique of the published empirical evidence about the effects of telehomecare on older adult patients with chronic illness. The knowledge gained will be applied in a discussion regarding telehomecare optimization and areas for future research. The referenced literature in PubMed, MEDLINE, CDSR, ACP Journal Club, DARE, CCTR, and CINAHL databases was searched for the years 1995-2005 using the keywords "telehomecare" and "telemedicine," and limited to primary research and studies in English. Approximately 40 articles were reviewed. Articles were selected if telehealth technology with peripheral medical devices was used to deliver home care for adult patients with chronic illness. Studies where the intervention consisted of only telephone calls or did not involve video or in-person nurse contact in the home were excluded. Nineteen studies described the effects of telehomecare on adult patients, chronic illness outcomes, providers, and costs of care. Patients and providers were accepting of the technology and it appears to have positive effects on chronic illness outcomes such as selfmanagement, rehospitalizations, and length of stay. Overall, due to savings from healthcare utilization and travel, telehomecare appears to reduce healthcare costs. Generally, studies have small sample sizes with diverse types and doses of telehomecare intervention for a select few chronic illnesses; most commonly heart failure. Very few published studies have explored the cost or quality implications since the change in home care reimbursement to prospective payment. Further research is needed to clarify how telehomecare can be used to maximize its benefits among diverse adult chronic illness populations. Keywords home care; telecommunications; telemedicineTelemedicine is defined as the use of technology to provide healthcare over a distance. 1 Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. 2 As noted in other articles in this issue, typical equipment can include a telephone line; simplified, regular computer, or wireless devices; videocamera; and physiologic monitoring equipment such as a blood glucose monitor, stethoscope, blood

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Section: Effects On Older Adult Patientsmentioning

confidence: 99%

Section: Effects On Providersmentioning

confidence: 99%

Section: Applying the Evidence To Optimize Carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Applying Research Evidence to Optimize Telehomecare

Bowles

Baugh

2007

The Journal of Cardiovascular Nursing

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“…Telehealth encompasses videoconferencing, transmission of still images, e-health, remote monitoring, nursing call centers, use of electronic health records, and continuing health care professional education. The use of telehealth technologies would be especially useful in rural areas, where limited numbers of clinical practice areas exist, travel to and from these locations is problematic.Benefits of the use of telehealth approaches include increased access to care and more efficient use of resources (Dimmick, Mustaleski, Burgiss, & Welsh, 2000;Peck, 2005). Increased availability of telehealth technology can assist patients to achieve better management of their ailments thus improving self-efficacy.…”

mentioning

confidence: 99%

Nursing Telehealth Applications Initiative

Grady¹,

Getsy²

2011

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Washington Headquarters Service, Directorate for Information Operations and Reports. 1215 Jefferson Davis Highway. Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington, DC 20503. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY)1/21/11 REPORT TYPE Final Technical Report AUTHOR(S)Grady, Janet L. Getsy, A. Jane 5d. PROJECT NUMBER 5c. TASK NUMBER 5f. WORK UNIT NUMBER PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)Mount Aloysius College NTAI 7373 Admiral Peary Highway Cresson, PA 16630 Deliverables associated with this project included development and testing of a Cyber Clinical Environment (CCE), encompassing leading-edge telehealth and information technologies for application in civilian and military training settings, outcome analysis of experiments to evaluate the impact of simulator-based education, and evaluation of the effectiveness of technology-delivered reinforcement methods following Diabetes Self-Management Education (DSME) programs. Studies conducted at Mt Aloysius College, Marquette University, and the USUHS Graduate School of Nursing showed that the use of telehealth tools to teach health assessment skills -even to relatively seasoned clinicians -is very useful. Within the GSN, results have led to similar instructional sessions during the 2nd year of the program. A number of simulation studies supported that the advantages of training with a high-fidelity mannequin are more significant for training complex skills rather than basic ones. Another study found that technology-delivered reinforcement following formal self-management education programs seems to require a more tailored and dynamically responsive process that may need to be offered daily rather than weekly or bimonthly. Using telehealth kiosks in community settings, exposure to and use of the telemedicine equipment by senior citizens increased the participants' feelings of self efficacy. The increase in self efficacy observed in this study parallels results observed in an earlier NTAI study of heart failure patients. Overall, this project was successful in outlining best practices in the use of telehealth technologies for training nurses and allied health professionals as well as for application in community-based health promotion and disease prevention programs. PERFORMING ORGANIZATION REPORT NUMBER SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES)Henry Standard Form 298 (Rev. 8-98)Prescribed by ANSI-Std Z39-18 Development and testing/research of a Cyber Clinical Environment (CCE), encompassing leading-edge ...

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Telemedicine: Innovation Has Outpaced Policy

Rheuban

Shanahan²,

Willson³

2014

AMA Journal of Ethics

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Digital-age technology offers great promise for improving access to and quality of health care via transformational care delivery mechanisms. Demand for innovative solutions has been driven by an aging population, high rates of chronic illness, geographic and sociodemographic disparities in access to care, and increasing numbers of insured Americans seeking care in the face of health professional workforce shortages; the AAMC recently projected an estimated shortage of 46,000 primary care clinicians and 45,000 specialists by 2020 [1]. Telemedicine or "connected care," facilitated by a range of digital technologies and broadband communications services, can help address many of the above challenges.

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A Case Study of Benefits & Potential Savings in Rural Home Telemedicine

Cited by 48 publications

References 10 publications

Applying Research Evidence to Optimize Telehomecare

Applying Research Evidence to Optimize Telehomecare

Nursing Telehealth Applications Initiative

Telemedicine: Innovation Has Outpaced Policy

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