Organisational design and implementation of a telerehabilitation system in Oklahoma

Abstract

Adequate understanding of change management is essential for successful implementation of any programme. The four components of organisational change are strategy, structure, people, and processes, all of which need to be addressed for a balanced approach to change. We use this framework to discuss the implementation and sustenance of a telerehabilitation programme at a large not-for-profit healthcare organisation in Oklahoma. The article describes the process from need assessment and identification of stakeholders to the development of programme strategy, and involvement of human factors. The structure provides the building blocks for the programme, and includes the business model, economic model, and the infrastructure. The processes complement the programme structure, and include protocols, training, documentation, and outcomes measures. The article concludes with the results in terms of number of interventions, cost saved, and lessons learned.

The Patient’s Perspective of in-Home Telerehabilitation Physiotherapy Services Following Total Knee Arthroplasty

“…Consequently, in-home telehealth, including telerehabilitation programs, are becoming increasingly common as an alternative mode of service delivery. Telerehabilitation is defined as the provision of rehabilitation services at a distance using information and communication technologies [8,9,10]. …”

Tele-Rehabilitation Service from the Patient's Perspective: A Cross-Sectional Study

“…Tele-rehabilitation (TR) is a rehabilitation service provided at a distance through either audio and/or video digital media. It is communally used to address patient needs ( 1 ‐ 3 ) through diagnostic, therapeutic, preventative, counseling, and consultative services via interactive communication technology ( 4 ). TR contains several advantages, such as reduced treatment expenses, time savings, improved access, and continued care for clients with infectious diseases.…”

Ethical Issues Linked to the Development of Telerehabilitation: A Qualitative Study

“…The European Commission has therefore invited all member states to not only recognize the transformative potential of these technologies, but also to acknowledge the risks of such advances (Nordmann, 2004). It is undeniable that as e-health technologies develop, the management of rehabilitation patients will evolve.Telerehabilitation (TR) employs information and communication technologies to conduct rehabilitation actions at a distance (Kaur et al, 2004). These include evaluations, tests, interventions, and follow-up activities.…”

“…Telerehabilitation (TR) employs information and communication technologies to conduct rehabilitation actions at a distance ( Kaur et al, 2004 ). These include evaluations, tests, interventions, and follow-up activities.…”