Technology Assessment is Critical to People Safety

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1 Why It Matters, How To Do It, and Who Can Help Garret Spargo Jenevra Foisy, RN Chris Patricoski, MD

2 I can t teach you everything you need to know about technology assessment in 30 minutes. 2

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11 After all, technology assessment takes more time and money. Aren t the devices pretty much all the same? Isn t the most expensive one the best?

12 After all, technology assessment takes more time and money. Aren t the devices pretty much all the same? Isn t the most expensive one the best?

13 Technology assessment is critical to allow providers and programs to keep up with needs, expectations, and the market. Reduce risk

14 The cost of finding a defect in planning. 1 The cost of finding a defect in development. 10 The cost of finding a defect in quality assurance. 100

15 The cost of finding a defect in planning. 1 The cost of finding a defect before testing. 10 The cost of finding a defect after testing. 100

16 The cost of finding a defect after deployment. 1000

17 Providers lose faith in the technology Technology is seen as an obstacle to providing care Future projects may have reduced buy-in 17

18 They are your advocates and supporters Don t make their job harder Even they have limits Select equipment that non-champions can use

19 Select the right people at the right time Consider a larger group for initial requirement gathering Use a smaller group for the actual assessment process 3-5 people is a good balance of varied opinions and manageable review meetings

20 Establish a shared understanding Clinicians, technicians, and administrators may use the same words but with different meanings Define the terms, the process, and how the assessment will be performed A terminology primer may be useful at the start

21 A Process Overview: Establish Requirements Review the Market Procure the Devices Plan the Tests Test the Plan Select a Device Deploy and Support

22 Establish Requirements: Gather as many points of view as possible Create shared meaning around the requirements Think through a variety of requirement types: Functionality Portability Interoperability Usability Data Integrity

23 Review the Market: Use online resources Google, Bing, Amazon, etc Phone a friend TRCs, OAT Grantees, Talk to organizations that have existing programs Contact the manufacturers and vendors

24 Procure the Devices: Manufacturer and vendors can be incredibly useful Loaners are great! Buy and borrow what you need Keep it all organized Try to get the devices in at the same time

25 Plan the Test: Quantify your requirements Develop methods to test against the requirements Planning and testing can be iterative

26 Test the Plan: Test independently or together Independent tests can prevent group think Collaboration can foster discussions Document EVERYTHING Be consistent Update test if needed d

27 Select a Device: Get the reviewers together Discuss the scores clarify discrepancies Consider bringing in the initial requirements team Be prepared for a second review of top performers Make a decision and share your results

28 Deploy and Support: Device Staging Configurations Spares Warranties Customer Support Troubleshooting Training Replacing Equipment

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30 Take advantage of others experiences and knowledge OAT Listserv Telehealth Resource Centers Telehealth Technology Assessment Center American Telemedicine Association Other Organizations

31 Telehealth Technology Assessment Center Supports the work of the TRCs Focuses specifically on technology issues Creates toolkits on technology assessment Produces webinars on technology-related topics Here to support the OAT grantees

32 Educational content on the website How the technology works Market reviews Sample images and data Feature comparisons Description of how we test the devices

33 Educational content on the website Point-and-Shoot Digital Cameras Desktop Videoconferencing Software Patient Exam Cameras Electronic Stethoscopes Technology Assessment 101 Video Otoscopes Home Health (2011) Videoconferencing Endpoints (2011) Videoconferencing Bridges (2011)

34 Technology assessment is incredibly important Technology assessment is a process and a skill There are plenty of people here who can help 34

35 For additional a information, o please visit our website e at or info@telehealthtac.org Garret Spargo gspargo@anthc.org (907) Jenevra Foisy jmfoisy@anthc.org (907)

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