Telehealth: the greatest advancement for SCI Veterans since the invention of the Power Wheelchair!!!!!!

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1 Telehealth: the greatest advancement for SCI Veterans since the invention of the Power Wheelchair!!!!!! Richard Strozewski SCI/D Telehealth Program Specialist/Telehealth Master Preceptor Louis Stokes Cleveland VA Medical Center Spinal Cord Injury/Disorders (SCI/D) Service M. Kristi Henzel, MD,PHD Louis Stokes Cleveland VA Medical Center Spinal Cord Injury/Disorders (SCI/D) Service

2 Disclosures This continuing education activity is managed and accredited by Professional Education Services Group. Neither PESG nor any accrediting organization supports or endorses any product or service mentioned in this activity. PESG Staff and the Program Planning Committee have no financial interest to disclose. Commercial Support was not received for this activity.

3 Disclosures (Cont.) Richard Strozewski, BA, PMP,MP Has no financial interest to disclose. M. Kristi Henzel, MD,PHD Has no financial interest to disclose.

4 Disclosures (Cont.) I AM NOT A CLINICIAN.. So Please, No Clinical Questions. Dr. Henzel is..

5 Learning Objectives At the conclusion of this activity, the participant will: 1: Be able to identify what telehealth is. 2: Understand the Types of telehealth. 3: Know what tools can be used in telehealth. 4: Know what services the VA provides using telehealth technology.

6 The First question: What is Telehealth?

7 Common Definitions: The use of telecommunication technologies to provide health care services and access to medical and surgical information for training and educating health care professionals and consumers, to increase awareness and educate the public about health-related issues, and to facilitate medical research across distances. Mosby's Medical Dictionary, 8th edition. 2009, Elsevier. The use of electronic information and telecommunications technologies to support long-distance clinical health care, professional health-related education, public health, and health administration. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition by Saunders, an imprint of Elsevier, Inc. The provision of consultant services by off-site physicians to health care professionals on the scene, as by means of closed-circuit television. Dorland's Medical Dictionary for Health Consumers by Saunders, an imprint of Elsevier, Inc. Any form of medical practice in which diagnostic information (e.g., telecytology, telemetry, telemicroscopy, telepathology, or teleradiology), is transmitted from a distance to a physician for analysis, who performs teleconsultations. The practice focuses on provider aspects of healthcare telecommunications, especially medical imaging. McGraw-Hill Concise Dictionary of Modern Medicine by The McGraw-Hill Companies, Inc. The practice of medicine over a distance where the patient and doctor interact remotely, usually using a computer and a computer-mounted camera. Medical Dictionary for the Health Professions and Nursing Farlex 2012

8 Telehealth is NOT Technology

9 AT VHA Telehealth is a Service that combines Technology & Processes in a Safe and Secure environment

10 To deliver Healthcare Services to Veterans in their Community.

11 Why is there so much discussion about it?

12 How does the VA Telehealth System work???

13 How do we do it?

14 Home Telehealth

15

16 Video Telehealth

17 Store and Forward Telehealth

18

19 Electronic Medical Records

20 Services currently available to SCI/D Veterans via Telehealth

21 1. SCI Pre-Admission (CVT and Video to Home) 2. Patient Discharges (CVT) 3. SCI Patient 30-day Post discharge Rehabilitation follow-up (CVT) 4. Patient Education (CVT and Video to Home) 5. Wound (Pressure Ulcer) Management (One on One) (CVT, SFT and Video to home) 6. SCI Tele-Neurology (One on One) (CVT and Video to Home) 7. SCI Tele-Psychology (One on One) (CVT and Video to Home) 8. SCI Pain Management Therapy (One on One) (CVT and Video to Home) 9. The SCI Pain Management Interactive Learning Opportunity (Group) (Video to Home) 10.SCI Tele-Chaplain (One on One, and Group) - (CVT and Video to Home) 11.SCI Tele-Urology (CVT) 12.SCI Veteran Technical Education (Video to Home) 13.SCI Veteran Wheel-Chair Consults (One on One) (CVT and Video to Home) 14.SCI Veteran Home Evaluation Consult (One on One) (Video to Home) 15.SCI Veteran Driver evaluation (CVT) 16.Home Telehealth SCI/D Disease Management Protocol 17.Home Telehealth Diabetes Disease Management Protocol 18.Home Telehealth MS Disease Management Protocol 19.Home Telehealth Hypertension Disease Management Protocol 20.Tele-Retinal Exam (SFT) 21.Secure Messaging (MyHealtheVet) 22.SCI Tele-Nurse Medication Reconciliation (One on One) (CVT and Video to Home) 23.Veteran s Benefit Review (One on One) (CVT and Video to Home) 24.SCI Caregiver Education (CVT and Video to Home) 25.SCI Caregiver and Family Support (CVT and Video to Home)

22 Services available to SCI/D Providers Provider to Provider Consults (Local and National) Provider Education (SCAN-ECHO)

23 What have been the results??

24 What is on the Horizon???

25 What is the VA Direction for Telehealth?

26 Why Quality of Life? and How is This The greatest advancement for SCI Veterans since the invention of the Power Wheelchair!!!!!!

27 Where do we go from here? Where do YOU want us to go from here???

28 What Can YOU do???

29 Questions?????

30 Richard Strozewski Program Specialist/Master Preceptor Louis Stokes Cleveland VA Medical Center Spinal Cord Injury/Disorders (SCI/D) Service Cleveland SCI/D Telehealth Program East Blvd. Mail Stop 128W, Cleveland, Ohio Office: (216) ext 隨 著 遠 程 醫 療 是 沒 有 國 界 的, 我 們 沒 有 留 下 任 何 SCI/ D 退 伍 軍 人 背 後 Cum Telehealth sunt NO terminos, et, Linquimus NO SCI / D veterani retro. Z Telehealth nie istnieją granice, oraz Zostawiamy za sobą NO SCI / D Veteran. With Telehealth there are NO borders, and, We leave NO SCI/D Veteran behind.

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