1 SEMMELWEIS UNIVERSITY Institute of Health Informatics Health Informatics: ehealth and TELEMEDICINE Dr. Elek Dinya, Tamás Tóth February 4, 2013
2 Agenda Basic terms of health informatics ehealth Telehealth Telemedicine mhealth Examples of ehealth solutions
3 Health informatics Health informatics (also called health care informatics, healthcare informatics, medical informatics, nursing informatics, or biomedical informatics) is a discipline at the intersection of information science, computer science, and health care. It deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine. Health informatics tools include not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems. It is applied to the areas of nursing, clinical care, dentistry, pharmacy, public health, occupational therapy, and (bio)medical research.
4 ehealth ehealth (also written e-health) is a relatively recent term for healthcare practice supported by electronic processes and communication Dating back to at least 50 years (from the first computers). Usage of the term varies: some would argue it is interchangeable with health informatics with a broad definition covering electronic/digital processes in health Others use it in the narrower sense of healthcare practice using the Internet.
5 Forms of e-health The term ehealth is often, particularly in the U.K. and Europe, used as an umbrella term that includes telehealth, electronic medical records, and other components of health IT. The term can encompass a range of services or systems that are at the edge of medicine/healthcare and information technology (IT)
6 Telemedicine Telemedicine is a rapidly developing application of clinical medicine where medical information is transferred through interactive audiovisual media for the purpose of consulting, and sometimes remote medical procedures or examinations. Telemedicine may be as simple as two health professionals discussing a case over the telephone, or as complex as using satellite technology and videoconferencing equipment to conduct a real-time consultation between medical specialists in two different countries. Telemedicine generally refers to the use of communications and information technologies for the delivery of clinical care (ICT). Care at a distance (also called in absentia care), an old practice which was often conducted via post. There has been a long and successful history of in absentia health care which, thanks to modern communication technology, has evolved into what we know as modern telemedicine.
7 Telehealth or telemedicine? The terms ehealth and telehealth are at times incorrectly interchanged with telemedicine. Like the terms "medicine" and "health care", telemedicine often refers only to the provision of clinical services while the term telehealth can refer to clinical and non-clinical services such as medical education, administration, and research.
8 mhealth or m-health Includes the use of mobile devices in collecting aggregate and patient level health data, providing healthcare information to practitioners, researchers, and patients, realtime monitoring of patient vitals, and direct provision of care (via mobile telemedicine).
9 Consumer health informatics (CHI) Use of electronic resources on medical topics by healthy individuals or patients. Consumer Health Informatics helps bridge the gap between patients and health resources. The Kaiser model is an example of allowing patients to remotely communicate with their physicians or other healthcare professionals. Consumer Health Informatics include technologies focused on patients as the primary users to health information. Consumer Health Informatics includes: Information Resources, Communications, Remote Monitoring, Videoconferencing, and Telepresence. Consumer health informatics is the branch of medical informatics that analyses consumers' needs for information; studies and implements methods of making information accessible to consumers; and models and integrates consumers' preferences into medical information systems.
10 Agenda Basic terms of health informatics ehealth Telehealth Telemedicine mhealth Examples of ehealth solutions
11 Healthcare Information Systems Refer to software solutions for appointment scheduling, patient data management, work schedule management and other administrative tasks surrounding health
12 Electronic health records An electronic health record (EHR) (also electronic patient record (EPR) or computerised patient record) is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations. Enabling the communication of patient data between different healthcare professionals (specialists etc.).
13 Electronic health records
14 Electronic health records It is a record in digital format that is capable of being shared across different health care settings, by being embedded in network-connected enterprise-wide information systems. Such records: may include a whole range of data in comprehensive or summary form, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal stats like age and weight, and billing information. Its purpose: can be understood as a complete record of patient encounters that allows the automation and streamlining of the workflow in health care settings and increases safety through evidence-based decision support, quality management, and outcomes reporting.
15 Electronic health records
16 Technical issues Standard for communication of health data ANSI X12 (EDI) - transaction protocols used for transmitting patient data. Popular in the United States for transmission of billing data. CEN's TC/251 provides EHR standards in Europe including: EN 13606, communication standards for EHR information CONTSYS (EN 13940), supports continuity of care record standardization. HISA (EN 12967), a services standard for inter-system communication in a clinical information environment. Continuity of Care Record - ASTM International Continuity of Care Record standard DICOM - an international communications protocol standard for representing and transmitting radiology (and other) image-based data, sponsored by NEMA (National Electrical Manufacturers Association) HL7 - a standardized messaging and text communications protocol between hospital and physician record systems, and between practice management systems ISO - ISO TC 215 provides international technical specifications for EHRs. ISO describes EHR architectures
17 Meaningful Use The meaningful use of EHRs intended by the US government incentives is categorized as follows: Improve care coordination Reduce healthcare disparities Engage patients and their families Improve population and public health Ensure adequate privacy and security. The Obama Administration s Health IT program intends to use federal investments to stimulate the market of electronic health records: Incentives: to providers who use IT Strict and open standards: To ensure users and sellers of EHRs work towards the same goal Certification of software: To provide assurance that the EHRs meet basic quality, safety, and efficiency standards.
18 Telemedicine - History African villagers used smoke signals to warn people to stay away from the village in case of serious disease. In the early 1900s, people living in remote areas in Australia used two-way radios, powered by a dynamo driven by a set of bicycle pedals, to communicate with the Royal Flying Doctor Service of Australia. This service is still running!
19 Store-and-forward telemedicine It involves acquiring medical data (like medical images, biosignals etc.) and then transmitting this data to a doctor or medical specialist at a convenient time for assessment offline. It does not require the presence of both parties at the same time. Dermatology (cf: teledermatology), radiology, and pathology are common specialties that are conducive to asynchronous telemedicine. A properly structured Medical Record preferably in electronic form should be a component of this transfer. A key difference between traditional in-person patient meetings and telemedicine encounters is the omission of an actual physical examination and history. The store-andforward process requires the clinician to rely on a history report and audio/video information in lieu of a physical examination.
20 Remote monitoring Enables medical professionals to monitor a patient remotely using various technological devices. Primarily used for managing chronic diseases or specific conditions, such as heart disease, diabetes mellitus, or asthma. These services can provide comparable health outcomes to traditional in-person patient encounters, supply greater satisfaction to patients, and may be cost-effective.
21 Monitoring of vital signs
22 Remote monitoring of vital signs 22
23 Interactive telemedicine Provides real-time interactions between patient and provider Include phone conversations, online communication and home visits. Many activities such as history review, physical examination, psychiatric evaluations and ophthalmology assessments can be conducted comparably to those done in traditional face-to-face visits. Clinician-interactive telemedicine services may be less costly than in-person clinical visits.
24 Benefits and uses Telemedicine can be extremely beneficial for people living in isolated communities and remote regions and is currently being applied in virtually all medical domains. Patients who live in such areas can be seen by a doctor or specialist, who can provide an accurate and complete examination, while the patient may not have to travel or wait the normal distances or times like those from conventional hospital. Specialties that use telemedicine often use a 'tele-' prefix; for example, telemedicine as applied by radiologists is called 'teleradiology'. Similarly telemedicine as applied by cardiologists is termed as 'telecardiology', etc...
25 Benefits and uses Telemedicine is also useful as a communication tool between a general practitioner and a specialist available at a remote location. Telemedicine can be used as a teaching tool, by which experienced medical staff can observe, show and instruct medical staff in another location, more effective or faster examination techniques. It improved access to healthcare for patients in remote locations. "Telemedicine has been shown to reduce the cost of healthcare and increase efficiency through better management of chronic diseases, shared health professional staffing, reduced travel times, and fewer or shorter hospital stays." Several studies have documented increase patient satisfaction of telemedicine over past fifteen years.
26 Benefits and uses The first interactive telemedicine system, operating over standard telephone lines, for remotely diagnosing and treating patients requiring cardiac resuscitation (defibrillation) was developed and marketed by MedPhone Corporation in. A year later the company introduced a mobile cellular version, the MDphone. Twelve hospitals in the U.S. served as receiving and treatment centers. Monitoring a patient at home using known devices like blood pressure monitors and transferring the information to a caregiver is a fast growing emerging service. These remote monitoring solutions have a focus on current high morbidity chronic diseases and are mainly deployed for the First World. In developing countries a new way of practicing telemedicine is emerging better known as Primary Remote Diagnostic Visits, whereby a doctor uses devices to remotely examine and treat a patient. This new technology and principle of practicing medicine holds significant promise of improving on major health care delivery problems, in for instance, Southern Africa, because Primary Remote Diagnostic Consultations not only monitors an already diagnosed chronic disease, but has the promise to diagnose and manage the diseases a patient will typically visit a general practitioner for.
27 Telecardiology ECG or electrocardiograph can be transmitted using telephone and wireless. Einthoven, the inventor of the ECG, actually did tests with transmission of ECG through telephone lines. This was because the hospital did not allow him to move patients outside the hospital to his laboratory for testing of his new device. In 1906 Einthoven came up with a way to transmit the data from the hospital directly to his lab. Teletransmission of ECG using indigenous methods. One of the oldest known telecardiology system (teletransmission of ECG) was established in Gwalior, India in 1975 at GR Medical college by Dr. Ajai Shanker, Dr. S. Makhija, P.K. Mantri using indegenous technique for the first time in India.
28 Teleradiology Teleradiology is the ability to send radiographic images (x-rays, CT, MR, PET/CT, SPECT/CT ) from one location to another The most typical implementation are two computers connected via Internet. The computer at the receiving end will need to have a high-quality display screen that has been tested and cleared for clinical purposes. Sometimes the receiving computer will have a printer so that images can be printed for convenience. Today's Internet bandwidth enables the use of new technologies for teleradiology : the image reviewer can now have access to distant servers in order to view an exam. Therefore, they do not need particular workstations to view the images ; a standard PC and DSL connection is enough to reach keosys central server. No particular software is necessary on the PC and the images can be reached from wherever in the world. Teleradiology is the most popular use for telemedicine and accounts for at least 50% of all telemedicine usage.
30 MRI (Magnetic Resonance Imaging)
31 Telepsychiatry Telepsychiatry, another aspect of telemedicine, also utilizes videoconferencing for patients residing in underserved areas to access psychiatric services. It offers wide range of services to the patients and providers, such as consultation between the psychiatrists, educational clinical program, diagnosis and assessment, medication therapy management, etc.
33 Teledentistry is the use of information technology and telecommunications for dental care, consultation, education, and public awareness in the same manner as telehealth and telemedicine.
34 Robotic surgery Computer-assisted surgery, and robot-assisted surgery are terms for various technological developments that currently are developed to support a range of surgical procedures. Robot-assisted surgery was developed to overcome limitations of minimally invasive surgery. Instead of directly moving the instruments the surgeon uses a computer console to manipulate the instruments attached to multiple robot arms. The computer translates the surgeon s movements, which are then carried out on the patient by the robot. Other features of the robotic system include, for example, an integrated tremor filter and the ability for scaling of movements (changing of the ratio between the extent of movements at the master console to the internal movements of the instruments attached to the robot). The console is located in the same operating room as the patient, but is physically separated from the operative workspace. Since the surgeon does not need to be in the immediate location of the patient while the operation is being performed, it can be possible for specialists to perform remote surgery on patients. Robots can perform surgery without a human surgeon.
35 History The world's first surgical robot was the "Arthrobot", which was developed and used for the first time in Vancouver, BC, Canada in The robot was developed by a team led by Dr. James McEwen and Geof Auchinlek, in collaboration with orthopaedic surgeon, Dr. Brian Day. National Geographic produced a movie on robotics which featured the Arthrobot. In related projects at that time, other medical robots were developed, including a robotic arm that performed eye surgery and another that acted as an operating assistant, and handed the surgeon instruments in response to voice commands a robot, the PUMA 560, was used to place a needle for a brain biopsy using CT guidance. In 1988, the PROBOT, developed at Imperial College London, was used to perform prostatic surgery. The ROBODOC from Integrated Surgical Systems was introduced in 1992 to mill out precise fittings in the femur for hip replacement. Further development of robotic systems was carried out by Intuitive Surgical with the introduction of the da Vinci Surgical System and Computer Motion with the AESOP and the ZEUS robotic surgical system. (Intuitive Surgical bought Computer Motion in 2003; ZEUS is no longer being actively marketed.)
36 Advantages and disadvantages Major advances aided by surgical robots have been remote surgery, minimally invasive surgery and unmanned surgery. Some major advantages of robotic surgery are precision, miniaturization, smaller incisions, decreased blood loss, less pain, and quicker healing time. Further advantages are articulation beyond normal manipulation and three-dimensional magnification, resulting in improved ergonomics. Robotic techniques are also associated with reduced duration of hospital stays, blood loss, transfusions, and use of pain medication. With a the cost of the robot at $1,200,000 dollars and disposable supply costs of $1,500 per procedure, the cost of the procedure is higher. Additional surgical training is needed to operate the system Higher expectations may explain higher rates of dissatisfaction and regret.
37 da Vinci Surgical System with robotic arm operating table
38 A surgical team at Hackensack University Medical Center uses the Da Vinci robot. (NYTIMES, February 12, 2008)
39 Applications General surgery Cardiology and electrophysiology Gastrointestinal Gynecology Urology etc.
40 Artificial Intelligence
41 Definition Artificial intelligence (AI) is the intelligence of machines and the branch of computer science that aims to create it. AI textbooks define the field as the study and design of intelligent agents where an intelligent agent is a system that perceives its environment and takes actions that maximize its chances of success
42 AI in medicine 'Medical artificial intelligence is primarily concerned with the construction of AI programs that perform diagnosis and make therapy recommendations. Unlike medical applications based on other programming methods, such as purely statistical and probabilistic methods, medical AI programs are based on symbolic models of disease entities and their relationship to patient factors and clinical manifestations. Clancey and Shortliffe, 1984
43 Examples Expert systems contain medical knowledge, and are able to reason with data from individual patients to come up with reasoned conclusions. Generating alerts and reminders Diagnostic assistance Therapy critiquing and planning Agents for information retrieval Image recognition and interpretation
44 The future?
45 Virtual reality Virtual reality (VR) is a term that applies to computer-simulated environments that can simulate places in the real world, as well as in imaginary worlds. Users can interact with the computer-generated environment
46 VR System
47 U.S. Navy personnel using a VR parachute trainer
48 VR in medicine Surgical training and planning Medical education Radiation treatment planning and control Rehabilitation and sports therapy Disability solutions Neurological evaluation Psychiatric and behavioural health (e.g. treatment for various phobias)
TELEMEDICINE The use of telecommunication and information technologies in order to provide critical health care at distance History/Present Early forms of telemedicine achieved with telephone and radio
COCIR GLOSSARY OF TERMS 2 European Coordination Committee of the Radiological, 13 COCIR TELEMEDICINE TOOLKIT 2011 Part 2 GLOSSARY OF TERMS Introduction.............................. 14 Part I: Telemedicine
Telemedicine as Part of Your Service Line Strategy Howard J. Gershon, FACHE Principal, New Heights Group March 2011 1 Session objectives Understand the concept of telemedicine/telemedicine and how it is
Teleradiology: The Present Perspective P. K. Bhuyan Department of Radio-Diagnosis, MIMER Medical College, Talegaon Dabhade, Pune 410507. Introduction Telemedicine is a broad term encompassing all methods,
Medical Information Systems Introduction The introduction of information systems in hospitals and other medical facilities is not only driven by the wish to improve management of patient-related data for
Contents 1. Scope of These Guidelines... 2 2. What is Telemedicine?... 2 3. Introduction... 3 4. What Are the Benefits of Telemedicine?... 3 5. Frequently Asked Questions Physician Care and Treatment...
Ebtissam Al-Madi BDS, MSD, Cert Endo, Cert MI Assistant Professor College of Dentistry, King Saud Univeristy 1. Different definitions. 2. Origin of field. 3. History of discipline. 4. Medical informatics
Real Time Health Monitoring Using GPRS Technology 1 Shubhangi M. Verulkar, 2 Maruti Limkar 1 EXTC department,k.c.college of Engg.,Nerul. Mumbai university. 2 Electronics department,terna college of engg,nerul,
Introduction to Information and Computer Science: Information Systems Lecture 1 Audio Transcript Slide 1 Welcome to Introduction to Information and Computer Science: Information Systems. The component,
Research White Paper EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Provided by: EHR, Practice Management & Billing In One www.omnimd.com Before evaluating the benefits of EHRs, one
Telemedicine, EMR & Remote Connectivity Saroj Mishra, MS, FACS Prof & Head, Dept. of Endocrine Surgery & Faculty I/C, SGPGI Telemedicine Program Sanjay Gandhi Postgraduate Institute of Medical Sciences
Sustainability Assessment of TELEMEDICINE Practice By: Mona Sharma Centre for Product Design and Manufacturing Date: 07 th Dec 07 OVERVIEW Introduction Technology Societal changes Sustainability in context
Towards standards for management and transmission of medical data in web technology Dr. Francesco Sicurello President @ITIM Italian Association of Telemedicine and Medical Informatics (Italy) Medical Informatics
What Is Telemedicine? Definition Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve, maintain, or assist patients' health status.
Telehealth/Telemedicine evolution - Driven by Technology or Need? Yadin David, Ed.D., P.E., C.C.E., FAIMBE Biomedical Engineering Consultants, LLC Assistant Professor, University of Texas School of Public
Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities
Telemedicine From Wikipedia, the free encyclopedia See also: List of video telecommunication services and product brands Telemedicine is a rapidly developing application of clinical medicine, where medical
ehealth and nursing practice Using telehealth to monitor patients remotely: an RCN guide on using technology to complement nursing practice RCN Legal Disclaimer This publication contains information, advice
Vue PACS Radiology A SINGLE WORKSPACE. A MYRIAD OF WORKFLOW BENEFITS. It s here: fast, easy access to the clinical tools and applications radiologists need for anytime, anywhere reporting all integrated
Medical Informatics An Overview Saudi Board For Community Medicine Ahmed AlBarrak PhD Medical Informatics Associate Professor of Health Informatics, Family & Community Med, Chairman, Medical Informatics,
TELEMEDICINE UPDATE:WHAT S NEW IN 2014? Vanessa A. Reynolds, P.A. firstname.lastname@example.org What is telemedicine? Telemedicine has been defined as broadly as the use of medical information exchanged
How Broadband Connectivity Impacts Health Care frontier.com/businessedge Executive Summary Broadband connectivity is having a profound effect on health care in America. It is opening the door to more accessible
Image Area View Point Medical Imaging Advanced Imaging Solutions for Diagnosis, Localization, Treatment Planning and Monitoring www.infosys.com Over the years, medical imaging has become vital in the early
Transforming Healthcare Delivery through Mobility Solutions A Solution White Paper - version 1.0 HTC Global Services HTC Towers, No. 41, GST Road, Guindy, Chennai - 600 032, India. Ph: +91 44 4345 3500
03/17/15 INTRODUCTION This document is intended as a reference for those responsible for billing Telehealth services to AHCCCS Division of Fee for Service Management (DFSM). NOTE: The services described
Bring Healthcare to Life. High Definition Videoconferencing Brings Quality Care to Patients Specialized Care. Real-Time Access. Quality You Can Depend on. High Definition Videoconferencing Face to Face
The role of telemedicine in assessment and therapy in developmental disorder Polina Mihova, PhD, Iliya Pendzhurov, PhD New Bulgarian University, Sofia, Bulgaria email@example.com, firstname.lastname@example.org Telemedicine
Telemedicine - a challenge rather than solution for payers and service providers in EU K. Dziadek, MAHTA G. Waligora Keywords: adherence, e-health, telemedicine, telemonitoring DOI: 10.7365 / JHPOR.2015.1.1
West Florida Physician Office Building Johnson Ave. University Pkwy. Olive Road N. Davis Hwy. For more information on West Florida Cancer Center: 850-494-5404 2130 East Johnson Avenue Pensacola, Florida
Software Capability/Maturity Model for the Dev. of ASFTSs Software Capability/Maturity Model for the Development of Asynchronous Store-and- Forward Telemedicine Systems in the Context of Digital Convergence
A First Look at Attitudes Surrounding Telehealth: Findings from a national survey taking a first look at attitudes, usage, and beliefs of family physicians in the U.S. towards telehealth. OVERVIEW Telehealth
Workshop: Defining the Medical Imaging Requirements for a Health Center April 17 2011 E-health and Telemedicine ehealth is the use, in the health sector, of digital data - transmitted, stored and retrieved
Telemedicine Tools of the Trade David Smith, Senior Project Manager UMass Memorial Health Care, Worcester MA DISCLAIMER: The views and opinions expressed in this presentation are those of the author and
IT Applications in Health Care Course Principles of Health Science Unit II Careers in Health Care Essential Question How are computers used in health care? TEKS 130.202 (c) 11A Prior Student Learning None
Medicine: Telemedicine 1 The Telemedicine Act of 1996 made the practice of telemedicine a legitimate means by which an individual may receive medical from a health care provider without requiring person-to-person
TELEHEALTH 2014: EVOLVING CHRONIC DISEASE MANAGEMENT David Chmielewski, MBA Cleveland VA Medical Center Telehealth Lead VISN 10 Rural Health Consultant What is Telehealth / Telemedicine? Telehealth primarily
MISSISSIPPI LEGISLATURE REGULAR SESSION 2014 By: Senator(s) Burton To: Insurance SENATE BILL NO. 2646 (As Sent to Governor) 1 AN ACT TO CREATE NEW SECTION 83-9-353, MISSISSIPPI CODE OF 2 1972, TO REQUIRE
MISSISSIPPI LEGISLATURE REGULAR SESSION 2016 By: Representative Mims To: Public Health and Human Services HOUSE BILL NO. 1187 1 AN ACT TO AMEND SECTION 73-25-34, MISSISSIPPI CODE OF 1972, 2 TO REVISE THE
m Microsoft Amalga Hospital Information System (HIS) > Manage all hospital functions with one integrated solution PG 0 Our Vision: To improve health around the world For more than a decade, Microsoft has
CARESTREAM RIS/PACS SuperPACS Architecture A Changing Landscape The field of radiology is in a constant state of acceleration and evolution. Each day, you handle an increasing number of exams and diagnostic
MEDICAL INFORMATICS Sorana D. Bolboacă Despre... Definitions & History & ehealth & mhealth Standards (e.g. DICOM, HL7) Coding medical information (ICD-10, SNOMED, MeSH) Medical data management EMR Electronic
ehealth and nursing practice Putting information at the heart of nursing care How IT is revolutionising health care Introduction Information technology (IT) has become part of our everyday lives. We watch
F E A T U R E S T O R Y Telemedicine and MPL: The Story So Far I N S I D E M E D I C A L L I A B I L I T Y O N L I N E 1 J U L Y 2 0 1 5 B Y D ANA M URPHY What we re learning from the PIAA Data Sharing
TELEMEDICINE REIMBURSEMENT MANDATES BY STATE: Medicaid & Private Payer Unless otherwise noted, this information came from The Center for Telehealth and E-Health Law, and The American Telemedicine Association
ECG Management Processes and Progress Overview The Challenges: Provide ubiquitous access to ECG s across the enterprise, while delivering role-based functionality based on clinical requirements, with the
An Opportunity to Invest in Niagara s Future Cardiac/Stroke Care Center Campaign CASE STATEMENT GOAL Niagara Falls Memorial Center s Cardiac/Stroke Care Center campaign provides an opportunity to invest
e Health : From Training to Implementation: Dr. Asif Zafar MBBS, MCPS, M.D. FRCS, FCPS Professor of Surgery, Rawalpindi Medical College Director, Telemedicine & E- Health Training Center, Surgical Unit
Emerging Technologies That Support Transitions of Care 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner Topics of Discussion Drivers of Transitions of Care Technology Perspective:
Health Information Technology & Management Chapter 2 HEALTH INFORMATION SYSTEMS INFORMATION SYSTEM *Use of computer hardware and software to process data into information. *Healthcare information system
REPORT OF THE COUNCIL ON MEDICAL SERVICE (A-) Coverage of and Payment for Telemedicine (Reference Committee A) EXECUTIVE SUMMARY Telemedicine, a key innovation in support of health care delivery reform,
Developing a Telemedicine Business Strategy Amber Humphrey, MBA Assistant Director, Vanderbilt Telemedicine Healthcare Financial Management Association March 22, 2016 Discussion Roadmap Defining Telehealth
Table of Contents 1 Integration with an Oncology EMR and an External Billing System 3 2 Automated Patient Portal 4 3 Client Scheduling 5 4 Client Server based EMR 6 Version 0.0 Page 2 of 8 1 INTEGRATION
Innovations In Health Care Delivery: Telehealth Examining Health Care Competition Federal Trade Commission March 20, 2014 Overview What is Telehealth? Telehealth Policy, with a Focus on California Types
Cellular Wireless technology: Creating a link between people and the healthcare community Introduction Demands on health-care systems worldwide have increased to the point where the delivery and cost of
New Tele-Cardiology Service for the Regional Healthcare System in Finland A Case Study Ofer Atzmon Aerotel Medical Systems (Israel) Med-e-Tel Luxemburg, 1 April, 2009 www.aerotel.com Abstract We present
Telemedicine Services for Remote Regions in Cameroon The Genesis Experience Jacques Bonjawo, Genesis Telecare Overview Introduction Presentation of the project Evaluation Methods Results Discussion Conclusion
Cloud Development of Medical Systems By Oleg Kruk, Embedded Research Lab Leader, DataArt Abstract Wireless electronic medical devices have made remote medicine a reality. Disease prevention, monitoring
DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors January 22, 2014 What is ehealth? What is an Electronic Health System? EHR, EMR and PHR / CIS/HIS Where does the electronic
HOW TO SELECT THE BEST ECG MANAGEMENT SOLUTION 10 QUESTIONS TO ASK ECG SOLUTION PROVIDERS BY STEPHEN CHERNOFF October 15, 2009 Inside 1 The Challenge 2 Testing Equipment 3 Customization 4 Interfacing 5
Telemedicine and the ehealth Revolution: Being Cutting Edge While Remaining Compliant Meg R. Garrett, BSN, JD, CPHRM, FASHRM Johns Hopkins Health System Karen Byank Mathura, BSN, JD, CPHRM RCM&D 2 Overview
Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary
The Hospital For Sick Children Telemedicine Services Clinical Consultations Telemedicine Services Education Sessions Telemedicine Services Administrative / Research Key Professionals Dr. Fraser Golding,
Telehealth Services in the Department of Veterans Affairs (VA) Adam Darkins, Chief Consultant for Telehealth Services The Vision For Telehealth In VA Patient Focused Makes the home or local community the
Telemedicine Offers Growth for Hospitals, Rural Care Opportunities The internet and digital technology have transformed our lives, changing the way we keep in touch with our family and friends, shop, pay
Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email
MOTION Modeling and Testing for System and Service Solutions ehealth Interoperability Lab The Intelligent Medical Technology for Tomorrow » The key problem of ehealth is lack of interoperability. Systems
CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE SUBCHAPTER 3. GENERAL PROVIDER POLICIES PART 1. GENERAL SCOPE AND ADMINISTRATION 317:30-3-27. Telemedicine (a) Applicability and scope. The purpose of this
TELEMEDICINE IN DEVELOPING COUNTRIES Norm Archer, Ph.D. Information Systems Dept. and ehealth Program McMaster University INTRODUCTION Telemedicine in developing countries is a tool of Global Health Global
Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions Kelly Brittain, PhD, RN Assistant Professor MCRH-Nursing Grand Rounds May 8, 2014 Objectives 1. Summarize previous research
Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory
Streamline Your Radiology Workflow With Radiology Information Systems (RIS) and EHR 2 Practicing medicine effectively requires transferring large amounts of information quickly, accurately, and securely.
Technology 41 Collaborative And Multimedia Medical Technologies In The Future Management Of Health Care Introduction Informatics and telematics are in developing fast, but how will these new areas influence
TELE HEALTH 2 HealthFore Transforming Healthcare HealthFore Technologies Limited is a global healthcare IT solutions and advisory services company. Our B2B and B2C IT solutions help hospital chains, diagnostic
ehealth, HIS, etc Statistical IS Health Informatics: Formal discipline that studies use of information in health All information about health HIS HMIS ehealth mhealth Tele-medicine Enterprise architecture:
PARCA Certified PACS System Analyst (CPSA2014) Requirements Copy right notice: Copyright 2014 PACS Administrators in Radiology Certification Association (PARCA). All rights reserved. All rights reserved.
A technology-enabled business model for delivering healthcare Thomas Nesbitt, M.D., M.P.H. Executive Associate Dean School of Medical, Director Center for Health and Technology University of California
Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 1.0 DESCRIPTION 1.1 Telemedicine and Telemental Health (TMH) utilize information and telecommunications