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Telehealth Tips Video conferencing without tears Presented at; RMA- ACRRM Annual Conference 2011. Dr David Allen MBBS(Hons), DPH, FAFOEM(RACP) Occupational and Environmental Physician QOH and Telehealth Solutions Australia. www.telehealth.net.au. www.telehealth.net.au. How to approach it.

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slide1

Telehealth Tips

Video conferencing without tears

Presented at;

RMA- ACRRM Annual Conference 2011

Dr David Allen

MBBS(Hons), DPH, FAFOEM(RACP)

Occupational and Environmental Physician

QOH and Telehealth Solutions Australia

www.telehealth.net.au

www.telehealth.net.au

how to approach it
How to approach it
  • Think of VC as an addition to telephone consultation – if video fails then you always have a phone
  • Learn basic functionality
  • Practice, practice, practice
  • Familiarise with features in casual use
  • Check that the system works well a few hours before consult
  • Get consent
housekeeping
Housekeeping
  • Have a lamp behind your monitor to illuminate you
  • Door locked and sign outside
  • Background behind you should be simple and appropriate – consider framed degrees or plain background
  • Position the video image on the screen near the webcam
  • Avoid interruptions (if possible)
internet connection poor or variable
Internet connection poor or variable?
  • Using the telephone rather than the video conference telephony (more stable)
  • Explain to the patient the limitations of the connection - ?blame someone else
  • Slow the visual examination down
  • Reduce frame rate in software or system
  • Be patient – consultation may take longer, but remember the saving in travel time
how to examine the patient
How to examine the patient
  • Think of how you do the consultation examination – imagine patient is in same room behind a glass partition – how would you “examine” them?
  • Considering PTZ cam? – adds complexity and cost
  • Have spare/second webcam on desk to show patient/GP/RN how to position it whilst online
  • Consider special devices later
slide6

Auscultation with digital stethscope

Ear exam with digital otoscope

bandwidth considerations
Bandwidth considerations

ADSL

ADSL2

Annex M

Cable

SHDSL

3G

4G

hardware issues
Hardware issues

Operating systems

Processor speeds

Video acceleration

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