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Home Care via Telemedicine. © K.J. Cleetus CERC. Telemedicine - Customer Funded. Medical College of Georgia Kansas Univ Medical Center (Hays Medical Center) Children's Hospital, Chicago. Telemedicine in Home Care. Goal - Replace some physical visits by nurses by ‘Tele-visits’:

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home care via telemedicine

Home Care via Telemedicine

©K.J. Cleetus

CERC

telemedicine customer funded
Telemedicine - Customer Funded
  • Medical College of Georgia
  • Kansas Univ Medical Center (Hays Medical Center)
  • Children's Hospital, Chicago
telemedicine in home care
Telemedicine in Home Care
  • Goal - Replace some physical visits by nurses by ‘Tele-visits’:
      • Visits of a supervisory nature
      • Visits to check vital signs
      • Visits for information and reassurance
      • Visits of a ‘compassionate’ non-reimbursable nature

Clinics

Nurse Visits

Home Care

Agency

Patient Roster

Hospitals

Plan of Care

Physician Visits

TeleVisits

interactions
Interactions
  • Patient:
      • Social contact through Videoconference
      • Learning self-management of disease
  • Nurse:
      • Follow-up through Videoconference
      • Provide patient education & counselling
      • Ensure medication compliance
      • Monitor Vital signs - 8 common types
      • Record Visit Notes
  • Physician:
      • Patient Status Report from Nurse for periodic check-ups
other ingredients
Other Ingredients
  • Security
  • Cost
      • Patient Monitors: approx. $15K for 8 common parameters
    • Plus about $3K for
      • modems
      • Tel lines
      • cameras
      • videoconference via TV or computer
diagnoses
Diagnoses
  • Templates for specific diagnoses guide the nurse in asking questions, and note-taking
  • Statistics for some hundreds of patient televisits is required to come to any conclusion
deployment
Deployment
  • St. Mary’s Home Health Services
  • Mon County Health Dept
    • Applications
      • Doctors on Call on-line
      • Kiosk
rmh 2 23 98
RMH 2/23/98
  • Browser front-ends to back-end databases
  • Security on Internet data access
  • Building data repositories
  • Tools for above
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