Telehealth & Smart Devices Katherine Rosin, RN, ADN Pennsylvania State University
Objectives Identify the importance of telehealth. Identify what are smart devices. Identify how telehealth & smart devices work together. Identify hardware & software needed.
Objectives Identify how hardware & software work. Identify usability of software. Identify type of information system needed. Identify OmniMD & OmniMD uses.
Objectives Identify Data Standards Used Identify Disease & Procedure Classification System. Identify Nursing Standard Classification. Understand Recommendations. Identify Advantages of Telehealth with Smart Devices.
Objectives Identify Disadvantages of Telehealth with Smart Devices. Identify Legal & Ethical Issues related to Telehealth with Smart Devices. Identify the responsibilities and functions of the Informatics Nurse Specialist. Know the Nursing Competencies.
What is Telehealth? • The delivery of health-related care and information through telecommunication services. (Kinsella, 2008) • Examples: • Two people on the telephone • Videoconferencing
What are smart devices? • Smart devices are: • Toilets • Weighing Scales • Blood Pressure Cuffs • Pulse Oximeters • Glucose Machines • Peak Flow Meters • ECG Monitoring • Pill Dispensers
How do telehealth & smart devices work together? • Immediate information relayed to your Doctor or nurse. • Networking and sharing information: • Hospitals • Doctor’s offices • Clinics
Hardware Needed • Computer • Monitor • Keyboard • Internet Access • USB cable • Telephone / Cellular Phone
Hardware Needed • Smart Buddy, by Bosch • Webcam • Microphone • Speakers • Smart Device • Scale, Glucose Machine, Toilet, etc.
Description of a Smart Device Hardware • Example: Smart Scale • Normal looking scale • Bluetooth capability • 440 lb capacity • Battery operated • USB connection (SC-1 Telehealth Scale, n.d.)
Software • Bluetooth • Text Messaging • ZigBee • (Project ShoeString, 2009)
Describes software application • “Bluetooth connection is wireless and automatic.” (Franklin & Laytone, n.d.) • Transmits data using low-power radio waves. • Range of approximately 30 feet. • Relatively Inexpensive (Franklin & Laytone, n.d,)
Summary of the evaluation of usability of software Axioms 1: Simple to use. Axioms 2: Few steps, few mistakes. Axioms 3: Sold millions.
Information System • Omni MD • Electronic Medical Record (EMR) software • Practice Management System (PMS) • Easy to access • Many devices supported • HIPAA compliant • Secure site (OmniMD, n.d.)
OmniMD Summary • Patient portal • Appointment scheduler • Eligibility Verification • Patient Reminder • (OmniMD, n.d.)
OmniMD Summary • Specialty EMR • ePrescribing (eRx) • Medical Transcription • Charge Capture • PM / Billing System • (OmniMD, n.d.)
OmniMD Summary Lab Order Integration Document Management Referral Management Medical Calculators (OmniMD, n.d.)
OmniMD Data Standards • OmniMDuses: • Healthlevel7 data standards (Products Overview,n.d) • OmniMD received: • CCHIT CertifiedSM status (OmniMD EMR Recieves Prestigious CCHIT Certification for EMR, USA, 2007)
OmniMD Disease & Procedure Classification System • OmniMD uses: • CPT (Current Procedural Terminology) • ICD (International Classification of Diseases) • OmniMD is compliant with: • Medicare • HCFA (Health Care Financing Administration) (Charge Capture – FAQs, n.d)
OmniMD Nursing Standards Classification Unable to locate
Recommendation • Positive site for Electronic Health Records • Security features • Backs up data • User friendly • Patients well informed
Advantages of Telehealth with Smart Devices • Advantages: • Less time to visit a provider • Immediate & Accurate information relayed • Person to person contact • Patient has more control over their care
Disadvantages of Telehealth with Smart Devices • Disadvantages: • Expense of software and devices • Computer knowledge & fear of computers • Self responsibility • Possibility of confidential records exposed
Legal & Ethical Issues Related to Telehealth with Smart Devices • HIPPA / Privacy • Computer Hacking • Lost computers • Correct patient / information
Nursing Competences Required for Telehealth with Smart Devices • Computer Knowledge • Use e-mail • Operate Windows, Vista, or MAC applications • Use search engines • Operate specific EHR (electronic health records) (McGonigle & Mastrian, 2009, p.116) • Proficient in the Smart Devices • Transfer & download information
Functions & Responsibilities of the Nursing Informatics Communicate data with patients and providers. Confirm all software is working correctly. Confirm all users of software have the knowledge to use software. Following up with software and patients
Summarizing Telehealth with Smart Devices Importance of telehealth. Importance of smart devices. How telehealth & smart devices work together. Software & Hardware needed. OmniMD – Electronic health record Advantages and Disadvantages Responsibilities
References Adams, Jon T; Schmitt, Lars; Zaleski, John. (2010). Simple, Interoperable, Wireless Connectivity Solutions for Home Healthcare. Retrieved September 21, 2010, from ProQuest: http://proquest.umi.com/pqdlink?did=2125817111&sid=11&Fmt=3&clintld=48486&RQT=309&VName=PQD Anonymous. (2010, February 14). Heart Failure; Research results form Pennsylvania State University update knowledge of heart failure. Retrieved September 21, 2010, from ProQuest: http://proquest.umi.com/pqdlink?did=1953964311&sid=7&Fmt=3&clientld=48486&RQT=309&VName=PQD
References Bristol GPs report telehealth reducing Hospital admissions & improving patient care. (2009, August 26). Retrieved September 12, 2010, from public technology: http://www.publictechnology.net/content/21099 Charge Capture - FAQs. (n.d.). Retrieved November 29, 2010, from OmniMD: http://omnimd.com/html/chargecapturefaqs.html Clever toilet checks on your health. (2005, June 28). Retrieved September 12, 2010, from CNN Tech: http://www.cnn.com/2005/TECH/06/28/spark.toilet/index.html?iref=allsearch
References Colaco, B., Dansky, K., & Bowles, K. (2005). Effects of Telehealth on the Self Management of Heart Failure. Retrieved September 12, 2010, from NLM Gateway: http://gateway.nlm.nih.gov/MeetingAbstracts/ma?f=103623896.html Franklin, C., & Laytone, J. (n.d.). How Bluetooth Works. Retrieved October 9, 2010, from how stuff works: http://www.howstuffworks.com/bluetooth.htm Harada, P. N., Dhanani, S., Elrod, M. M., Hahn, M. T., Kleinman, M. L., & Fang, M. M. (2010). Feasibility study of home telerehabilitation for physically inactive veterans. Retrieved September 21, 2010, from Proquest: Journal of Rehabilitation Research & Development: http://proquest.umi.com/pqdlink?did=2114232781&sid=6&Fmt=3&clientld=45486&RQT=309&VName=PQD
References Heart Failure (CHF). (2009). Retrieved September 12, 2010, from Tunstall: http://www.tunstallhealthcare.com/Heart_failure_%28CHF%29-2201.aspx Home Health Outcomes in a CHF Population: A Study of Patients on Telehealth vs. Patients Not on Telehealth. (n.d.). Retrieved September 12, 2010, from Viterion: http://www.viterion.com/web_docs/CHF%20Outcomes%20Analysis%20Alegent.pdf
References Kaputa, D., Price, D., & Enderline, J. D. (2010, July/August). A Portabel, Inexpensive, Wireless Vital Signs Monitoring System. Retrieved September 21, 2010, from ProQuest: http://proquest.umi.com/pqdlink?did=2125711791&sid=11&Fmt=2&clientld=48486&RQT=309&VName=PQD Kautman-Rivi, D., Collins-Mitchell, J., & Jetley, R. (2010). Design Considerations for Medical Devices in the Home Environment. Retrieved September 21, 2010, from ProQuest: http://proquest.umi.com/pqdlink?did=2125817081&sid=11&Fmt=3&clientld=48486&RQT=309&VName=PQD
References Kinsella, A. (2008, July). The Home Telehealth. Retrieved September 12, 2010, from Information For Tomorrow: http://www.informationfortomorrow.com/HomeTelehealthPrimer.htm McKeough, T. (2009, January 15). AT&T's Telehealth Wirelessly Monitors Patients' Health. Retrieved September 12, 2010, from FASTCOMPANY.COM: http://www.fastcompany.com/magazine/132/futurist-at-t-telehealth.html
References McGonigle, D., & Mastrian, K. (2009). Nursing Informatics. Sudbury: Jones and Barlett Publishers. OmniMD. (n.d.). Retrieved October 31, 2010, from OmniMD: http://www.omnimd.com/html/index.html OmniMD EMR Recieves Prestigious CCHIT Certification for EMR, USA. (2007, May 2). Retrieved November 29, 2010, from Medical News Today: http://www.medicalnewstoday.com/articles/69670.php Products Overview. (n.d.). Retrieved November 28, 2010, from OmniMD : http://www.omnimd.com/html/pOverview.html
References Project ShoeString.(2009, February 6). Retrieved October 9, 2010, from Project ShoeString: http://www.projectshoestring.blogspot.com SC-1 Telehealth Scale. (n.d.). Retrieved September 12, 2010, from telehealth technologies: http://www.telehealthtechnologies.com/SC-1%20Telehealth%20Scale.htm Sokullu, r., & Karatepe, E. (2005, March). Performance Evaluation of Bluetooth Links in the Presence of Specific Types of Interference. Retrieved October 20, 2010, from World Academy of Science, Engineering and Technology: www.waset.org/journals/waset/v3/v3-3.pdf
References Telehealth: Reduces Health Care Utilization for Congestive Heart Failure Patients. (n.d.). Retrieved September 19, 2010, from Alberta Telehealth: www.albertatelehealth.com/.../Home%20Telehealth%20Table.do Zyxel. (n.d.). Retrieved September 12, 2010, from Zyxel: http://us.zyxel.com/upload/download_library/SHG_ds_122209.pdf