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Telehome Care

Telehome Care. Presented By Darlene Pick. Goals and Objectives. Define Telehome Care Recognize need for Telehome care Identify components of Telehome care List factors encouraging its use Identify Hardware Identify and analyze Software

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Telehome Care

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  1. Telehome Care Presented By Darlene Pick

  2. Goals and Objectives • Define Telehome Care • Recognize need for Telehome care • Identify components of Telehome care • List factors encouraging its use • Identify Hardware • Identify and analyze Software • Discuss three axioms of Human-Computer Interactions

  3. Goals and Objectives (Continued) 8) Provide current example of Telehealth HomMed 9) Advantages / Disadvantages 10) Ethical / Legal Issues 11) Informatics Competencies required 12) Functions and Responsibilities of Informatics Nurse 13) Summary

  4. Telehome Care Delivers patient care to the home via technology.

  5. Telehome Care Provides contact between the healthcare provider and the patient without either having to travel

  6. Telehome Care consists of: Telehome Care

  7. Several factors are encouraging the use of telehome care --cost effective --early hospital discharges --patient demand --patient’s moving toward self-care --aging population --increased acuity

  8. Hardware

  9. Adaptability of Hardware • Home Monitor Screen • Blood Pressure Cuff • Thermometer • Oxygen Sensor • PT/INR Coagulation Meter • Glucose Monitor • Scale • Peak Flow Meter with EV1 • ECG

  10. Easy to use

  11. Sentry Telehealth Monitor • standardized unit • quickly collects, transmits and records health data • allows patients to answer short yes or no questions with text or voice prompts • adaptable to different chronic diseases • FDA Class II (hospital grade) approved

  12. Genesis Monitor Measures heart rate, blood pressure and weight Provides customizable disease-related questions Friendly voice Easy to use

  13. Telehome Care Kiosks Used in corporate and healthcare-related facilities Monitors health of residents, employees or members on site

  14. MedPartnerMedication Reminder Automatically alerts patients when it’s time to take their medications Records meds taken and reports are sent to home healthcare agency

  15. Software The software records and tracks all health information collected on a patient and the care they are receiving.

  16. HomeMed Central Station • FDA class II (hospital grade) medical device • has a navigator screen with Windows ® style pull-down menus

  17. Human-Computer Interactions (HCIs) The process of making computer interfaces more compatible with their human users and the context of care. (McGonigle and Mastrian, 2009, p.65)

  18. Three axioms of HCIs • Users must be an early and continuous focus during interface design. • The design process should be iterative, allowing for evaluation and correction of identified problems. • Formal evaluation should take place using rigorous experimental and/or qualitative methods. (Staggers, 2003)

  19. Honeywell HomMed • Dedicated to providing innovative and cost-effective solutions to disease management • Goals: 1) significantly reduce healthcare costs 2) allow chronically ill individuals to spend more time at home and less in the hospital

  20. Honeywell HomMed device has 2 IS components HomMed Sentry • Collects and transmits data from the patient via wireless pager technology or via phone with modem HomMed Observer • Receives data, stores it, and presents it to clinical personnel for monitoring and trending

  21. Honeywell HomMed Information System • Approached Red Anvil to help with IT consultation. • Chose Dell to enable Honeywell HomeMed to provide global distribution with global support. • Uses Red Anvil and Dell to give their product scalability, availability and security. (Powering Home, 2008)

  22. How does Honeywell HomMed rate as an Information System? • Clinical Information System. • Communication Information System. • Physicians and Nurses agree the system is user-friendly. • Patients agree to it being user friendly.

  23. Honeywell HomMed is strongly recommended • Patients go home 2-3 days earlier . • Patients maintain contact with healthcare providers. • Physicians don’t have to think about the infrastructure. • Chronically ill patients make fewer trips to the ED. • Healthcare costs will lower.

  24. Advantages of Telehome care • To provide better healthcare access • Improved patient information • Patient convenience • Enhances patient care • Reduces travel time of health professionals (McGonigle and Mastrian, 2009, p.266)

  25. Disadvantages of Telehome Care • Cost and reimbursement • Technology issues • Healthcare provider resistance • Lack of privacy

  26. Ethical and Legal Issues Ethical Issues Legal Issues • Patient confidentiality • Data security • Accountable for care provided • Potential for malpractice (McGonigleand Mastrian, 2009, p. 303)

  27. Informatics Competencies 1. Windows-based PC 2. Touch-tone telephone 3. Digital video equipment with video processing 4. Computerized charting system 5. BSN ( Dansky, Yant, Jenkins, Dellasega, 2003, p.375)

  28. Functions and Responsibilities of Telehome Care Nurse • Knowledge Acquisition • Knowledge Processing • Knowledge Generation • Knowledge Dissemination

  29. Summary • Telehome is not useful for all patients • Telehome care reduces healthcare costs • Telehome care increases efficiency and productivity of clinicians • Telehome care is a rapidly developing mode of healthcare • Nurses will play a key role in its development

  30. References Cassin, K. (2008). Implementation of home telemonitoring for chronic disease: a case study of resurrection home health services. Retrieved February 27, 2009, from http://tie.telemed.org/articles/ Dansky, K.H., Yant, B., Jenkins, D., Dellasega, C.(2003). Qualitative analysis of telehomecare nursing activities. JONA, 33(7/8), 372-375. Elford, R. (2004). Intro to telehome care. Retrieved February 6, 2009, from http://www.telehealth.ca/intrototelehomecare.html Honeywell HomMed. (2008). Retrieved March 26, 2008, from http://media.americantelemed.org/ICOT/Vendor/MasterVendorTemplates.pdf. Johnston, B., Wheeler, L., Deuser, J., Sousa, K.H.(2000). Outcomes of the Kaiser Permanente tele-home health research project. Archives of Family Medicine, 9(1), 40-45.

  31. References Landers, D. (2000). Telemedicine overview. Retrieved February 6, 2009, from http://iml.jou.ufl.edu/projects/Fall2000/Landers/overview.htm McGonigle, D. & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, Mass: Jones and Bartlett Publishers. Powering home (2008). Retrieved March 26, 2009, from http://www.hommed.com. Telehealth at home with Genesis DM. (2008). Retrieved March 3, 2009, from http://medgaget.com/archives/telemedicine.

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