Asynchronous Model In Home Care

Telehealth is an innovative approach to health care that is rapidly expanding in all areas of patient care. It has been shown to be cost effective and is rapidly being integrated into everyday practices from clinics, hospitals, court systems, school systems and even the local drug store.

Telehealth is remote exchange of data between a patient and doctor that facilitate in better diagnosis of patients and monitoring typically used to support patients with long term conditions.

It excludes the option of face-to-face communication during examinations. Finally, telehealth focuses on educational and research purposes involving all types of caregivers with telecommunication between patient and health professionals. Health care delivery in its use of information, records, communication, and will continue to grow with the Internet. The rapid expansion of information technology into daily life and business has healthcare delivery begin to adopt and optimize the use of technology.

The purpose of this paper is to discuss how technology has impacted the health care delivery system. Health care technology is advancing at an increasingly rapid rate in the United States, and globally. Patients and providers are witnessing these changes through the use of telehealth, and telemedicine applications. Telehealth, and telemedicine are often used interchangeably, however there is a difference between the two applications. Telehealth is the use of technology to deliver health care, health information, or health education at a distance (U.S. Department of Health and Human Services, n.d.).

The benefits of telehealth consultations are immeasurable; clients are able to access a knowledgeable health care professional and receive a telephone triage/assessment and recommendations. This allows the patient to have immediate access to good health advice and quicker solutions. Telemedicine is one of the many vehicles of telehealth; for example, the cardiologist orders an outpatient Holter Monitor trial to evaluate arrhythmias. The technician calls the patient at the sign of any abnormal rhythm and investigate the activity performed when the reading fluctuation then the reported is communicated to the cardiologist. If warranted, the cardiology staff will contact the patient with instructions schedule an immediate appointment. Telehealth services resources would benefit the client in this next example, an individual’s come in for a sick visit expecting a prescription to be written for their illness; they receive informative instructions because of the nature of the

Synchronous is an adjective that describes an event that is coordinated in time. Synchronous communications works in a way that both hosts will be communicating consistently to continue that communication. By this I mean, that there should be continuous stream of data flow between both hosts to keep that communication going. An example of this is a phone call, when one host (person) communicates with another host, both hosts will have an active connection between them during Synchronous communication. The first host can send a packet of data (talk) while the second host will receive that data (Listen) simultaneously and then the first host will receive the data while the second host is sending the data simultaneously. This communication is used commonly used in telecommunications such as; phone calls, Skype calls etc. Synchronous communication is used in these cases instead of Asynchronous because these things require both hosts be active at the same time. Synchronous communication is also used for things such as streaming on Netflix which requires both the server and client accessing Netflix to be active. Peer to peer transfer (sending a file directly to a friend over the internet) also requires that both hosts be active, if only one host was active then the file wouldn’t be able to be

Telehealth has been a large topic of debate in recent years because of the economic, political, and regulatory points of view. In deciding outcomes in these areas, it is the responsibility of all healthcare professions to identify information gaps in order to come to the more rational and beneficial conclusion about telehealth (Grace, 2014). Economically, there are concerns regarding the access and affordability of telehealth equipment. At the same time, telehealth is being adapted in ways to be utilized with technological devices that many individuals already have access to like telephones, cellular phones, and personal computers/laptops. Telehealth can positively impact both clients and providers by increasing access to care and reducing the time and costs associated with traveling for health care (Allen, Aylott, Loyola, Moric, & Saffarek, 2015). As telehealth develops technological devices can be made more affordable and can be covered by insurance policies (Thomas et al., 2014). Many nurses functioning as case managers can help provide the tools and resources individuals require to manage their health.

“Telehealth changes the location of care by connecting patients and clinicians virtually, in place of the usual face-to-face contact.” (Darkins 2012).

Telehealth is the use of electronic information to support long distance clinical health care, patient education, and public health administration. Telehealth involves video conferences, internet, streaming media, and wireless communication to deliver health related services. It encompasses the preventative, promotive, and curative aspects of health care. This system exchanges health related data and other information between the patient and the health care professional to help with the diagnosis and management of conditions. It allows for conferencing between health care professionals and patients in “real time”, remote patient monitoring (such as the blood pressure monitor feeding results through the system), electronic consultation, transmission of medical data, health advice in emergency cases, and long distance patient education. Telehealth is great for monitoring a client in between doctor appointments in order to assess their progression. This benefits the clients because it reduces the need for hospitalizations and visits to the emergency room, while improving their quality of life.

Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth

The delivery of health care has always been influenced by technological developments and innovations. This is particularly true in modern health care professionals where they are obsessed with technology and rush to apply them. One of the most recent applications of ICT – Information and computer technology- is telehealth. Telehealth is the use of communication, diagnostic and information technology to provide health care when patients and providers are geographically separated [2], Technologies include videoconferencing, the internet, store -and-forward imaging, streaming media, terrestrial and wireless communications. Telehealth could be as simple as two health professionals discussing a case over the telephone or as

Telemedicine is similar to Telehealth. Telehealth refers to a broader scope of remote healthcare service but Telemedicine refers specifically to remote clinical services. Telehealth can also refer to remote non-clinical services. For example provider training and meetings (link 3). In the past the network is not as fast as now, thus telemedicine is only use in clinical services. Now, due to the development of network, more information can be transferred in a shorter period, thus Telemedicine can be to provide other non-clinical services. The word “Telehealth” refers to both clinical and non-clinical services.

Often the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.” Telehealth allows a lower level healthcare practitioner to communicate with a physician or specialists when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas.

There is an increasing need within the U.S. for quality health care to be provided to individuals who have limited access whether it is due to a rural environment, disabilities, or in the field of battle. Telemedicine is literally medicine provided at a distance. Telehealth is able to alleviate some of the effects of a growing shortage of professionals such as primary care physicians. In this type of health care delivery, the dynamics between the patient and the entire health care system changes. Telemedicine meets the increasing demands of patients to have greater access, or responsiveness, from a health care provider. It also meets the needs of the provider who is very interested in time-saving, safety-enhancing assistance in their daily practice. Employers and health plans are also very interested in telemedicine as a means of improving compliance with treatment plans and care management initiatives (Hodgkins, 2008). The use of email also allows the patient to have increased access to their health care providers. Instead of calling their health care provider’s office, patients are now able to email their non-emergent health care questions to their provider. Conversely, health care providers are able to email patients reminders for appointments or wellness tips.

There are several forms of technology that is used to monitor, assist patients with self-care management, assist physicians with delivering care to their patients, including consultation with specialist, and overcoming barriers with transportation. “60% of the healthcare executives, physicians, and nurses in this inaugural survey said that telemedicine was a high priority for 2015“ (Vockley, 2015, para. 7) Telemedicine