Telehealth: Barriers To Confidential Information

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.

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

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.

How would you like to keep track of your personal health information record in your computer at home? The electronic data exchange was one of the goals of the government to improve the delivery and competence of the U.S. healthcare system. To achieve this plan, the U.S. Congress passed a regulation that will direct its implementation. The Department of Health and Human Services is the branch of the government that was assigned to oversee the HIPAA rules. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a national public law in the United States that was created to improve health insurability, prevent insurance abuse and to protect

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.

The Health Insurance Portability and Accountability Act is a law that was passed in 1996 that provides data privacy and security provisions for safeguarding medical information. The Health Insurance Portability and Accountability Act Privacy Rule set national standard for the protection of individually identifiable healthy information by three types of covered entities: health plans, health care clearinghouses, and health care providers who conduct the standard health care transactions electronically. The Security Rule under the Health Insurance Portability and Accountability Act sets national standard for protecting the confidentiality, integrity, and availability of electronic protected health insurance. The Health Insurance Portability and Accountability Act Enforcement Rule provides standards for the enforcement of all the Administrative Simplification Rules. Individuals, organizations, and agencies that meet the definition of a covered entity (health care provider, health plan, health care clearinghouse) under the Health Insurance Portability and Accountability Act must comply with the Rule’s requirements to protect the privacy and security of health information. (Office for Civil Rights, 2015)

There are many legal and regulatory issues that nurses must consider before going into telenursing. Telehealth system requires tough legal regulation to prevent unauthorized and illegal service providers in this sector. There is a low quality of health informatics records, such as X-rays, and there is an increased risk or error in clinical services if the service is delivered by an inexperienced professional. Furthermore, confidential medical information can be leaked if the electronic system is faulty. Nurses who choose to practice in this field must meet the challenge of developing standards for safe and effective practice. The nurse’s role in telehealth has increased in breadth and scope causing the need for practice standards, The American Academy of Ambulatory Care Nursing (AAACN) published its first Telehealth Nursing Practice Administration and Practice Standards in 1997 to articulate expectations for nurses who are interested in telenursing practice (American Academy of Ambulatory Care Nursing [AAACN], 2015). There are also revised versions that are published on a regular basis. These standards provide nurses with current professional practices, norms, and expectations. Reading and understanding these standards allow nurses entering telenursing to reflect on their role as nurses in this emerging area of

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

In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.

In today’s society, medical records becomes a huge issue. In many organizations such as healthcare, patient confidentiality becomes a high concern. Having internet health services, creates a challenge for compliance in healthcare. Providers have treated application security and infrastructure security independently until now. Access must be secured for clinical applications to alleviate the concern from providers in healthcare. Therefore, IT infrastructure must be protected from hackers, misusing information as well as thieves. (FairWarning, n.d.)

Also, the suggestions provided to help with the research seems appropriate. One suggestion that can be added to the list is to include the pharmacies (private or government) in the telemedicine plan as there may be some times when a person is not able to go the pharmacy to pick up their medicine and the pharmacies can deliver the same to the address. This means that during the discussion, one more party have to be on-board for the development and implementation of telemedicine systems that is the pharmacies that are affiliated to the medical facilities.

Abstract - Telemedicine focus on use of information and communication technologies in the situation when health care center and the patient are remotely located. That means that health care services are provided remotely over the distance. There are several telemedicine services which include transmission of information about patient’s health through text, sound, images and other data forms for the diagnosis treatment, prevention and follow up of the patient’s health status. The role of telemedicine services contributes a lot in health improvement and its application should be considered favorably valuable. However, it is so much necessary to be aware that the utilization of different telemedicine solutions includes processing of patient’s data and transferover open network. Thus, this issue should be considered from the perspective of data protection. Medical images which are stored in health information systems, cloud platform or other systems seeks attention. Privacy and security of such images