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Impact of change in organization
Impact of change in organization
Importance of organizational change
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Telehealth Increasing Access to Health Care Organizational Change Readiness Assessment Facility’s Readiness Assessment The selected assessment tool reviewed influences affecting the facilities’ ability to change and identified important elements of change: urgency, leadership, trust, and communication (Clay & Norris-Tirrell, 2016). First, the assessment revealed the facility understands there is an urgency for change, thereby scoring high in this category. Next, the facility scored neutral in the leadership category as there was a knowledge deficit concerning this category. Thirdly, the facility yielded a high score in trust indicating the employees have a loyalty to the organization. Finally, the evaluation indicates a moderate score in …show more content…
The question needs to encompass five elements: patient population, intervention, comparison, outcomes, and time. The PICOT research question is as followed: In a primary care setting will providing educational in-services to medical staff and patients concerning telehealth and telemedicine services compared to not providing education increase access to care over a twelve-month period. Purpose and Objective The purpose of the research is to determine a positive correlation between increasing education concerning telehealth and telemedicine services and access to care within the VA Healthcare System via primary care service. The objective of the project is to increase health care access to Veterans via telemedicine/ telemedicine services. Currently, the national metric for telehealth/telemedicine enrollment is 1.6 of the facilities’ population; and the selected facility’s enrollment is 1.4 (VHA Support Service Center Capital Assets Databases, 2018). Supporting …show more content…
Harzheim (2017) is a narrative study, noting how a small group of physicians with experience with primary care and minimal information concerning telemedicine/telehealth successful implemented a teleconsult program. The program serviced 9 out of 26 states in Brazil and was initiated in 2007. After education and protocols were developed, a teleconsultation program was manifested. The teleconsulting program allowed dialogue between providers with the goal of resolving medical issues without in-person specialty consultation appointments. The program has been deemed successful as evidenced by over 83,000 hotline teleconsultations by the end of 2016 with a 95% approval rate; and overdue specialty appointments were decreased by 122,000 in two years (Gonçalves, Umpierre, D'Avila, Katz, Mengue, Siqueira, & ... Harzheim,
Providers are faced with having to weigh the expense of investing in telehealth technologies with the ability to generate enough revenue to cover these costs. This is often difficult as expenses in the literature can cover those directly linked with the delivery of care (healthcare costs) and those that are not directly related to providing care (non-heath care costs) (Bergmo, 2009). Some of the healthcare costs a practitioner must consider are items such as computers, video cameras, microphones, modems, routers, software and other components such as specialized stethoscopes and imaging equipment needed to assess an individual patient. The cost of these items can add up quickly. As one study estimates, the capital expenditure for the implementation of telehealth video conferencing can reach as much as $80,000. The cost of transmitting data in order to deliver these services can also reach $800-$2000 per month in spoke and hub type telehealth systems (Gamble, Savage, & Icenogle, 2004). These costs incur even more ...
Kansas is considered a rural state in the United States. Merriam-Webster (2012) defines rural theoretically as “open land” or “relating to the country, country people or life, or agriculture”. The U.S. Census Bureau considers rural to be “open country and settlements with fewer than 2,500 residents” (Cromartie, 2007). Nearly 17% of the U.S. population lives in rural areas, which is about 80% of all U.S. territory (Cromartie, 2009). What this means that there is more land mass compared to the people inhabiting the land; rural communities have fewer people living in larger, more remote areas. Individuals living in rural communities have different cultures and experiences than those living in urban communities, which can become problematic in regards to healthcare.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
There seemed to be hardly any difference in the volume of office visits for the patients who used an electronic messaging program with a patient portal, based on a retroactive research of 2,357 adult primary care patients in Mayo Clinic’s Rochester, MN. The research was from April 2010 to August 2011. The researchers stated in the study that the portal has actually been promoted in order to reduce expenses on appointment setting up as ...
... teleadvice in the absence of a pre-existing patient-physician relationship - Systematic review and expert survey. Journal of Medical Internet Research, 2(1).
Telemedicine, as defined by the Field (1996), is “the use of electronic information and communications technologies to provide and support health care when distant separates the participant” (Introduction and background section, para.1). The prefix, from the Greek telos, implies distance. This prefix is particularly fitting as telemedicine is often utilized to connect medically deprived, geographically isolated, or distant areas with medical centers so that less highly trained, on-site personnel can provide health services with long distance help (Zundel, 1996). Closely associated with telemedicine is the term “telehealth”, which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. Videoconferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth ( American Telemedicine A, 1993).
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
Telehealth allows a lower-level healthcare practitioner to communicate with a physician or specialist when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas. When procedures call for a physician, an internet or satellite link provides a teleconference with a physician who can prescribe appropriate treatment (Gangon, Duplantie, Fortin & Landry 2006). This could be implemented in lower income urban areas, allowing free clinics to lower costs, and require fewer physicians. Programs that increase the level of healthcare available to school children could be increased.
Even though telemedicine is a very powerful tool, many barriers must be broken in order for this technology to succeed. There are many obstacles and the main one is the resistance from physicians. Many health care providers are reluctant to learn how to use new technologies; especially the older doctors who...
Telemedicine is defined as the use of telecommunication and information technology in order to provide health care from remote locations of the country and world with various forms of modern technology communications. With the use of telemedicine the possibilities are endless and beneficial to patients in remote areas of the world. It would help patients that have trouble with transportation and allows patients to stay within their community and still be provided modern medicine. The benefits of telemedicine allows worldwide medical consultations, continual access to updated physiologic data about patients in remote areas, electronic medical records, remote examination of patients at the primary site, and consultations between the primary and secondary site. With the convenient use of telemedicine prisons are now using telemedicine to treat inmates.
With just a web camera and secure patient database to connect to a patient portal a doctor can view a patient’s records and send prescriptions and answer patient questions and concerns. The cost of Telemedicine is also less expensive than normal office visits and now insurance companies and Medicare cover the cost of this form of medicine.
There are so many technological advances already in the health care field and more are expected in the coming years. Telehealth, or the ability for a physician to have a consult with a patient in a remote location via computer is a growing field. I learned a lot about this subject as it was the topic for my Power Point presentation for this course. I used information from current journals to support my ideas and even incorporated audio, visual media, and hyperlinks into my presentation.
The unit I worked at, we are very familiar with telemedicine (telehealth) especially in the weekends/holidays when we don’t have providers on site available to assess and evaluate patients who need their expertise. After patients are evaluated and admitted to our floor, they describe their experience about telemedicine as convenient, minimal waiting time, and getting an instant medical answer. Whereas the disadvantages of using telemedicine are a power outage, slow internet connection, loss of privacy and confidentiality, no consultation, and even no stable patient-nurse relationship. According to WHO, despite those barriers, telemedicine has the potential to decrease emergency room visits and hospitalizations, promote quality care for patients
Specialists are using telemedicine to connect with patients and other providers that are in rural areas where it’s difficult to have a specialist onsite. For example, there are two hospitals in my area, one is 25mi away from where I
In most of the rural health care settings, patients are prone to higher risk of illness due to the lack of proper diagnosis and care quality. This article has discussed the use of telemedicine in such health care settings for improving quality, increasing the time for patient physician interaction and for providing cost effective treatment. The goal of this research is to evaluate the stabilization time and to detect the psychological changes in the patients after using the CDSS. The study was conducted in four hospitals and the data was collected from the recognized websites. Only the retrospective data was collected for effective results. Consent form was signed from both the patients and the referral physicians. A randomization process was