Telemedicine: Re- Telemedicine: Re- envisioning The envisioning The Telephone Consultation Telephone Consultation Julie J. McGowan, Ph.D., Julie J. McGowan, Ph.D., FACMI FACMI IU School of Medicine IU School of Medicine Regenstrief Instutute Regenstrief Instutute
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Telemedicine: Re-Telemedicine: Re-envisioning The Telephone envisioning The Telephone
Consultation Consultation Julie J. McGowan, Ph.D., FACMIJulie J. McGowan, Ph.D., FACMI
IU School of MedicineIU School of MedicineRegenstrief InstututeRegenstrief Instutute
Coming to You through the Coming to You through the Miracle of Modern Technology – Miracle of Modern Technology –
The TelephoneThe Telephone
The ConsultationThe Consultation In PersonIn PersonLetterLetterExpress DeliveryExpress DeliveryTelegraphTelegraphTelephoneTelephoneTelehealthTelehealth In Person, VirtuallyIn Person, Virtually
TELEMEDICINE DEFINEDTELEMEDICINE DEFINED
““...the use of electronic information ...the use of electronic information and and
communications technologies to communications technologies to provide provide
and support health care when and support health care when distance distance
separates the participants...”separates the participants...”from: Institute of Medicine: Telemedicine: A Guide to Assessing Telecommunications in Health Care
What is Telehealth?What is Telehealth?Video ConferencingVideo ConferencingDistance LearningDistance LearningTelemedicineTelemedicine
Asynchronous – Provider to ProviderAsynchronous – Provider to ProviderSynchronous – Provider to Patient & Synchronous – Provider to Patient &
ProviderProviderSynchronous – Provider to PatientSynchronous – Provider to Patient
Early History of TelemedicineEarly History of Telemedicine1950s and 1960s1950s and 1960s
Nebraska Psychiatric Institute - UN & state Nebraska Psychiatric Institute - UN & state mental hospital & Interact System - Dartmouth mental hospital & Interact System - Dartmouth and UVM Medical Schools [Microwave]and UVM Medical Schools [Microwave]
STARPAHC [Space Technology Applied to Rural STARPAHC [Space Technology Applied to Rural Papago Advanced Health Care - Papago Indian Papago Advanced Health Care - Papago Indian Reservation & Public Health Hospital in ArizonaReservation & Public Health Hospital in Arizona
Alaska Satellite Biomedical Demonstration Alaska Satellite Biomedical Demonstration Project used NASA technology to link 26 sites Project used NASA technology to link 26 sites across Alaska.across Alaska.
WHY PROGRESS TO WHY PROGRESS TO TELEMEDICNETELEMEDICNE
The RationaleThe Rationale Just-in-time CareJust-in-time Care Improved QualityImproved QualityEnhanced EfficiencyEnhanced EfficiencyBetter Professional CommunicationBetter Professional CommunicationPatient SatisfactionPatient SatisfactionEnlarged Catchment AreaEnlarged Catchment AreaCost Savings?Cost Savings?
Culture – Medical &Culture – Medical & Re-engineering practice Re-engineering practice Crossing referral linesCrossing referral lines Comfort with and understanding of Comfort with and understanding of
Technology as a ToolTechnology as a Tool
There are no problems….There are no problems….just insurmountable just insurmountable opportunitiesopportunities