00:00
We've had multiple conversations about the
power of technology and how it can create
connections between patients and the health
care environment.
00:08
But in this section, we're going to talk
about three types of specific
connections: telehealth, personal health
management systems,
and wearable technology.
00:20
Now, the complexity and use of telehealth
technology has exploded since
the recent pandemic and is greater than ever
before.
00:28
I mean, what used to be a simple modem based
telephone, or maybe even a landline based
telephone call now includes specialized
touch screen tablets,
smartphone applications and video meetings.
00:40
I mean, being able to meet, consult and
monitor from a distance is transforming
what health care can do, especially in
underserved and remote regions.
00:50
Telehomecare. Now this becomes like a safety
net for our clients.
00:55
This provides remote monitoring and support
for patients with chronic illnesses.
00:59
For example, say a patient has significant
mobility challenges.
01:04
The amount of effort it takes to arrange a
ride travel to the location.
01:08
This puts the patient at potential risk of
their symptoms becoming even worse
due to all the energy caused to go to a
health care center.
01:18
Tele mental health is like a digital
therapist's office now this provides
mental health services remotely.
01:25
Now these systems can be set up all
different kinds of ways, but some of these
systems can be set up to ask the patient to
check in a specific time
intervals. They can do this for suicide or
other mental health check-ins.
01:37
Now with these check-ins, it will trigger the
care teams if the client
doesn't complete them or perform a phone,
text or physical wellness check on
that client.
01:49
E-intensive care units is on the other end
of the spectrum.
01:53
So we have e intensive care units and
teletrauma care.
01:58
Now this is used to provide real-time
critical care and trauma
support without geographical boundaries.
02:05
So what does this look like?
Imagine you arrive at the scene of a massive
motor vehicle accident, and you're involved
in decisions about which patient should go
to which trauma center.
02:16
Consider having the option to use a tablet
video to show the trauma surgeon
what is happening, and they can assist with
on-site triage.
02:25
All the potential time, resources and loss
of life could be reduced.
02:30
Moving on to personal health management
systems, think of them as
digital health journals that store, manage,
and relay personal health
information. These personal health
management systems help patients
to actively participate in their own care
because they provide them with a
comprehensive overview of their health
status, thus promoting their own
self-management with an informatics
perspective.
02:58
You can anticipate that the usefulness of a
personal health management system is
highly dependent on the technological
literacy level of the
system, the providers, and the patients
using them.
03:12
It's great to be able to email for an
appointment or ask a simple medical question
using this technology, but if you don't have
the internet, the actual equipment,
or the skill to use it, it can create a
barrier.
03:24
When organizations and providers become
overly reliant on using them to
communicate with their patients.
03:31
When you're in conversations about this
technology, anticipate ways to overcome this
potential barrier.
03:38
Next we have wearable technology.
03:41
This is like having a personal health coach
strapped to your wrist.
03:44
From monitored heart rate and sleep patterns
to tracking physical activity and blood
glucose levels.
03:50
These devices provide a wealth of real-time
health data.
03:54
Here's a real-life example with my own
mother.
03:57
She has an implanted defibrillator and a
pacemaker.
04:01
Now she has a monitor in her home.
04:03
She doesn't have to do anything with it,
which is great because mom is not good with
technology. As long as she spends 30 minutes
a day within the proximity
of that monitor, data is sent back to her
healthcare provider.
04:17
Now they run consistent checks.
04:19
Watch for Dysrhythmias.
04:20
See how much the pacemaker is working on and
on and on.
04:23
They can address these issues earlier, so if
there's any reason that she needs
to seek health care or go to the clinic, she
can do that.
04:32
But what really helps is this prevents
unnecessary clinic or
hospitalizations.
04:38
So how might this impact the quality of care
for a pediatric patient?
Well, let's think about a newborn infant
with apnea.
04:45
Okay. With this technology, the infant can be
sent home much earlier with an apnea
monitor rather than having to stay as an
inpatient.
04:54
Getting into the home environment earlier
promotes independence,
family and patient health, and has
significant financial implications for the
cost of inpatient versus outpatient care.
05:06
All this technology can be useful and
exciting, but there are some bigger issues
that you need to consider regarding
implementation.
05:14
First on our list is reimbursement.
05:16
The financial lifeblood of the health care
services.
05:20
In the realm of telehealth, it's like trying
to navigate a river with ever-changing
currents. Policies vary across insurers,
states, and
services. Many providers face challenges in
getting reimbursed for
telehealth services.
05:35
That's a hurdle that can deter the adoption
of this innovative model.
05:39
Next, medical legal concerns, such as
licensing and credentialing of
providers to patient privacy and data
security are challenging to know and
keep current with.
05:49
Having a strong relationship with your
privacy
official and information technology team can
help you navigate these.
05:58
Technical difficulties will always be an
issue.
06:01
Poor internet connectivity, inadequate
equipment or software glitches
can hinder the delivery of care, so this can
be particularly challenging for rural
or under-resourced communities.
06:13
Your knowledge of informatics and technology
is crucial in not only
understanding these issues, but working
towards solving challenges
as the relationship between technology and
the healthcare environment continues to
grow.