Telemedicine Overview and Application in Pulmonary Critical Care and Sleep Medicine 1st Edition by Dee W Ford, Shawn R Valenta ISBN 3030640493 9783030640491

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ISBN 10: 3030640493
ISBN 13: 9783030640491
Author: Dee W Ford, Shawn R Valenta

This book provides an overview of key issues with regards to implementing telemedicine services as well as an in depth overview of telemedicine in pulmonary, critical care, and sleep medicine. Topics range from specific practices to program development. Telemedicine has experienced explosive growth in recent years and yet, implementing telemedicine solutions is complex with substantial regulatory, legal, financial, logistical, and intra-organization/intra-personal barriers that must be overcome. This book provides the necessary information and guidance to address those complex issues.
This book is broadly divided into two parts 1) a primer on requisite steps before embarking on telemedicine service development and 2) specific applications and examples where telemedicine is successfully utilized to improve quality of care in pulmonary, critical care, and sleep medicine. The first part includes coverage of telemedicine and finance, regulatory and legal issues, and program development. The second part delves into specifics with information on ambulatory telemedicine programs, inpatient consultations, and tele-ICU programs. All chapters are written by interprofessional authors that are leaders in the field of telemedicine with extensive knowledge of diverse telemedicine programs and robust real-world experience on the topic.
This is an ideal guide for telehealth program managers, and pulmonary, critical care, and sleep medicine professionals interested in improving their telehealth practice.

Telemedicine Overview and Application in Pulmonary Critical Care and Sleep Medicine 1st Edition Table of contents:

Part I: Primer on Telemedicine Program Development
Chapter 1: Overview and History of Telehealth
Brief History of Telehealth
1950s
1960s
1970s
1980s
1990s
2000s
2010s and the Future
What Is and Is Not Telehealth?
Modes of Telehealth Delivery
Synchronous (Live, Two-Way), Videoconferencing
Asynchronous and/or Store-and-Forward
Remote Patient Monitoring
Mobile Health or mHealth
Conclusion
References
Chapter 2: Telehealth Legal and Regulatory Issues
Telehealth and Physician Licensure
General Physician Requirements
Exceptions to Physician State Licensure
Interstate Medical Licensure Compact
Telehealth and State Physician Practice Standards Laws
Telehealth Modalities and Creating a Valid Doctor-Patient Relationship
Informed Consent
Standard of Care
Specific Disclosures and Record Sharing Requirements
Telehealth Prescribing
State Laws
Controlled Substances and the Federal Ryan Haight Act
Privacy and Security
Health Insurance Portability and Accountability Act (HIPAA) and Telehealth
Exceptions to HIPAA
E-Commerce, the Telephone Consumer Protection Act (TCPA), and Privacy Policies
Malpractice Insurance Coverage and Tort Liability in Telehealth
Malpractice Insurance Coverage
Tort Liability
Hospital Credentialing of Telehealth Physicians
Overview
Credentialing by Proxy
Other Notable Laws and Regulations Relevant to Telehealth
Corporate Practice of Medicine
Federal Fraud and Abuse Laws: Stark, Anti-Kickback Statute, Civil Monetary Penalties
Stark Laws and Telehealth
Anti-Kickback Statutes
Civil Monetary Penalties
OIG Advisory Opinions
State Laws and Telehealth Considerations
Summary for Telehealth Legal and Regulatory Considerations
References
Chapter 3: Telehealth Finance Variables and Successful Business Models
Introduction
Telehealth Governance and Investment
Using Governance to Prioritize Telehealth Investment
Telehealth Finance Variables
Successful Telehealth Business Models
Return on Investment (ROI) and Value on Investment (VOI)
A Departure from Volume to Value
Key Concepts of Telehealth ROI and VOI
Exploring “Above the Surface” Inputs
Exploring “Below the Surface” Inputs
Challenges to Estimating Telehealth ROI
Complexities of the Healthcare Insurance Market and Payer Engagement
Identifying and Quantifying Indirect Revenue Streams
Measurement and Tracking Within Disparate Systems
Achieving Success with Telehealth ROI: Best Practices
Other Factors That Impact or Contribute to ROI
Conclusion
References
Chapter 4: Telehealth Development, Implementation, and Sustainability Challenges: An Introduction into the Telehealth Service Implementation Model (TSIMTM)
Introduction
Barriers to the Diffusion of Telehealth
Seven Core Principles for the Successful Development of Telemedicine Services
Five Factors Influencing Service Integration
Advancing Telehealth Service Development and Delivery
Conclusion
References
Chapter 5: Telehealth Technology, Information, and Data System Considerations
Introduction
Technology and Data System Considerations
Investments in Technology
Telehealth Design Process
National Communication Technologies
National Communication Infrastructure: Relevance to Telehealth
Brief Overview of Telehealth Technology in the Context of Pulmonary, Critical Care, and Sleep Medicine
Data Systems and Integrations
Data-Driven Research Methodologies for Telehealth Technology
Additional Considerations for Implementing Telehealth Technology
Emphasis on Multi-Level and Interprofessional Training
Applying Telehealth Technology Considerations to Professional Society Position Statements
Considerations, Recommendations, and Conclusions
References
Chapter 6: People Issues in Telehealth
Introduction
Telehealth Adoption from Perspectives of End-Users
End-User: Mid to Large Employers
End-User: Hospitals/Providers
Provider Issues and Telehealth Adoption
Guidance for Provider Behavior During a Telehealth Interaction
Operations and Workflow Integration
Future Directions: Looking Ahead
References
Chapter 7: Telemedicine Quality and Quality Improvement in Pulmonary, Critical Care, Allergy, and Sleep Medicine
Background on Quality in Health Care
Access
Cost
Quality
Structure, Process, and Outcomes in Health Care Quality
Quality Improvement Tools and Theory
The Model for Improvement
Telehealth and Health Care Quality
Multi-Level Approaches to Quality Improvement and the Role of Telehealth
Patient Level
Provider Level
Group/Team Level
Organization Level
Community Level
Potential Impact of Telehealth on the Six Domains of Health Care Quality
Safe: Avoid Injuries to Patients
Timely: Reduce Waits and Harmful Delays for Those Who Receive and Provide Care
Effective: Provide Services Based on Scientific Knowledge to Avoid Underuse and Overuse
Efficient: Avoid Waste (Equipment, Supplies, Ideas, and Energy)
Equitable: Provide Quality Care That Does Not Vary Based on Characteristics Like Gender, Race/Ethnicity, Location, and/or Socioeconomic Status
Patient-Centered: Providing Respectful and Responsive Care to Each Individual Based on Patient Values
Telehealth Measurement and Outcomes
Conclusion and Future Directions
References
Part II: Telehealth in Pulmonary, Critical Care, Allergy and Sleep Medicine
Chapter 8: Telehealth for Pediatric Asthma
Introduction
Application of Telehealth Modalities to Pediatric Asthma
Real-Time Live Video (Synchronous) Pediatric Asthma Care
Store-and-Forward (Asynchronous) for Pediatric Asthma Care
Remote Patient Monitoring for Pediatric Asthma Care
Mobile Health for Pediatric Asthma Care
Medical Societies Support Telehealth for Asthma Management
Asthma Care in School-Based Telehealth
Key Components of Quality Asthma Care in Schools
Best Practices for School-Based Health
Process of Care
Equipment
The Role of School Nurses in Asthma Care
Engagement of Parents, Teachers, and Primary Care Physicians
Potential Barriers to Asthma Management by Telehealth
Financial Considerations
Conclusion
References
Chapter 9: Ambulatory Telemedicine: Home-Based COPD Management
Background
Current State of Telehealth in COPD
Future Directions and Limitations
References
Chapter 10: Home-Based Evaluation and Management of Sleep Disordered Breathing via Telehealth
Introduction
Technical Considerations for Sleep Telemedicine
Home-Based E-Evaluation of Sleep Disordered Breathing Via TM
Remote Healthcare Provider Evaluation
Home Sleep Testing for SDB
Remote Follow-Up of Patients with SDB
Conclusion
Future Directions
References
Chapter 11: Telemedicine in the Practice of Emergency Medicine: Telemergency
Introduction
What Is Telemergency?
Why Is There a Need for Telemedicine in Emergency Medicine?
History of Telemergency
State of the Practice of Telemergency
The Telemergency Practice Model
Role for the Advanced Practice Provider
Criteria for Telemergency Consultation
Telemedicine Equipment
Telemergency Business Models
Specific Clinical Scenarios and Telemergency
Telestroke
Telepsychiatry
Teletrauma
Critical Care Support Through Telemedicine
EMS and Telemedicine
Epidemics, Bioterrorism, and Disaster Telemedicine
Future of Telemergency
Research in Telemergency
Operational Metrics
Teleconsenting
References
Chapter 12: Tele-ICU Programs
Introduction
Characteristics of Tele-ICU Programs
Models of Tele-ICU
Tele-ICU Outcomes
Clinical Outcomes
Financial Implications
Educational Implications
Drivers for Tele-ICU Adoption
ICU Physician Staffing Drivers
Quality of ICU Care Drivers
Financial Drivers
Barriers to Tele-ICU Implementation
Drivers of Success and Sustainability
Future Directions
References
Index

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Tags: Dee W Ford, Shawn R Valenta, Telemedicine, Pulmonary, Critical Care