Telemedicine Landscape: Current Uses and National Issues

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1 Telemedicine Landscape: Current Uses and National Issues Jonathan D. Linkous, CEO American Telemedicine Association Telemedicine Telehealth Remote Medicine E-Health Telecare

2 What is Telemedicine? Networks mhealth What is Telemedicine? Remote Monitoring

3 What is Telemedicine? Super Call Centers Outsourced Specialists Data Collection Types of Technologies Telecommunications Local Connection Network Device Data Analysis and Services Cholesterol Monitor Home sensing & control Bed / Chair Sensors Implant Monitors Baby Monitors Weight Scale Bloodpressure Glucose Meter Thermometer Pulse Oximeter Spirometer Medication Tracking ETHERNET Wired, Wireless, Satellite PC Cell Phone Personal Health System Healthcare Provider Disease Management Service Diet or Fitness Service Personal Health Record PERS Consumer Electronics Pedometer Fitness Equipment Set Top Box Diagnostic Testing/ Monitoring Center

4 Data Collection Devices Standards & Guidelines Telecommunications Local Connection Network Device Data Analysis and Services Examples of Telemedicine Technologies

5 Videoconferencing Store and Forward Dermatology Camera Image

6 Clinical Applications IMAGING EVOLUTION Remote & Specialized Healthcare

7 Correctional Care Outsourced Services

8 Screenings and Determinations Specialist Care Retinal Screening Camera Diabetic Retinopathy

9 Combined Video & Store and Forward Multimedia Application (Pediatric Echocardiogram) Public Health Providing information on critical threats Continuing education Cross facility consultations

10 Telemedicine & Public Health Health Check at Ellis Island Screenings and Determinations

11 INS Intake Screening Physical Screening Mental Health Screening Dental Screening Tuberculosis Screening Advanced Care as indicated by Screening Referral Medical Access Orientation 21 Public Health Trends Driving Automation and Telemedicine Globalization of Communicable Disease Ever Increasing Migrant, Asylee, and Refugee Population Success has and will continue to result from: Technological Advances Working Partnerships Quality, Cost effective Health Care Employees

12 Telemedicine And Global Terrorism Telemedicine And Global Terrorism Identified Functions: Pre-hospital incident assessment (point of care) Remote monitoring Deployable and transportable systems Hospital Care Clinical consultations Deployable hospitals Public Health Interface Integrate diverse data sets Patient and provider education

13 Telemedicine And Global Terrorism Linking Existing Resources Current SGA Networks... Not Reporting Legend: Reported Health Alert sites Health Alert 2 Way Video Lines Reported Telemedicine Sites Telemedicine Communication Lines Reported Distance Learning Sites Distance Learning 2 Way Video Lines As of August 2, 2002

14 International Telemedicina en Venezuela Comunidad de Warao

15 Telemedicina en Prisiones

16 Major Environmental Influences in the U.S. 1. Health reform 2. Telecommunications build out 3. Consumer empowered healthcare 4. Wireless applications 5. Internationalization Telemedicine & Health Reform

17

18 July 30, 1965

19 Kathleen Casey Kirschling January 1, 1946, 12:00:01 am

20 1,078, , ,000 32,000,000

21 Five Transformations Payments

22 Delivery System Technology

23 Consumer Involvement Health Professions

24 How Fast Is This Coming? Next 30 Days Additional CMS covered services for telemedicine New credentialing and privileging requirements New FCC rural health program National broadband plan FDA regulations of mhealth & other telemedicine devices

25 Next 2 5 Years? Telemedicine 3.0 Emerging Applications Robotic Surgery

26 Air Strip OB Providers

27 Argentina Brazil (293) Costa Rica (144) El Salvador (59) Guatemala (119) Honduras (37) Mexico (807) Nicaragua (35) Puerto Rico (54) Skype American Well

28 Institution Free Healthcare

29 Thank You American Telemedicine Association 1100 Connecticut Avenue, N.W. Suite 540 Washington, DC Voice

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