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Telehealth and Virtual Care
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 3, 2022
Elizabeth A. Krupinski, Kimberly D. Shea
Foundational to professional telehealth nursing are the Core Principles on Connected Health (Table 9.1). The move to using the term ‘Connected Health' instead of ‘Telehealth' was shepherded by Partner's Healthcare. ANA acknowledges that telehealth is the professional certification terminology, however, they used the working definition of ‘Connected Health' as outward evidence of the importance of using technology to transform healthcare by efficiently and effectively linking patients and clinicians (American Nurses Association, 2021). A connected health approach ‘facilitates remote diagnosis and treatment, continuous monitoring and adjustment of therapies, support for patient self-care, and the leveraging of providers across large populations of patients' (American Nurses Association, 2021). These core principles offer guidance to organizations providing telehealth regardless of patient location and focus on information exchange using electronic communication to improve the health of patients.
Moving the Point of Care into Patients’ Daily Lives via Text Reminders
Published in Jan Oldenburg, Dave Chase, Kate T. Christensen, Brad Tritle, Engage!, 2020
Two of the hallmarks of mobile health are accessibility and scalability. This can be seen in the many ways that mobile technology comes alive in the healthcare arena, providing functionality on devices that are nearly ubiquitous and designed for ease of use by all populations. When used effectively, applications on mobile devices can improve patient engagement, adherence, and ultimately, outcomes. These are the concepts that have driven the Center for Connected Health to move healthcare out of the doctor’s office, into the lives of patients and consumers over the last 18 years.
Alternative Models to Improve the Delivery and Impact of Cardiac Rehabilitation
Published in James M. Rippe, Lifestyle Medicine, 2019
Randal J. Thomas, Robert Scales, Regis Fernandes
Connected Health: Connected Health is a model of healthcare delivery supported by electronic processes and communication in order to deliver health services remotely. Connected Health applications use various technology platforms such as the Internet (e.g. eHealth), telephone and interactive voice response systems (e.g. telehealth), mobile and smartphone-based applications (e.g. mHealth), and computer-tailored print.72–74 Connected Health applications to CR have the potential to enhance clinical care and the self-management of healthful behaviors between clinical encounters.
How to replace a physiotherapist: artificial intelligence and the redistribution of expertise
Published in Physiotherapy Theory and Practice, 2022
Michael Rowe, David A. Nicholls, James Shaw
We are also seeing significant changes happening in the development of expert systems that are capable of storing, accessing, and analyzing everything we know about the pathologies related to human illness. These systems aim to provide clinical decision support in order to enhance decision-making (Shortliffe and Sepulveda, 2018) by removing common sources of human error in the clinical reasoning process. While some designers of expert systems seem to take seriously the concerns about patient privacy in an age of increasingly connected health systems (Attema et al., 2018; Castaneda et al., 2015) there are real ethical and legal implications that need consideration and which are dealt with in more detail later in the paper. As the ability to recall and reason moves into software systems we are likely to see a reduced emphasis on the clinician as a diagnostician. Knowing things about conditions will, therefore, become less important than knowing when to trust the outputs of clinical decision support systems.
Embracing machine learning and digital health technology for precision dermatology
Published in Journal of Dermatological Treatment, 2020
Shannon Wongvibulsin, Byron Kalm-Tsun Ho, Shawn G. Kwatra
ML combined with connected health devices offers the potential to further detection capabilities and services for automated preliminary screening. If an individual is concerned about skin cancer for a lesion, photos could be uploaded to a web or smartphone application to obtain an initial evaluation through a deep learning algorithm, such as a convolutional neural network, which is composed of multiple layers of ‘neurons’ that extract features to use in classifying the image as a malignant or benign lesion (1–2). Although the application is still in an experimental phase, with additional research, it is possible that patients could access such services at home on their own devices. Additionally, triaging to prioritize the order of patient scheduling based upon the level of concern through an initial ML enabled screening can help provide services to patients in most urgent need of care.
Practice note
Published in Journal of Technology in Human Services, 2018
By now you may be asking yourself, Just what is virtual therapy and why is this relevant to me? Rather than offer my own definition, or send you to Google to find out, I will tell you that virtual therapy is a form of telehealth, defined by The Center for Connected Health Policy (The National Telehealth Policy Resource Center) as “a collection of mean or methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies (www.cchpca.org/what-is-telehealth).” It is everywhere these days: I was shocked by the range of services provided via telehealth: Even dentistry is providing this kind of digital service! Telehealth can be something as simple as a text message alert regarding breaking health updates or regular treatment reminders. It can also be as interactive as the live therapy that I offer. My brief research into the subject indicates that telehealth has been in practice at least since 2002. According to the Center for Connected Health Policy, telehealth is something that has been happening for decades, as long as access to technology has made it possible.