Telemedicine application for Veterans.

You will present a voice thread presentation giving the sales pitch of the telemedicine site you have been developing throughout the semester. Create your voice thread as a PowerPoint to persuade a philanthropy, entrepreneur, or investor (depending on the model of your site) to fund your vision. Your presentation should be 10-15 minutes and coalesce the work you have done throughout the semester into one cohesive presentation. The presentation should address the vision of your site, your business model (profit vs. non-profit), the population you will serve, the needs of this population, why this population would benefit from inclusion in a telemedicine model, the staff you will need to operate the site, training you will give to providers and users, the technology that providers and users will need to access, how you will remain financially solvent or make a profit, local and /or global applications, and the ethical, legal, political and technical issues that will facilitate or hinder your plan. Telemedicine application for Veterans.

You will be expected to use course readings and other peer reviewed articles to support your presentation; the research should be academic in nature. Use personal experience only as applicable to the sales pitch of your project. Please use appropriate APA style and format and appropriately cite your sources. The voice thread/case study is due Friday, July 27th, of Week 10 by 11:59pm EDT. RUNNING HEADER: Telemedicine Education and Training Telemedicine Education and Training Casey Galey Intro to Telemedicine, EHS 2211, George Washington University Tippi Geron June 17, 2018 I, Casey A. Galey, affirm that I have completed this assignment/examination in accordance with the Code of Academic Integrity. 1 Telemedicine Education and Training 2 Telemedicine Education and Training My application is originally designed to operate for use with the Veteran’s Affairs (VA) healthcare system. The application’s purpose is to bring the veterans to their provider without having to travel great distances. 41 percent of all veterans enrolled in the VA healthcare system live in rural areas (Shore, 2014). That being said, the general purpose of the application is to bridge the gap between patient and provider. This application could be used and adapted to different platforms or healthcare systems. These adaptions can be used to target different demographics. Civilian personnel living in Rural areas and active duty troops in deployed settings around the world. Many people within the United States live in rural areas. Getting to quality healthcare facilities can be cumbersome. This target population could benefit from my proposed application just as much as our veterans. Many of the rural clinics and hospitals are not as “up-to-date” or proficient as hospitals that are in a closer proximity to a teaching hospital. This application can solve some of those issues. Our veterans or civilians in rural areas can utilize the system the same exact way. Another field that could utilize this platform may be active duty troops in the combat or deployed setting. There would be a separate more secure site for this application. The medics or corpsman on the ground could reach out to physicians and other providers to enhance their ability to provide a high immediate standard of care to casualties or for those patients that the medics are forced to treat for an extended amount of time. Telemedicine application for Veterans.

The proposed system can be accessed via any smart phone, mobile device, or computer. In the deployed setting the service members would have to utilize some sort of satellite device or wait until they returned to their base to use the existing internet. The veteran (not active duty) Telemedicine Education and Training 3 patients will be given the application name or link for download. The healthcare facility can provide a patient number or utilize the patient’s social security number for account registration and log on purposes. Making sure the patient’s information and health information is correct. There are going to be a variety of plug-and-play devices to be used for diagnostic purposes. Much like what we saw in the TED talk video during week 2 (Kraft, 2016). These devises will have the ability to work within the application while still providing patient-provider or patientthird party video conferencing. This will allow for the provider/third party to instruct or give direction during the use of the diagnostic device. People living in rural areas will not have the same accessibility to 4G cell networks or equal high-speed internet providers similar to highly populated cities due to their location. This will present the proposed program with connectivity challenges. Active duty troops are often in countries that do not have a solid infrastructure and finding reliable cell service or internet can be challenging. These applications will need a satellite mobile device to facilitate the proposed program. Additional equipment for diagnostics would also have to be carried by the combat medics. This is gear added to an already extremely loaded down individual. I suspect a lot of medics will opt-out of carrying more gear on their person. On the other hand, the equipment could easily be stored on/in the vehicles. Video lectures, interactive programs, provider lead training via videoconference, provider lead training in person are all training platforms that can and will be utilized as needed to support the end users of the software and hardware. Video lectures can be utilized to demonstrate simple tasks or procedures or providing instructions for installation of new software or medical diagnostic hardware. The videos will be available for viewing via an open source website like,” YouTube”. Interactive programs can be utilized to help guide new users throughout the website Telemedicine Education and Training 4 or app-based software. This type of instruction limits the options or the path taken of the user and provides step-by-step instructions. There are many programs within the military that utilize this type of instruction method. The troops in a deployed setting will be familiar with this process. Provider lead training in person will be utilized for those procedures that may be too complicated for the end user. In these scenarios the veteran may be lacking technological knowhow. This method will also be utilized for those who would rather be taught in person. Videoconference (VC) technology is increasingly being utilized to provide medical education across a range of disciplines and settings. There has been increased knowledge using VC and several studies showing no significant difference between face-to-face or VC modalities. (Banbury, 2016) Telemedicine Education and Training References Banbury, A. P. (2016). Delivering patient education by group teleconferencing into the homw: Lessons learnt from the Telehealth Literacy Project. Journal of Telemedicine and Telecare, 483-488. Kraft, D. (2016, Mar 30). The Empowered You: How Healthcare Is Evolving With Technology. TEDx Talks. Shore, P. G. (2014). Meeting Veterans Where They’re @: A VA Home Based Telemetacine Health (HBTMH) Pilot Program. International Journal of Psychiatry in Medicine, 5-17. 5 Week 1 DB: Two-part discussion board (original posting and responses). This is the first part of a multipart assignment of building a case study which you will present as a voice thread during the last week of the class. In this discussion, discuss what your vision would be if you were in charge of developing a telemedicine program. What would you like your program to accomplish? Who will be the population you serve, that is, who has a need and could benefit from a telemedicine operation? Trauma, disaster management, ICU, rural health, remote villages, aging and home bound, prisons, military, etc. How will this save money or benefit your patients and organization? Will you be a non-profit or would you like to have a for profit revenue stream? What are your short term and long-term goals? Find at least one peer-reviewed paper that discusses telemedicine in the population you’re targeting and reference how it informs your understanding. Your vision statement is due by Thursday, May 24th, 11:59pm EDT, of Week 1. Compare and contrast your vision with that of one other peer. Use the Syllabus and the Resource section of the course for guidance on quality discussion board comments and posts. Your responses are due by Sunday, May 27th, 11:59pm EDT, of Week 1. If I were developing a telemedicine program, I would like to see something tailored for the Veterans Assistance Program. Although the VA is the largest medical program in the world, and has clinics all over the country, they are still very far away from a lot of our vets. I would like my program bridge the gap for our vets that have to travel a long way to get to a VA clinic. This will benefit the vets by providing them with a way to get seen for non-emergency complaints without having to travel. This could also cut down on wait times at our current clinics, which in turn would provide better care for those who do still need to or choose to go to the clinics. This program would be a profit program. My intent of the ‘profit’ portion of this program would be for reinvestment purposes. A program like this would be constantly evolving. The program would need a pool of money to draw from in order to advance along with technology. Telemedicine application for Veterans.

There has already been a telemedicine Pilot Program for mental health. They developed an encrypted program and used webcams for the veteran’s home computer. The program also suggested less ‘no-shows’ for their appointments. I think that since there is already a program, I could use that and expand upon this platform and add more departments to it, preventing vets from having to travel for every little ailment that they have. References Shore, P. P. (2014). Meeting Beterans Where They’re @: A VA Home-Based Telemental Health (HBTMH) Pilot Program. International Journal of Psychiatry in Medicine, 5-17. Week 1 DB: Two-part discussion board (original posting and responses). This is a two-part assignment requiring an original discussion board posting along with a response to two of your peers. Based on your vision and population chosen from Week 1, discuss what technologies you will use at your site. What are the unique needs for your population? Your technology must be realistically accessible by your patients and the treating providers. How will your exam rooms work? Will they be in the home with smart technology (smartphone or tablet interfaces such as in the Eric Dishman TED talk, in a clinic setting)? Also, brainstorm and discuss some of the barriers you may encounter in implementation of your program or technology. Post the summary on the discussion board by Thursday, May 31st, of Week 2 by 11:59pm EST. Review all of the summaries posted by your classmates. Provide feedback to at least two classmates. Use the Syllabus and the Resource section of the course for guidance on quality discussion board comments and posts. Your feedback is due by Sunday, June 3rd, of Week 2 by 11:59pm EDT of Week 2. Next Week: In Week 3, you are required to complete a powerpoint presentation. You will also want to budget for some additional time next week to create this assignment. I would like to connect not with just rural and expatriate veterans and their families but, utilize telemedicine to reduce visits to the VA clinics for everyone. Telemedicine application for Veterans.

The VA is the largest medical program in the world with over 1400 facilities. Even with this large amount they still fall drastically short in many places with the standard of care that they provide for our vets and their families. My goal is to reduce actual clinic visits via utilization of technology at the veteran’s home. As pointed out in last week’s discussion board by Jake Racicot, even when a veteran has an appointment that took months to get, they might still wait for hours after the appointment time. I envision the use of an all-inclusive app. “Remote management improves access to care and decreases costs associated with patients traveling for traditional in-person medical appointments.” (Sedlander, 2017) After the patient downloads the app, they would fill in all enrollment information needed. After initial enrollment they simply log on and try to see a provider. They could be put on a list for the provider to contact them. I would like to see the app function like Skype as far as video and voice communication goes. As for specific physical exam needs, for some things the video could be used to visually inspect certain conditions, if needed a follow up appt via the app could be scheduled and special equipment could be shipped to the patient, tools like we saw on Eric Dishman’s TED talk video. The equipment would be compatible with the app and be plug and play and come with the equipment needed to attach or connect to the patient’s mobile device. Then when the follow up appointment came about the provider could explain and instruct the use of the tool and have the patient conduct the diagnostic exam while the provider monitors. If more information is needed then the patient could be instructed to come into the clinic. This would reduce clinical visits, wait times, and frustration. References Sedlander, E. B. (2017). Veterans’ Preferences for Remot e Management of Chronic Conditions. Telemedicine Journal and E-Health: The official Journal of the American Telemedicine Association, 229-235. Week 9 DB: Discuss the interdisciplinary and virtual teaming that you will need at your telemedicine site. You can review some of the subject material from week 6 to assist in this DB. Some things to think about would be: what kinds of central staff will you need (surgeons, therapists, PCPs, specialists, etc.)? Will they work remotely or at a centralized location? How will you recruit? Identify a peer-reviewed article on telemedicine applications that discuss the use of clinical specialties you have identified. Post a 3-5 paragraph summary comparing how the technology is used, and clinical applications. Be sure to cite your sources. Telemedicine application for Veterans.

Post to the discussion board by Thursday, July 19th, of Week 9 by 11:59pm EDT. The telemedicine platform that I am proposing will be used within the department of Veterans Affairs (VA). That being said my telemedicine platform will cover just about every department that the VA has to offer. I will need family practice, dermatologists, orthopedics, psychologists, and more. I would not need to recruit if the program is accepted and purchased by the VA. Doctors will be instructed on the new program’s use. Personnel I will need to recruit and hire are the technical support staff. I will need to have a large amount of support personnel to help trouble shoot and help both medical staff and patients work through bugs. To recruit and hire these people I will advertise the positions on your normal sites as well as some of the more veteran friendly platforms and networks. The care givers will not have to be at any one location. There are over 1400 VA clinics throughout the country and territories. The providers will be able to also access the system while traveling if needed through an application on a mobile device. The technical support staff will probably have to be a central location to facilitate the trouble shooting. This way they have access to managers or department heads as needed when they come across a problem that they cannot handle on their own. Many veterans live in Rural areas and although there are over 1400 VA clinics, these veterans still live many miles away and decide not to utilize the VA healthcare system. These veterans need a way to see a Family Practice (FP) physician. “Telemedicine allows rural patients to see specialists without leaving their communities and permits rural Family Practices to take advantage of specialist expertise, expand their scope of practice, and reduce the feeling of isolation experienced by rural physicians.” (Jetty, 2018) Having the ability to see a FP via telemedicine will benefit these veterans the most. Telemedicine is becoming a regular practice in dermatology. “Due to the visual character of the dermatological specialty, teledermotology is becoming a major tool in dermatological consultation.” (Trettel, 2018) The VA should utilize this ability and stay current with the rest of the healthcare sector. Again, the rural veterans will have an ease of access to quality care this way. The VA is already utilizing telemedicine in the psychology department. They have experienced less no shows to appointments and the veterans receive the same level of care talking to their provider via videoconferencing. References Jetty, A. M. (2018). Rural Family Physicians Are Twice as Likely to Use Telehealth as Urban Family Physicains . Telemedicine and e-Health, 268-276. Trettel, A. E. (2018). Telemedicine in dermatology: findings and experiences worldwide – a systemetic literature review. Journal of the European Academy of Dermatology and Venereology, 215-224. You will present a voice thread presentation giving the sales pitch of the telemedicine site you have been developing throughout the semester. Telemedicine application for Veterans.

Create your voice thread as a PowerPoint to persuade a philanthropy, entrepreneur, or investor (depending on the model of your site) to fund your vision. Your presentation should be 10-15 minutes and coalesce the work you have done throughout the semester into one cohesive presentation. The presentation should address the vision of your site, your business model (profit vs. non-profit), the population you will serve, the needs of this population, why this population would benefit from inclusion in a telemedicine model, the staff you will need to operate the site, training you will give to providers and users, the technology that providers and users will need to access, how you will remain financially solvent or make a profit, local and /or global applications, and the ethical, legal, political and technical issues that will facilitate or hinder your plan. You will be expected to use course readings and other peer reviewed articles to support your presentation; the research should be academic in nature. Use personal experience only as applicable to the sales pitch of your project. Please use appropriate APA style and format and appropriately cite your sources. The voice thread/case study is due Friday, July 27th, of Week 10 by 11:59pm EDT. RUNNING HEADER: Telemedicine Education and Training Telemedicine Education and Training Xxxx xxxx Course, University Instructor Name June 17, 2018 I, xxxxxxx, affirm that I have completed this assignment/examination in accordance with the Code of Academic Integrity. 1 Telemedicine Education and Training 2 Telemedicine Education and Training My application is originally designed to operate for use with the Veteran’s Affairs (VA) healthcare system. The application’s purpose is to bring the veterans to their provider without having to travel great distances. 41 percent of all veterans enrolled in the VA healthcare system live in rural areas (Shore, 2014). Telemedicine application for Veterans.

That being said, the general purpose of the application is to bridge the gap between patient and provider. This application could be used and adapted to different platforms or healthcare systems. These adaptions can be used to target different demographics. Civilian personnel living in Rural areas and active duty troops in deployed settings around the world. Many people within the United States live in rural areas. Getting to quality healthcare facilities can be cumbersome. This target population could benefit from my proposed application just as much as our veterans. Many of the rural clinics and hospitals are not as “up-to-date” or proficient as hospitals that are in a closer proximity to a teaching hospital. This application can solve s … Telemedicine application for Veterans.