{"id":13639,"date":"2020-04-08T12:16:42","date_gmt":"2020-04-08T12:16:42","guid":{"rendered":"https:\/\/www.picmonic.com\/pages\/?p=13639"},"modified":"2023-08-09T20:15:17","modified_gmt":"2023-08-09T20:15:17","slug":"the-future-of-telemedicine-and-telehealth-are-they-health-cares-secret-weapon","status":"publish","type":"post","link":"https:\/\/www.picmonic.com\/pages\/the-future-of-telemedicine-and-telehealth-are-they-health-cares-secret-weapon\/","title":{"rendered":"The Future of Telemedicine and Telehealth: Are they Health Care\u2019s Secret Weapon?"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignleft size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"197\" src=\"https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-1024x197.jpeg\" alt=\"Telemedicine\" class=\"wp-image-23559\" srcset=\"https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-1024x197.jpeg 1024w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-300x58.jpeg 300w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-768x148.jpeg 768w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-1536x295.jpeg 1536w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-370x71.jpeg 370w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-270x52.jpeg 270w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-570x110.jpeg 570w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177-740x142.jpeg 740w, https:\/\/www.picmonic.com\/pages\/wp-content\/uploads\/2023\/08\/Group-177.jpeg 1872w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p><br>We are witnessing a critical time in the cross section of healthcare, technology, prevention, access and training while we live through the COVID-19 pandemic. Recently, Alex Azar, the Department of Health and Human Services Secretary, was able \u2013 under the national emergency declaration \u2013 to waive federal licensing requirements and telehealth reimbursement restrictions for out-of-state doctors. This change now allows healthcare providers to treat patients virtually in other states, helping in areas of high-need. Similarly, New York Governor Andrew Cuomo has also come out in strong support of telehealth deployment, and is pressuring insurers to waive copays related to telehealth. All of these changes can create more opportunities and more equitable healthcare options for people around the country.<\/p>\n\n\n\n<p>Telehealth, telehealth nursing and telemedicine, new terms for many outside of the healthcare field, is defined by the <a href=\"https:\/\/www.americantelemed.org\/\" rel=\"noopener noreferrer\" target=\"_blank\">American Telehealth Association (ATA)<\/a> as technology-enabled health and care management and delivery systems extending capacity and access. Telehealth enables telemedicine, which is the practice of delivering healthcare services remotely. The initiatives of the ATA is to improve patient access, reduce costs, improve quality of care, and satisfy consumer demand through a variety of delivery methods.<\/p>\n\n\n\n<p>Current technologies showing successes in telehealth include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Live video conferencing<\/strong> \u2013 patients are able to talk directly with providers in a face-to-face manner.<\/li>\n\n\n\n<li><strong>Asynchronous transmission of health-related dat<\/strong>a \u2013 allowing patients to communicate via platforms, have automated reminders and information for vital signs, diagnostic and radiologic imaging, and store records.<\/li>\n\n\n\n<li><strong>Remote patient monitoring<\/strong> \u2013 technology that transmits information between patients and healthcare providers and can look like patient monitoring devices, voice apps and digital blood pressure cuffs that sends results directly to the clinician.<\/li>\n\n\n\n<li><strong>Mobile health platforms<\/strong> \u2013 linking patients to their health information, online support groups and other resources.<\/li>\n\n\n\n<li>Additional technologies showing promise for the future of telehealth include artificial intelligence, virtual reality and behavioral economic algorithms.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How much of an impact are telehealth, telehealth nursing and telemedicine currently making?<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-300x300.png\" alt=\"Telehealth 1\" class=\"wp-image-15332\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-300x300.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-1024x1024.png 1024w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-150x150.png 150w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-768x768.png 768w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-370x370.png 370w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-270x270.png 270w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-570x570.png 570w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89-740x740.png 740w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-89.png 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>ATA estimates that currently there are around 200 telehealth networks, connecting over 3,000 sites. The sites include tertiary care hospitals, urban clinics, suburban and rural community health centers and remote clinics. Beyond simply being connected, health centers are links used for cardiac, pulmonary or fetal monitoring between providers in the facility and their patients at home. And the telehealth field is expected to grow exponentially.<\/p>\n\n\n\n<p>In 2018, the <a href=\"https:\/\/jamanetwork.com\/\" rel=\"noopener noreferrer\" target=\"_blank\">Journal of American Medical Association<\/a>, or JAMA as it\u2019s widely known, reported annual telemedicine visits increased by 52% from 2005 to 2014. More than 76% of U.S. hospitals connect patients and consulting providers through video and other technology, <a href=\"https:\/\/www.aha.org\/system\/files\/2019-02\/fact-sheet-telehealth-2-4-19.pdf\" rel=\"noopener noreferrer\" target=\"_blank\">according to the American Hospital Association<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Telehealth\u2019s Potential for Managing the COVID-19 Pandemic<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-300x300.png\" alt=\"Telehealth 2\" class=\"wp-image-15333\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-300x300.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-1024x1024.png 1024w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-150x150.png 150w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-768x768.png 768w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-370x370.png 370w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-270x270.png 270w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-570x570.png 570w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90-740x740.png 740w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-90.png 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>We are living through and watching in real-time how telehealth nursing and telemedicine will change the face and future of healthcare. The ATA continues to petition Congress to address long-standing barriers to inpatient and provider access, improved current modalities, and industry empowerment to serve the immediately growing population requiring care at home. In a March 20, 2020 letter to Congress, the ATA outlined recommendations for emergency expansion of telehealth services in response to the COVID-19 pandemic. Along with advocating for streamlining licensures and certification requirements, the ATAs recommendations included:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>substantial funding for the Department of Health and Human Services for rapid deployment of telehealth trainings,<\/li>\n\n\n\n<li>telehealth technology and remote patient monitoring infrastructure investment, and<\/li>\n\n\n\n<li>expanding telehealth service coverage for uninsured as well as insured patients.<\/li>\n<\/ul>\n\n\n\n<p>During the current COVID-19 pandemic, it is easy to understand the need for migrating non-emergent care to virtual platforms whenever possible. Doing so not only ensures non-COVD-19-positive patients follow CDC guidance and maintain their own health and well-being, but telehealth but also reduces transmission between positive patients and their healthcare providers and other members of the community. While remote patient monitoring has traditionally been used for patients with chronic conditions like cardiac or pulmonary comorbidities, healthcare providers are now able to monitor a variety of conditions without putting patients at further risk of exposure.<\/p>\n\n\n\n<p>On the frontlines of the earliest-hit community in the COVID-19 fight, Providence St. Joseph Health in Seattle now remotely monitors nearly 300 patients with positive or presumed positive coronavirus test results. Discharged patients are issued a thermometer and a pulse oximeter and then upload temperature, oxygen level and heart rate into an app monitored by clinicians.<\/p>\n\n\n\n<p>Those benefiting the most from telemedicine and telehealth nursing during the current pandemic aren\u2019t necessarily those affected by COVID-19, but their healthcare providers treating non-COVID-19 patients. In San Francisco, an outpatient nurse practitioner can \u201cshelter in place\u201d while dedicating her time to a regular schedule of telehealth appointments for people dealing with other healthcare needs outside of COVID-19. Being able to continue seeing patients, nurses in just this one city are able to meet the other, ongoing healthcare needs of patients from a safe distance.<\/p>\n\n\n\n<p>Telehealth and telemedicine isn\u2019t just a new response to dealing with the COVID-19 health crisis, it has been a growing tool within healthcare and emergency medicine for years. In 2016, a Rural Health Network Development grant from the Federal Office of Rural Health Policy funded placement of mobile telemedicine units within first responder\u2019s vehicles. These mobile units allowed paramedics and EMTs to transmit and receive real-time medical information with an emergency department physician. The result was real-time patient triage, advanced onsite care, and the ability to vet facilities for patient transport. Grantees also showed that telehealth and telemedicine were invaluable during disaster response by maximizing available healthcare facility transports not only to hospitals, but also to lower-acuity settings like doctor\u2019s offices and urgent care clinics.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Barriers to Telehealth Nursing<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-300x300.png\" alt=\"Telehealth 3\" class=\"wp-image-15334\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-300x300.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-1024x1024.png 1024w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-150x150.png 150w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-768x768.png 768w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-370x370.png 370w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-270x270.png 270w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-570x570.png 570w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91-740x740.png 740w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-91.png 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>Licensure, credentialing, reimbursement, regulation, fraud and abuse, patient privacy and cybersecurity concerns are issues that have slowed the prevalence of telehealth.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Medical professionals have typically required independent state licenses to practice, creating a challenge for telehealth and telemedicine. The <a href=\"https:\/\/www.imlcc.org\/\" rel=\"noopener noreferrer\" target=\"_blank\">Interstate Medical Licensure Compact<\/a> and the <a href=\"https:\/\/www.aprncompact.com\/\" rel=\"noopener noreferrer\" target=\"_blank\">Advanced Practice Registered Nurse Compact States<\/a> have helped change this situation, allowing physicians and advanced practice registered nurses (APRNs) to hold a multistate license with privilege to practice in other Compact States.<\/li>\n\n\n\n<li>Reimbursement bars effective inter-state telehealth practices, since state and federal policies differ from state to state and for certain public plans like Medicaid and Medicare. Some plans only cover certain services via live video, others only allow specific services when a patient isn\u2019t physically present.<\/li>\n\n\n\n<li>Regulation will continue to present a challenge while no two states define or regulate telemedicine services the same. There are currently 34 states plus the District of Columbia enacting laws which all individually address private payer reimbursement for telehealth.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Telehealth nursing for students pursuing RN or APRN degree<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-300x300.png\" alt=\"Telehealth 4\" class=\"wp-image-15335\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-300x300.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-1024x1024.png 1024w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-150x150.png 150w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-768x768.png 768w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-370x370.png 370w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-270x270.png 270w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-570x570.png 570w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92-740x740.png 740w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/Group-92.png 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>The best approach for students completing APRN or RN degrees \u2013 or another healthcare program \u2013 (besides using <a href=\"https:\/\/www.picmonic.com\/pricing\/nursing\" rel=\"noopener noreferrer\" target=\"_blank\">Picmonic for RN<\/a> or <a href=\"https:\/\/www.picmonic.com\/pricing\/nursing-np\" rel=\"noopener noreferrer\" target=\"_blank\">Picmonic for NP<\/a>) is to look into the independent telehealth training certification programs, like those offered by the ATA. These programs can be general in nature or tailored to specialties like telebehavioral health. Some health systems already have ingrained telehealth programs and capabilities and will offer training as part of their onboarding, or when new services are introduced.<\/p>\n\n\n\n<p>Currently it is best for students to search for accredited programs through certifying agencies to ensure the curriculum is evidence-based, relevant and applicable in today\u2019s healthcare landscape. The ATA has <a href=\"https:\/\/www.americantelemed.org\/\" rel=\"noopener noreferrer\" target=\"_blank\">accredited four programs<\/a> throughout the United States which provide foundational telehealth skills. These programs are typically open to physicians, physician assistants, APRNs, nurses, and pharmacists through a five-week online format, requiring application prior to entry into the course.<\/p>\n\n\n\n<p>A look at the curriculum for <a href=\"https:\/\/www.jefferson.edu\/\" rel=\"noopener noreferrer\" target=\"_blank\">Thomas Jefferson University\u2019s telehealth facilitator certificate program<\/a>, includes introduction to telehealth, expansion of telehealth services, settings of telehealth delivery, troubleshooting in telehealth and essence of coordination.<\/p>\n\n\n\n<p>The <a href=\"https:\/\/telemedicine.arizona.edu\/\" rel=\"noopener noreferrer\" target=\"_blank\">ATA-accredited University of Arizona program<\/a> was one of the first universities to integrate telehealth nursing training into their Doctorate of Nursing Practice and leads the way in APRN training in telehealth. During the early days of the COVID-19 pandemic\u2019s impact in the U.S., the University of Arizona launched an online training, \u201cDeveloping Telemedicine Services,\u201d in response to the new pandemic. Their traditional, in-person telehealth nursing training conferences are usually offered at their campuses in Tucson and Phoenix.<\/p>\n\n\n\n<p>The coronavirus pandemic will affect us all in some way. Perhaps, like me, you aren\u2019t able to attend remaining clinical rotations, or finish your Family Practice II rotation for your NP program because of precautions for the widespread pandemic. This has only inspired myself and my peers around the country to advocate harder for innovations in our health system. We will continue to invest in the future of telehealth and telemedicine to work more effectively and fairly for all citizens. For more of us to participate in healthcare\u2019s battle against COVID-19, telemedicine skills may be the answer.<\/p>\n\n\n\n<p>Medical professionals and future practitioners should be ready and able to navigate growing telehealth technologies along with groups like universities and the ATA, encouraged to see us all take that next step together. The future of telehealth nursing and telemedicine is bright. And, with professionals like you, we will enhance the structure, policies and training to enable the telemedicine practice to flourish for every member of our community.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We are witnessing a critical time in the cross section of healthcare, technology, prevention, access and training while we live through the COVID-19 pandemic. Recently, Alex Azar, the Department of Health and Human Services Secretary, was able \u2013 under the national emergency declaration \u2013 to waive federal licensing requirements and telehealth reimbursement restrictions for out-of-state [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":14553,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[672,427,430,428],"tags":[663,665,198,78,358,18,664,679,666],"class_list":["post-13639","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","category-medical-school-study-exams","category-nurse-practitioner-school-study-exams","category-nursing-school-study-exams","tag-coronavirus","tag-covid-19","tag-med-school","tag-medicine","tag-nursing","tag-nursing-school","tag-pandemic","tag-telehealth","tag-telemedicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Future of Telemedicine and Telehealth<\/title>\n<meta name=\"description\" content=\"With the COVID-19 pandemic spreading across the globe, healthcare professionals lean on telehealh and telemedicine to help support patients. 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