Telemedicine Solutions Case Synopsis Grand Research Paper

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[. . .] This allows digital data transfer and storage. The images are disturbed to different departments for image diagnosis and manipulation. The images can be provided online or offline.

Notably, radiology information system helps in integrating patients' profile on a single area to form A DICOM that reduces workload. Presently, available images in Nuclear Medicine are of low-resolution hence reduced storage problems. However, the diagnostic workstation where radiologists report should hold a high-resolution display screens. Not less than 2K screens are needed and after reporting, the images should be stored in less compression format in the hospitals server. The compression format should be 3:1 and a format higher than that can lead to loss of information consequently leading to misinterpretation that would result to false negative or positive diagnosis (Gullo, 2011). Plain X-rays are the highest resolution images hence requiring huge data volumes. The compression of the data triggers loss of information hence adequate care needed to avoid information loss. The challenges for Grand Hospital implementation of telemedicine in radiology include the need for high-resolution display screens and storage care where images should be carefully stored to avoid misinterpretation and loss of crucial information.

Telemedicine in behavioral health is cost-effective as it enhances accessibility of services . Behavioral telemedicine offers required solutions to obstacles for needed treatment. It entails video conferencing between specialist experts and doctors for treatment, follow up and consultation. Notably, mental health involves examination, prevention and treatment of mental health illness. However, telepyschiatry is affected by legal liability that hinders the success of telemedicine in behavioral health given confidentiality, security and private issues. Security, confidentiality and privacy are legal and ethical considerations that present scores of implications to patients and therapists engaging in telepyschiatry.

Care and monitoring of patients in critical care units has evolved within the framework of the model in which a specialist is present in the same place as the patient (Gullo, 2011). The specialist must be physically near the patient not only to conduct medical acts and processes but also to monitor the patient's evolution, see medical images and make suitable decisions. A physician must be physically present to conduct procedures such as placing central venous line or intubating a patient, hence the rest of physician's responsibilities cannot be fulfilled from a remote location (Gullo, 2011). Therefore, with respect to Intensive Care, physicians are usually reluctant to delegate complete accountability to telemedicine team. The major obstacle to the success of execution of ICU telemedicine is the recognition of the new technology by healthcare workers and administration. This makes telemedicine in intensive unit the hardest, because physician should always be physically present. On the other telemedicine in mental health is easier given that only legal considerations can hinder it. Teleradiology though very crucial requires much care particularly in storage of data contained in the images.

3. If you were charged by Grand to bring telemedicine to the facility within 18 months, what are the first steps you would take? Whom would you involve in the planning process?

To develop the suitable telemedicine solutions effectively, a system approach will be needed to guarantee adequate design, build up, integration and execution. This will involve seven steps, which include champion identification, needs assessment, objectives and goals, definition of requirements, assessing available technology, execution and finally evaluation and validation (Latifi, 2004). I will require a cheerleader or a champion. This must be someone passionate about telemedicine and its abilities with respect to Grand hospital. Secondly, I will review the circumstances where telemedicine implementation will take place (Latifi, 2004). I will set the objectives and goals through providing a roadmap of why, how and what telemedicine will be implemented. Checking on the availability of technology is paramount as well as how to use the available technology and maintain it. This will be followed by implementation procedure and its operation will be tested through evaluation and validation in order to ensure its utility. The hospitals executive committee and the leadership will be involved as they will help in financing the required project. More importantly, a champion or cheerleader is crucial to foresee the implementation process.

References

Gullo, A. (2011). Anesthesia, pharmacology, intensive care and emergency A.P.I.C.E: Processing of the 23rd annual meeting-International symposium on critical care medicine, Volume 23. New York: Springer.

Latifi, R. (2004). Establishing telemedicine in developing countries: From inception to implementation.… [END OF PREVIEW]

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