remote patient monitoring white paper

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If you have concerns or concerns connected to the support in this paper, please email The prescription is issued for a reputable clinical purpose by a professional acting in the common course of his/ her specialist method.

7 Virtual healthcare.

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To remain informed about updates for telehealth and also other DHCS subjects, register for DHCS Stakeholder Announcements. For non-emergency medical issues (allergies, bronchial asthma, bronchitis, chilly & flu, infections, fever, ear pains, queasiness, pink eye, aching throat).

Enjoy analysis local functions and also information about Willis-Knighton and The Oaks of Louisiana in this nationwide publication. Click the link listed below for response to frequently asked questions about telehealth. The majority of the cost savings demonstrated originated from locally executed laboratory and drug store solutions. USDA Area Facilities Direct Finance and Grant Program awards straight financings and/or grants for essential neighborhood facilities in backwoods. McLeod Telehealth is a very easy means to see a medical professional online by video clip anytime, anywhere.

NIBIB scientists are developing a paper-based diagnostic that can measure HIV viral load in whole blood in 15 mins. A mobile phone is utilized to power and also manage the paper-based RNA removal as well as response; evaluate the fluorescent readout indicating viral tons; and store the lead to the cloud where they can be accessed by a medical professional. The $10 examination will be extensively applicable for transmittable disease medical diagnosis at the point-of-care. Life-span, Rhode Island's first health and wellness system, is an extensive, integrated, academic wellness system affiliated with The Warren Alpert Medical College of Brown University. You might be asked to validate that you have read as well remote patient monitoring uses as approve and accept the above papers as part of your visit. Visit our MyLifespan page for moms and dads and also guardians for details on how to sign your youngster or teen up quickly and to get the proper level of proxy access.

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Transmission using wireless was done utilizing frequency modulation which eliminated sound. The ECG result was attached to the telephone input utilizing a modulator which transformed ECG right into high frequency sound. At the other end a demodulator reconverted the sound right into ECG with an excellent gain accuracy. The ECG was converted to acoustic wave with a regularity differing from 500 Hz to 2500 Hz with 1500 Hz at baseline. 2 crucial locations of telerehabilitation research are showing equivalence of analysis as well as therapy to in-person assessment as well as therapy, and also constructing brand-new data collection systems to digitize info that a therapist can utilize in technique.

Telehealth reimbursement may be changing. How should providers prepare? - Healthcare IT News

Telehealth reimbursement may be changing. How should providers prepare?.

Posted: Tue, 27 Oct 2020 07:00:00 GMT [source]

-- Remote patient-monitoring devices such as blood pressure monitors, Bluetooth-enabled electronic ranges as well as various other wearable devices that can connect biometric information for evaluation. -- Store-and-forward modern technologies that accumulate pictures and data to be transmitted and analyzed later. When doctors' required solution to concerns on adapting to practicing in a pandemic, the AMA established sources to meet the demand.

If you have inquiries or worries connected to the assistance in this paper, please This record contains web links to other internet sites and material coming from or stemming from 3rd parties. Such exterior web links are offered informational and educational objectives just and also are not explored, monitored or checked for precision, competence, legitimacy, integrity, availability or completeness by ASAM.

Common day-to-day emergency situation telemedicine is executed by SAMU Regulator Physicians in France, Spain, Chile and also Brazil. Aircraft and marine emergencies are additionally handled by SAMU centres in Paris, Lisbon as well as Toulouse. At the dawn of the technology, videotelephony additionally consisted of picture phones which would trade still pictures between units every couple of secs over standard POTS-type telephone lines, essentially the like sluggish check TV systems.

Ground-breaking research in telehaptics and virtual fact may broaden the range of telerehabilitation technique, in the future. social obstacles taking place from the lack of desire, or hesitation, of some medical professionals to adjust professional paradigms for telemedicine applications.

VA Telehealth Providers offers you access to the treatment you need, when as well as where you need it. Prior to implementing telehealth into your technique, review and come to be knowledgeable about state and also federal regulations in which you technique. Making use of telehealth to deliver physiotherapist solutions is increasing rapidly, as well as if you have not already, you're most likely considering it. Check with your existing EHR supplier to see if there is telehealth functionality that can be activated. Reach out to your state medical association/society for advice on supplier examination, option as well as having. These type of adjustments are mostly on a state-by-state basis and are altering at a quick price. ASAM is interacting with state chapters as well as regions to aid resolve problems associated with state laws and also plans.

  • Keeping your wellness currently is just as important as ever-- and also telehealth can help.
  • Throughout mostly all medical specialties, telehealth solutions can be applied in connecting carriers with various patients in various places by means of real-time sound and video clip.
  • In other cases, solution facilities can utilize telemedicine to collect from another location along with send information to a main monitoring system for analysis.
  • Telehealth efficiently connects individuals as well as their doctor when an in-person interaction is not medically required as well as promotes physician-to-physician appointment.

An additional drawback of telemedicine is the lack of ability to start therapy quickly. For instance, a person suffering from a bacterial infection could be given an antibiotic hypodermic injection in the clinic, and also observed for any type of reaction, before that antibiotic is recommended in pill kind. It may be needed that the expert as well as client involved should meet in person at least when before on the internet prescribing can occur, or that a minimum of a live-video meeting should occur, not just impersonal questionnaires or studies to identify need. Subsequently, in 2015 the state legislature legalized electronic examinations. Restrictive licensure laws in the USA require a specialist to get a complete license to deliver telemedicine care throughout state lines. Generally, states with limiting licensure regulations additionally have several exemptions that might launch an out-of-state professional from the added problem of acquiring such a certificate. A number of states require experts who seek compensation to often provide interstate like obtain a complete certificate.

What is the difference between an epidemic and a pandemic?

An outbreak is called an epidemic when there is a sudden increase in cases. As COVID-19 began spreading in Wuhan, China, it became an epidemic. Because the disease then spread across several countries and affected a large number of people, it was classified as a pandemic.

Should inconsistencies of health center possession have bearing upon physicians' ability to talk in complete confidence with lawyers? See day-to-day video updates on just how the AMA is combating COVID-19 by talking about arising cyber risks throughout the pandemic. From below, our system documents each action with the appointed clinicians on-call. Tracking all end results producing daily transparency records on our client interactions. Full transparency in between TeleHealth Remedy Providers, PCPs, Place Admins showcasing all outcomes.

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"