Abstract
Purpose of Review
The purpose of this review is to describe the process of administering a telemedicine program including reviewing telemedicine guidelines; discussing licensing, credentialing, and privileging of providers; outlining scheduling and recruitment of patients; and measuring outcomes of a telemedicine program.
Recent Findings
Recent literature findings suggest that telemedicine in specialty clinics continues to grow at a rapid pace. Medical specialty programs should prepare to adopt a practice that includes telemedicine to better serve their patients and families who have expressed significant satisfaction with the delivery of healthcare in this manner.
Summary
With the appropriate support, any specialty clinic can provide their patients with a telemedicine option which has shown to be highly successful for Children’s Mercy Allergy, Asthma, & Immunology Department.
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References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
ATA. About telemedicine. American Telemedicine Association, Arlington, VA. 2018. http://www.americantelemed.org/main/about/about-telemedicine/telemedicine-faqs. Accessed July 2, 2018.
•• Shih J, Portnoy J. Tips for seeing patients via telemedicine. Curr Allergy Asthma Rep. 2018;18(10):50. https://doi.org/10.1007/s11882-018-0807-5 Useful tips on how to see patients using telemedicine.
ATA. Practice guidelines & resources. American Telemedicine Association, Arlington, VA. 2018. http://hub.americantelemed.org/resources/telemedicine-practice-guidelines. Accessed July 5, 2018.
•• Elliott T, Shih J, Dinakar C, Portnoy J, Fineman S. American College of Allergy, Asthma & Immunology position paper on the use of telemedicine for allergists. Ann Allergy Asthma Immunol. 2017;119(6):512–7. https://doi.org/10.1016/j.anai.2017.09.052 A position statement by the American College of Allergy, Asthma & Immunology on the use of telemedicine for patients with allergic conditions.
Gilman D. Physician licensure and telemedicine: some competitive issues raised by the prospect of practising globally while regulating locally. J Health Care Law Policy. 2011;14(1):87–117.
Kels CG, Kels LH. Portability of licensure and the nation’s health. Mil Med. 2013;178(3):279–84. https://doi.org/10.7205/MILMED-D-12-00390.
Health Resources and Services Administration. Health Licensing Board report to Congress. US Dept of Health and Human Services, Washington, DC. 2010. http://www.hrsa.gov/ruralhealth/about/telehealth/licenserpt10.pdf. Accessed July 5, 2018.
Credentialing and Privileging. National Consortium of TeleHealth Research Centers. 2018. https://www.telehealthresourcecenter.org/knowledgebase/credentialing-and-privileging/. Accessed July 5, 2018.
JCAHO. Final revisions to telemedicine standards. Jt Comm Perspect. 2012;32(1):4–6.
JCAHO. Proposed standards revisions for direct-to-patient telehealth services. 2017. https://www.healthcarelawtoday.com/wp-content/uploads/sites/15/2017/09/telehealth-hospital-direct-to-patient-DRAFT-TJC.pdf. Accessed Aug 23, 2018.
Buck S. Nine human factors contributing to the user acceptance of telemedicine applications: a cognitive-emotional approach. J Telemed Telecare. 2009;15(2):55–8. https://doi.org/10.1258/jtt.2008.008007.
Miller EA. Telemedicine and doctor-patient communication: a theoretical framework for evaluation. J Telemed Telecare. 2002;8(6):311–8. https://doi.org/10.1258/135763302320939185.
LeRouge C, Garfield MJ, Collins RW. Telemedicine: technology mediated service relationship, encounter, or something else? Int J Med Inform. 2012;81(9):622–36. https://doi.org/10.1016/j.ijmedinf.2012.04.001.
Huang J-C. Innovative health care delivery system—a questionnaire survey to evaluate the influence of behavioral factors on individuals' acceptance of telecare. Comput Biol Med. 2013;43(4):281–6. https://doi.org/10.1016/j.compbiomed.2012.12.011.
Rho MJ, Iy C, Lee J. Predictive factors of telemedicine service acceptance and behavioral intention of physicians. Int J Med Inform. 2014;83(8):559–71. https://doi.org/10.1016/j.ijmedinf.2014.05.005.
• Liu X, Sawada Y, Takizawa T, Sato H, Sato M, Sakamoto H, et al. Doctor-patient communication: a comparison between telemedicine consultation and face-to-face consultation. Intern Med (Tokyo, Japan). 2007;46(5):227–32 An interesting comparision of characteristics of encounters with patients when seen in person vs. by telemedicine.
Heinzelmann PJ, Williams CM, Lugn NE, Kvedar JC. Clinical outcomes associated with telemedicine/telehealth. Telemed J E Health. 2005;11(3):329–47. https://doi.org/10.1089/tmj.2005.11.329.
• Portnoy JM, Waller M, De Lurgio S, Dinakar C. Telemedicine is as effective as in-person visits for patients with asthma. Ann Allergy Asthma Immunol. 2016;117(3):241–5. https://doi.org/10.1016/j.anai.2016.07.012 A study comparing outcomes of asthma management performed in person vs. by telemedicine.
Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;9:CD002098. https://doi.org/10.1002/14651858.CD002098.pub2.
Polinski JM, Barker T, Gagliano N, Sussman A, Brennan TA, Shrank WH. Patients’ satisfaction with and preference for telehealth visits. J Gen Intern Med. 2016;31(3):269–75. https://doi.org/10.1007/s11606-015-3489-x.
Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open. 2017;7(8):e016242. https://doi.org/10.1136/bmjopen-2017-016242.
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Taylor, L., Capling, H. & Portnoy, J.M. Administering a Telemedicine Program. Curr Allergy Asthma Rep 18, 57 (2018). https://doi.org/10.1007/s11882-018-0812-8
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DOI: https://doi.org/10.1007/s11882-018-0812-8