TELEMONITORING IN CARDIOLOGY
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TELEMONITORING IN CARDIOLOGY Juan C. Chachques, MD, PhD. European Hospital Georges Pompidou. University of Paris. France
www.pervasivehealth.org/2006/doc/
TELEMONITORING
%20IN
%20CARDIOLOGY.pdf
helps to measure the hemodynamic parameters in the outpatient setting technology appears to be feasible. The devices are well tolerated without significant untoward effects, and the sensors generally function well over time, providing reliable information
Financial charges for use of telemonitoring seem to be significantly less than comparable outpatient visits
TRANS-TELEPHONIC MONITORING In-home communication systems allow patients to transmit information to their clinicians and provides education to enable
patients to actively participate in managing their condition
Telemonitoring, which bridges clinicians and patients with communication technology, holds promise for closing the gap in
HF care. This technology has the potential for standardized, widespread implementation (and long-term maintenance) in the near future because it can be easily applied to large patient
populations and integrated into the current medical care system, home telemonitoring can be easily exported to different healthcare systems www.csahq.org/pdf/bulletin/
telemonitoring
_57_2.pdf
Telemonitoring Helps Save Lives,
Improve Care
By Thomas Shaughnessy,M.D.
Medical Director, Sutter Health Bay Area eICU Program
Medical studies have shown that patients in intensive care have better outcomes when they are
monitored by full-time intensivists. By bringing more skill and judgment to the bedside through this technology, the patient’s odds of coming out of
the ICU alive and healthy are much higher with eICU
monitoring
it allowsdoctors to determine best practices and provide standardized oversight for
intensive care.
The eICU is constantly learning about new treatments and can discuss current
studies with the bedside doctors.
The eICU Program is seen as a valuable tool
to allow specialty physician consultation in smaller institutions where access is
limited. It also has become a mechanism to improve oversight of care in larger
facilities where physician input is greater, but the process of care may be more
complex and cumbersome.
One significant benefit of the eICU programs is that
care can
happen faster, and in a more coordinated fashion. With a disease process like
sepsis, timely management is essential to better outcomes. The Sacramento
eICU’s work in sepsis management has helped decrease adverse events associated
with this high-morbidity, high mortality disease
Written by C. Harper copyright © 2003 - 2009 conjecture
corporation
http://www.wisegeek.com/what-is-telemonitoring.htm
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Telemonitoring is a convenient way for patients to avoid travel and to perform some of the more basic work of healthcare for themselves.
Some of the more common things that telemonitoring devices keep track of include blood pressure, heart rate, weight, blood glucose
, and hemoglobin
. Telemonitoring is capable of providing information about any vital signs, as long as the patient has the necessary monitoring equipment at his or her location. Depending on the severity of the patient's condition, the provider may check these statistics on a daily or weekly basis to determine the best course of treatment.
Tel. helps pt’s have regular vital sign monitoring and regular provider feedback without having to commute to the health care provider.
For the health care provider, telemonitoring is an efficient way to gather necessary patient information without a great time commitment. This efficient means of gathering information is also relevant to disease-based research, because a large amount of information can be gathered and recorded with little
effort. Telemonitoring is useful to patients because they can receive health care provider feedback on their vital statistics much more often then they otherwise might. Also, because the patient is more involved in his or her own treatment, the
patient will become more aware of his or her vital statistics and
possibly gain a better sense of what affects these statistics and how the statistics in turn affect how he or she feels.
TELEMONITORING IN RURAL HEALTH CARE john Holland 2002
www.llmi.com/services/markets_served/
telemonitoring
_rural_
health
.
It enables clinicians to treat serious medical conditions remotely with fewer face-to-face interactions.
By accessing vital signs and symptoms at home on a daily basis,
the device has shown to improve health outcomes, serve as an early warning system to prevent catastrophic events and reduce the cost of health care.
Telemonitoring can enable a pregnant woman with pre-
eclampsia to remain at home for the full term of her pregnancy instead of spending long periods traveling to and staying in a distant hospital. For a patient with congestive heart failure, telemonitoring is an early warning system, alerting patient and clinician to a dangerous condition early enough to avert a crisis.
By helping patients with hypertension control their blood pressure, telemonitoring prevents strokes, heart attacks and kidney failure.
With telemonitoring, helps reduce burden of the nursing staff esp when there is a shortage. Eg A visiting nurse can make two
or three rural home visits a day to check vital signs and symptoms, teach patients self-care methods, and review medication. If a nurse visits each patient once a week, he or she
can care for 15-20 patients at a time. With this technology, the same nurse can check vital signs and symptoms of 50 or more patients, deal with many issues over the telephone, and visit the few who require a face-to-face intervention. A s a result more patient can be seen in a short time period and thus more care can be covered
Telemonitoring eases the strain on nursing resources in rural areas, because fewer nurses are needed to handle a given caseload. A managed care organization that offered LifeLink Monitoring’s blood pressure telemonitoring service to its patients with pre-eclampsia reduced home nursing visits by more than 50%.
Supporting the delivery of care tailored to individual patients, where ICT enables more informed decision making based both on evidence and patient-specific data;
Improving transparency and accountability of care processes and facilitating shared care across boundaries;
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Aiding evidence-based practice and error reduction;
Improving diagnostic accuracy and treatment appropriateness;
Improving access to effective healthcare by reducing barriers created, for example, by physical location or disability;
Facilitating patient empowerment for self-care and health decision making;
Improving cost-efficiency by streamlining processes, reducing waiting times and waste.
Problems faced
If machines are not checked routinely to ensure effectiveness, the clients may get wrong readings