remote patient monitoring implementation guide

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If you have questions or concerns related to the support in this document, please email The prescription is provided for a legitimate clinical objective by an expert acting in the normal training course of his/ her expert technique.

7 Virtual medical Care.

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To stay informed regarding updates for telehealth and also other DHCS topics, enroll in DHCS Stakeholder Announcements. For non-emergency medical problems (allergies, bronchial asthma, respiratory disease, cool & flu, infections, high temperature, ear aches, nausea or vomiting, pink eye, aching throat).

Enjoy reading regional features and information about Willis-Knighton and The Oaks of Louisiana in this national publication. Click the web link listed below for response to frequently asked concerns about telehealth. The majority of the financial savings showed came from locally carried out laboratory and drug store services. USDA Area Facilities Direct Financing and Grant Program awards direct fundings and/or grants for necessary area centers in rural areas. McLeod Telehealth is a very easy means to see a physician online by video anytime, anywhere.

NIBIB researchers are developing a paper-based analysis that can evaluate HIV viral tons in whole blood in 15 minutes. A cellphone is utilized to power and control the paper-based RNA extraction and also reaction; examine the fluorescent readout indicating viral tons; and also keep the results in the cloud where they can be accessed by a physician. The $10 test will certainly be generally applicable for contagious illness medical diagnosis at the point-of-care. Life Expectancy, Rhode Island's initial wellness system, is a comprehensive, incorporated, scholastic health and wellness system associated with The Warren Alpert Medical Institution of Brown University. You might be asked to confirm that you have actually checked out as well as approve and consent to the above papers as component of your visit. Visit our MyLifespan web page for parents and guardians for details on exactly how to sign your kid or teen up quickly and also to get the right level of proxy gain access to.

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Transmission making use of wireless was done using regularity modulation which got rid of noise. The ECG outcome was attached to the telephone input utilizing a modulator which converted ECG right into high regularity sound. At the other end a demodulator reconverted the audio into ECG with a great gain precision. The ECG was converted to sound waves with a frequency varying from 500 Hz to 2500 Hz with 1500 Hz at standard. 2 crucial locations of telerehabilitation study are demonstrating equivalence of evaluation and treatment to in-person evaluation as well as treatment, and constructing new information collection systems to digitize details that a therapist can make use of 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 high blood pressure displays, Bluetooth-enabled electronic scales and other wearable gadgets that can connect biometric information for testimonial. -- Store-and-forward innovations that collect photos and also data to be transmitted and interpreted later. When physicians' needed solution to questions on adjusting to practicing in a pandemic, the AMA created resources to meet the demand.

If you have questions or worries connected to the guidance in this paper, please This document contains links to other websites as well as content coming from or originating from third parties. Such outside links are attended to informational and also academic objectives only as well as are not checked out, checked or checked for precision, adequacy, legitimacy, reliability, availability or completeness by ASAM.

Usual everyday emergency telemedicine is carried out by SAMU Regulatory authority Physicians in France, Spain, Chile and Brazil. Airplane and naval emergency situations are also managed by SAMU centres in Paris, Lisbon and also Toulouse. At the dawn of the innovation, videotelephony also consisted of image phones which would trade still images between systems every few secs over conventional POTS-type telephone lines, basically the like slow-moving scan TV systems.

Ground-breaking research study in telehaptics and also online fact might expand the scope of telerehabilitation practice, in the future. cultural obstacles happening from the disinclination, or hesitation, of some physicians to adjust clinical standards for telemedicine applications.

VA Telehealth Services gives you access to the treatment you require, when and also where you need it. Prior to implementing telehealth into your technique, evaluation and end up being knowledgeable about state and also government guidelines in which you method. Utilizing telehealth to supply physical therapist solutions is broadening swiftly, and if you have not already, you're possibly considering it. Talk to your existing EHR vendor to see if there is telehealth performance that can be switched on. Reach out to your state clinical association/society for support on supplier examination, choice as well as contracting. These type of modifications are greatly on a state-by-state basis and also are altering at a rapid price. ASAM is interacting with state phases and also areas to aid attend to concerns connected to state guidelines as well as plans.

  • Preserving your health now is just as crucial as ever-- as well as telehealth can aid.
  • Throughout nearly all clinical specialties, telehealth services can be applied in attaching carriers with different clients in various areas through real-time audio and also video clip.
  • We provide a wide array of telehealth services in locations such as wellness, primary care, specialized treatment and intense care.
  • In other situations, solution facilities can use telemedicine to gather remotely in addition to send out information to a main surveillance system for analysis.

An additional drawback of telemedicine is the inability to start therapy immediately. As an example, a client suffering from a microbial infection might be offered an antibiotic hypodermic shot in the center, and also observed for any kind of reaction, prior to that antibiotic is suggested in pill type. It may be needed that the expert and also individual entailed must fulfill face to face at the very least as soon as prior to on the internet prescribing can happen, or that at the very least a live-video conference has to happen, not just impersonal sets of questions or surveys to identify need. Consequently, in 2015 the state legislature legalized electronic assessments. Limiting licensure regulations in the USA call for a specialist to get a full permit to supply telemedicine care across state lines. Commonly, states with restrictive licensure regulations likewise have a number of exemptions that might release an out-of-state specialist from the additional worry of acquiring such a remote patient monitoring companies license. A number of states call for practitioners who seek payment to frequently supply interstate care to obtain a full certificate.

Should vagaries of medical facility possession have bearing upon medical professionals' ability to talk confidentially with attorneys? See day-to-day video updates on just how the AMA is battling COVID-19 by discussing emerging cyber hazards during the pandemic. From here, our system documents each step with the appointed clinicians standing by. Tracking all results creating daily transparency reports on our individual communications. Full openness in between TeleHealth Option Suppliers, PCPs, Location Admins showcasing all results.

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"