- Real-Time (Synchronous) Telehealth in Primary Care: Systematic Review of Systematic Reviews
Technology Reports
January 30, 2008
Real-Time (Synchronous) Telehealth in Primary Care: Systematic Review of Systematic ReviewsTechnology Real-time telehealth involves the use of information and communication technologies (e.g., a minim...
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Asynchronous Telehealth: Systematic Review of Analytic Studies and Environmental Scan of Relevant Initiatives
Technology Reports
January 30, 2008
Asynchronous Telehealth: Systematic Review of Analytic Studies and Environmental Scan of Relevant Initiatives Technology Asynchronous telehealth refers to the storage of clinically important digital s...
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Overview of Assessments of Real-Time (Synchronous) and Asynchronous Telehealth
Technology Overviews
January 30, 2008
Asynchronous Telehealth: Systematic Review of Analytic Studies and Environmental Scan of Relevant Initiatives Technology Asynchronous telehealth refers to the storage of clinically important digital s...
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Telehealth for Acute Stroke Management (Telestroke): Systematic Review of Analytic Studies
Technology Reports
January 21, 2008
Technology Any modality of telehealth (synchronous or asynchronous) that enables communication between a patient and health care providers, or among health care providers, for the purposes of assessin...
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Telehealth for Acute Stroke Management (Telestroke): Systematic Review and Environmental Scan
Technology Overviews
January 21, 2008
Technology Any modality of telehealth (synchronous or asynchronous) that enables communication between a patient and health care providers, or among health care providers, for the purposes of assessin...
Thursday, January 31, 2008
Literature reviews pertaining to telehealth
In the past couple of weeks the Canadian Agency for Drugs and Technologies in Health has published a number of reports:
Saturday, January 26, 2008
Telehealth Up and Running in All Rural Yukon Communities
Whitehorse, January 17, 2008 - Health and Social Services Minister Brad Cathers today announced that all Yukon communities have improved health care services with the expansion of the Yukon Telehealth Network. Telehealth links patients from remote communities with clinicians at a distance through secure networks.
"Today, every Yukon community has the ability to link through the Yukon Telehealth Network to provide increased health services and supports within that community," Cathers said. "This is a true feat of technology. The contribution from Canada Health Infoway and the hard work of dedicated people over the past number of years ensured that today arrived."
The minister used the Diabetes Education Centre as a good example of how telehealth works.
"Individuals diagnosed with diabetes are not always able to travel to Whitehorse on a regular basis for training or support. The Diabetes Education Centre staff can connect with their clients in the communities through the telehealth network in the rural health centres to provide one-on-one sessions. This means that people don't have to leave their communities to get the services they need," Cathers added.
"Telehealth increases access to care for those from remote and isolated communities," Canada Health Infoway President and CEO Richard Alvarez said. "Today we are celebrating a real milestone for residents of all Yukon communities who, thanks to technology, now have increased access to much needed health care."
The Yukon Telehealth Network began in 2002. Old Crow, Dawson City, Mayo, Haines Junction, Watson Lake and Whitehorse were the initial communities; followed by Beaver Creek, Destruction Bay, Carmacks and Pelly Crossing. Communications technology has continued to improve where today telehealth can be implemented in all Yukon communities. This expansion has been accomplished by community nursing and information technology (IT) staff with funding from Canada Health Infoway.
Canada Health Infoway is a federally-funded, not-for-profit independent organization that invests with public sector partners across Canada to implement and reuse compatible health information systems which support a safer, more efficient healthcare system. Fully respecting patient confidentiality, these private and secure systems provide healthcare professionals with rapid access to complete and accurate patient information, enabling better decisions about diagnosis and treatment. The result is a sustainable, health care system offering improved quality, accessibility and productivity.
http://www.infoway-inforoute.ca/en/News-Events/InTheNews_long.aspx?UID=301
"Today, every Yukon community has the ability to link through the Yukon Telehealth Network to provide increased health services and supports within that community," Cathers said. "This is a true feat of technology. The contribution from Canada Health Infoway and the hard work of dedicated people over the past number of years ensured that today arrived."
The minister used the Diabetes Education Centre as a good example of how telehealth works.
"Individuals diagnosed with diabetes are not always able to travel to Whitehorse on a regular basis for training or support. The Diabetes Education Centre staff can connect with their clients in the communities through the telehealth network in the rural health centres to provide one-on-one sessions. This means that people don't have to leave their communities to get the services they need," Cathers added.
"Telehealth increases access to care for those from remote and isolated communities," Canada Health Infoway President and CEO Richard Alvarez said. "Today we are celebrating a real milestone for residents of all Yukon communities who, thanks to technology, now have increased access to much needed health care."
The Yukon Telehealth Network began in 2002. Old Crow, Dawson City, Mayo, Haines Junction, Watson Lake and Whitehorse were the initial communities; followed by Beaver Creek, Destruction Bay, Carmacks and Pelly Crossing. Communications technology has continued to improve where today telehealth can be implemented in all Yukon communities. This expansion has been accomplished by community nursing and information technology (IT) staff with funding from Canada Health Infoway.
Canada Health Infoway is a federally-funded, not-for-profit independent organization that invests with public sector partners across Canada to implement and reuse compatible health information systems which support a safer, more efficient healthcare system. Fully respecting patient confidentiality, these private and secure systems provide healthcare professionals with rapid access to complete and accurate patient information, enabling better decisions about diagnosis and treatment. The result is a sustainable, health care system offering improved quality, accessibility and productivity.
http://www.infoway-inforoute.ca/en/News-Events/InTheNews_long.aspx?UID=301
Friday, January 25, 2008
EHR innovators have started integrating digitized microscopy images into an Electronic Health Record system.
Thanks to Trevor Craddock at the CST
Toronto’s Michener Institute, an educational centre for applied health sciences, has started integrating digitized microscopy images into an Electronic Health Record system. It’s one of the first sites in the country to do this. “Typically, you do not see digital microscopy in the health record,” commented Dr. Karim Bandali, vice provost of the Michener. Digital slide technology has the potential of becoming a very important tool for pathologists who analyze patient samples for the presence – or absence – of serious diseases, including cancer and blood disorders. “Digital microscopy is a major piece, and integrating it into the electronic record is a major development,” said Dr. Bandali
http://www.canhealth.com/doctors.html#D08janstory1
Toronto’s Michener Institute, an educational centre for applied health sciences, has started integrating digitized microscopy images into an Electronic Health Record system. It’s one of the first sites in the country to do this. “Typically, you do not see digital microscopy in the health record,” commented Dr. Karim Bandali, vice provost of the Michener. Digital slide technology has the potential of becoming a very important tool for pathologists who analyze patient samples for the presence – or absence – of serious diseases, including cancer and blood disorders. “Digital microscopy is a major piece, and integrating it into the electronic record is a major development,” said Dr. Bandali
http://www.canhealth.com/doctors.html#D08janstory1
Florida Nursing School Taps iPods, Patient Simulators for Training
Nursing students at Seminole Community College use patient simulators to learn new medical procedures without risking patient safety. The students also use video iPods to study medical procedure demonstrations and listen to lectures. Orlando Sentinel.
With the state facing a nursing shortage, the technology is intended to ensure that students graduate ready to work in hospitals. The nursing school uses three simulators -- "SimMan," SimBaby" and "Noel," a simulator of a pregnant woman. The simulators can help students learn "decision-making without hurting the patient," Cheryl Cicotti, director of nursing at Seminole Community College, said.The patient simulators also let nursing students experience rare medical conditions that they might not have the opportunity to treat in a clinical setting because more experienced doctors or nurses would handle them.
In addition to the patient simulators, nursing students also use video iPods to study new concepts and skills. Students can load the iPods with lecture videos, demonstrations of medical procedures and electronic flash cards to review medical terminology, the Sentinel reports.Cicotti said students sometimes bring the iPods with them to the hospital so they can review an instructional video before they perform a procedure themselves
http://www.orlandosentinel.com/news/local/seminole/orl-nursetech2508jan25,0,2029650.story
With the state facing a nursing shortage, the technology is intended to ensure that students graduate ready to work in hospitals. The nursing school uses three simulators -- "SimMan," SimBaby" and "Noel," a simulator of a pregnant woman. The simulators can help students learn "decision-making without hurting the patient," Cheryl Cicotti, director of nursing at Seminole Community College, said.The patient simulators also let nursing students experience rare medical conditions that they might not have the opportunity to treat in a clinical setting because more experienced doctors or nurses would handle them.
In addition to the patient simulators, nursing students also use video iPods to study new concepts and skills. Students can load the iPods with lecture videos, demonstrations of medical procedures and electronic flash cards to review medical terminology, the Sentinel reports.Cicotti said students sometimes bring the iPods with them to the hospital so they can review an instructional video before they perform a procedure themselves
http://www.orlandosentinel.com/news/local/seminole/orl-nursetech2508jan25,0,2029650.story
Preparing the 2008 "1st Medicine 2.0" Conference -- How social networking and Web 2.0 technologies revolutionize medicine and health care
How social networking and Web 2.0 technologies revolutionize health care, wellness, clinical medicine and biomedical research (Medicine 2.0)
In the past few years we have seen the rapid evolution of new tools and programming techniques collectively called "Web 2.0 tools", which facilitate the development of collaborative and user-friendly Web applications. Typically, the Web 2.0 is a term which refers to a) improved communication between people via social-networking technologies,b) improved communication between separate software applications ("mashups") via open Web standards for describing and accessing data, andc) improved Web interfaces that mimic the real-time responsiveness of desktop applications within a browser window. Semantic web applications (sometimes called Web 3.0) and 3D environments (Second Life) can also be seen as second generation Web technologies.
These technologies have led to a flurry of new applications and speculation on their potential to revolutionize health care and the entire spectrum of health and medicine - from consumer-led preventive medicine, home care, to clinical care. This coincides with a strong push towards personal health records, with major players such as Microsoft and Google entering the scene. High-profile takeovers and valuations of companies such as YouTube or Facebook also have led to a flurry of investment activities - Venture Capitalists are once again investing in Web start-ups, but much of the linguistics and hype is reminiscent of the Web 1.0 bubble in the late 90ies.
As the leading peer-reviewed journal in eHealth, JMIR, together with a number of sponsoring organizations, is currently preparing the first academic international "Medicine 2.0" (TM) conference in 2008.
This cutting edge conference will bring together academics and business leaders and is hoped to catalyze new collaborations between academia, health providers, and the private sector. We envision this to be an annual conference, with peer-reviewed contributions, panels, and invited speakers, focussing on "next generation medicine", which incorporates ideas of collaboration and consumer empowerment.
To celebrate the first Medicine 2.0 conference in 2008, JMIR will publish a "Medicine 2.0" Theme Issue focussing on Web 2.0 applications for health, health care, and the future of medicine. Submission deadline for full articles: February 15th, 2008.
Examples for topics that are within the scope of the theme issue as well as the conference include the following:
Collaborative Filtering and recommender technologies
Consumer empowerment
Personal health records and Web 2.0
New models of academic / scholarly publishing and peer review, e.g. what is the role of blogs and wikis?
New models of e-learning, patient education, medical training and continuing medical education
Youth and digital learning
Business models in a Web 2.0 environment: User-generated content is free - so who makes money how? What is the role of the private sector?
Developing and nurturing online communities for health
The nature and dynamics of social networks
Web 2.0 approaches for clinical practice, clinical research, quality monitoring, public health and biosurveillance
How patient - physicians relationship change based on Web 2.0 platforms
Virtual health care learning environments (web 3D: eg second health and the ALIVE project at U of Southern Queensland, Australia)
Use of Web 2.0 applications in health care and education (eg YouTube... UC Berkeley is the first US university to put lectures online via YouTube)
Semantic Web applications
Manuscripts must follow the JMIR Instructions for Authors. Note that JMIR is an Open Access journal and our regular publication fees apply (submission fee and - for non-institutional members - Article Processing Fee in case of acceptance).
To submit, please register as author and make sure to select the section "Special Theme Issue: Medicine 2.0" when you submit the paper.
For further information, please visit: http://www.jmir.org/ojs/index.php/jmir/announcement/view/12
In the past few years we have seen the rapid evolution of new tools and programming techniques collectively called "Web 2.0 tools", which facilitate the development of collaborative and user-friendly Web applications. Typically, the Web 2.0 is a term which refers to a) improved communication between people via social-networking technologies,b) improved communication between separate software applications ("mashups") via open Web standards for describing and accessing data, andc) improved Web interfaces that mimic the real-time responsiveness of desktop applications within a browser window. Semantic web applications (sometimes called Web 3.0) and 3D environments (Second Life) can also be seen as second generation Web technologies.
These technologies have led to a flurry of new applications and speculation on their potential to revolutionize health care and the entire spectrum of health and medicine - from consumer-led preventive medicine, home care, to clinical care. This coincides with a strong push towards personal health records, with major players such as Microsoft and Google entering the scene. High-profile takeovers and valuations of companies such as YouTube or Facebook also have led to a flurry of investment activities - Venture Capitalists are once again investing in Web start-ups, but much of the linguistics and hype is reminiscent of the Web 1.0 bubble in the late 90ies.
As the leading peer-reviewed journal in eHealth, JMIR, together with a number of sponsoring organizations, is currently preparing the first academic international "Medicine 2.0" (TM) conference in 2008.
This cutting edge conference will bring together academics and business leaders and is hoped to catalyze new collaborations between academia, health providers, and the private sector. We envision this to be an annual conference, with peer-reviewed contributions, panels, and invited speakers, focussing on "next generation medicine", which incorporates ideas of collaboration and consumer empowerment.
To celebrate the first Medicine 2.0 conference in 2008, JMIR will publish a "Medicine 2.0" Theme Issue focussing on Web 2.0 applications for health, health care, and the future of medicine. Submission deadline for full articles: February 15th, 2008.
Examples for topics that are within the scope of the theme issue as well as the conference include the following:
Collaborative Filtering and recommender technologies
Consumer empowerment
Personal health records and Web 2.0
New models of academic / scholarly publishing and peer review, e.g. what is the role of blogs and wikis?
New models of e-learning, patient education, medical training and continuing medical education
Youth and digital learning
Business models in a Web 2.0 environment: User-generated content is free - so who makes money how? What is the role of the private sector?
Developing and nurturing online communities for health
The nature and dynamics of social networks
Web 2.0 approaches for clinical practice, clinical research, quality monitoring, public health and biosurveillance
How patient - physicians relationship change based on Web 2.0 platforms
Virtual health care learning environments (web 3D: eg second health and the ALIVE project at U of Southern Queensland, Australia)
Use of Web 2.0 applications in health care and education (eg YouTube... UC Berkeley is the first US university to put lectures online via YouTube)
Semantic Web applications
Manuscripts must follow the JMIR Instructions for Authors. Note that JMIR is an Open Access journal and our regular publication fees apply (submission fee and - for non-institutional members - Article Processing Fee in case of acceptance).
To submit, please register as author and make sure to select the section "Special Theme Issue: Medicine 2.0" when you submit the paper.
For further information, please visit: http://www.jmir.org/ojs/index.php/jmir/announcement/view/12
Monday, January 7, 2008
Children's hospital upping transparency with site
Children's hospital upping transparency with site
Lucile Salter Packard Children's Hospital at Stanford, based in Palo Alto, Calif., announced its new Web site that allows patients to view performance data.
Visitors to the site will be able to see reports on six quality measures—mortality rates, 31-day readmission rates, catheter-associated bloodstream infection rates in the pediatric intensive-care unit, and rates on the likelihood that patients would recommend Lucile Packard to other families for inpatient, obstetric and clinic care.
The 260-bed hospital said that it will add additional performance measures in the future as it continues to focus on patient safety and quality issues.
http://www.lpch.org/aboutUs/quality/index.html
Lucile Salter Packard Children's Hospital at Stanford, based in Palo Alto, Calif., announced its new Web site that allows patients to view performance data.
Visitors to the site will be able to see reports on six quality measures—mortality rates, 31-day readmission rates, catheter-associated bloodstream infection rates in the pediatric intensive-care unit, and rates on the likelihood that patients would recommend Lucile Packard to other families for inpatient, obstetric and clinic care.
The 260-bed hospital said that it will add additional performance measures in the future as it continues to focus on patient safety and quality issues.
http://www.lpch.org/aboutUs/quality/index.html
Panasonic unveils wireless HD video system and don't discount playstation as a telehealth platfrom either?
Panasonic unveils wireless HD video system
Hmm, there are some implications here for telehealth that I don't think Panasonic thought of??
Matsushita Electric Industrial's Panasonic unit said on Sunday it developed a system allowing consumers to send high-definition video to a television from a video player or gaming console without cables.
The system is based on a technology called "WirelessHD" that enables high-definition video transmission without compromising quality.
Users of the new technology could hang a high-definition television on a wall, far from a digital video recorder or disc player, without running wires between the products.
Panasonic did not give details on which of its products would be fitted with the technology, or when it would be widely available. The announcement was made here at the Consumer Electronics Show.
http://ces.cnet.com/?tag=st.nl
Companies including Panasonic, Intel, LG Electronics, Sony Corp, Samsung Electronics and SiBEAM have been working together to develop the WirelessHD platform, hoping that it will become an industry standard.
And on another note Skype and Sony gives me some interesting ideas on telehealth too?
Sony: Skype coming to PSP this month
http://ces.cnet.com/8301-13855_1-9842113-67.html?tag=ces_promo
The rumors were true: Skype is coming to the PSP. The leading voice-over-IP phone service will be made available to PSP users worldwide in a free firmware update scheduled for later this month. The catch? The service will only work on the new Slim PSP model, not the original bulkier "PSP 1000" (which, as of fall 2007, is no longer produced). The press release lists the other obvious caveats: you'll need to have access to Wi-Fi; have a Skype account (it's free, with paid upgrades for calling to and from non-Skype numbers); and a Skype-compatible "audio input device" (a headset).
Hmm, there are some implications here for telehealth that I don't think Panasonic thought of??
Matsushita Electric Industrial's Panasonic unit said on Sunday it developed a system allowing consumers to send high-definition video to a television from a video player or gaming console without cables.
The system is based on a technology called "WirelessHD" that enables high-definition video transmission without compromising quality.
Users of the new technology could hang a high-definition television on a wall, far from a digital video recorder or disc player, without running wires between the products.
Panasonic did not give details on which of its products would be fitted with the technology, or when it would be widely available. The announcement was made here at the Consumer Electronics Show.
http://ces.cnet.com/?tag=st.nl
Companies including Panasonic, Intel, LG Electronics, Sony Corp, Samsung Electronics and SiBEAM have been working together to develop the WirelessHD platform, hoping that it will become an industry standard.
And on another note Skype and Sony gives me some interesting ideas on telehealth too?
Sony: Skype coming to PSP this month
http://ces.cnet.com/8301-13855_1-9842113-67.html?tag=ces_promo
The rumors were true: Skype is coming to the PSP. The leading voice-over-IP phone service will be made available to PSP users worldwide in a free firmware update scheduled for later this month. The catch? The service will only work on the new Slim PSP model, not the original bulkier "PSP 1000" (which, as of fall 2007, is no longer produced). The press release lists the other obvious caveats: you'll need to have access to Wi-Fi; have a Skype account (it's free, with paid upgrades for calling to and from non-Skype numbers); and a Skype-compatible "audio input device" (a headset).
Wednesday, January 2, 2008
Are Health Care Vendors Providing High-Quality IT Applications for Nurses?
The majority of nurses surveyed said vendors are not yet providing high-quality health care IT targeting nursing workflow. In addition, 64% of nurses said they were concerned that their facilities lacked the appropriate infrastructure to support point-of-care technology.
About one-third of nurses surveyed in September said they were ready to adopt computing applications at point of care. This represents a 325% increase from June 2004, when just 8% of nurse surveyed said they were ready. However, just 34% of nurses said their organizations are investing in point-of-care computing technology, down from 35% who said the same in June 2004.
Results are based on a September 2007 survey of 100 nurses and a June 2004 survey of 100 nurses.
Source: Spyglass Consulting Group
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