Re: Telemedicine (Rochester, NY) on Discovery Channel

[Guest guest]

God help us.

grace

>

> IMPs, Thu & Debra,

>

> I am just getting started with Telemedicine, but so far I like the

> flexibility. (It is also nice to be able to go to work in your

> slippers..LOL.) We have not expanded to having providers from out of the

> state yet, but when this happens, it will be the ideal job for those who

> want to add extra hours but want to work remotely. It is definitely

> different to see tympanic membranes through a digital picture or listen to

> lung sounds through a wave file. It is not a job that everyone would like,

> but I think it will expand our ability to help those in underserved areas.

>

>

>

> I also envision Telemedicine helping those who are IMPs to see patients out

> of our area. There is a technician at the location where the patient

> arrives and they collect the data to enter into the computer, pictures etc.

> and the provider can see the patient through Skype and then the

> documentation is done in TeleAtrics, which is a web-based record. There are

> two sites..one for pediatrics and one for geriatrics (or adults).

>

>

>

> I envision IMPs someday, once Telemedicine takes off and is more mainstream,

> having their patients arrive at a Telemedicine site in their area where a

> technician can collect the exam data (vitals, pictures etc) and then the

> provider can see the patient over skype or be telephone for the interview.

> Technicians can collect ROS information but it must be confirmed by the

> provider as the techs are not licensed but trained to collect what

> information the provider will need.

>

>

>

> A real virtual visit cannot be done unless an exam can be completed. There

> are " virtual visits " that can be done but there is no means to collect vital

> signs and do an exam and just talking to the patient is really no different

> than doing a phone visit (IMHO). Some situations where the patient just

> needs a follow up on clarification of how to use a new medication etc. may

> not require an exam, but to evaluate the efficacy and side effects of the

> medication, for example, would require an exam. So until we have a means to

> collect this data, such as with Telemedicine, there are limitations to what

> can be done as a virtual visit. As Telemedicine progresses I see a world of

> opportunity opening up for health care providers and patients everywhere.

> One provider can cover multiple sites and the scheduler makes it a planned

> visit, so the provider knows when the patients will be " arriving " for their

> visit.

>

>

>

> The program that I work for was included in a special documentary that the

> Discovery Channel did from across the nation. Markwick is the other

> Family NP that I work with and she is the Director of the Adult Telemedicine

> program.

>

>

>

> Here is the link..

>

> http://link.brightcove.com/services/player/bcpid1280283152001

>

>

>

> Tammy

>

>

>

> Tammy L. McGarvey, MSN, RN, FNP-BC

>

> Board Certified Family Nurse Practitioner

>

[Guest guest]

so telemedicine eh?

so doc, ive got this thing on my arse...

(picture runs through my virtual head)

so help me God.

g

> >

> > IMPs, Thu & Debra,

> >

> > I am just getting started with Telemedicine, but so far I like the

> > flexibility. (It is also nice to be able to go to work in your

> > slippers..LOL.) We have not expanded to having providers from out of the

> > state yet, but when this happens, it will be the ideal job for those who

> > want to add extra hours but want to work remotely. It is definitely

> > different to see tympanic membranes through a digital picture or listen to

> > lung sounds through a wave file. It is not a job that everyone would like,

> > but I think it will expand our ability to help those in underserved areas.

>

> >

> >

> >

> > I also envision Telemedicine helping those who are IMPs to see patients

> out

> > of our area. There is a technician at the location where the patient

> > arrives and they collect the data to enter into the computer, pictures

> etc.

> > and the provider can see the patient through Skype and then the

> > documentation is done in TeleAtrics, which is a web-based record. There

> are

> > two sites..one for pediatrics and one for geriatrics (or adults).

> >

> >

> >

> > I envision IMPs someday, once Telemedicine takes off and is more

> mainstream,

> > having their patients arrive at a Telemedicine site in their area where a

> > technician can collect the exam data (vitals, pictures etc) and then the

> > provider can see the patient over skype or be telephone for the interview.

> > Technicians can collect ROS information but it must be confirmed by the

> > provider as the techs are not licensed but trained to collect what

> > information the provider will need.

> >

> >

> >

> > A real virtual visit cannot be done unless an exam can be completed. There

> > are " virtual visits " that can be done but there is no means to collect

> vital

> > signs and do an exam and just talking to the patient is really no

> different

> > than doing a phone visit (IMHO). Some situations where the patient just

> > needs a follow up on clarification of how to use a new medication etc. may

> > not require an exam, but to evaluate the efficacy and side effects of the

> > medication, for example, would require an exam. So until we have a means

> to

> > collect this data, such as with Telemedicine, there are limitations to

> what

> > can be done as a virtual visit. As Telemedicine progresses I see a world

> of

> > opportunity opening up for health care providers and patients everywhere.

> > One provider can cover multiple sites and the scheduler makes it a planned

> > visit, so the provider knows when the patients will be " arriving " for

> their

> > visit.

> >

> >

> >

> > The program that I work for was included in a special documentary that the

> > Discovery Channel did from across the nation. Markwick is the other

> > Family NP that I work with and she is the Director of the Adult

> Telemedicine

> > program.

> >

> >

> >

> > Here is the link..

> >

> > http://link.brightcove.com/services/player/bcpid1280283152001

> >

> >

> >

> > Tammy

> >

> >

> >

> > Tammy L. McGarvey, MSN, RN, FNP-BC

> >

> > Board Certified Family Nurse Practitioner

> >

>

>

>

>

> --

>

>

>

> MD

>

>

> ph fax

>

>