Literature DB >> 29658828

Sustainable Telemedicine: Designing and Building Infrastructure to Support a Comprehensive Telemedicine Practice.

Beth L H Kreofsky1, R Nicole Blegen1, Troy G Lokken1, Susan M Kapraun1, Matthew S Bushman1, Bart M Demaerschalk1.   

Abstract

BACKGROUND: Telemedicine services in medical institutions are often developed in isolation of one another and not as part of a comprehensive telemedicine program. The Center for Connected Care is the administrative home for a broad range of telehealth services at Mayo Clinic. This article speaks of real-time video services, referenced as telemedicine throughout.
INTRODUCTION: This article discusses how a large healthcare system designed and built the infrastructure to support a comprehensive telemedicine practice.
MATERIALS AND METHODS: Based on analysis of existing services, Mayo Clinic developed a multifaceted operational plan that addressed high-priority areas and outlined clear roles and responsibilities of the Center for Connected Care and that of the clinical departments. The plan set priorities and a direction that would lead to long-term success. The plan articulated the governing and operational infrastructure necessary to support telemedicine by defining the role of the Center for Connected Care as the owner of core administrative operations and the role of the clinical departments as the owners of clinical telemedicine services. Additional opportunities were identified to develop product selection processes, implementation services, and staffing models that would be applied to ensure successful telemedicine deployment.
RESULTS: The telemedicine team within the Center for Connected Care completed 45 business cases resulting in 54 implementations. The standardization of core products along with key operational offerings around implementation services, and the establishment of a 24/7 support model resulted in improved provider satisfaction and fewer reported technical issues.
CONCLUSION: The foundation for long-term scalability and growth was developed by centralizing operations of telemedicine services, implementing sustainable processes, employing dedicated qualified personnel, and deploying robust products.

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Mesh:

Year:  2018        PMID: 29658828     DOI: 10.1089/tmj.2017.0291

Source DB:  PubMed          Journal:  Telemed J E Health        ISSN: 1530-5627            Impact factor:   3.536


  6 in total

Review 1.  Telemedicine: a Primer.

Authors:  Morgan Waller; Chad Stotler
Journal:  Curr Allergy Asthma Rep       Date:  2018-08-25       Impact factor: 4.806

2.  Stroke Telemedicine for Arizona Rural Residents, the Legacy Telestroke Study.

Authors:  Bart M Demaerschalk; Maria I Aguilar; Timothy J Ingall; David W Dodick; Bert B Vargas; Dwight D Channer; Erica L Boyd; Terri E J Kiernan; Dennis G Fitz-Patrick; J Gregory Collins; Joseph G Hentz; Brie N Noble; Qing Wu; Karina Brazdys; Bentley J Bobrow
Journal:  Telemed Rep       Date:  2022-03-14

3.  Factors Influencing Telehealth Implementation and Use in Frontier Critical Access Hospitals: Qualitative Study.

Authors:  Saira Naim Haque; Sydney DeStefano; Alison Banger; Regina Rutledge; Melissa Romaire
Journal:  JMIR Form Res       Date:  2021-05-05

4.  COVID-19 and the resurgence of telehealth in otolaryngology.

Authors:  Christina H Fang; Richard V Smith
Journal:  Oper Tech Otolayngol Head Neck Surg       Date:  2022-04-28

5.  Establishing a Patient-Centered Virtual Care Model Across the Continuum of Care.

Authors:  Xiu Zhang; Terre McJoynt; Joseph W Furst; Jane F Myers
Journal:  J Prim Care Community Health       Date:  2022 Jan-Dec

6.  Barriers to International Telemedicine Conferencing: A Survey of the National University Hospital Council of Japan.

Authors:  Kuriko Kudo; Noriko Isobe; Shintaro Ueda; Shunta Tomimatsu; Tomohiko Moriyama; Shuji Shimizu
Journal:  Telemed J E Health       Date:  2021-06-29       Impact factor: 3.536

  6 in total

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