remote patient monitoring value based care

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If you have inquiries or problems connected to the assistance in this document, please e-mail The prescription is released for a legitimate clinical objective by a practitioner acting in the common training course of his/ her expert practice.

7 Virtual healthcare.

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To stay notified concerning updates for telehealth as well as other DHCS subjects, enroll in DHCS Stakeholder Announcements. For non-emergency clinical issues (allergic reactions, bronchial asthma, respiratory disease, chilly & flu, infections, high temperature, ear aches, queasiness, pink eye, sore throat).

Enjoy analysis neighborhood attributes and also information about Willis-Knighton and also The Oaks of Louisiana in this nationwide publication. Click the web link listed below for response to regularly asked questions concerning telehealth. The majority of the financial savings showed came from locally carried out lab as well as drug store services. USDA Community Facilities Direct Loan and Grant Program awards direct car loans and/or grants for necessary area facilities in backwoods. McLeod Telehealth is an easy way to see a medical professional online by video clip anytime, anywhere.

NIBIB researchers are establishing a paper-based diagnostic that can evaluate HIV viral load in whole blood in 15 mins. A cellphone is used to power and regulate the paper-based RNA removal as well as reaction; assess the fluorescent readout indicating viral load; as well as save the cause the cloud where they can be accessed by a doctor. The $10 test will be extensively suitable for contagious disease diagnosis at the point-of-care. Life Expectancy, Rhode Island's initial health and wellness system, is a detailed, incorporated, scholastic wellness system associated with The Warren Alpert Medical School of Brown College. You may be asked to validate that you have actually checked out and approve and consent to the above documents as component of your browse through. Visit our MyLifespan page for moms and dads as well as guardians for information on how to sign your youngster or teenager up easily as well as to obtain the correct level of proxy gain access to.

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Transmission making use of wireless was done utilizing regularity modulation which removed noise. The ECG outcome was linked to the telephone input making use of a modulator which transformed ECG into high regularity noise. At the other end a demodulator reconverted the audio right into ECG with an excellent gain accuracy. The ECG was converted to sound waves with a frequency differing from 500 Hz to 2500 Hz with 1500 Hz at standard. Two crucial areas of telerehabilitation study are demonstrating equivalence of assessment and also therapy to in-person assessment and also therapy, and constructing new data collection systems to digitize information that a specialist can use 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 tools such as high blood pressure monitors, Bluetooth-enabled digital scales and also various other wearable devices that can interact biometric data for testimonial. -- Store-and-forward innovations that gather pictures as well as data to be transmitted as well as analyzed later. When doctors' required answers to questions on adapting to exercising in a pandemic, the AMA established resources to fulfill the demand.

If you have concerns or issues connected to the assistance in this paper, please This file has links to various other websites and material belonging to or originating from third parties. Such external web links are attended to educational and educational functions just and also are not examined, monitored or looked for precision, adequacy, credibility, dependability, schedule or completeness by ASAM.

Typical everyday emergency telemedicine is done by SAMU Regulator Physicians in France, Spain, Chile and also Brazil. Aircraft as well as maritime emergencies are likewise handled by SAMU centres in Paris, Lisbon as well as Toulouse. At the dawn of the modern technology, videotelephony additionally consisted of image phones which would trade still pictures in between devices every couple of seconds over conventional POTS-type telephone lines, basically the same as slow-moving check TELEVISION systems.

Ground-breaking research in telehaptics and also online fact might widen the extent of telerehabilitation method, in the future. cultural barriers taking place from the disinclination, or objection, of some medical professionals to adapt scientific paradigms for telemedicine applications.

VA Telehealth Solutions offers you access to the care you need, when as well as where you require it. Before executing telehealth right into your technique, testimonial as well as become acquainted with state and government regulations in which you practice. Making use of telehealth to provide physical therapist services is expanding swiftly, and also if you have not already, you're possibly considering it. Get in touch with your existing EHR vendor to see if there is best remote patient monitoring companies telehealth capability that can be turned on. Reach out to your state clinical association/society for guidance on vendor analysis, option and also having. These kinds of modifications are greatly on a state-by-state basis and also are transforming at a quick rate. ASAM is interacting with state phases and areas to aid attend to concerns associated with state regulations as well as policies.

  • Preserving your wellness now is equally as essential as ever before-- and also telehealth can aid.
  • Across nearly all medical specialties, telehealth solutions can be applied in linking carriers with various patients in different locations via real-time sound as well as video clip.
  • In various other cases, solution centers can use telemedicine to collect from another location along with send data to a central monitoring system for interpretation.
  • Telehealth effectively links individuals and their doctor when an in-person interaction is not clinically required and promotes physician-to-physician consultation.

Another downside of telemedicine is the failure to begin treatment immediately. For instance, a person struggling with a microbial infection might be given an antibiotic hypodermic shot in the facility, as well as observed for any response, before that antibiotic is prescribed in pill kind. It might be needed that the expert and patient involved have to satisfy in person a minimum of as soon as before on-line prescribing can occur, or that at the very least a live-video meeting has to occur, not just impersonal questionnaires or studies to establish requirement. Subsequently, in 2015 the state legislature legalized digital consultations. Restrictive licensure laws in the United States call for a professional to get a full license to supply telemedicine treatment throughout state lines. Generally, states with limiting licensure regulations also have a number of exceptions that may launch an out-of-state professional from the added problem of obtaining such a certificate. A number of states require practitioners who look for compensation to regularly supply interstate like acquire a complete permit.

Should vagaries of hospital possession have bearing upon physicians' capacity to speak confidentially with lawyers? See daily video updates on how the AMA is combating COVID-19 by discussing arising cyber risks throughout the pandemic. From right here, our system records each action with the designated medical professionals on-call. Tracking all results creating daily openness reports on our person communications. Complete openness in between TeleHealth Option Carriers, PCPs, Location Admins showcasing all outcomes.

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"