arizona telemedicine program how to put the tele into telehealth · 2019. 7. 31. · © 2019 ua...
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© 2019 UA Board of Regents
Arizona Telemedicine ProgramHow to put the Tele into
TelehealthJanet Major, B.S.
Associate Director forEducation & FacilitiesArizona Telemedicine Program
Southwest Telehealth Resource CenterDistance Learning Outreach
University of Arizona Health Sciences CenterBoard Member – Telehealth USDLA
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© 2019 UA Board of Regents
www.telehealthresourcecenter.org
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© 2019 UA Board of Regents
Telepresenting
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© 2019 UA Board of Regents
Technology +
Telecommunications=
Telehealth/Telemedicine
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© 2019 UA Board of Regents
• Lights, Camera ACTION!
• Two way videoconferencingUsing hardware/software
• Web cams using secure sites over the internet
• Other devices or programs which connect to your laptop or desktop @home or bedside
Communication Technology
© 2012, Arizona Telemedicine Program
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© 2019 UA Board of Regents
The Artof
Telemedicine
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© 2019 UA Board of Regents
Telemedicine =
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© 2019 UA Board of Regents
Elements of Production
• Soundmicrophones
electronic stethoscope
• Lightingcolor temperature
angle
• Space and geography of the room
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© 2019 UA Board of Regents
• Same Elements of production whether you are in a state-of-the-art videoconferencing suite, using a videophone or a webcam @ your desktop!
• Background
• Lighting
• Audio
• Camera skills – be sure you are looking GOOD!
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
• Bandwidth and managing your bandwidth
• Back-up plan
• Old/new technology combinations
• Data Access & Management
• Test in advance - and the day of – and repeat!
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© 2019 UA Board of Regents
Best Practices
•Technical Protocols
•Clinical Protocols
•Mock Patients
•Training
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© 2019 UA Board of Regents
Cameras
• Angle
• Framing
• Lighting
•White balance
• Choosing the right one
• Focus on communication andNOT the technology
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WARREN STREET CLINIC 2016
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© 2019 UA Board of Regents
telemedicine=
medicine at a distance
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
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© 2010, Arizona Telemedicine Program
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© 2019 UA Board of Regents
HIPAA Health Insurance Portability And Accountability Act of 1996
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© 2019 UA Board of Regents
Telepresence 2007
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© 2019 UA Board of Regents
• Mute your audio
• View• Speaker mode
• Gallery mode
• Full Screen
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© 2019 UA Board of Regents
Mute / unmute your microphones
MUTE = ALT A
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© 2019 UA Board of Regents
Mute / unmute your video
MUTE = ALT V
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© 2019 UA Board of Regents
Speaker View or Gallery View
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
Teleconferencing Tips
• wear appropriate clothing and jewelry
• be aware of your body language
• use an agenda and facilitate introductions
• develop protocols for questions
• be familiar with the equipment
• test all equipment in advance
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© 2019 UA Board of Regents
Educational Materials
• send in advance whenever possible
• suggest powerpoint from a computer
• use 24 point font or greater
• use fonts like Arial or Times New Roman
• use a medium blue background with white or yellow font (high contrast)
• use a document camera for 3-D objects
• don’t use red
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
Remote control = mouse!
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© 2019 UA Board of Regents
Be Interactive
• Journal Club
• Pass the Laserpointer
• EKG Bingo
• Team Competition
• Small Group Discussions
• Use photos, nametags or a namelist
• Use Multi-point and PIP options
• don’t be just another talking head
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© 2019 UA Board of Regents
microphones
• Require the ability to easily to turn on/off
• Laptop mics and cameras can be adequate but you absolutely have to be able to control on/off quickly
• Echo cancellation is necessary for two-way communication
• Multi-Point events need testing and practice
• Just one open microphone can make or break the conversation orcrash a good time!
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
Curriculum• Hybrid Certificate Course
• Online Learning Modules with a post-test before 1 day onsite training
• Meet with colleagues onsite for a one or two day course that includes an agenda and hands-on real life scenarios
• All counselors rotate thru the interactive videoconference role playing experience and participate as a counsellor as well as a patient with challenging scripts
• A National network of TeleGenetic Counsellors is being built as a product of this collaborative effort
• Genetic Counselors often deliver very BAD news!
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© 2019 UA Board of Regents
Clinical Case Presentation
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© 2019 UA Board of Regents
Go through the steps required to set up, carry out and complete a clinical telemedicine referral.
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© 2019 UA Board of Regents
To be a good telepresenter – and a great telegenetic counselor you must be a good communicator.
• verbally
• non-verbally
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© 2019 UA Board of Regents
SELFIES!
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
Technology
• Makes the world a smaller place
• Keeps people in their communities
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© 2019 UA Board of Regents
Cultural Diversity = having different cultures respect each other's differences.
• Age
• Technology
• Language - ACA in Spanish, VIDA in Spanish, consent forms in Navajo, sign language and translations/interpreters
• Geography and Economy – sheep herders, copper minerswho need healthcare when and where it’s convenient
• FOOD – what’s the best flour for making tortillas?Using technology to maximize the work of Certified Diabetes Educators OR Genetic Counselors in your state!
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© 2019 UA Board of Regents
Hands-on!
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© 2019 UA Board of Regents
Technology
• Makes the world a smaller place
• Keeps people in their communities
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© 2019 UA Board of Regents
Patient Provider
Interpreter
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© 2019 UA Board of Regents
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© 2019 UA Board of Regents
How to Find a Certified Genetic Counselorhttps://www.nsgc.org/findageneticcounselor
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© 2019 UA Board of Regents
How to Find a Telegenetics Counselor
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© 2019 UA Board of Regents
https://telemedicine.arizona.edu/servicedirectory
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© 2019 UA Board of Regents