We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byGillian Bentley
Modified about 1 year ago
The Use of Telehealth in Pediatric Palliative Care Kirsten Childe, RN, BSN; Jo Dorhout, MA, CEO of Virtual Interactive Families
2 | © 2012 Kirsten Childe has disclosed that she has no relevant financial relationships to disclose. Jo Dorhout is the CEO of Virtual Interactive Families. They have no off label recommendations and/ or investigational use in their presentation. Disclosure
3 | © Learner will describe the benefits of using video visits for a Pediatric Palliative care patient and family caregivers 2. Learner will be able to list resources to learn more about applications of TeleHospice and its use in care of home-based pediatric palliative care patients. 3. Learner will be able to explain how to help a lay user learn and develop trust in the use of telehealth to improve care of pediatric palliative care patients and their families. Objectives
4 | © 2012 WELCOME DISCIPLINES PRESENT EXPERIENCE WITH TELEHEALTH
5 | © 2012 “ My child’s tube is leaking. He has so many… no, I can’t really describe it, but I know it needs to be replaced.” Improved communication and decision-making between palliative care staff and caregivers is a priority for USA federal body the Institute of Medicine. Have You Taken Calls Like This…
6 | © 2012 As Imagined in 1910 Video phone Internet connection History of Video Telehealth
7 | © 2012 Smart phone - Web-Based Consults - Virtuwell™ Virtuwell™ Health Kiosks - Wearable Sensors - Home Based Video Consults – Now
8 | © 2012 Examples of Using Telehealth in Home-based Palliative Care Settings
9 | © 2012 Inclement Weather When you are unable to travel to your home visit
10 | © 2012 Questions Regarding Equipment or Supplies “How do I change that blue thing on the end of the tube?” Troubleshooting equipment such as ventilators, feeding pumps, IV pumps Reinforcing teaching that has been done at a previous time
11 | © 2012 Emotional Assessment that Phone Conversations Can’t Always Provide
12 | © 2012 Assessment and Management of Non-emergent Concerns Rashes, skin integrity IV Sites Enteral Tube Feeding Sites Post-op Wound Checks
13 | © 2012 Triaging Symptoms Better assessment in deciding how to proceed, potentially saving mileage, time and money Avoiding costly ER visits and providing early care Establishing connectedness between family and on-call provider
14 | © 2012 Visits by Provider When child is no longer able to come into clinic Provides more thorough assessment of patient versus conversations over the phone Saves provider time and money
15 | © 2012 Video Telehealth Connections Proprietary Purchase software Institutional Firewalls Need the IP address of nurse to create the call Non-proprietary (Web-Based) Web based, no software required Access from any computer Access with account and password
16 | © 2012 Use of Video Telehealth in Palliative Care Creates better access to 24/7 support 55% of information is communicated non-verbally (McGear & Simms, 1988) Improved communication with Child and nurse Parent and nurse ‘In-home’ nurse and remote staff
17 | © 2012 Supportive Evidence Providers and caregivers supportive of use (Oliver, 2012) Increased inter-team communication during hospice team meetings (Wittenberg-Lyles, 2012) Technology must be reliable and easy to use (Day, 2007)
18 | © 2012 Provides data critical for evaluation of telehealth delivery Why encounter initiated Persons involved in the encounter Outcome of the encounter Patient Satisfaction Questionnaire (PSQ) (Zandbelt, 2004) Nurse and family rating of satisfaction and usefulness with telehealth encounter 5-item tool using visual analog scale (0-100) Evaluating Telehealth Encouters
19 | © 2012 Steps to Successful Implementation Enthusiasm Start with one; evaluate, build on success Knowledge Assess for any hardware needs Policies-(HIPPA) Reimbursement
20 | © 2012 Growth of Internet Usage % of World Population % % % % March % Is the World Ready for Telemedicine? Growth of Internet World Wide Usage
21 | © 2012 Internet Usage Is the World Ready for Telemedicine? December 31, % of population using Internet 2000 – 2011 Growth Africa13.5%2,988.4% Asia26.2% 789.6% Europe61.3% 376.4% Middle East35.6%2,244.8% North America78.6% 152.6% Latin America39.5%1,205.1% Australia/ Oceanic 65.5% 214.0% World Wide32.7% 528.1%
22 | © 2012 Adult Learning Principles to Overcome Implementation Barriers
23 | © 2012 Adults have accumulated a life of experiences −Realistic; know what works and what doesn’t −Able to build on past experiences and knowledge −Enjoy having their talents and knowledge explored Build on prior experiences and opportunity for practical application preferably NOW Adult Learning Principles to Overcome Implementation Barriers
24 | © 2012 Adults have established −Opinions −Values −Beliefs Respect Build on These Adult Learning Principles to Overcome Implementation Barriers
25 | © 2012 Adults are intrinsically motivated −Motivated by relevance of the material −Does it address one of their needs? −Does it address one of their beliefs? −Does it address one of their personal goals? What is standing in their way of accomplishing one of their goals? How can telemedicine help them accomplish that goal? Adult Learning Principles to Overcome Implementation Barriers
26 | © 2012 Adults are goal and relevancy orientated −Task or problem-centered learning more than subject learning −Why am I learning this? −Will it help me accomplish something I am intrinsically passionate about? −Will it help me address one of my personal goals? Adult Learning Principles to Overcome Implementation Barriers
27 | © 2012 Adults are autonomous and self-directed learners −Learn best when they are “ready to learn” −A problem when their employer “forces” it on them Adult Learning Principles to Overcome Implementation Barriers
28 | © 2012 Resources International Society for Telemedicine and e- Health (ISfTeH) m-health Alliance National Telehealth Center, University of Philippines Manila European Commission Information Society, Telemedicine Health Canada American Telemedicine Association (ATA) Center for Telehealth and e- Health Law California Telemedicine and e-Health Center National Library of Medicine Publication Search Virtual Families Interactive
29 | © 2012 Cady, R., Kelly, A., & Finkelstein, S. (2008). Home telehealth for children with special health-care needs. Journal of Telemedicine & Telecare, 14(4), Day, M., Demiris, G., Oliver, D. P., Courtney, K., & Hensel, B. (2007). Exploring underutilization of videophones in hospice settings. Telemedicine and e-Health, 13(1), De Vito,K. (2009). Implementing Adult Learning Principles to Overcome Barriers or Learning in Continuing Higher Education Programs. Online Journal of Workforce Education and Development, 4(3). Doolittle, G. C. (2000). A cost measurement study for a home-based telehospice service. Journal of Telemedicine & Telecare, 6(Suppl 1), S Doolittle, G. C., Whitten, P., McCartney, M., Cook, D., & Nazir, N. (2005). An empirical chart analysis of the suitability of telemedicine for hospice visits. Telemedicine Journal & E-Health, 11(1), Duursma, F., Schers, H. J., Vissers, K. C., & Hasselaar, J. (2011). Study protocol: Optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial. BMC Palliative Care, 10, 13. Kidd, L., Cayless, S., Johnston, B., & Wengstrom, Y. (2010). Telehealth in palliative care in the UK: A review of the evidence. Journal of Telemedicine and Telecare, 16(7), Knowles, M.S., Holton, E. F., & Swanson, R.A. (1998). The Adult Learner: The Definitive Classic in Adult Education and Human Resources Development (5 th ed.). Houston, TX: Gulf. Maudlin,J.,Keene,J.,Kobb,R. (2006). A Road Map for the Last Journey:Home Telehealth for Holistic End of Life Care. American Journal of Hospice & Palliative Medicine, 23(5), McGear, R., & Simms, J. P. (1988). Telephone triage & management: A nursing process approach. Philadelphia, PA: W.B. Saunders. Oliver, D. R., Demiris, G., Day, M., Courtney, K. L., & Porock, D. (2006). Telehospice support for elder caregivers of hospice patients: Two case studies. Journal of Palliative Medicine, 9(2), Oliver, D. P., & Demiris, G. (2010). Comparing face-to-face and telehealth-mediated delivery of a psychoeducational intervention: A case comparison study in hospice. Telemedicine and e-Health, 16(6), Oliver, D. P., Demiris, G., Wittenberg-Lyles, E., Washington, K., Day, T., & Novak, H. (2012). A systematic review of the evidence base for telehospice. Telemedicine and e- Health, 18(1), Roberts, D., Tayler, C., MacCormack, D., & Barwich, D. (2007). Telenursing in hospice palliative care. Canadian Nurse, 103(5), Schmidt, K. L., Gentry, A., Monin, J. K., & Courtney, K. L. (2011). Demonstration of facial communication of emotion through telehospice videophone contact. Telemedicine and e-Health, 17(5), Washington, K. T., Demiris, G., Oliver, D. P., & Day, M. (2008). Telehospice acceptance among providers: A multidisciplinary comparison. American Journal of Hospice & Palliative Medicine, 25(6), Whitten, P., Holtz, B., Meyer, E., & Nazione, S. (2009). Telehospice: Reasons for slow adoption in home hospice care. Journal of Telemedicine & Telecare, 15(4), Whitten, P., Doolittle, G., & Mackert, M. (2005). Providers' acceptance of telehospice. Journal of Palliative Medicine, 8(4), Wittenberg-Lyles, E., Oliver, D. P., Kruse, R. L., Demiris, G., Gage, L. A., & Wagner, K. (2012). Family caregiver participation in hospice interdisciplinary team meetings: How does it affect the nature and content of communication? Health Communication,, 1-9. Zandbelt, L., Smets, E., Oort, F., Godfried, M., & de Haes, H. (2004). Satisfaction with the outpatient encounter. Journal of General Internal Medicine, 19(11), For More Information…
30 | © 2012 Please Complete the Evaluation Form
The Patient-Centered Medical Home (PCMH): Building a Better Health Care Model.
Rule 132 New Services Clinical Overview April 2007.
Copyright 2004 Mayo Foundation. All rights reserved. Developing Effective Web-Based Learning: A Step-by-Step Review David A. Cook, M.D. Denise M. Dupras,
1 Thriving in the New Information Profession The Fundamentals of Knowledge Services Guy St. Clair Dale Stanley SMR InternationalGenentech New York NYSan.
The Primary Care Medical Home for the Chronically Ill Child Robert W. Warren, M.D., Ph.D., M.P.H. Texas Childrens Hospital, Houston, TX Cynthia Lopez,
Engaging families and engaging services Presented by Mary McKay, PhD Mount Sinai School of Medicine.
The Sales Process 2.08 Allows the firm to immediately respond to the needs of the prospect Allows the firm to immediately respond to the needs of the.
Self-Determination as a Dropout Prevention Strategy First Annual Special Education Forum on Dropout Prevention Orlando, FL November 3, 2004 Dalun Zhang,
Presenters: Kellee R. Bivens, PhD Sheila Phillips, RN, BSN Health Promotion and Disease Prevention Program VA Gulf Coast Health Care Systems Implementing.
Premium Consulting Events Blended By Design Creating and Sustaining Meaningful Blended Learning Programs.
Transforming Primary Care: What Works and Whats Next A chartbook created by the staff of Improving Chronic Illness Care At the MacColl Institute for Healthcare.
How Cultural Competency Can Help Reduce Health Disparities Directed Readings In the Classroom October/November 2012 issue of Radiologic Technology.
Diane Grieder, M.Ed AliPar, Inc. NYAPRS Conference September 2011 USING PERSON-CENTERED PLANNING AS A ROADMAP FOR CARE COORDINATION AND BETTER OUTCOMES.
The Project Cycle Management Course presented by Simon Pluess World Alliance of YMCAs.
Charikleia Manavi Social Anthropologist - Career Counsellor - Adult Educator Ph.D Candidate in Training and Continuing Education for Guidance Counsellors.
1Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier, Inc. Chapter 4 The Leadership Role of the Licensed Practical Nurse.
Anita M. Baker, Ed.D. Building Evaluation Capacity Presentation Slides for Participatory Evaluation Essentials: An Updated Guide for Non-Profit Organizations.
Working Effectively with Community Partners. LEARNING in ACTION.
Selecting Outstanding Teachers for Level 4 Schools Spring 2010 Massachusetts Department of Elementary and Secondary Education.
Redesigning Chronic Illness Care: The Chronic Care Model Ed Wagner, MD, MPH MacColl Institute for Healthcare Innovation Center for Health Studies Group.
West Virginia Achieves Professional Development Series Volume XX Systemic Developmental Guidance and Counseling with Strong Character and Career Education.
Teacher Leadership Institute Why Project Based Learning? Office of Instruction WVDE.
Implementing Continuous Process Improvement in Our Schools Learning Supports Kaizen Event Training.
2013 UNIDAS Congress Health Promotion Programs (A Perspective) Presented by Professor Robert C. Karch, Ed.D. American University School of Education, Teaching,
1 Elements of Compelling Evaluation Reporting Jon K. Price K-12 Evaluation Research Manager.
KHIS Curriculum Mapping Process – A Vehicle for Collaborative Improvements in Teaching & Learning.
1 Oregon Department of Human Services Senior and People with Disabilities State Unit on Aging-ADRC In partnership with Portland State University School.
CBR 301: Using Community-Based Research to Affect Public Policy.
Mini-Grant Application: Quality Improvement in the Area of Immunizations Catherine Shoults, M.P.H., Kansas Health Institute Kansas Public Health Conference.
Healthcare Informatics Executive Summit 2012 Readmissions and the Medical Home: Re-Visioning Care Management Marriott Orlando World Center May
© 2016 SlidePlayer.com Inc. All rights reserved.