Telemedicine protocols and standards: Development and implementation

Houtchens, Bruce A.; Allen, Ace; Clemmer, Terry P.; Lindberg, Donald A. B.; Pedersen, Steinar

doi:10.1007/bf02257060

Cited by 28 publications

(11 citation statements)

References 21 publications

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“…Evaluation of telemedicine is a continuous and challenging processs. The literature describes some protocols for telemedical assessments (Houtchens et al 1995, Hailey et al 1999. One of the core questions is how to measure the improvement of the health care provided, because it is difficult to predict the influences of the telemedicine systems on human and organizational behavior and education (Perednia et al 1998, I, II, III, IV).…”

Section: Methodological Considerationsmentioning

confidence: 99%

Medical applications and technical standardization of teleconferencing

Lamminen¹

2002

Acta Ophthalmologica Scandinavica

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Section: Methodological Considerationsmentioning

confidence: 99%

Medical applications and technical standardization of teleconferencing

Lamminen¹

2002

Acta Ophthalmologica Scandinavica

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“…Merrell [ 123 ] defi ned telemedicine as the use of transmitted text, images, voice, and other signals to permit consultation, and education in medicine over a distance. Houtchens et al [ 84 ] also defi ned telemedicine as medicine at a distance, and described its role in infl uencing the development of standards and protocols for the transfer of patients' records that contained images. They outlined the requirements for image size, storage, transmission, resolution, and viewing, as well as requirements for linking images to textual or coded data.…”

Section: Telemedicine and Mobile Health Carementioning

confidence: 98%

Outpatient Information Systems (OISs) for Ambulatory Care

2015

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Of the relatively few outpatient information systems (OISs) operational in the United States in the 1960s, most were in ambulatory clinics that shared time on mainframe computers with affi liated hospitals. In the 1970s some larger physician practices launched standalone OISs on minicomputers. With the advent of microcomputers in the 1980s, OISs began to diffuse rapidly, some as federally funded pilots. By the end of the 1980s, about 80 % of physicians had some type of computer in their offi ces, primarily for administrative and business functions; computer-based patient records and other OIS clinical applications were still infrequently used. When admitting a patient to the hospital, few physicians could transfer data from their OIS to the hospital information system. For the most part, lack of standardization made the interchange of data diffi cult or impossible. However, three OISs achieved notable success in the 1970s and 1980s. Each was developed in an academic environment and led by a committed physician; each developed a "chartless" record, continuously updated and stored in the computer; two of the three had linkages to large affi liated hospitals. Yet they were the exception. Few evaluations of OISs were convincing as to their benefi ts. Low physician adoption of OISs suggested computer-based records were not considered more effi cient for offi ce practice than paper-based records. Expectations for the 1990s were that OISs would change to support electronic claims reporting and quality of care monitoring. In the 2010s, federal funding became available for physicians who purchased electronic health record systems complying with "Meaningful Use." Keywords

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“…The protocol is about the steps required in a telemedical consultation. We feel, like others, that manyexistingclinical protocols have tobe modified in the short termto meet the needs of teleconsultation 18 . A year's experience indicates that further discussionis neededtoseeif weneedtomodify the protocol to enable the ENPs to adopt a more problem-oriented approach.…”

Section: Experience With the Protocolmentioning

confidence: 98%

A protocol for telemedical consultation

Tachakra¹,

Sivakumar²,

Hayes³

et al. 1997

J Telemed Telecare

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We have developed a protocol for telemedical consultations. This has been used by emergency nurse practitioners to consult doctors in a main hospital accident and emergency department, using videoconferencing at 384 kbit/s. A telemedical consultation should simulate a face-to-face one. The protocol starts with an explanation for the patient of what will happen, followed by the necessary introductions. After relaying the history, the generalist should show the abnormal part to the specialist. Attention should be paid to colour. Depth perception is often enhanced by rotating the camera through 180 degrees. The diagnosis and management, together with their implications, should be discussed with the patient by the specialist. Referral and follow-up should also be discussed. Proper clinical record-keeping is essential. In the first 15 months of using the protocol, we completed more than 300 teleconsultations. An analysis of the first 50 teleconsultations showed that about half were for discussing a radiograph and about half were for examining a patient.

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Telemedicine protocols and standards: Development and implementation

Cited by 28 publications

References 21 publications

Medical applications and technical standardization of teleconferencing

Medical applications and technical standardization of teleconferencing

Outpatient Information Systems (OISs) for Ambulatory Care

A protocol for telemedical consultation

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