1. Some of the obstacles to the success of telemedicine within the areas of radiology areas highlighted below. The first one is the reimbursement problem. As an illustration, there are serious financial problems which arise because of the insufficient capital expenditure along with lack of reimbursement models which differs from different states. Just as the licensing laws, the reimbursement models usually vary from one Nation to the other (Eadie et al., 2014). When the reimbursement is limited, the patients within the affected areas are usually underserved, and in most cases, the cost of telemedicine becomes a burden which hospitals should bear.
The second barrier is security concerns. Under these circumstances, the existing legal and regulatory rules surrounding privacy together with security has to be known clearly since they relate to telemedicine. Furthermore, telemedicine usually brings more sensitive data into healthcare space which may require hospitals to update their risk analysis together with privacy practices (Gagnon, 2016).
The third obstacle is the online prescribing where physicians have to be in a position to prescribe medications to patients who are treated via telehealth. In that case, only around twenty states allow physical examinations via Telehealth tools (Mukherjee & Sharma, 2015).
The last but not least barrier is Credentialing. The process of telemedicine credentialing can be very complicated like in healthcare centers which work from a hub and spoke model (Kahn, 2015).
Which of these areas do you think would be the easiest to transition into telemedicine?
As per my opinion, behavioral health is the easiest to transition into telemedicine. To understand this we must understand the area of behavioral health; It includes the well-being of mental health such as depression or anxiety and other mental health-related issues. There is a critical requirement of better mental health care, and the public has also become open to telemedicine that has made the behavioral health a comfortable area to transition into telemedicine. Other things that made it easiest option are:
There is a shortage of psychiatrists in the U.S., and that is a huge problem, in this kind of treatment there is no need to go for physical examination, most of the times psychiatrists have to take sessions that can be possible with the use of Telepsychiatry such as tech software to video chat with patients online. So this way a psychiatrist in another state can now treat a patient living in a rural shortage area or another state (Mukherjee & Sharma, 2015).
One of the most significant advantages that make telemedicine an easy option is that now patients are convalescing at home, mobile-challenged patients can have easy consultation from the psychiatry, if they have a way to connect to the internet, telepsychiatry enables them to access treatment (Fuhrman & Lilly, 2015).
While the public has become open towards the treatment of behavioral health these days, but still there is a stigma problem for some patients. In this process, the patient should not fight social stigma and can ensure their privacy because therapy appointments can be made from home.
Which would be the hardest? Why?
As per my opinion radiology is the hardest to transition into telemedicine.T o understand this we must understand the area of radiology, it includes the specialty related to the use of radiation for the diagnosis and treatment of diseases, such as X-rays and ultrasound: consists of the diagnosis and treatment of diseases of the heart and vascular system (Mukherjee & Sharma, 2015).
Teleradiology concerned with the practice of a radiologist such as medical images when the patient is not physically present in the location and images is generated. There is expensive technology required to use this facility such as mobile imaging, urgent care facilities. It is costly to get a Teleradiologist on-site. Cost of equipment involved and installation is very high and make it a hard option in this area (Ndlovu, Littman-Quinn, Park, Dikai & Kovarik, 2014).
Privacy issues are also a problem: Use of Teleradiology led to the risks to patient privacy and confidentiality, and there are many studies which have emphasized the legal and ethical aspects of Teleradiology.
2. To bring Telemedicine to the Grand hospital within 18 months the first steps I will take are:
Whom would you involve in the planning process and why?
3. The first step that I will take is to determine whom I should ask which might involve interviewing the entire company pyramid. In that case, I would start with the senior level management where I might find the needs of the senior management vary significantly with that of the front line managers. I will also develop the questions to ask which will differ from one worker to the other. Lastly, I will have to tabulate the results after gathering all the results (Lilly et al., 2014).
Which parameters or system requirements would be most important to include in the needs assessment and why?
Some of the parameters to be considered are an external environment that the company exists within, the weaknesses and strengths of the Company. However, the frame factors should also be considered in this assessment (Weinstein et al., 2014).
Conclusion
In conclusion, the Grand hospital has to work hard and find new and innovative ways that cut costs and overcome the physician shortages especially within the field of radiology, intensive care and behavioral health along with improving the patient care outcomes. Accordingly, Telemedicine reduces the hospital readmission rates. Therefore, there is an efficient post-operation follow-up since the orthopedic surgeons usually spot-check the surgical wound in less than thirty seconds.
References
Eadie, L., Heaney, D., Dowie, L., Glynn, L., Casey, M., Hayes, P., & Alrutz, K. (2014). Implementing Transnational Telemedicine Solutions. In teemed 2014: The Sixth International Conference on eHealth, Telemedicine, and Social Medicine.
Fuhrman, S. A., & Lilly, C. M. (2015). ICU telemedicine solutions. Clinics in chest medicine, 36(3), 401-407.
Gagnon, M. (2016). Telemedicine: the value challenge. Plastic and reconstructive surgery, 137(2), 496e-497e.
Kahn, J. M. (2015). Virtual visits—confronting the challenges of telemedicine. N Engl J Med, 372(18), 1684-1685.
Lilly, C. M., Zubrow, M. T., Kempner, K. M., Reynolds, H. N., Subramanian, S., Eriksson, E. A., & Cowboy, E. R. (2014). Critical care telemedicine: evolution and state of the art. Critical care medicine, 42(11), 2429-2436.
Mukherjee, A., & Sharma, M. (2015). Potential Support of Telemedicine for Lung Cancer Eradication in India. International Journal of Scientific and Research Publications, 99.
Ndlovu, K., Littman-Quinn, R., Park, E., Dikai, Z., & Kovarik, C. L. (2014). Scaling up a mobile telemedicine solution in Botswana: keys to sustainability. Frontiers in public health, 2, 275.
Weinstein, R. S., Lopez, A. M., Joseph, B. A., Erps, K. A., Holcomb, M., Barker, G. P., & Krupinski, E. A. (2014). Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. The American journal of medicine, 127(3), 183-187.
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