Telehealth

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Telehealth now available.

Innovation has the prospective to improve the top quality of health care as well as to make it accessible to even more people. Telehealth might supply chances to make health care much more reliable, better collaborated as well as closer to home. Doctors can likewise capitalize on innovation to offer better take care of their clients. One example is an online examination that allows primary care medical professionals to get input from specialists when they have inquiries concerning your diagnosis or therapy. The following examples of telehealth solutions may be beneficial for your healthcare. Advertise and optimize using telehealth solutions for the safety and security of HCP and also clients while utilizing the Framework for Medical Care Solutions Providing Non-COVID-19 Scientific Careto figure out when in-person treatment is appropriate. Call your doctor's workplace, CALL-MPG, or demand a telehealth visit on the individual website.

Can diarrhea be an initial symptom of COVID-19?

Many people with COVID-19 experience gastrointestinal symptoms such as nausea, vomiting or diarrhea, sometimes prior to developing fever and lower respiratory tract signs and symptoms.

Telehealth has become a beneficial device thanks to consolidated developments in communications, computer science, informatics, and also clinical modern technologies. Before the video see, ensure your supplier's workplace has your right telephone details in situation they require to call you. You can upgrade your contact number and also other info in your MyLifespan client site. If you are a patient at a Life expectancy primary care practice as well as are concerned that you may have been revealed to COVID-19, you can request a Life expectancy Telehealth evaluating see.

What Facilities, modern Technology, as Well As Staffing would Certainly Our facility demand To carry Out Telehealth services?

Can one make self-made hand sanitizer?

FDA recommends that consumers do not make their own hand sanitizer. If made incorrectly, hand sanitizer can be ineffective, and there have been reports of skin burns from homemade hand sanitizer.

The agency lacks verifiable information on the methods being used to prepare hand sanitizer at home and whether they are safe for use on human skin.

These initiatives can now be extra customised to the target populace and experts can prolong their help right into residences or private as well as risk-free environments in which clients of people can exercise, ask as well as acquire health info. Health and wellness promotion making use of telehealth has ended up being increasingly preferred in underdeveloped countries where there are very inadequate physical resources readily available. There has actually been a particular press toward mHealth applications as numerous areas, also underdeveloped ones have cellphone and also mobile phone insurance coverage. In a content in a medical journal, Weinstein described the activities that would be required to create remote pathology analysis solutions.

Does the coronavirus disease spread through meat?

Currently, there is no evidence that you can get infected with the virus that causes COVID-19 by eating food, including wild hunted game meat. However, hunters can get infected with other diseases when processing or eating game.

The beginnings of telehealth have actually existed with primitive forms of interaction as well as innovation. For establishing nations, telemedicine as well as eHealth can be the only methods of healthcare arrangement in remote locations.

Currently, telerehabilitation in the practice of work-related therapy and also physical therapy is limited, perhaps due to the fact that these two self-controls are a lot more "hands on". Telehealth in health centers aids VA carriers work together to boost your treatment-- whether they share an office or work on contrary sides of the nation. Expanding Veterans access to care through virtual technologies.Offers pointers and tools to aid you companion with your healthcare team.New applications for Veterans and also Healthcare Professionals. Ensure you are still effectively recording these check outs-- preferably in your existing EHR as you normally would with an in-person browse through. This will maintain the patient's clinical document with each other, al- reduced for constant procedures for buying screening, medicines, and so on and sustain payment for telehealth sees. Ensure your staff are followed plan or invoicing changes as states and also exclusive payers adopt and broaden access to make sure that documents remains in conformity.

This write-up supplies four elements on which health care leaders should focus to make certain risk-free, top notch telemedicine for people. While possibilities for telehealth have been around for years, the COVID-19 pandemic has actually catapulted its use to the center of care shipment as a method to safeguard both patients and also healthcare workers and also to decrease the problem on health systems.

The AMA's coding circumstances give real-world examples of exactly how to code for telehealth solutions. -- Guarantee that you are giving solutions based on your state legislations and also regulations. As part of emergency situation statements, numerous guvs have loosened up state legislations as well as policies connected to the stipulation of telemedicine services. The AMA's Advocacy Team has actually been tracking state exec orders, regulative tasks or regulations related to telemedicine.

Encouraging PCPs to treat reduced acuity people with the guidance of an online expert prevents unnecessary in-person references and boosts patient wait times while enhancing health system high quality metrics as well as client complete satisfaction. Our nation is having a hard time to enhance the quality of health care and make the required shift to value-based versions. The need for innovative options to resolve our nation's worsening healthcare gain access to trouble has actually never been greater. Versions have proven over and over again that the trick to preserving population wellness and also lowering expenditures is by providing prompt accessibility to premium treatment. CMS given that March has actually increased the variety of solutions Medicare will certainly cover when provided via telehealth to help sustain accessibility to healthcare during the COVID-19 pandemic.

DHCS likewise published All Plan Letter concerning telehealth solutions in handled care health plans. DHCS uploaded advice on its web site about telehealth flexibilities that are available to providers during the COVID-19 public health and wellness emergency. The government versatilities will certainly run out at the end of the federally-declared PHE. We are the largest network of scholastic clinical facilities, health centers, distribution systems, medical insurance companies, company companies, scientists, and modern technology distributors focused on militarizing telehealth.

Telehealth: The advantages and disadvantages - Harvard Health - Harvard Health

Telehealth: The advantages and disadvantages - Harvard Health.

Posted: Wed, 14 Oct 2020 02:17:46 GMT [source]

Telehealth modern technology, applied in the SD eResidential Facilities Healthcare Providers Access Project, allows experts situated in metropolitan locations to connect with citizens in rural lasting treatment centers with persistent health issue. The Rural Telehealth Toolkit offers program instances and sources for establishing telehealth programs to resolve gain access to problems in country areas. Medi-Cal carriers have versatility to establish if a particular solution or benefit is scientifically suitable for telehealth via audio-visual two-way live interaction as well as store and ahead.

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CMS Administrator Seema Verma proclaimed the gains in virtual care and also digital wellness her firm has actually made throughout the pandemic and stated she intends to raise the variety of services readily available using telehealth during an interview with Company Expert. Telehealth is generally specified as using communications technologies to supply healthcare at a distance.

If you have a future visit, phone call to have it changed to a. virtual visit, if you desire. Research studies have actually shown that people residing in rural communities can benefit one of the most from telehealth. The Health Resources and also Services Management got $16 million in 2016 to increase access to telehealth solutions in rural areas. As soon as the ARRA was passed, the Centers for Medicare & Medicaid Services ruled on what constituted as purposeful usage concerning electronic health records.

A variety of scientific telepathology solutions have actually profited several thousands of clients in North America, Europe, and Asia. Since 2014, one of the most typically utilized tools are cams, videoconferencing, phone lines, videophones and also websites consisting of abundant Net applications. The aesthetic nature of telerehabilitation innovation limits the sorts of rehabilitation solutions that can be given. It is most extensively made use of for neuropsychological recovery; fitting of rehab tools such as wheelchairs, supports or fabricated arm or legs; and in speech-language pathology. Rich net applications for neuropsychological rehabilitation of cognitive disability were initially presented in 2001. This venture has broadened as a teletherapy application for cognitive abilities improvement programs for college children.

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The various other two-thirds of the rural healthcare facilities either did not provide telehealth solutions or remained in the starting stages of applying telehealth services. Furthermore, more states have started to think about regulations such as telehealth parity legislations, which would certainly call for insurers to cover services offered via telehealth modern technology at the same price as for services supplied personally. A mapon the American Telemedicine Association's internet site programs which states have parity legislations, partial parity regulations, and proposed parity law regulation for private insurance policy protection of telemedicine. Electronic communications attach providers working in separated locations to develop digital specialist areas that can aid with person care. what is remote patient monitoring Lasting treatment solutions offered through telehealth can bring specialized like senior populations that live in lasting care facilities in rural areas.

Mentioning problems over individual privacy, the company tried to make clear how this information ought to be cooperated the electronic age. Purposeful use is defined by the use certified EHR modern technology in a purposeful way, such as recommending medication and also boosting the top quality of treatment.

The variety as well as use of telehealth solutions have actually expanded over the previous years, together with the role of technology in enhancing and coordinating care. Typical versions of telehealth entail treatment provided to a person at an originating website from an expert working at a distant website.

  • Telehealth is the circulation of health-related solutions as well as information by means of electronic details as well as telecommunication innovations.
  • It enables long-distance client and medical professional contact, care, advice, pointers, education, treatment, tracking, as well as remote admissions.
  • Find out more concerning exactly how telehealth continues to change the medical care landscape AHIP-CTAC's report.
  • While these policies were carried out as emergency situation measures in action to COVID-19 epidemic, more than 5.8 CMS beneficiaries made the most of remote workplace gos to, specifically in the locations of psychological health and wellness.
  • Telemedicine is in some cases utilized as a synonym, or is used in a more limited feeling to define remote clinical services, such as medical diagnosis as well as tracking.

He, and also his partners, released the initial scientific paper on robotic telepathology. Weinstein was also approved the very first UNITED STATE licenses for robot telepathology systems as well as telepathology diagnostic networks. In Norway, Eide and Nordrum executed the initial lasting professional telepathology solution in 1989.

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"