Telemedicine for Rural Based Healthcare Facility: Canon hospital is a 189-bed ho

Question

Telemedicine for Rural Based Healthcare Facility: Canon hospital is a 189-bed hospital in rural Texas. The hospital is approximately 100 miles and 150 miles away from two major medical centers of excellence in Texas. As the CIO of Canon Hospital, you are aware that there are capabilities to do telemedicine programs with tertiary care centers. Two of the senior medical staff in the critical care and neurology departments at Canon Hospital have approached you to investigate telemedicine capabilities related to the management of ICU patients and the emergency management of patients presenting with stroke symptoms. These medical leaders would like to ideally preserve the appropriate services for ICU patients and rehabilitative services for stroke patients in the canon hospital community. They recognize that portions of these treatment plans must include certified critical care and stroke certified providers from a tertiary care center. They have ask you to examine both the business and technical aspects of establishing telemedicine programs with one or two of the tertiary care centers who have certified specialists in critical care and stroke certified physicians who can administer TPA and other urgent stroke treatments. Currently Canon hospital is transferring over half of the ICU patients and virtually all of the patients who are presenting with stroke symptoms to these to either of these tertiary centers. There is little to no follow up on those patients with regard to treatment plans or services. In many cases, patients and caregivers are relocated for step down and rehabilitative care to facilities outside of the Canon hospital area. This creates both high level of dissatisfaction for patients and families and revenue loss for canon hospital and its associated rehabilitation facilities.

1. What are some current and specific clinical and financial management problems in these settings of care

2. Ealuate how technology might be justified to address the most pressing challenges.

Explanation / Answer

1. The first issue is the inconsistency in following up of preplanned services and treatment plan. This creates huge dissatisfaction among the patient and the caregivers. As a result, patients are moving out from the hospital looking for better care, leading to huge financial loss to the management

2. Link the technology with rural hospital and with the tertiary hospital. The management, staffs and treating doctors from both sides will get access to the telemedicine portal of the patient. An agent can monitor the progress making by the patient. The technology can give pop-ups and reminders to the agent or to the doctor if in case no activity is recorded at a given time.

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