johns hopkins remote patient monitoring

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If you have questions or issues associated with the advice in this paper, please email The prescription is provided for a legitimate medical function by a practitioner acting in the common training course of his/ her specialist technique.

7 Virtual medical Care.

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To remain educated regarding updates for telehealth and various other DHCS subjects, sign up for DHCS Stakeholder Announcements. For non-emergency medical issues (allergic reactions, asthma, respiratory disease, cold & influenza, infections, fever, ear pains, nausea, pink eye, sore throat).

Enjoy analysis regional attributes and also details concerning Willis-Knighton and also The Oaks of Louisiana in this national magazine. Click the link below for solution to often asked inquiries regarding telehealth. Most of the financial savings demonstrated came from in your area carried out lab and drug store solutions. USDA Community Facilities Direct Finance and Give Program awards straight finances and/or gives for necessary community facilities in backwoods. McLeod Telehealth is an easy means to see a physician online by video clip anytime, anywhere.

NIBIB scientists are establishing a paper-based analysis that can evaluate HIV viral tons in whole blood in 15 minutes. A smart phone is utilized to power and manage the paper-based RNA removal as well as response; examine the fluorescent readout indicating viral load; and also save the results in the cloud where they can be accessed by a medical professional. The $10 examination will be extensively appropriate for transmittable condition medical diagnosis at the point-of-care. Life-span, Rhode Island's first wellness system, is a detailed, incorporated, academic health system associated with The Warren Alpert Medical Institution of Brown University. You may be asked to validate that you have checked out and approve and agree to the above files as component of your check out. Visit our MyLifespan page for parents and also guardians for information on just how to sign your kid or teen up quickly and also to obtain the right level of proxy gain access to.

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Transmission using wireless was done using regularity inflection which got rid of noise. The top 10 remote patient monitoring companies ECG outcome was connected to the telephone input making use of a modulator which transformed ECG right into high frequency noise. At the other end a demodulator reconverted the audio right into ECG with a good gain accuracy. The ECG was transformed to acoustic wave with a frequency varying from 500 Hz to 2500 Hz with 1500 Hz at standard. Two important locations of telerehabilitation research study are demonstrating equivalence of evaluation and therapy to in-person assessment as well as therapy, as well as developing brand-new information collection systems to digitize information that a therapist can make use of in technique.

Telehealth reimbursement may be changing. How should providers prepare? - Healthcare IT News

Telehealth reimbursement may be changing. How should providers prepare?.

Posted: Tue, 27 Oct 2020 07:00:00 GMT [source]

-- Remote patient-monitoring devices such as blood pressure monitors, Bluetooth-enabled digital ranges and various other wearable devices that can communicate biometric data for testimonial. -- Store-and-forward innovations that collect photos and information to be transmitted and also analyzed later on. When physicians' required answers to concerns on adapting to practicing in a pandemic, the AMA established resources to fulfill the need.

If you have concerns or concerns associated with the support in this document, please This document consists of links to various other websites as well as content belonging to or originating from 3rd parties. Such external links are provided for informational as well as academic purposes only as well as are not checked out, monitored or checked for precision, competence, credibility, integrity, availability or completeness by ASAM.

Typical day-to-day emergency situation telemedicine is executed by SAMU Regulatory authority Physicians in France, Spain, Chile as well as Brazil. Airplane and also maritime emergencies are likewise managed by SAMU centres in Paris, Lisbon and Toulouse. At the dawn of the modern technology, videotelephony additionally consisted of image phones which would trade still images between systems every few secs over conventional POTS-type telephone lines, basically the same as slow scan TV systems.

Ground-breaking research in telehaptics as well as virtual fact might expand the scope of telerehabilitation practice, in the future. social obstacles occurring from the disinclination, or aversion, of some physicians to adjust professional standards for telemedicine applications.

VA Telehealth Services gives you access to the treatment you need, when as well as where you need it. Prior to executing telehealth into your method, testimonial and also come to be knowledgeable about state and also government laws in which you practice. Using telehealth to provide physical therapist services is broadening quickly, and if you have not already, you're probably considering it. Consult your existing EHR vendor to see if there is telehealth functionality that can be turned on. Reach out to your state medical association/society for advice on supplier evaluation, option as well as contracting. These kinds of changes are mainly on a state-by-state basis and are altering at a fast price. ASAM is communicating with state phases and also regions to help deal with issues related to state policies and also policies.

  • Preserving your wellness now is equally as important as ever-- as well as telehealth can assist.
  • Throughout nearly all clinical specializeds, telehealth solutions can be applied in linking providers with different patients in different places via real-time sound and also video clip.
  • In other cases, service facilities can utilize telemedicine to accumulate from another location as well as send out information to a central monitoring system for analysis.
  • There are numerous advantages of real-time digital brows through, including boosted accessibility to carriers and decreased requirement for emergency department sees.
  • Telehealth efficiently attaches people as well as their doctor when an in-person communication is not medically required and assists in physician-to-physician appointment.

Another negative aspect of telemedicine is the inability to begin treatment instantly. For instance, a client struggling with a bacterial infection may be offered an antibiotic hypodermic injection in the facility, and also observed for any kind of response, prior to that antibiotic is prescribed in pill form. It might be needed that the professional and also client included have to satisfy face to face at the very least once prior to on the internet prescribing can happen, or that at the very least a live-video conference needs to occur, not just impersonal sets of questions or surveys to identify need. Subsequently, in 2015 the state legislature legislated digital appointments. Limiting licensure laws in the USA need a specialist to acquire a full permit to deliver telemedicine treatment throughout state lines. Commonly, states with limiting licensure regulations also have numerous exceptions that may release an out-of-state professional from the additional worry of getting such a license. A number of states require professionals that seek payment to often deliver interstate like obtain a complete license.

What is the difference between an epidemic and a pandemic?

An outbreak is called an epidemic when there is a sudden increase in cases. As COVID-19 began spreading in Wuhan, China, it became an epidemic. Because the disease then spread across several countries and affected a large number of people, it was classified as a pandemic.

Should vagaries of health center ownership have bearing on physicians' capability to speak in complete confidence with attorneys? See everyday video clip updates on how the AMA is combating COVID-19 by going over arising cyber dangers throughout the pandemic. From below, our system documents each step with the designated clinicians on call. Tracking all end results creating daily openness reports on our individual communications. Full openness in between TeleHealth Remedy Carriers, PCPs, Place Admins showcasing all outcomes.

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"