A Synopsis Of The Grand Hospital Implementing A Telemedicine Solution Case Study
Grand Hospital is a medium sized not for profit community health care facility that is located in Midwestern state countryside. The facility offers both inpatient and outpatient services and has a 209 bed capacity.Grand hospital employs approximately 1,600 individuals paid personnel and also relies heavily on volunteers. The hospital currently utilizes Picture Archiving and Communication System (PACS), & Electronic Health Records (EHRs) and is looking for potential application ofTeleradiology, Telepsychology, and Tele-ICU program.
Ways in which Grand’s early adoption of other health care information system technologies might affect the adoption of telemedicine solutions
Easier training.It is easier to train staff working in a facility that has already existing health care information systems in place than it is training employees of a facility that has no prior history of information technology use. Information technology has evolved significantly over the past decade and employees who do not have background knowledge might find it challenging to learn and adopt complex technology such as the one used in most telemedicine solution systems (Menachemi, Burke & Ayers, 2004). Having prior experience on conducting similar training will help in preparation of effective training sessions hence making the adoption process move smoother than it would have if the facility did not use Information technology previously.
Resistant staff.Just like it is the case with other technology related innovations, the end users have to embrace the technology for innovation process to be successful(Croteau&Vieru, 2002). If the end users feel threatened and uncomfortable with the technology, they are less likely to use it. Employees who are in an organization that already employs technology are less likely to feel threatened by the introduction of telemedicine solutions as compared to those in organizations that have no history of using such technology(Croteau&Vieru, 2002). The level of success of an innovation process is directly proportional to the level of acceptance hence the by adopting other health care information system technologies, Grand will be opening up the way for telemedicine solutions.
Barriers to the success of telemedicine in the areas of radiology, behavioral health, and intensive care
Telemedicine is increasingly taking an essential position in healthcare delivery. However, there are still a number of key barriers that continue to limit its widespread adoption. They include:
Legal requirements. One of themajor benefits of telemedicine is its ability to allow physicians to consult with their clients remotely, even across states(Menachemi, Burke & Ayers, 2004). However, physician is not allowed to legally practice across states unless he/she holds a medical license from all the states he/she intends to practice. The process of obtaining an interstate medical license is complicated, time consuming andan expensive venture thus representing a major challenge. Furthermore, all the physicians who are authorized to use telemedicine need to be accredited. This is also a cumbersome process (Croteau&Vieru, 2002). These two legal requirements leave most physicians and volunteers unable to use telemedicine solutions hence leaving only a limited number of healthcare providers who can use telemedicine.
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