Jalalabadi Faryan, Izaddoost Shayan A, Guillen Diana E, Fordis C Michael, Reece Edward M
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Continuing Medical Education Program, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2018 Nov;32(4):172-175. doi: 10.1055/s-0038-1672150. Epub 2018 Oct 22.
Telemedicine is a burgeoning industry with potential to enhance patient care and physician outreach. A review of the current literature and legislative laws was conducted along with knowledge from the experience gathered at starting a telehealth platform at Texas Children's Hospital to find the necessary steps for starting a telehealth program. The authors propose their pearls to deploying a capable telehealth platform for the large hospital system. Doing so properly can increase capacity within hospital operations and improve health care economics. Select use-cases can be focused to leverage stakeholder need, while maximizing potential return. Successful deployment of a telehealth platform can be done on a small margin and accrued revenue can be reinvested as the basis for growth. Risk management considerations upfront will help navigate hurdles in the evolving legislative and regulatory landscape. This article presents the authors' stepwise approach for arranging and conducting a teleconsultation between patient and physician along with pearls for risk management considerations to be aware of throughout the process.
远程医疗是一个蓬勃发展的行业，具有改善患者护理和扩大医生服务范围的潜力。我们回顾了当前的文献和法律法规，并结合在德克萨斯儿童医院启动远程医疗平台过程中积累的经验，以找出启动远程医疗项目的必要步骤。作者们分享了他们为大型医院系统部署一个功能强大的远程医疗平台的经验。正确地这样做可以提高医院运营能力并改善医疗保健的经济效益。可以选择重点关注一些用例，以满足利益相关者的需求，同时实现潜在回报的最大化。成功部署远程医疗平台所需的成本可以控制在较小范围内，而累积的收入可以再投资作为增长的基础。前期的风险管理考虑将有助于应对不断变化的立法和监管环境中的障碍。本文介绍了作者安排和开展患者与医生之间远程会诊的逐步方法，以及在整个过程中需要注意的风险管理要点。
