The term "telehospice" refers to the use of telecommunications and computer equipment to provide hospice or palliative care services to people who are at some distance from where the provider is located. The service can be given either to home caregivers or to other health care professionals needing specialty consultations. The two most common types of distance service used in hospice and home care are:
Telemonitoring, or remote data collection, in which information such as weight or blood pressure are recorded by remote sensing devices. Some high-end home monitoring systems include various patient monitoring devices that are connected to a remote data capture center. Patient data is transmitted from the remote location and optionally may be stored in a computer system as part of a longitudinal patient medical record. Some systems of this type integrate the data with workflow management, data analysis tools, imaging systems, emergency alerts, and other report generation capabilities.
Videoconferencing, in which people meet face-to-face using video cameras. This use directly addresses the interpersonal support needs of remote patient care in ways that data systems do not.
These two types of technology may be used together or separately.
Why the economics are compelling
When telemedicine got started, it cost a lot of money to build and operate. In the old days you had to build your own high-speed communications networks and buy expensive videoconferencing equipment. Today, you already have access to a high-speed network (it's called "the Internet") and you already have access to a powerful desktop communications system (it's called "your computer"). Today you can probably get 80% of the value of older telecommunications applications at very low incremental cost over what you are already paying for typical business Internet connectivity.
Guidelines for Telehealth
With the increasing use of telemonitoring technology in home care, it is essential to establish a set of universal principles that guide the development and use of this dynamic technology. The Board of Directors of the American Telemedicine Association has adopted a set of clinical guidelines for the use of telemedicine for homecare.
Carol Barker on TeleHospice (18:38)
Listen to an interview by Les Morgan of Growth House with Carol Barker, RN, PhD, who explains how telemedicine can be used to increase access and improve care quality for hospice clients over broad geographic areas in a cost-effective manner. Telehospice methods can play an important role in improving access to palliative care. In addition to use in individual patient homes, it can be used in long-term institutional settings such as nursing homes. Carol is Director of Education and Research at the Hospice of Michigan, which uses Telehospice in both rural and urban settings. Les is an expert on the use of information systems for end-of-life care. The interview covers what Telehospice is, costs and benefits, funding ideas, implementation strategies, and where hospice telemedicine is going.
Telemedicine: A Guide to Assessing Telecommunications in Health Care
Presents a framework for evaluating patient-care applications of information and telecommunications technologies to provide and support health care when the participants are separated by distance. Identifies managerial, technical, policy, legal, and human factors that must be added to the benefit-cost equation.