Philly's Thomas Jefferson University Hospital turns to telemedicine to boost quality

The hospital has built a program to allow physicians to perform consultations using video apps so that patients with less-critical needs are treated in other settings besides the emergency room.
A telemedicine call center helped reduce the rate of readmissions among patients after hospitalization for acute myocardial infarction, according to a study in which a nurse could dispatch a mobile intensive care unit or make other recommendations while consulting with the physician on call.
Meanwhile, Pittsburgh-based Allegheny Health Network is involved in a pilot project that allows patients to speak directly to ER physicians via an iPad connection.
The University of California-San Diego Health System also has a telemedicine pilot program in which on-call physicians who are outside of the hospital remotely link to a telemedicine station to see patients.  Read More

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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