Sustainable Telemedicine: Designing and Building Infrastructure to Support a Comprehensive Telemedicine Practice
Sustainable Telemedicine: Designing and Building Infrastructure to Support a Comprehensive Telemedicine Practice
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DOI：
10.1089/tmj.2017.0291
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发表时间：
2018-04-16
影响因子：
4.7
通讯作者：
Demaerschalk, Bart M.
中科院分区：
文献类型：
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作者：
Kreofsky, Beth L. H.;Blegen, R. Nicole;Demaerschalk, Bart M.
背景：医疗机构的远程医疗服务往往是相互孤立的，而不是作为一个全面的远程医疗计划的一部分。互联医疗中心是梅奥诊所范围广泛的远程医疗服务的管理中心。本文讨论的是实时视频服务，贯穿始终被称为远程医疗。简介：本文讨论了大型医疗保健系统如何设计和构建基础设施来支持全面的远程医疗实践。材料和方法：基于对现有服务的分析，梅奥诊所制定了一个多方面的运营计划，解决了高优先领域，并概述了联网医疗中心和临床部门的明确角色和责任。该计划确定了优先事项和将导致长期成功的方向。该计划明确了支持远程医疗所需的管理和运营基础设施，将互联医疗中心定义为核心行政业务的所有者，将临床科室定义为临床远程医疗服务的所有者。确定了开发产品选择流程、实施服务和人员配置模型的其他机会，这些将用于确保成功的远程医疗部署。结果：互联医疗中心的远程医疗团队完成了45个业务案例，实现了54个。核心产品以及围绕实现服务的关键运营产品的标准化，以及24/7支持模型的建立，提高了提供商的满意度，减少了报告的技术问题。结论：通过远程医疗服务的集中运营、实施可持续流程、雇用专门的合格人员和部署强大的产品，为长期可扩展性和增长奠定了基础。
Background:Telemedicine services in medical institutions are often developed in isolation of one another and not as part of a comprehensive telemedicine program. The Center for Connected Care is the administrative home for a broad range of telehealth services at Mayo Clinic. This article speaks of real-time video services, referenced as telemedicine throughout.Introduction:This article discusses how a large healthcare system designed and built the infrastructure to support a comprehensive telemedicine practice.Materials and Methods:Based on analysis of existing services, Mayo Clinic developed a multifaceted operational plan that addressed high-priority areas and outlined clear roles and responsibilities of the Center for Connected Care and that of the clinical departments. The plan set priorities and a direction that would lead to long-term success. The plan articulated the governing and operational infrastructure necessary to support telemedicine by defining the role of the Center for Connected Care as the owner of core administrative operations and the role of the clinical departments as the owners of clinical telemedicine services. Additional opportunities were identified to develop product selection processes, implementation services, and staffing models that would be applied to ensure successful telemedicine deployment.Results:The telemedicine team within the Center for Connected Care completed 45 business cases resulting in 54 implementations. The standardization of core products along with key operational offerings around implementation services, and the establishment of a 24/7 support model resulted in improved provider satisfaction and fewer reported technical issues.Conclusion:The foundation for long-term scalability and growth was developed by centralizing operations of telemedicine services, implementing sustainable processes, employing dedicated qualified personnel, and deploying robust products.