BUSY SIGNALS
August 3, 2001

Busy Signals is a FREE Electronic Newsletter
    for TEL/E-HEALTH PROFESSIONALS

"If you don't like the news, go out and make some."

 

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Tel/E-Health News & Notes From All Over

(reading time....5 minutes max!~~~~value of information....priceless!)

 

MDLinx is has made available a website/newsletter devoted to the topic of Telehealth/E-Health. As the editor, I will be making DAILY UPDATES to this site as news becomes available.  http://www.nplinx.com/index.cfm?subspec_id=549  Go to the site and subscribe to the Telehealth/E-Health Subspecialty Newsletter.

 

The American Accreditation HealthCare Commission, known as URAC, has released standards for the accreditation of health care Web sites. http://www.urac.org/v1-0.PDF 

 

In the UK, NHS Direct was set up in 1998 and now covers all of England. One site in South East London, which went live in April 1999, has been studied to gain an insight into how NHS Direct is used and by whom. http://www3.oup.co.uk/pubmed/current/230155.sgm.abs.html 

 

ITeleHealth, Inc, located at www.itelehealth.com, announces the opening of its new bulletin board area to promote networking and exchange of ideas and information between individuals interested in telehealth and telemedicine. Current topic areas include telenursing, telehomecare, telehealth equipment, telehealth employment, and telehealth reimbursement.

http://www.itelehealthinc.com/cgi-bin/ubbcgi/Ultimate.cgi

 

Medicine has caught up to Hollywood: The FDA approved a tiny camera-in-a-capsule that patients can swallow to give doctors a close-up view of their small intestine. The camera painlessly winds its way through the digestive tract, using wireless technology to beam back colour pictures of the gut.  http://dailynews.yahoo.com/h/ap/20010802/hl/video_pill_3.html

 

Interplast, Inc., has administered a Web-based medicine site at http://www.wiredmd.com since July of 1999. A total of 767 cleft malformation cases performed locally by participating host surgeons in the developing world have been reviewed through the site. Additionally, 16 consultations have been posted and discussed by participating surgeons worldwide.

 

Lab Tests Online: Patients confused by all those cryptic numbers on their lab test results can now go to a Web site that explains them. The site is available at www.labtestsonline.org and it attempts to explain how tests are conducted and what results mean.

 

NotifyMD, Inc.www.notifymd.com the nation's largest provider of contact center-based e-communication services for physicians, and FONEMED www.fonemed.com, a leading provider of telephone and web-based access to medical advice for nurse triage, medical information, products and services, announced that the two companies have entered into a strategic joint development and
distribution agreement.

 

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Note from Victor Kalpokas, MD

Uruguay, South America

Vkalpokas@hotmail.com

 

As you always say "send in your stuff ", so I am doing it again. (thank-you!)

Today I am writing to you in order to make some comments on what happened in my country concerning an issue related to Medicine & the Internet.

As part of the Medicine career here in Uruguay, the year before you get your MD degree there is a period called Internship, where you perform clinical tasks at Public Health Hospitals, guided by a physician that acts as your tutor.

In order to get a place to do this internship, you must pass a test, where you are asked to answer some questions on clinical cases. Since the number of jobs are limited (approximately 330) usually there are more applicants than places available. This year 394 medical students took that test.

As you may imagine, as it is the last test before the final part of the career, people get really nervous on the day of the test (and I suffered that too!).

A teaching tribunal chooses the clinical cases. Due to the fact that is a test, the questions obviously are kept in the strictest secret by the tribunal. But this year things went wrong.

The day after the test some students made a public announcement stating that the actual test had been available at an internet site, where you can download previous tests and questions in order to prepare for this test.  Particularly one of the students said that he did not have a computer nor a place where to access the web, so he had less opportunities to prepare the test.

Our Faculty Council verified that this was true and the test was exactly the same as the one published at the site.

They finally made the decision of not validating the test as they considered that not enough guaranties were given to the process. One of the physicians of the tribunal was taken out of it and a legal process has been started. As they have to redo the test, many of the 394 medical students have had to return from outside the country and go through the inconvenience of re-arranging their holidays, leaving their jobs, etc.

You can make many conclusions of what happened but sometimes the so-called universality of the internet may be a 2 edged sword: it may help you in some ways but may harm you in other. And finally the bad joke of this is that the second test is to be performed on Friday 13th. Good luck for every one!


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WCA’s Tele-Health Task Force Meeting

More than two dozen leaders from the health and broadband wireless industries met in Boston on June, 26th for the inaugural meeting of the WCA’s Tele-Health Task Force, held during WCA’s conference at Boston’s World Trade Center, WCA 2001: Broadband Now! Task Force Chairman Kenneth Bleakley, President of FONEMED  (www.fonemed.com) and active member of the WCA, led the inaugural session. The Task Force now seeks chairs and members......For More Information, or to participate in Task Force initiatives, contact the WCA (Mark Ratchford, Industry Affairs Director, mark@wcai.com) or FONEMED (Jennifer Norberg, V.P. International, jklein@itelehealthinc.com )

 

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Other Articles/Sites of Interest

 

 

On May 30th, Baycrest Centre for Geriatric Care in Toronto held its first international telehealth conference with a nursing home company in Japan. http://www.cyberhealth.bc.ca/Baycrest.htm

 

High-tech home equipment embraced by diabetes patients http://www.mgh.org/press/feature/hightech.html


Ontonagon patient visits with MGH surgeon via telehealth ‘It saved me from traveling 240 miles’ http://www.mgh.org/press/feature/telesurg.html


Expectant mothers in Luce and Schoolcraft Counties use telehealth technology to visit with their nurse http://www.mgh.org/press/feature/expect.html


BusySignals Nurse; the discussion list for telehealth nurses is no longer available. To join a similar telehealth E-mail discussion list send a message to: telehealth-subscribe@topica.com This list is  sponsored by iTeleHealth, Inc. located at http://www.itelehealthinc.com

 

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Upcoming events!
Showcase Ontario
www.showcaseontario.com


Keynote Speaker: Dr. Trevor Woodage, Worldwide VP, Clinical Investigations, Celera Genomics, "The Human Genome and the Future of Technology"
Showcase Ontario is a government of Ontario marketing initiative, now in its 3rd year. Keynotes include: The Honourable David Tsubouchi, Chair of Management Board of Cabinet, The Honourable Norman Sterling, Minister of Consumer and Business Services, Dr. Jerry Mechling, J.F. Kennedy School of Government, Harvard University, Gregory Georgeff, Corporate Chief Information Officer, Management Board Secretariat. Showcase also features 144 learning opportunities that encompasses 32 technical labs, 60 workshops, and 48 conference sessions plus 88 government exhibits.The streams are:

Citizen-Centered Government (g2c)
A new way of Doing Business (g2b)
Governments Working Together (g2g)
Enabling e-Government: New Technologies
 
Showcase Ontario also incorporates the Awards of Excellence Celebration, established to honour excellence in the use of information technology Contact: Fawn Annan (416) 290-0240 x171 fannan@itworldcanada.com


 

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Upcoming events!
Teaching about Telehealth and Internet Technologies: Strategies for Educating Nurses

WHO SHOULD ATTEND: This conference has been designed for nurse educators and staff developers who presently teach or plan to teach telehealth and Internet technologies to their students and staff.  The conference is also an excellent source of information for students and nurses who are especially interested in learning more about telehealth and Internet technologies.

WHEN: October 5 & 6, 2001

WHERE: The Concourse Airport Hotel and Conference Center, Columbus, Ohio

For a complete schedule of the conference or to learn more about registering, visit: http://fitne.net/workshop/workshop1.htm

 or call toll free 1-800-691-8480

or email jklein@itelehealthinc.com

 

Information about other telenursing conferences can be found at http://www.cyberhealth.bc.ca/sitemap.htm

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Upcoming events!
TELEHEALTH 2001 e-VOLVING TELEHEALTH: THE NEXT LEVEL

The upcoming 4th Annual Canadian Society of Telehealth conference is to be held in

Toronto from October 21st to 23rd, 2001.

This conference is geared to all individuals in corporations in the public and private sectors with an interest in Telehealth and e-Health. For updates of the program, please visit the new-look CST website at

 www.cst-sct.org or E-mail Angela Nickoloff , Director, Telehealth Programs at the Hospital for Sick Children in Toronto. angela.nickoloff@sickkids.ca

 

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Telehealth People to Watch: Margaret Larson-Dahn, MSN, RN
LARSOMA@goodsamhealth.org



Ms. Larson-Dahn is the Health Consultant Director at Good Samaritan Community Healthcare.  She has had 14 years of experience in nursing practice and administration. As a recent graduate of the Care Management and Health Systems Administration Program at Pacific Lutheran University School of Nursing, Ms. Larson-Dahn has applied her knowledge and experience in developing a telephone nursing practice model. This model has provided a theoretical framework for role expansion of telephone nurses in the call center, development of competencies, and quality performance improvement tools. She has presented internationally and has published several articles in peer reviewed journals.
 
Larson-Dahn, M. Tel-eNurse Practice: A practice model for role expansion. JONA. 2000;30(11): 519-523.
Abstract of article:
RNs are expanding their role in the continuum of care, incorporating telecommunication into their practice to provide efficient and effective patient care. However, role expansion requires the definition and articulation of nursing practice and related outcomes. The Tel-eNurse Practice Model is a theoretical framework nurses can use to define and guide the complex process of care in the telephone encounter. Application of the model gives nurse administrators a way to identify competencies and develop standards of practice and quality and outcomes measurement tools
 
Larson-Dahn, M. Tel-eNurse Practice: Quality of Care and Patient Outcomes. JONA. 2001;31(3): 145-152.
Abstract of article:
As a growing specialty, telephone nursing practice requires definition, standardization, and identification of quality indicators and nursing-sensitive outcomes. An informal study was conducted to explore the relationship between telephone nursing quality indicators–assessment, critical thinking, use of protocols, and continuity of care–found in documentation and nursing-sensitive patient outcomes. Findings provide insight into the telephone process of care and application of critical thinking reflected in documentation and greater understanding of the complexity of telephone nursing practice and integration of care and outcomes.
 

 

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LAST LINES
This newsletter has been sent to over 800 subscribers.
The publishing dates for 2001 are; on or near August 15, September 1 & 15, October 1 & 15, November 1 & 15.
Send in your stuff!
Ruth Johnson RN
Busy Signals editor
rjohnson@telus.net

 

 

 

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