addition, the therapist, case manager or nurse
operates the video equipment, helping to make
the technology unobtrusive to the patient. Comments
from a recent survey of clinical staff at existing
HCIC telemedicine endpoints illustrate the
benefits to patients and providers of this team
approach to telemedicine-based patient care:
find it very useful and generally get good
validation from you (psychiatrist) with my
client. Often, hearing from you what I have
been saying makes a difference. Also, brainstorming
what to do with a client is helpful."
"I most appreciate that I get to be fully
participating in the telemed sessions, taking
notes and discussing events/observations with
both the client and the doctor(s)—makes
for a full circle, no unlinked treatment team
stuff behind closed doors."
request not to have the therapist, case manager
or nurse present; a decision is made baseed upon medical necessity. In a winter 2007 survey of Apache County clients:
- 92% said that a clinician in the room either had no effect on their comfort level or made them feel more comfortable.
- 76% agreed or strongly agreed that a clinician in the room helped them feel that they had a team of people contributing to their treatment.
Utmost care is taken to ensure the confidentiality
of a clinical telemedicine session. At both
ends the door is closed and an “In Session…do
not enter” sign is placed on the door.
Where needed, white noise machines or other
soundproofing have been added. Telemedicine
equipment is set to be muted upon entering a
videoconference and the camera lens is covered
when the equipment is not inuse.
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