We all know that telehealth is driven by the desire to make affordable healthcare available to anyone, anytime, anywhere, and that advances in technology have facilitated the effort. But what powers telehealth and even healthcare general? At the American Telemedicine Association’s Annual Meeting (April 23-25, 2017 in Orlando, FL) the answer was clear – women!
As the old saying goes, you win some, and you lose some. Well, I’m pretty sure that most of us would rather be on the “win some” side of the equation, especially when it comes to telemedicine grants. The good news is, there are plenty of grant opportunities out there, including the US Department of Health and Human Services, HRSA Telehealth Network Grant Program, the US Department of Agriculture’s Distance Learning and Telemedicine Grant, and opportunities through state agencies and foundations. But how do you position yourself for success? Let’s start with some tips on writing a successful telemedicine grant proposal:
The year is 2030 and the days of small practices are coming to a tragic end, as the virtual capabilities of large and innovative health systems have become integrated into the lives of patients worldwide. Patient monitoring is constant, blending into the lifestyles of patients who have grown accustom to an emerging world of integrated healthcare in consumer technology. Healthcare has finally reached the golden age of patient empowerment and engagement in no small part due to telemedicine.
It used to be (back in the old days) that “doing” telemedicine (TM) was so new and foreign to everyone that it was considered research, and thus required—at most institutions—human subjects or Internal Review Board (IRB) approval. Patients had to be consented into a study prior to engaging in any sort of telemedicine encounter.
Thankfully, for the most part, those days are gone. While some institutions may still require IRB consent, that number has decreased significantly. Of course, if you are conducting a scientific experiment using a new telemedicine device or some new procedure, that study will have to go through the usual IRB approvals and involved patients will need to be consented.
Gerald Hornbeck is a 73-year-old Veteran who lives with his wife in Gilbert, Arizona, approximately 40 miles from the Phoenix Veterans Administration Health Care System (PVAHCS).
In 2012, after being diagnosed with end-stage heart failure, he was implanted with a Left Ventricular Assist Device (LVAD) at the University of Utah Medical Center. Since then, the LVAD has taken over the task of pumping blood to the rest of his body.
The Telehealth Resource Centers (TRCs) have been in existence for just over 10 years, with the SWTRC for nearly all of that time. In honor of this decade of service to the telehealth community the TRCs released a 10-year report summarizing our group and individual accomplishments and services (available upon request). Periodically it helps to sit back and reflect a bit on what we’ve accomplished as we chart our course for the next few years.
In the beginning…
Using the strictest definition, telemedicine has been around since the ’60s. Initially it was medical professionals with a phone and a video screen consulting with one another. Since the users in question were both regulated and overseen by state boards of medicine, this use often didn’t require many additional rules or regulations.
The Southwest Telehealth Resource Center (SWTRC) and its parent organization, the Arizona Telemedicine Program (ATP), launched their Service Provider Directory at their first Telehealth and Telemedicine Service Provider Showcase, in Phoenix in October 2014.
Rural healthcare is suffering, but many communities have yet to swallow the medicine that could make a difference: telemedicine.
Several vectors have led to what the National Rural Health Association estimates is more than 50 rural hospital closures over the past five years, with 12 already closing in 2016 so far. The challenges that rural healthcare face include a high percentage of uninsured and elderly patients, reduced populations, equipment that is not fully utilized, and the lack of lucrative specialty services that help support hospitals financially. There also are the issues of getting patients to rural hospitals in a timely manner due to travel distances, and luring top talent from larger cities.
Telemedicine can address many of these issues if rural communities take the opportunity seriously.
There are meetings that you go to once or twice and never return and others that you just keep going to year after years for decades. The American Telemedicine Association (ATA) Annual Conference and Trade Show falls into the latter category for many of us. I think this year was my 20th year – but who’s counting! Why do I keep going back? Over the years the meeting has changed in many ways – growing from a small but growing gathering of those already involved in telemedicine to a large and growing gathering of everyone from the seasoned telemedicine aficionado to the green novice just trying to figure out what it’s all about.