The Use of Telehealth for Disability Evaluations in Medicine and Allied Health Proceedings of a Workshop (2022) / Chapter Skim
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2 Telehealth Overview
2 Telehealth Overview
Pages 5-12
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From page 5... ...
Speakers set the stage for the workshop with an overview of telehealth, including a brief exploration of its history, key benefits, and potential pitfalls. The speakers were Charles Doarn, University of Cincinnati; Rupa Valdez, University of Virginia; and Judd Hollander, Thomas Jefferson University Hospital.
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Doarn noted that people began imagining opportunities for remote health care delivery with the advent of radio, and practical examples of telehealth date back more than 70 years. Health care providers and government agencies began experimenting with remote care delivery at least as far back as the 1950s, driven by the desire to serve patients who were difficult or impossible to reach in person, such as astronauts and combat personnel, those living in remote areas, and people affected by disasters (Doarn et al., 2014)
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. In addition, she noted that many physicians do not feel confident in their ability to meet the needs of this population, despite the fact that several federal laws explicitly provide people with disabilities equal opportunities for private and public health care services and facilities, including telehealth.
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QUALITY MEASUREMENT IN TELEHEALTH Judd Hollander, Thomas Jefferson University and Jefferson Health Judd Hollander is senior vice president of health care delivery innovation, associate dean for strategic health initiatives at Sidney Kimmel Medical College, and professor of emergency medicine at Thomas Jefferson University. He discussed how Jefferson Health approaches telehealth and offered perspectives on ensuring telehealth quality.
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DISCUSSION In an open discussion, participants expanded on telehealth considerations for people with disabilities, approaches to quality assurance and patient feedback, overcoming clinician reluctance, and the future of telehealth. Telehealth and the Disability Community Prompted by a question from Tang about using telehealth to engage with people and their caregivers, Valdez stated that universal design, which means
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She said that as the work to improve health care equity continues, it is important to include the disability community in telehealth design and implementation to enable access to a wide variety of health professionals and community services and to encourage more holistic care. In response to a question about preparing patients with disabilities for a telehealth visit from Marquita Sullivan, from the Social Security Administration (SSA)
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Hollander expressed his hope for better cooperation among clinicians, payers, and patients so the right care can be delivered in the right manner. He emphasized that only technology that truly helps the patients and the clinicians should be adopted, but telemedicine should not be held to a higher evidence burden than other forms of health care delivery.
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