***Attached is 2 documents, 1 is my proposal document and the other is my score I got when I turned it in, It came back with 63% plagiarism. So I am coming to you guys for the best support, I just need the
“CRM 717 Proposal Development AIMS Draft 5”
reworked to be plagiarism free and utmost professionalism.
Topic - Telemedicine implementation in EMS
*** In the new rewrite up I still need the format Aim 1, Aim 2 & Aim 3 ***
***The PDF Document, Telemedicine Framework for EMS and 911 Organizations is being enclosed, This is the PDF I utilized***
Access to healthcare physicians and healthcare providers: The appropriate first step toward receiving and obtaining quality and high caliber health care is gaining access to healthcare and healthcare specialists and providers. Access to care is a substantial problem and dilemma that has been highlighted as a critical concern in Maryland's rural eastern shore. Several circumstances, including a lack and inadequacy of a mobility system, a shortage of service providers, and service hours, contribute to inadequate access to care. Access to care can also entail accessibility, attainability, affordability, and healthcare system consciousness (Talbot County Council, 2021). Social Determinants of Health (SDOH): Housing and food accessibility affordability and societal support for people seeking health care are all examples of social determinants (Health Officer, Talbot, 2021). Establishing an EMS telemedicine program within Oxford Volunteer Fire Department (OXVFD) is vital and critical, as well as gaining an understanding of key concepts and important considerations, conducting a variety of assessments for the EMS organization’s (OXVFD) capabilities and operating environment (as well as those for the community), identifying gaps in those capabilities, and developing a business plan to implement telemedicine practices that ultimately builds a sustainable program based on its value proposition. Coinciding with conducting the various assessments and gap analyses and developing a business plan, an EMS organization (OXVFD) will want to increase its awareness of and engage with essential telemedicine stakeholders. Regardless of the results of the assessments and gap analyses, the right people at (OXVFD) will need to be involved in establishing and maintaining a telemedicine program, including those relating to telemedicine operations and infrastructure, patient advisory and advocacy groups, policymakers, and payers. Aim 1 – Operational, Financial, and Technical Considerations (OXVFD) = Conduct thorough research within numerous logistical details to address the overall design of the EMS telemedicine program. 1. Connectivity – if or how (OXVFD) can connect with other healthcare providers. 2. Delivery of the telemedicine platform – telemedicine purchased as a hardware/software solution or as a service (owns the infrastructure) 3. Medical documentation – what platform will the documentation occur in for (OXVFD), and what documentation standards are necessary for proper and compliant billing within (OXVFD) 4. Systems and data integration – between 911, EMS, telemedicine, and billing systems for (OXVFD) 5. Hardware and software – Telemedicine equipment and software will be used at (OXVFD) to implement the program and integrate systems. 6. The vital and critical overarching factors in financial considerations for (OXVFD) is revenue, cost, profit, and loss. Aim 2 - Policy, Regulatory, and Legal Considerations (OXVFD) = Conduct thorough research, as telemedicine is a brand-new concept for (OXVFD) related systems, laws and requirements, and laws, (OXVFD) will need to stay abreast of any changes from legal, regulatory and policy that could affect EMS Telemedicine at (OXVFD) 1. (OXVFD) hiring or partnering with another organization to share legal counsel. 2. Conduct a policy review regulations and statutes for (OXVFD) 3. (OXVFD) to develop and maintain compliance programs (integrity, regulations, and statutes) 4. Credentialing, licensing, additional training at (OXVFD) for Telehealth Aim 3 – Patient Integration (OXVFD) = Conduct thorough research on integrating patient registration, information, and data exchange through (OXVFD) is essential for telemedicine. 1. (OXVFD) will explore Electronic Health Records (EHRs) and Electronic Patient Care Records (ePCRs) integration across all platforms. 2. Technical capabilities/limitations, what barrier does this put on (OXVFD) 3. (OXVFD) Telehealth data for, patient data of primary care physician and payer system 4. (OXVFD) Patient enrollment workflow, (OXVFD) data storage responsibilities, data sharing References: Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach, 7th ed. McGraw-Hill Medical. C. (2021, October 14). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Telephone interview]. Cardinal, C. (2019). Population health policy. Cognella, Inc. Evans, B. E., & Dyar, J. T. (2010). Management of Ems. Pearson Education. Giffith / TCPS Superintendent, D. (2021, October 12). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Gill / CEO YMCA of the Chesapeake, R. (2021, October 17). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Telephone interview]. Grand Knight, K. (2021, October 13). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Hass / Director of Emergency Management for Queen Anne's County, S. (2021, October 16). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Health Officer, T. (2021, October 12). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Hill / Hill's Drug Store, D. (2021, October 13). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Personal interview]. Hinnegan / CFO South Peninsula Hospital, A. (2021, October 11). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Home Instead Senior Care - Talbot County. (2021, October 15). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Telephone interview]. Kozel / UMMS SRH CEO, K. (2021, October 11). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Lecates / Director Talbot County Emergency Services, B. (2021, October 16). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Personal interview]. Lofthouse, C. (2014). Ethics for public safety: Ethical and moral decision making. Kendall Hunt. Queen Anne's County Council. (2021, October 14). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Shi, L., & Singh, D. A. (2019). Delivering health care in america: A systems approach. Jones & Bartlett Learning. Sierra / Director of Emergency Management for Caroline County, A. (2021, October 16). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Spath, P., & Kelly, D. L. (2017). Applying quality management in Healthcare: A systems approach. Health Administration Press. Stowell, F. M., Adams, B., & Brakhage, C. (2007). Fire and emergency services company officer. Fire Protection Publications, Oklahoma State University. Talbot County Council, T. (2021, October 15). CRM Capstone "Key Stakeholder Interview" Access to Healthcare [Online interview]. Teitelbaum, J. B., & Wilensky, S. E. (2020). Essentials of health policy and law. Jones & Bartlett Learning. Telemedicine Framework for EMS and 911 Organizations i Telemedicine Framework for EMS and 911 Organizations Table of Contents 1. Introduction to Establishing a Telemedicine Program .............................................................................. 2 2. Telemedicine Program Initiation ................................................................................................................ 9 3. Telemedicine Program Stakeholders ....................................................................................................... 19 4. Designing and Implementing a Telemedicine Program ........................................................................... 23 5. Telemedicine Program Sustainment and Growth ................................................................................... 29 Appendix A. Telemedicine References ........................................................................................................ 31 Appendix B. Telemedicine Program Checklist ............................................................................................. 36 Appendix C. Financial Considerations ..................................................................