This assignment was just completed by TOP and I forgot to add in the first part for reference "CRM 717 Proposal Development"
The word doc file word 100302 first attachement was just completed by TOP and I wanted to make sure it was to the highest standard to include the proposal development, stakeholders, lit review, etc
Describe the problem to be addressed (The proposed project is Telemedicine implementation in EMS), what approaches have been used to address it, and where gaps in understanding remain. The targeted literature review, as well as the stakeholder interviews, should inform the development of this section. This section provides support/rationale for your Capstone Project. The final paragraph of this section should briefly describe the proposed project.
*** The proposed project is Telemedicine implementation in EMS**
***Attached is the Proposal***
***Attached is the target literature Review as well as stakeholder interviews***
***The PDF Document, Telemedicine Framework for EMS and 911 Organizations is being enclosed, This is the PDF I utilized***
Telecommunication implementation in Emergency medical services (EMS) Emergency medical services (EMS) provide out of the hospital acute care to people having emergency health issues. The Emergency health services include ambulance transportation as well as 911 care. Telemedicine is also an emerging Emergency health service and is opted by several people. Telemedicine has been described as a two-way interaction between the physician and the physician and the patient at a distant location. The interaction happens with the help of electronic communication means which includes audio or video equipment for interaction (Dadon et al., 2021). This way of communication is cost-effective as compared to face-to-face interaction. Telemedicine eliminates the traditional health care challenges such as late transportation services, weather conditions, and the inability of hospitalization in certain cases. Several strategies have been introduced to implement a well-thought-out plan for making telemedicine more convenient. Some of the proposed strategies are: (i) Gathering a functional team: A fully functional team requires a leader who manages the services, trained practitioners, communication services, and staff to help the process. (ii) A set of rules and regulations should be made so that the domain remains unexploited. (iii) The technology used for communication should be checked for its ability to provide security, its ease to use, its branding, integration, and reimbursement authentication should be checked. (iv) encourage feedback from patients as well as staff. (v) Evaluate the performance and check what changes are required to make the services more helpful. Telemedicine can be easily regulated and practiced in urban, privileged areas. However, the problem occurs in rural areas where people are not much educated and there are not enough facilities to implement telecommunication. The interviews with stakeholders have helped to better understand the issues that come in the way and decrease the overall accessibility of telecommunication in the rural area. Some of the major issues that have been highlighted in the talk include the accessibility, affordability as well as consciousness for that system, these factors have impacted the complete outlook of telemedicine to rural people. The core issues that affect the accessibility of health care services in rural areas in emergencies were addressed by the stakeholders and these issues help us to better understand the importance of telemedicine as a revolutionary step in acute health care. One of the most common reasons why rural people lack accessible health care is because of transit and transportation issues. There is a lack of connectivity between rural areas and sophisticated health care facilities and this makes it very difficult for rural people to seek urgent medical help (Latifi et al., 2007). The disparity is that even after reaching the hospitals, they have to wait in long queues to get the doctor's help. Hence, this problem makes telemedicine a very efficient solution for the problem of rural people. With aid of government support and NGOs, the installment of better telemedicine services in rural and remote areas we can help with immediate medical help. Even though there are several healthcare facilities installed by the government nearby a remote area, there is still a lack of specialists for a better approach. For example, general physicians will not be able to attend to dental or ophthalmic issues. As the telemedicine platform involves all types of physicians, it will be easy for people to get immediate and specialized treatment for their problems (Richmond et al., 2017). Lack of health insurance and awareness about the health care system is also creating a gap between better healthcare and poor people. This issue can be resolved by organizing camps and spreading awareness among people. The communication gap between the doctors and rural people is also another big issue, doctors are sometimes not able to reach patients and help them understand their conditions. Hence, the focus should be on better communication between the patient and the doctor so that the patient can understand their medical issues in a better way (Kim et al., 2020). After critically analyzing the issues that are hampering the delivery of right health care to rural and remote areas in emergencies, several policies were made to address the issues. To provide good health care services, several physicians and doctors have agreed to set up community health care centers in such remote areas, these centers will have all the facilities that are required in emergency help. In addition, these will also have the facility of telemedicine for emergency conditions (Mohr et al., 2018). This will allow people to get better connectivity for carrying out a fluent conversation with the doctor. One of the most common issues is internet connectivity in such areas, hence with the help of government and NGO support, there is a need to establish broadband services or at least some hotspots that provide better access to telemedicine services in remote areas (Napi et al., 2019). The implementation of all these factors requires awareness among people, as there are still many people who are not even aware of the telemedicine option. Therefore, camps shall be organized in remote areas which will aware people of the usage and benefits of telemedicine. Several approaches will be taken to make telemedicine – patient-centered. The focus of making it patient-centered is to provide the patient to interact with the best specialist in a short period. The patient should be satisfied and hence video conferencing should be encouraged. Video conferencing will help the patient and doctor to interact in a better way which will eventually help the patient. Special telemedicine attendants should be there in the emergency room to communicate with all the emergency telemedicine cases (Lilly et al., 2019). Therefore, better implementation to provide telemedicine to every doorstep can help the patient and provide them with immediate acute treatments. In addition, this will relieve the load of other emergency services such as 911 and ambulance services. Together, this option can prove to be a boon to the healthcare system. References: Dadon, Z., Alpert, E. A., & Jaffe, E. (2021). Utilizing advanced telecommunication strategies to enhance the response of emergency medical services volunteers. Disaster Medicine and Public Health Preparedness, 15(1), 86-91. Kim, Y., Groombridge, C., Romero, L., Clare, S., & Fitzgerald, M. C. (2020). Decision support capabilities of telemedicine in emergency prehospital care: Systematic review. Journal of medical Internet research, 22(12), e18959. Latifi, R., Weinstein, R. S., Porter, J. M., Ziemba, M., Judkins, D., Ridings, D., ... & Leyva, F. (2007). Telemedicine and telepresence for trauma and emergency care management. Scandinavian journal of Surgery, 96(4), 281-289. Lilly, C. M., & Mullen, M. (2019). Critical care surge management: A role for ICU telemedicine and emergency department collaboration. Critical Care Medicine, 47(9), 1271-1273. Mohr, N. M., Young, T., Harland, K. K., Skow, B., Wittrock, A., Bell, A., & Ward, M. M. (2018). Emergency department telemedicine shortens rural time-to-provider and emergency department transfer times. Telemedicine and e-Health, 24(8), 582-593. Napi, N. M., Zaidan, A. A., Zaidan, B. B., Albahri, O. S., Alsalem, M. A., & Albahri, A. S. (2019). Medical emergency triage and patient prioritisation in a telemedicine environment: a systematic review. Health and Technology, 9(5), 679-700. Richmond, T., Peterson, C., Cason, J., Billings, M., Terrell, E. A., Lee, A. C. W., ... & Brennan, D. (2017). American Telemedicine Association’s principles for delivering telerehabilitation services. International journal of telerehabilitation, 9(2), 63. Proposal Development Specific Aims Draft - “Re-Write” Kristopher Durham Wake Forest School of Medicine CRM – 712 Dr. Elizabeth Jensen 2/8/2022 Access to healthcare physicians and healthcare providers: To gain high-quality health care, it is mandatory to have access to healthcare, healthcare specialists, and healthcare providers. One of the critical issues at the rural eastern shore of Mayland is the lack of access to healthcare and their dilemma. People lack access to care due to various reasons, including an inadequate mobility system and its absence, shortage of service hours, and the limited number of service providers. According to Talbot County Counsel, access to healthcare in 2021 includes other factors like affordability, attainability, accessibility, and consciousness to healthcare systems. Social Determinants of Health (SDOH) are affordability and access to housing, food, and the support of society towards the people seeking healthcare (Health Officer, Talbot, 2021). The key step is to establish an EMS telemedicine program in collaboration with the Oxford Volunteer Fire Department (OXVFD). It also involves conducting many assessments for the capabilities and operating the environment (also for the community) of the EMS organization (OXVFD). Based on its value proposition, building a sustainable program requires identification of gaps in the capabilities, and developing the business plan to implement various telemedicine practices. Along with the above-mentioned steps, an EMS organization must increase awareness of telemedicine practices, thus engaging more telemedicine stakeholders. The associated people at OXVFD must be involved in establishing and maintaining a telemedicine program, irrespective of the results of the assessments and gap analyses. This involvement is related to the people associated with operations, procedures, infrastructure, advocacy and support groups, officials and policymakers, patient representatives and advisory, and payers. Aim 1 – Operational, Readiness, Financial, and Technical Applications (OXVFD) = The primary aim is to conduct thorough and detailed research based on logistic data. This can completely correlate to the design of the EMS telemedicine/telehealth program. 1. Connectivity – To determine the connection of OXVFD with other healthcare providers. 2. Mode of delivery of the telemedicine platform – To determine the mode of purchase of the telemedicine (as a service owning infrastructure or as a hardware/software solution) 3. Medical Reporting and Documentation – It includes various details, including the platform for the documentation (OXVFD), and the standards of documentation necessary to fill a proper and compliant billing within (OXVFD) 4. Systems and data assimilation – It includes the integration of data between different systems. Such systems include EMS, telemedicine, 911, and billing systems for (OXVFD) 5. Hardware (Telehealth) and software (Telehealth) – To specify the equipment of telemedicine and software at (OXVFD) to implement the telemedicine program and the assimilation of systems. 6. Factors for financial considerations - The vital and critical factors required for financial considerations for (OXVFD) are profit, loss, revenue, and cost. Aim 2 - Policy, Regulatory, and Legal Considerations (OXVFD) = Another