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A comprehensive overview of telehealth in optometry, covering its importance, applications, history, implementation barriers, legal considerations, ethical aspects, and future trends. It includes numerous questions and answers that can be used for study purposes, making it a valuable resource for students and professionals in the field.
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Why is telehealth important? -breaking down barriers to care -preventing vision loss -improving quality of life
What percent of diabetic medicare patients received an eye exam in the past year? 54.1% (2017)
What percent of respondents in the 2020 AOA eye-Q survey has not had an eye exam in the past two years? 58%
What are examples of barriers to care? -access to quality care -transportation -resources -perceived need
What is the role of telehealth? helps eliminate some barrier to care; works well when utilized alongside in person care to prevent vision loss
T or F: all comprehensive eye telehealth modalities aim to remove barrier to accessibility while bridging the gap in service delivery bu reaching remote and underserved areas including reducing conventional travel time and expense for patients. True
What is telemedicine? designed to integrate telecommunications into diagnostic and therapeutic intervention. refers specifically to remote clinical services
What is telehealth? designed to integrate telecommunication systems into the practice of protecting and prompting health. Includes telemedicine and store and forward imaging, patient education, etc
What is meant by synchronous? either a clinic or home based telehealth visit where the patient and provider meet in real time via video conference, live chat, or telephone
What is meant by asynchronous? health information is acquired transmitted to a secure location, and reviewed by a distant provider at a different time
What is clinic based telehealth? a synchronous or asynchronous visit in a clinical setting with a clinical staff member/facilitatory supporting the visit
What is home based monitoring telehealth? the patient collects and/or submits information to a provider from home or a non clinic setting
What occurred in 1970s-1980s for telehealth history? NASA, STARPAHC
What occurred in 2005 for telehealth history? SUNDROP
What occurred in 2020 for telehealth history? SARS Cov-2 pandemic sees a surge in telehealth patient visits by 250-700% in different areas
T or F: Telehealth is healthcare's natural evolution into the digital age. True; not just another type of care. It can be a critical tool in advancing a well coordinated patient centered value optimized healthcare system
What is home monitoring? device used by patient, information transmitted to the doctor
What are video chat services? synchronous doctor/patient encounter via phone or computer
What are remote optometris lanes? synchronous doctor/patient encounter with access to additional equipment and more diagnostic tools
What are examples of ocular telehealth veteran's affairs progrmas? -tele-retina -technology based eye care services (TECS)
What is tele-retina? asynchronous service, modeled after the joslin vision netwok
What is TECS? asynchronous service; builds upon the well established tele-retinal program, while incorporation of mydriatic fundus photos, refraction etc
What are implementation barriers of synchronous telehealth? -maintaining high standard of care -platform for communication -limited ability to collect data; some EMR systems may not be compatible -internet access -information security
What are implementation barriers of asynchronous telehealth?
What goes into telehealth ethics? -quality of care -safety -patient education
What is coming for the future of telehealth? AI and machine learning (retinal imaging, OCT interpretation)
What is supervised learning? prediction of values, observation with labels
What is unsupervised learning? data organization, observations do not have labels
What is semi supervised learning? prediction of values, some of the data has labels
What is reinforcement learning? interaction with the environment (online open AI)
What is deep learning? uses multiple layers to progress, can be combined