* Physicians on Silver Cross Hospital’s Medical Staff have expertise in their areas of practice to meet the needs of patients seeking their care.  These physicians are independent practitioners on the Medical Staff and are not the agents or employees of Silver Cross Hospital. They treat patients based upon their independent medical judgment and they bill patients separately for their services. 
While this definition sounds a lot like telemedicine, there is one distinct difference. Unlike telemedicine, telehealth also covers non-clinical events like administrative meetings, continuing medical education (CME), and physician training. Telehealth is not a specific service, but a collection of methods to improve patient care and education delivery.
Doctor on Demand is a telemedicine service that gives you access to medical doctors 24/7/365 for the treatment of common and worrisome ailments such as urinary tract infections, skin and eye issues, and minor sports injuries. These problems can sometimes lead to trips to the emergency room simply because you cannot get to your doctor in a timely manner. With this service, you register, request a doctor and meet one quickly via your computer or smart device.
WiFi :  Wifi was originally licensed bu the Wi-Fi alliance and it is used to describe the technology of wireless local area networks, abbreviated as WLAN. This technology was primarily developed for mobile computing devices like laptops in Local Area Networks, but with technological advancements, it is now used for an array of services which include VoIP phone access, gaming as well as basic connection of electronics such as smartphones, DVD players, Home theaters and Televisions.

Dr. Parker has practiced medicine since 1994 and provided virtual care since 2013. He received his medical degree from the Medical College of Wisconsin and went on to complete a family practice residency at St. Joseph's Hospital and St. Mary's Family Practice. In addition to his work in telemedicine, he is an Assistant Clinical Professor at the St. Louis University School of Medicine. Dr. Parker and his family have a strong commitment to organic, sustainable, and humane food preparation, raising and growing much of their own food. In his spare time, he is a trail runner, half-marathoner and amateur photographer.
More widespread use and success of telehealth applications might spur the resolution of these reimbursement issues. CVS has been providing clinical services via telehealth since 2015. According to their study in the Journal of General Internal Medicine, 95 percent of patients “were highly satisfied with the quality of care they received, the ease with which telehealth technology was integrated into the visit, and the timeliness and convenience of their care.” If CVS’s merger with Aetna is finalized, increased competition may motivate other payers to find ways to offer telehealth services and, by extension, levels of reimbursement. 
Remote surgery (also known as telesurgery) is the ability for a doctor to perform surgery on a patient even though they are not physically in the same location. It is a form of telepresence. Remote surgery combines elements of robotics, cutting edge communication technology such as high-speed data connections, haptics and elements of management information systems. While the field of robotic surgery is fairly well established, most of these robots are controlled by surgeons at the location of the surgery.
VSee urges organizations interested in implementing telemedicine to find a telemedicine provider that offers HIPAA compliant software. This means that all data must be fully encrypted, have secure peer-to-peer network connections and have no storage of video. Telemedicine providers should also be comfortable signing a business associate agreement, which asserts that they will take responsibility in keeping patient information safe.

These devices can be packed into a kit and sent out into the field. In this way, telemedicine has proved extremely useful in rural and developing countries like Gabon, Iraqi Kurdistan, and Nigeria, where there is very little access to high-quality medical care. Telemedicine eliminates the barrier of distance and improves access to medical services that would otherwise not be available in distant rural communities.   


Real-time telemedicine (also called “synchronous telemedicine”) is probably what most people first think of when they hear “telemedicine.” Real-time telemedicine requires a live interaction between either a health professional and patient, or between health professionals, using audio and video communication. Think videochat. While most real-time telemedicine software is much more sophisticated than a simple videochat platform, the basic goal is to both see and talk to the patient from afar. This type of telemedicine is meant to offer a virtual alternative to the in-person doctor’s visit.
HIT is the generation and transmission of digital health data, often through an electronic health record. Generally, HIT is used for administrative functions (keeping track of patient's health history, sharing information between providers, etc.) while telemedicine is the delivery of an actual clinical service. HIT can facilitate telemedicine but it is not a requirement for delivering remote health care.

Telemedicine is a significant and rapidly growing component of health care in the United States.  There are currently about 200 telemedicine networks, with 3,500 service sites in the US. Nearly 1 million Americans are currently using remote cardiac monitors and in 2011, the Veterans Health Administration delivered over 300,000 remote consultations using telemedicine. Over half of all U.S. hospitals now use some form of telemedicine. Around the world, millions of patients use telemedicine to monitor their vital signs, remain healthy and out of hospitals and emergency rooms. Consumers and physicians download health and wellness applications for use on their cell phones. 
The evolution and standardization of 5G has been a long process, but the technology could lead to major advancements in numerous areas like the smart home, media consumption, augmented reality, self-driving cars, telemedicine, and more. — Verge Staff, The Verge, "The road to 5G: the biggest news on next-gen mobile networks," 24 Feb. 2017 But now the clinic has expanded services to the surrounding community, offering primary care and specialty care services via telemedicine, including neurology, cardiology and diabetes education. — Maria Clark, NOLA.com, "Ochsner and NASA partner to open a health center at the Michoud Assembly Facility," 21 Mar. 2018 Such speeds are promoted as aiding the development of new technology in the fields of cloud robotics, telemedicine, connected cars and drones, augmented and virtual reality and more. — Ileana Najarro, Houston Chronicle, "Sprint to bring 5G mobile speeds to Houston this year," 27 Feb. 2018 Thus employees lack a strong financial incentive to seek out cheaper options, such as using a telemedicine service to diagnose pinkeye or having a hip replaced at an ambulatory surgery center instead of a hospital. — Joel Klein, WSJ, "The IRS Can Save American Health Care," 1 July 2018 The bill also has provisions meant to encourage telemedicine, and to add doctors to the state VA programs. — Erica Martinson, Anchorage Daily News, "What the new VA health care bill means for Alaska’s veterans," 24 May 2018 When patients report symptoms that are too complex to handle via telemedicine, Lemonaid doctors refund their money and urge them to see a doctor in person. — Rebecca Robbins, STAT, "A startup promised to make health care ‘refreshingly simple.’ Building the business has been anything but," 26 Apr. 2018 Folks can find a telemedicine service by contacting their insurance company (some have their own service) or local medical centers. — Houston Chronicle, "Hookah health news from your very own galaxy," 1 July 2018 The two topics at hand on this day: Whether to subsidize space exploration and whether to increase the use of telemedicine. — Kevin Kelleher, Fortune, "IBM's Jeopardy-Winning AI Is Now Ready to Debate You," 19 June 2018
Telemedicine for trauma triage: using telemedicine, trauma specialists can interact with personnel on the scene of a mass casualty or disaster situation, via the internet using mobile devices, to determine the severity of injuries. They can provide clinical assessments and determine whether those injured must be evacuated for necessary care. Remote trauma specialists can provide the same quality of clinical assessment and plan of care as a trauma specialist located physically with the patient.[41]
Teladoc® is another alternative to accessing medical care for your non-emergent symptoms 24/7/365. Teladoc® is a convenient and affordable healthcare alternative to expensive and time-consuming E.R. visits or after-hour periods where care is difficult to find. All Teladoc® doctors are board-certified, state-licensed, and can even send a prescription straight to your nearest pharmacy when medically necessary!
Healthcare systems that are thinking about implementing telemedicine solutions should consult with experts in the industry. VSee, a leading telemedicine organization, suggests that practices do not rush into telemedicine without having the right equipment. They offer a variety of practical solutions for practices wanting to add telemedicine to their clinic and can make the integration more seamless.
Kaitlin Brasier has worked in primary care since 2012 and provided virtual care since 2013. She received her Doctor of Nursing Practice from the University of San Diego in 2012. In addition to providing virtual care, she works in a dermatology clinic. She has extensive experience in family practice nursing and women's health and has conducted research on childhood obesity prevention. She enjoys outdoor activities, including hiking, snowboarding and horseback riding. She also likes cooking, reading and travel.
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