Jamee has provided care since 2002, and provided virtual care since 2015. She received her Bachelor and Master of Science in Nursing from the University of Texas in Houston. Jamee has spent the majority of her nursing career with a focus in emergency and urgent care, transitioning her focus to Family Practice in 2014. She recently relocated to the Northwest from Dallas with her husband and five children. She enjoys reading, crafts, cooking and camping.
Dr. Miller has practiced medicine since 1988, and provided virtual care since 2015. She completed her medical degree at the Sackler School of Medicine in Tel Aviv then returned to New York to complete her family medicine residency. She later completed her preventive medicine residency at the University of Washington, earning her MPH. Since 1992, she has worked in family medicine and public health in Washington. She continues to provide care at a local clinic and appreciates the opportunity to help her patients make effective healthcare choices. Dr. Miller received Top Docs Recognition for four years in Seattle Met Magazine. Away from work, she enjoys time with her family, traveling, gardening and being outdoors.
To keep up with the rate that technology is progressing, the telemedicine will of course need to overcome other administrative barriers, such as restrictions placed on telemedicine practice by state legislation, state-specific licensing requirements by medical boards, and the reimbursement policies that affect whether doctors are reimbursed by payers and patients are not out-of-pocket. But with the projection that telemedicine will be a $36.3 billion industry by 2020, over 50 telehealth-related bills in the 113th Congress, and 75% of surveyed patients reporting interest in telemedicine, telemedicine’s future is bright and demand is likely to overcome these barriers.

Dr. Mercado has practiced medicine since 2000, and provided virtual care since 2015. She earned her medical degree at the University of the Philippines in Manila. She completed her Family Medicine Residency at Akron General Medical Center in Ohio, where she was the chief resident during her final year of residency. She has spent the last six working in a primary care setting where she saw patients of all ages. Dr. Mercado believes communication is an integral part of a physician-patient interaction. During her free time, she enjoys reading, traveling, watching movies, volunteering, and spending time with her family.
Store and forward, a type of telemedicine that allows providers to share information over a distance, has been a game changer. Today, primary care physicians can connect with specialists who are in another location than them. Healthcare information like diagnostic images, blood analysis, and more can be shared for appropriate patient assessment in real time.

Telehealth is sometimes discussed interchangeably with telemedicine. The Health Resources and Services Administration distinguishes telehealth from telemedicine in its scope. According to them, telemedicine only describes remote clinical services; such as diagnosis and monitoring, while telehealth includes preventative, promotive and curative care delivery.[1] This includes the above-mentioned non-clinical applications like administration and provider education which make telehealth the preferred modern terminology.[2]
Patients who are planning to visit India for medical treatment can make the most of our Medical Tourism service. We are associated with the best hospitals and through our secure virtual platform we can assist you 8/7 between 11 AM to 7 PM and connect you with the best doctors online to resolve your medical concern. Get everything you need to know about various treatments before planning your travel. Receive pre and post travel assistance, plan the right treatment procedure, compare cost options and stay connected with your doctor online after returning to your home country.

Sharla Peterson has worked in primary care since 2007 and provided virtual care since 2011. She received her Master of Nursing from Washington State University. In addition to her career in telemedicine, she works part-time in a plastic surgery office and volunteers at a free clinic near her home. She serves as Medical Director for local Camporee events with the Boy Scouts of America and works with youth in her church. When she is not working, she enjoys cooking, family time and outdoor adventures of all kinds.


A company’s culture is defined by the behavior that is allowed. The Board, CEO and the management team need to set the example—allowing toxic, demoralizing, untrustworthy actions to persist is implicitly endorsing that behavior. Look to the past for what’s likely to come—every leader in the company has brought former colleagues to work alongside them at DOD except for one. Red flag. This leader burns bridges. Act before...
For developing countries, telemedicine and eHealth can be the only means of healthcare provision in remote areas. For example, the difficult financial situation in many African states and lack of trained health professionals has meant that the majority of the people in sub-Saharan Africa are badly disadvantaged in medical care, and in remote areas with low population density, direct healthcare provision is often very poor[90] However, provision of telemedicine and eHealth from urban centres or from other countries is hampered by the lack of communications infrastructure, with no landline phone or broadband internet connection, little or no mobile connectivity, and often not even a reliable electricity supply.[91]
Alan Pitt, MD, is a neuroradiologist at Barrow Neurological Institute. He is the former chief medical officer of Avizia, which was acquired by American Well earlier this year. Dr. Pitt also serves as an advisor to several health IT companies and operates his own podcast. He offers a four-pronged framework to examine the current world of telemedicine: direct-to-consumer, self-service, clinician collaboration, and "spaces."
In-office visits and overnight stays at healthcare facilities can be difficult for individuals in poor health. Telehealth services reduce hospital readmission rates by enabling doctors to monitor patients outside the office. Because of this, many hospitals have already started to include some form of remote monitoring as part of their post-discharge plans. By equipping patients with wearable devices or other wireless technologies, clinicians can monitor vital signs and symptoms and adjust care as needed without an in-office visit. Alignment Healthcare, for example, developed a program to remotely monitor chronically ill and recently discharged patients and reduce 30-day readmission rates. Enrollees were given a package of Bluetooth-enabled monitoring equipment, including a Samsung tablet, blood pressure cuff, pulse oximeter and scale.
Store and forward, a type of telemedicine that allows providers to share information over a distance, has been a game changer. Today, primary care physicians can connect with specialists who are in another location than them. Healthcare information like diagnostic images, blood analysis, and more can be shared for appropriate patient assessment in real time.
“While ‘telemedicine’ has been more commonly used in the past, ‘telehealth’ is a more universal term for the current broad array of applications in the ­field,” the TRC network states in its online resource guide. “Its use crosses most health service disciplines, including dentistry, counseling, physical therapy and home health, and many other domains. Further, telehealth practice has expanded beyond traditional diagnostic and monitoring activities to include consumer and professional education. Note that while a connection exists between health information technology (HIT), health information exchange (HIE) and telehealth, neither HIE nor HIT are considered to be telehealth.”
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]
With telemedicine, physicians in other locations can provide assistance by conducting video visits. In fact, when Hurricane Harvey occurred in 2017, healthcare professionals provided emergency and behavioral health video visits. This allowed practitioners to focus on high demand, complex cases in-person versus low level cases that can managed remotely.
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.
Patient Exam Cameras – These cameras are used to examine the patient’s overall condition. The different types of patient exam cameras are handheld cameras, camcorders, gooseneck cameras and those which may be placed above the set-top units. Analog and digital cameras are available and the ones that should be used depend on the connection to the set-top unit.
With telemedicine, physicians in other locations can provide assistance by conducting video visits. In fact, when Hurricane Harvey occurred in 2017, healthcare professionals provided emergency and behavioral health video visits. This allowed practitioners to focus on high demand, complex cases in-person versus low level cases that can managed remotely.
Telehealth allows the patient to be monitored between physician office visits which can improve patient health. Telehealth also allows patients to access expertise which is not available in their local area. This remote patient monitoring ability enables patients to stay at home longer and helps avoid unnecessary hospital time. In the long-term, this could potentially result in less burdening of the healthcare system and consumption of resources.[1][8]

“Although many definitions are similar, there are nuanced differences that reflect each organization's legislative intent and the population they serve,” the study concluded. “These definitions affect how telemedicine has been or is being applied across the healthcare landscape, reflecting the U.S. government's widespread and influential role in healthcare access and service delivery. The evidence base suggests that a common nomenclature for defining telemedicine may benefit efforts to advance the use of this technology to address the changing nature of healthcare and new demands for services expected as a result of health reform.”
Brenda Stavish has practiced medicine since 1987 and provided virtual care since 2014. In 2006, she received her Master of Nursing from Seattle Pacific University. Over the course of her career, she has worked in women's health clinics, school districts, and primary/chronic care settings. She believes in patient care that brings together the health of the mind, body, and spirit, equally. In her spare time she enjoys travel, wine tasting and cooking.

The potential benefits of telehealth services may be limited by other factors, such as the ability to pay for them. Insurance reimbursement for telehealth still varies by state and type of insurance. Also, some people who would benefit most from improved access to care may be limited because of regional internet availability or the cost of mobile devices.
^ Cartwright M, Hirani SP, Rixon L, Beynon M, Doll H, Bower P, et al. (February 2013). "Effect of telehealth on quality of life and psychological outcomes over 12 months (Whole Systems Demonstrator telehealth questionnaire study): nested study of patient reported outcomes in a pragmatic, cluster randomised controlled trial". BMJ (Clinical Research Ed.). 346: f653. doi:10.1136/bmj.f653. PMC 3582704. PMID 23444424.
Sometimes called asynchronous telemedicine, store-and-forward solutions enable healthcare providers to forward and share patient medical data (lab results, images, videos, records) with a provider at a different location. These platforms offer a kind of sophisticated, secure, email platform – a way to share private patient data online in a secure way.
Telemedicine for intensive care unit (ICU) rounds: Telemedicine is also being used in some trauma ICUs to reduce the spread of infections. Rounds are usually conducted at hospitals across the country by a team of approximately ten or more people to include attending physicians, fellows, residents and other clinicians. This group usually moves from bed to bed in a unit discussing each patient. This aids in the transition of care for patients from the night shift to the morning shift, but also serves as an educational experience for new residents to the team. A new approach features the team conducting rounds from a conference room using a video-conferencing system. The trauma attending, residents, fellows, nurses, nurse practitioners, and pharmacists are able to watch a live video stream from the patient's bedside. They can see the vital signs on the monitor, view the settings on the respiratory ventilator, and/or view the patient's wounds. Video-conferencing allows the remote viewers two-way communication with clinicians at the bedside.[42]
Healthcare systems, policymakers, vendors, and providers alike can attest to the many gray areas within telemedicine. One particular area that requires more clarity is the legalities surrounding telemedicine. With it being an industry that is constantly growing, it has become difficult to create a concrete solution. In addition, each state follows different laws for telemedicine, which makes it increasingly difficult to keep up with it.
VSee urges organizations to try their free app so physicians can get a feel for sharing medical documents and streaming digital device images. In addition, organizations should ensure they have compatible microphones, webcams, speakers, and more. A telemedicine tech should be identified within the practice to help others get acclimated and resolve tech issues. Also, practices should be aware of their Internet connection. VSee’s video chat is robust, but how well it works comes down to the Internet connection and computer capabilities.
Online doctors are becoming a real thing across America, not just for those who are tech savvy, but for anyone. Although telemedicine was introduced in the United States in the 1960s, it didn’t become popular for the everyday man or women until this last decade. In the past, missing a prescription refill with your family doctor right before the weekend would mean going until Monday before you could even try to schedule an appointment. And even then, it might be days or weeks before you could get in to see the physician.
Patients who are planning to visit India for medical treatment can make the most of our Medical Tourism service. We are associated with the best hospitals and through our secure virtual platform we can assist you 8/7 between 11 AM to 7 PM and connect you with the best doctors online to resolve your medical concern. Get everything you need to know about various treatments before planning your travel. Receive pre and post travel assistance, plan the right treatment procedure, compare cost options and stay connected with your doctor online after returning to your home country.
Telehealth and Patient Engagement: With telehealth technologies, patients are taking more control of their well-being. Educational videos, health management apps for mobile devices, and online health learning and support communities empower patients to manage chronic conditions, lose weight, increase physical activity levels, and gain emotional support. Diabetes patients are benefiting from carbohydrate tracking apps and are using glucose monitoring devices to document and report their blood sugar measurements. Other patients are interacting with their providers and scheduling appointments through secure online communication portals. Additionally, they are accessing health education content via smartphones and computers to add to their self-care toolboxes. They are also using wearables and monitoring systems to gain knowledge about their sleep patterns, vital signs, and activity levels.

BayCareAnywhere allows you and your children two years and older instant access to a board-certified doctor from any place at any time, day or night. You can video chat with a doctor from the comfort of your own home for just $45 per visit. If the doctor determines that you need to be seen in-person at an urgent care center, you can print your patient summary and present it at any BayCare Urgent Care to receive a $45 discount off your visit. 

Bluetooth Wireless: Bluetooth refers to an industrial specification that applies to wireless area networks. Bluetooth technology offers a way of connecting and exchanging information between devices, including laptops, mobile phones, PCs, video game consoles, digital cameras and printers over a globally unlicensed and secure short-range radio frequency. The Bluetooth Special Interest Groups has developed and licensed the Bluetooth specifications.

1. Request a visit with a doctor 24 hours a day, 365 days a year. Requests can be made by web, phone, or mobile app. Want to see the doctor with whom you’re speaking? Choose “video” as the method for your visit. Feeling camera shy? Choose “phone.” Got a busy schedule? Select a time that’s best for you by choosing “schedule” instead of “as soon as possible.”

As the CCHP notes, different organizations have different definitions for telehealth. California very specifically defines it as “the mode of delivering healthcare services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management and self-management of a patient's healthcare while the patient is at the originating site and the healthcare provider is at a distant site. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.” The Health Resources and Services Administration (HRSA), meanwhile, defines it as “the use of electronic information and telecommunications technologies to support long-distance clinical healthcare, patient and professional health-related education, public health and health administration.”
Distance Learning: The use of audio and video technologies allows students to attend training sessions classes that are conducted from a remote location. Usually distance learning systems are interactive. They are a useful tool for delivering education and training to students that are widely dispersed, or in some cases where an instructor is unable to travel to the site where the students are located.
Billions of investment dollars have been poured into apps and websites that offer this virtual consultations with physicians, ranging from Doctor on Demand to American Well. The theory behind them is that millennials would opt for a digital alternative to an in-person physician's visit, if the option were available. And patients in remote, rural areas who are miles away from the nearest doctor would have few alternatives.
Teledermatology allows dermatology consultations over a distance using audio, visual and data communication, and has been found to improve efficiency.[70] Applications comprise health care management such as diagnoses, consultation and treatment as well as (continuing medical) education.[71][72][73] The dermatologists Perednia and Brown were the first to coin the term "teledermatology" in 1995. In a scientific publication, they described the value of a teledermatologic service in a rural area underserved by dermatologists.[74]

Likely one of the most popular specialities for telemedicine, mental health practices can increase revenue, streamline patient flow, and provide counselling sessions from anywhere. With telemedicine, patients in rural areas can now access mobile and web apps to speak with their therapist. In addition, cancellations and no-shows are less likely to occur. Mental health practices that implement telemedicine can also see more patients and still provide a high level of patient care. This leads to increased profitability and effective time management.
Dr. Mercado has practiced medicine since 2000, and provided virtual care since 2015. She earned her medical degree at the University of the Philippines in Manila. She completed her Family Medicine Residency at Akron General Medical Center in Ohio, where she was the chief resident during her final year of residency. She has spent the last six working in a primary care setting where she saw patients of all ages. Dr. Mercado believes communication is an integral part of a physician-patient interaction. During her free time, she enjoys reading, traveling, watching movies, volunteering, and spending time with her family.
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