THE ROLE OF
TELEHEALTH
IN AN EVOLVING
HEALTH CARE ENVIRONMENT
Workshop Summary
Tracy A. Lustig, Rapporteur
Board on Health Care Services
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This activity was supported by Contract/Grant No. HHSH250200976014I between the National Academy of Sciences and the Department of Health and Human Services. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.
International Standard Book Number-13: 978-0-309-26201-9
International Standard Book Number-10: 0-309-26201-1
ISBN 0-309-26201-1
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Copyright 2012 by the National Academy of Sciences All rights reserved.
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Suggested citation: IOM (Institute of Medicine). 2012. The role of telehealth in an evolving health care environment: Workshop summary. Washington, DC: The National Academies Press.
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.
PLANNING COMMITTEE FOR A WORKSHOP ON THE ROLE OF TELEHEALTH IN AN EVOLVING HEALTH CARE ENVIRONMENT1
KAREN S. RHEUBAN (Chair), Professor of Pediatrics; Senior Associate Dean for CME and External Affairs; and Director, University of Virginia Center for Telehealth, University of Virginia Health System
NINA M. ANTONIOTTI, Director of TeleHealth, Marshfield Clinic
KAMAL JETHWANI, Corporate Manager—Research & Innovation, Partners Healthcare Center for Connected Health; and Instructor in Dermatology, Harvard Medical School
SPERO M. MANSON, Distinguished Professor and Director, Centers for American Indian and Alaska Native Health, University of Colorado Denver
THOMAS S. NESBITT, Associate Vice Chancellor, University of California, Davis, Health System
SHERILYN Z. PRUITT, Director, Office for the Advancement of Telehealth, Office of Rural Health Policy, Health Resources and Services Administration
Project Staff
TRACY A. LUSTIG, Senior Program Officer
SAMANTHA ROBOTHAM, Senior Program Assistant
ROGER C. HERDMAN, Director, Board on Health Care Services
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1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.
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Reviewers
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
MARY DeVANY, Great Plains Telehealth Resource and Assistance Center
STEPHANIE LAWS, Wabash Valley Rural Telehealth Network
DAVID LINDEMAN, Center for Aging and Technology
ROB SPRANG, Kentucky TeleCare
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release The review of this workshop summary was overseen by HUGH H. TILSON, University of North Carolina Gillings School of Global Public Health. Appointed by the Institute of Medicine,
he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.
Traditional Payment Models and Regulation
Center for Medicare & Medicaid Innovation
Promoting Health, Preventing Disease, and Prompting Population Progress
Telehealth in an Acute Care Setting
7 REMARKS AND DISCUSSION: DAY 1
Using Data to Change Policies and Create New Standards of Care: Telestroke
State-Based Advocacy: NOBEL Women