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The Arizona Telemedicine Program Blog

When rural hospitals want to set up specialty services for their patients, say telestroke or tele-ICU, how do they go about finding a remote service provider? Online searches yield a lot of ads, but how do you sift through that information to find an appropriate partner?

That is why the Arizona Telemedicine Program established the national, online Telemedicine & Telehealth Service Provider Directory (SPD) – to provide a resource for decision-makers from organizations like hospitals, clinics, private practices, schools, correctional institutions, and others. The SPD makes it easy for you to find the tele-services you need. The focus is on companies that provide clinical services for interacting with patients from a distance—not on platforms, apps, technology, telecom, consultants or back-office services.

In May 2017, the University of Arizona College of Nursing launched a telehealth training program for students seeking advanced degrees as doctors of nursing practice. 

The "Using 21st Century Technology for NP Student-Patient Interview and Interprofessional Care Coordination" project, initially funded with a Graduate Nursing Education Grant of $26,000 from the U.S. Centers for Medicare and Medicaid Services, was developed by UA nursing professors Rene Love, PhD, DNP; Jane Carrington, PhD, RN. It was, and apparently still is, the first and only telehealth education program designed for student nurses pursuing doctor of nursing practice degrees, despite the fact that more than half of U.S. hospitals have telemedicine programs, and their numbers continue to grow. 

Lacie Ampadu presenting from the THealth Institute in Phoenix, and Alyssa Padilla, MPH (insert) facilitating the webinar from ATP  in Tucscon.

Over the last eight years, the Arizona Telemedicine Program (ATP) and its subsidiary, the Southwest Telehealth Resource Center (SWTRC) have generated and hosted 100 webinars, covering a wide range of current health topics presented by subject matter experts that have reached thousands of interested viewers. 

We produced our 100th webinar, "How to Get the 'Tele' in Telegenetics," on May 2nd, one week ago today.

Telemedicine, which enables health professionals to provide treatment to patients remotely, is especially useful in rural areas, where people are distanced from healthcare facilities. It can also play a considerable role during natural disasters when professionals cannot reach affected areas or must operate outside of traditional medical settings.

But because of the nature of the platform — and the technology used — telemedicine is susceptible to outside attacks, particularly cyberattacks. Communication and digital exchanges are often done via the open internet. A patient will have a live video chat with a health professional via a mobile app, for instance. That feed and any data from the exchange is vulnerable to snooping or outright theft, especially if one of the parties is using an unsecured network connection.

Living with a mental illness can be isolating and difficult. The long-standing stigma connected with mental illness, along with limited treatment accessibility, patients’ fear of the potential repercussions of family, friends, and employers finding out about their condition, have kept many individuals from seeking the support they need. Fortunately, these trends are starting to shift in a more positive direction.

Although some stigma and shame still surround such illnesses as depression, anxiety, OCD, and bipolar disorder, people are beginning to feel more comfortable about sharing their own struggles and finding support from others online. Telehealth and an interconnected world are coming together to end stigma, and help people manage their mental health in a more effective way.

Students at Universidad Mayor in Chile learn benefits and risks of using simulation for dentistry.

Phase One: Using Simulation Labs to Teach Future Telehealth Providers

For 15 years, I was a home hospice nurse who went out on emergency nighttime visits to patients who were experiencing symptoms that terrified their family. The travel distance added to the anxiety and suffering of family and patients. I always thought that just because a family chooses to live in a rural area, they should not have to accept suffering as “the price they have to pay.”

Since then, I have focused on enabling the provision of healthcare services to patients who choose to live in the beauty of a rural environment.  Using telehealth technology to rapidly view, assess and improve a patient’s situation has been foremost in my program of research.

 I know I do not have to describe the explosion of telehealth during the last 15 years to readers of this blog. In my telehealth experience, I have gone from home hospice organizations, thinking that I was suggesting a cold and unfeeling method of providing end-of-life care, to a Global University interest in me sharing my telehealth expertise as an international Fulbright Specialist.  

For medical students with the University of Arizona College of Medicine – Tucson, weeks of suspense will end on March 15. Otherwise known as Match Day, it’s the day the students will learn where they will go for their residency training, in their chosen medical field, after they graduate from medical school in May.

Sarah Joy Ring, who has completed the College of Medicine – Tucson’s Rural Health Professions Program and a 16-week Rural Health Distinction Track, is hoping for a residency focused on both pediatrics and emergency medicine, potentially in a rural location.  Her “capstone” paper, an in-depth research project that all Distinction Track students are expected to complete, carries the impressive title of “A Survey of Rural Emergency Medicine and the Discrepancy of Care for Pediatric Patients that Present to Rural Emergency Departments.”

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