Clinical telehealth

istock_000004458607smallUM TeleHealth supports the development and delivery of clinical telehealth services and infrastructure. Collectively, our team has nearly 50 years’ experience in telehealth, which is brought to bear in providing the requisite functions for enabling clinical telehealth encounters. We maintain a clinical telehealth suite in the Professional Arts Center (PAC), which has specially equipped consultation rooms and a conference room. We develop and maintain standard operating procedures for telehealth, work with clinical and research departments in developing clinical telehealth contracts and grant applications, and schedule and coordinate telehealth sessions. Our technical team supports our PAC Telehealth facilities and assists with design, support, and troubleshooting other videoconferencing facilities throughout the UM Miller School of Medicine campus and offsite affiliates. UM TeleHealth provides both real-time and store-and-forward telehealth encounters with UM’s world-class physicians in multiple specialties.

There are several categories of clinical telehealth applications:

  • Teleconsultation is the classical model of what people might ordinarily classify as telemedicine. This application of telehealth involves a physician or subspecialist consultant at a center of medical expertise providing a diagnosis and treatment plan based on conducting a remote interactive patient examination and interview or reviewing data from a deferred (store-and-forward) encounter. Occasionally, the encounter may be physician-to-physician consultation or rendering second opinion services.
  • Telecare is the use of telehealth to directly communicate with a patient and/or care giver in situ (e.g. home care, wound care, disease management), electronically monitor physiologic data, follow up on problems related to a known diagnosis, ascertain compliance with treatment plans, and/or patient education.
  • Multidisciplinary clinical collaboration – includes subspecialists at multiple locations collaborating on single case or groups of cases. A good example of this application would be a tele- or virtual tumor board that involves oncology, radiation oncology, hematology, pathology, immunology, among other specialties. Another example would be physician-to-specialist collaboration.