What do you see as the most likely barriers to the success of telemedicine in the areas of radiology, behavioral health and intensive care?

Most likely barriers to the success of telemedicine – For this assignment you will read the Case Study brief below and write a 3 page paper including a brief abstract page that is APA style formatted, on these questions.

Barriers to the success of telemedicine Questions:

1. What do you see as the most likely barriers to the success of telemedicine in the areas of radiology, behavioral health and intensive care? Which of these areas do you think would be the easiest to transition into telemedicine? Which would be the hardest? Why.
2. If you were charged by Grand to bring telemedicine to the facility within eighteen months, what are the first steps you would take? Whom would you involve in the planning process and why?
3. How would you go about conducting a needs assessment for the organization? Which parameters or system requirements would be most important to include in the needs assessment and why?

Please use the Paper Template that is provided to you. Also provided are additional resources for your convenience. Your paper must contain at least 3 references, the book for the course being one of them, the link to the book is below it is password and username protected.

Book Link:  https://ereader.chegg.com/#/books/EGG9781449648008

Most likely barriers to the success of telemedicine Case Study Brief

Background Information:

Grand Hospital is located in a somewhat rural area of the midwest. It is a 209-bed, community, not-for-profit entity offering a broad range of inpatient and outpatient services, employing approximately 1,600 individuals (1,250 full-time equivalent personnel) and having a medical staff of more than 225 practitioners. Grand has an annual operating budget that exceeds $130 million, possesses net assets of more than $150 million, and is one of only a small number of organizations in this market with an A credit rating from Moody’s, Standard & Poor’s and Fitch Ratings. Operating in a remarkably competitive market (there are roughly 100 hospitals within seventy-five minutes’ driving time of Grand), the organization is one of the few in the region – proprietary or not-for-profit – that have consistently realized positive operating margins. Grand attends on an annual basis to the healthcare needs of more than 11,000 inpatients and 160,000 outpatients, addressing more than 36 percent of its primary service area’s consumption of hospital services. In expansion mode and currently in the midst of $57 million in construction and renovation projects, the hospital is struggling to recruit physicians, both to meet the healthcare needs of the expanding population of the service area and to succeed retiring physicians.

Grand has been an early adopter of healthcare information systems and currently employs a robust, proprietary healthcare information system that provides the following (among other components):

• Patient registration and revenue management
• Electronic health records with computerized physician order entry
• Imaging via a PACS
• Laboratory management
• Pharmacy management

Information Systems Challenge:

Since 1995, Grand Hospital has transitioned from being an institution that consistently received many more inquiries than could be accommodated concerning physician practice opportunities, to a hospital at which the average age of the medical staff has increased by eight years. There is a widespread perception among physicians that because of such factors as high malpractice insurance costs, an absence of substantive tort reform, and the comparatively unfavorable rates of reimbursement being paid physician specialists by the region’s major health insurer, this region constitutes a “physician unfriendly” venue in which to establish a practice. Consequently, a need exists for Grand to investigate and evaluate creative approaches to enhancing its physician coverage for certain specialty services. These potential approaches include the effective implementation of information technology solutions.

The findings and conclusions of a medical staff development plan, which has been endorsed and accepted by Grand’s medical executive committee and board of trustees, have indicated that because of the needs and circumstances specific to the institution, the first areas of medical practice on which Grand should focus in approaching this challenge are radiology, behavioral health crisis intervention services, and intensive care physician services. In the area of radiology, Grand needs qualified and appropriately credentialed radiologists available to interpret studies 24 hours per day, 7 days per week. Similarly, it needs qualified and voluntary medical staff to attend to the needs of patients admitted by staff members such as some ED personnel. It also needs to have intensive care physicians available around the clock to assist in assessing and treating patients during times when members of the voluntary attending staff are not present within or immediately available to the intensive care unit.

The leadership at Grand Hospital is investigating the potential application of telemedicine technologies to address the organization’s need for enhanced physician coverage in radiology, behavioral health and critical care medicine.

Most likely barriers to the success of telemedicine Template

Insert the Title of Your Paper Here on the Upper Half of Title Page

Insert Your Name Here

National University

Insert due date of paper here

Abstract

The abstract provides a brief, comprehensive summary of the paper.  Abstracts should not exceed 120 words, unless otherwise stated, and should note the major ideas of the paper.  The abstract appears on a page by itself, (page 2), with title Abstract, as shown above, centered on the first line of the page and is not bolded.  Unlike all other paragraphs in the research paper, it is not indented.  The Abstract should be one long paragraph with no indentations.

Insert the Title of Your Paper Here Again (centered, exactly as on title page, not bolded)

Begin the first paragraph of the body of your paper here (indented).   Introduce your reader to your topic and why you are writing about it.  The introduction does not need the heading Introduction to label it due to its location in the paper.  When writing a research paper, you should strive to write in the third person.  Avoid using words like I, or this researcher will.  Relative to formatting, APA dictates that there are now two spaces after punctuation marks at the end of sentences.  All text in your paper from beginning to end, including the References page, should be double-spaced.  Set your margins to one inch all around.

Beginning on your title page, double click in the header to place an abbreviated title of your paper in all capital letters.  This is called the Running head and should be flush left with the margin.  Then using the page insert function, insert your page numbers starting page 1 on the title page, located at the upper right margin.  Your page numbers will automatically fall in proper order.

Insert a New Major Heading Here (bolded)

This is where you will continue the body of your paper, citing some background or history on the subject you have chosen for your paper.  Titles that are centered and bolded are called Level I Headings.  You will most likely need to use subheadings like the one below, to indicate that you are changing the focus of your discussion.  It is not APA compliant to underline headings, or any other text for that matter, so do not underline any text anywhere.  Also, do not use any colors anywhere in your paper, just plain black and white.  Some templates use colors and blocks around page numbers.  This is not APA compliant. 

 Level Two Heading (subheading)

As above, subheadings are left justified (not indented) and they need to be in upper and lower case letters and bolded.  Do not underline headings.  Each main word is capitalized.  Throughout your entire paper use 12-point font, either Times New Roman or Arial only (although others might be easy to read or look pretty, nothing else is acceptable).  Make sure your entire paper is left justified (align text left), not center justified (center text).  Center justified text stretches text out evenly across the page, but is not APA compliant.

In Text Citations

In-text citations are required in your paper and must be APA compliant relative to formatting.  If you are not familiar with how to format in-text citations, refer to your APA Publication Manual to appropriately cite references in your text.  Do not use URL’s as in-text citations.  URL’s should only be used in your References page to indicate where you retrieved information.

Conclusion

Conclude your paper by briefly summarizing what you have already said throughout your paper.  This is where it would be appropriate to cite your opinions or to talk about what you learned about the topic you have researched and written about.  The References page should be on a page by itself.  What that means, is regardless of where your Conclusion ends, always start your References page on a new page, and type the word References, centered, not bolded, on the very first line.  Do not use the words Resources, Reference (singular), Works Cited, etc.  Use References.

most likely barriers to the success of telemedicine References

American Psychological Association. (2009).  Publication manual of the American Psychological Association (6^th ed.). Washington, DC: Author.

Cohen, L., Chávez, V., & Chehimi, S. (2007). Prevention is primary: Strategies for community well-being. San Francisco: Jossey-Bass.

Schneiderman, N., Speers, M. A., Silva, J. M., Tomes, H., & Gentry, J. H. (Eds.). (2001). Integrating behavioral and social sciences with public health. Washington, DC: American Psychological Association.

NOTE: Your reference page is always last and begins on a new separate page like this.  The title is just as you see it above.  The following applies:

• All references are double spaced like the rest of your paper with the first line flush left with the margin and all lines after the first line (of each individual reference) is indented as above.  This is also referred to as a hanging indent.
• There are specific components for each of the various types of references used, (books, journals, magazines, websites, etc.) depending on the type of reference you are listing.  Check the APA Publication Manual to make sure you include all the appropriate components for your references.
• All references must be alphabetized A to Z, regardless of type of reference.  See your APA Publication Manual for examples.
• If you cite a reference in the body of the text of your paper, the reference must be listed on this page and vice versa.  If you have a reference listed here, make sure you have cited it in your paper somewhere.