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Abbreviation | CTeL |
---|---|
Formation | 1995 |
Type | non-profit organization |
Purpose | overcome legal and regulatory barriers of telehealth and e-health services |
The Center for Telehealth & E-Health Law (CTeL), established in 1995 by a consortium including the Mayo Foundation, Cleveland Clinic Foundation, Texas Children's Hospital, and the Mid-West Rural Telemedicine Consortium, is a non-profit organization committed to overcoming legal and regulatory barriers to the utilization of telehealth and related e-health services. [1] CTeL, based in Washington, D.C., specializes in compiling, analyzing and disseminating information on legal and regulatory issues information associated with telemedicine and digital health, including artificial intelligence. It also handles underlying issues such as licensure, privacy and security, mental and behavioral health, and reimbursement.
CTeL briefs public policymakers, sponsors and funds research reports, and provides testimony in support of telehealth and the advancement of digital health. CTeL supports the expansion of telehealth and digital health services to improve patient safety and access to services.
CTeL offers a variety of services, including involvement in public policy, research, event coordination, education, and collaboration. Recently, CTeL launced regional chapters and an AI Blue Ribbon Collaborative. The AI Blue Ribbon Collaborative is a pioneering initiative that assembles a distinguished panel of experts to act as an independent resource for clinical and legal questions regarding the use of AI.
CTeL also offers a Policy Research Fellowship. The CTeL Policy Research Fellowship is a prestigious, multidisciplinary program designed for emerging leaders and scholars who are passionate about shaping the future of telehealth through innovative research and policy analysis. This fellowship offers a unique opportunity to engage in cutting-edge research at the intersection of legal, regulatory, policy, and data science, with the goal of advancing telehealth practices and policies on a national and global scale. Fellows will delve into the complex legal and regulatory frameworks that govern telehealth, exploring key issues such as licensure, reimbursement, privacy, and interstate practice. The program also emphasizes policy development, offering fellows the chance to contribute to the creation of policies that enhance access to and the quality of telehealth services. Additionally, fellows will leverage data science to analyze trends, outcomes, and the impact of telehealth on public health, providing evidence-based insights to inform decision-making.
In 2004, CTeL was recognized by the United States Department of Commerce: "[The] progress there has been in resolving such issues can be attributed to a very recent and concentrated effort by such stakeholders as... Center for Telemedicine Law, and the Office for the Advancement of Telehealth (OAT), within the Department of Health and Human Services (HHS)." – Innovation, Demand, & Investment in Telehealth, US Commerce Department, Feb. 2004.
Telehealth is the distribution of health-related services and information via electronic information and telecommunication technologies. It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, monitoring, and remote admissions. Telemedicine is sometimes used as a synonym, or is used in a more limited sense to describe remote clinical services, such as diagnosis and monitoring. When rural settings, lack of transport, a lack of mobility, conditions due to outbreaks, epidemics or pandemics, decreased funding, or a lack of staff restrict access to care, telehealth may bridge the gap as well as provide distance-learning; meetings, supervision, and presentations between practitioners; online information and health data management and healthcare system integration. Telehealth could include two clinicians discussing a case over video conference; a robotic surgery occurring through remote access; physical therapy done via digital monitoring instruments, live feed and application combinations; tests being forwarded between facilities for interpretation by a higher specialist; home monitoring through continuous sending of patient health data; client to practitioner online conference; or even videophone interpretation during a consult.
eHealth describes healthcare services which are supported by digital processes, communication or technology such as electronic prescribing, Telehealth, or Electronic Health Records (EHRs). The use of electronic processes in healthcare dated back to at least the 1990s. Usage of the term varies as it covers not just "Internet medicine" as it was conceived during that time, but also "virtually everything related to computers and medicine". A study in 2005 found 51 unique definitions. Some argue that it is interchangeable with health informatics with a broad definition covering electronic/digital processes in health while others use it in the narrower sense of healthcare practice using the Internet. It can also include health applications and links on mobile phones, referred to as mHealth or m-Health. Key components of eHealth include electronic health records (EHRs), telemedicine, health information exchange, mobile health applications, wearable devices, and online health information. These technologies enable healthcare providers, patients, and other stakeholders to access, manage, and exchange health information more effectively, leading to improved communication, decision-making, and overall healthcare outcomes.
Telenursing refers to the use of information technology in the provision of nursing services whenever physical distance exists between patient and nurse, or between any number of nurses. As a field, it is part of telemedicine, and has many points of contacts with other medical and non-medical applications, such as telediagnosis, teleconsultation, and telemonitoring. The field, however, is still being developed as the information on telenursing isn't comprehensive enough.
Teleradiology is the transmission of radiological patient images from procedures such as x-rays photographs, Computed tomography (CT), and MRI imaging, from one location to another for the purposes of sharing studies with other radiologists and physicians. Teleradiology allows radiologists to provide services without actually having to be at the location of the patient. This is particularly important when a sub-specialist such as an MRI radiologist, neuroradiologist, pediatric radiologist, or musculoskeletal radiologist is needed, since these professionals are generally only located in large metropolitan areas working during daytime hours. Teleradiology allows for specialists to be available at all times.
Health technology is defined by the World Health Organization as the "application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures, and systems developed to solve a health problem and improve quality of lives". This includes pharmaceuticals, devices, procedures, and organizational systems used in the healthcare industry, as well as computer-supported information systems. In the United States, these technologies involve standardized physical objects, as well as traditional and designed social means and methods to treat or care for patients.
Telerehabilitation (or e-rehabilitation is the delivery of rehabilitation services over telecommunication networks and the internet. Telerehabilitation allows patients to interact with providers remotely and can be used both to assess patients and to deliver therapy. Fields of medicine that utilize telerehabilitation include: physical therapy, occupational therapy, speech-language pathology, audiology, and psychology. Therapy sessions can be individual or community-based. Types of therapy available include motor training exercises, speech therapy, virtual reality, robotic therapy, goal setting, and group exercise.
The American Telemedicine Association (ATA), established in 1993, is a non-profit organization whose goal is to promote access to medical care for consumers and health professionals via telecommunications technology. Membership in the American Telemedicine Association is open to individuals, companies, and other healthcare and technology organizations.
Telepsychiatry or telemental health refers to the use of telecommunications technology to deliver psychiatric care remotely for people with mental health conditions. It is a branch of telemedicine.
Amar Gupta is an Indian computer scientist based in the United States. Gupta has worked in academics, private companies, and international organizations in positions that involved analysis and leveraging of opportunities at the intersection of technology and business, as well as the design, development, and implementation of prototype systems that led to widespread adoption of new techniques and technologies.
Home automation for the elderly and disabled focuses on making it possible for older adults and people with disabilities to remain at home, safe and comfortable. Home automation is becoming a viable option for older adults and people with disabilities who would prefer to stay in the comfort of their homes rather than move to a healthcare facility. This field uses much of the same technology and equipment as home automation for security, entertainment, and energy conservation but tailors it towards old people and people with disabilities.
Connected health is a socio-technical model for healthcare management and delivery by using technology to provide healthcare services remotely. Connected health, also known as technology enabled care (TEC) aims to maximize healthcare resources and provide increased, flexible opportunities for consumers to engage with clinicians and better self-manage their care. It uses readily available consumer technologies to deliver patient care outside of the hospital or doctor's office. Connected health encompasses programs in telehealth, remote care, and disease and lifestyle management. It often leverages existing technologies, such as connected devices using cellular networks, and is associated with efforts to improve chronic care. However, there is an increasing blur between software capabilities and healthcare needs whereby technologists are now providing the solutions to support consumer wellness and provide the connectivity between patient data, information and decisions. This calls for new techniques to guide Connected Health solutions such as "design thinking" to support software developers in clearly identifying healthcare requirements, and extend and enrich traditional software requirements gathering techniques.
Digital health is a discipline that includes digital care programs, technologies with health, healthcare, living, and society to enhance the efficiency of healthcare delivery and to make medicine more personalized and precise. It uses information and communication technologies to facilitate understanding of health problems and challenges faced by people receiving medical treatment and social prescribing in more personalised and precise ways. The definitions of digital health and its remits overlap in many ways with those of health and medical informatics.
Telepharmacy is the delivery of pharmaceutical care via telecommunications to patients in locations where they may not have direct contact with a pharmacist. It is an instance of the wider phenomenon of telemedicine, as implemented in the field of pharmacy. Telepharmacy services include drug therapy monitoring, patient counseling, prior authorization and refill authorization for prescription drugs, and monitoring of formulary compliance with the aid of teleconferencing or videoconferencing. Remote dispensing of medications by automated packaging and labeling systems can also be thought of as an instance of telepharmacy. Telepharmacy services can be delivered at retail pharmacy sites or through hospitals, nursing homes, or other medical care facilities.
Teladoc Health, Inc. is a multinational telemedicine and virtual healthcare company headquartered in the United States. Primary services include telehealth, medical opinions, AI and analytics, telehealth devices and licensable platform services. In particular, Teladoc Health uses telephone and videoconferencing software as well as mobile apps to provide on-demand remote medical care.
Mental health informatics is a branch of health or clinical informatics focused on the use of information technology (IT) and information to improve mental health. Like health informatics, mental health informatics is a multidisciplinary field that promotes care delivery, research and education as well as the technology and methodologies required to implement it.
Limor Shmerling Magazanik is a thought leader in digital technology policy, ethics and regulation. She is an expert in data governance, privacy, AI ethics and cybersecurity policy. Since November 2018, she has been the managing director of the Israel Tech Policy Institute (ITPI) and a senior fellow at the Future of Privacy Forum. She is a visiting scholar at the Duke University Sanford School of Public Policy. Previously, for 10 years, she was director at the Israeli Privacy Protection Authority and an adjunct lecturer at the Hebrew University of Jerusalem Faculty of Law and the Interdisciplinary Center Herzliya School of Law and a research advisor at the Milken Innovation Center. Her background also includes positions in the private sector, law firms and high-tech industry. She has promoted policy initiatives in various technology sectors and has been an advocate for compliance with data protection and privacy by design.
Elizabeth Anne Krupinski is a Professor and Vice Chair for Research of Radiology & Imaging Sciences at Emory University. She works on the perception of medical images and decision-making. Dr. Krupinski is a Fellow of SPIE, Fellow of the Society Imaging Informatics in Medicine, Fellow of the American Telemedicine Association(ATA) and Fellow of the American Institute for Medical & Biological Engineering (AIMBE). She has previously served as Chair for the SPIE Medical Imaging Conference, Chair of SIIM, President of the American Telemedicine Association, President of the Medical Image Perception Society and Vice President of the Society for Education and the Advancement of Research in Connected Health.
Doxy.me is a web-based telemedicine platform designed specifically for healthcare providers to conduct video consultations with patients. Doxy.me is known for its simplicity and ease of use.
This list of telemedicine services providers is for notable telemedicine, telehealth, and mobile health providers and services. This includes virtual care facilities for remote care, services or platforms used for specific steps within the healthcare industry, and clinical navigation.
Before the COVID-19 pandemic, telehealth adoption was gradually increasing. With the outbreak of COVID-19 in early 2020, healthcare professionals reduced in-person visits to minimize exposure. This led to an increase in the use of telemedicine. with a concomitant increase in publications.. Telehealth has since remained widely utilized in healthcare services.