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Maui DOH/Maui AgeWave Update
In
2009 the Department of Health (DOH) Maui Office, launched a
pilot project designed to enhance services provided to home
bound/medically frail elderly. The project utilizes the
HIPAA Compliant, web-based Interactive
Care platform to allow real time communications between
patients and DOH Public Health Nurses.
Forty-eight visits were conducted under the study which
concluded in May 2010. Anecdotal observations were
that patients were generally receptive to the use of
telecare and the project generally showed the holistic value
of the system during
patient observations via the two-way audio/visual
internet-based system.
We have found broadband connectivity throughout the islands
to be generally adequate, which allowed for high quality
visits in most cases. However, some remote areas did not
have significant bandwidth to be dependable on all occasions
for these visits. Public health nurses are able to do
things like track the healing of a wound, obtain blood
pressure readings, assist patients fill his/her pillbox,
assess mobility/balance, real-time observations of diabetic
patients including glucose testing, insulin pen settings
and insulin injection techniques by the patient.
During this pilot, the virtual visits were done in addition
to the regular visits of the DOH Public Health Nurses.
Both the
nurses and the patients have made positive comments about
their participation in the project.
Patients receptive to telehealth services
Three fourths of American consumers would use telehealth
services to track their conditions and vital signs, and half
are willing to seek healthcare through the Internet or other
computer technology in place of a face-to-face visit during
non emergencies, according to a study by the Health Research
Institute of PricewaterhouseCoopers LLP. The survey also
found that more than one third of responders would consider
alternate appointment methods such as a worksite clinic or
retail clinic, and more than one fourth of consumers would
participate in shared medical appointments, if it meant
keeping their medical care costs from going up.
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