sometimes unnecessary emergency room visits (Radhakrishnan, Xie, Berkley, & Kim, 2016). By making tele-medicine accessible, patients are given the power to feel secure in their home. Radhakrishnan, K., Xie, B., Berkley, A., & Kim, M. (2016). Barriers and Facilitators for Sustainability of Tele-Homecare Programs: A Systematic Review. Health Services Research , 51 (1), 48-75. doi:10.1111/1475- 6773.12327 Show Less Melissa Heath reply to Abelina Maldonado 3/19/2017 2:32:00 PM RE: Part One Hi Abelina, One modality with the ability to achieve the goal of the triple aim in rural areas is the application of telehealth/telemedicine by advanced practice registered nurses (APRNs) in the primary care setting. The Affordable Care Act focuses on the Triple Aim consisting of: reducing healthcare costs, improving patient’s perception of care, and improving
the health of populations (Agency for Healthcare Research & Quality, 2014). APRNS believe telehealth can achieve this triple aim by (Vockley, 2015): Increasing low cost, quality healthcare to the underserved Allowing APRNs to reach and impact more individuals increasing the health of not just individuals but populations Providing individuals greater access to healthcare without taking off work, trying to find transportation, or spending hours in a practitioner’s office Providing simple, on-demand care that promotes proper utilization of care settings Prevention of unnecessary emergency room visits due to inability of scheduling at the clinic setting Increasing revenue for communities that have Critical Access Hospitals (CAHs) as individuals may view that hospital as being competent in providing more acute level care Ability to turn on-call hours for providers into billable time Ability to attract new patients and reduce loss of revenue with no- shows Increase compliance as patients often feel their providers are actively involved in their care and easy to access Increase access to specialists in all areas of the world with ability to view medical records, labs, radiology reports and provide interventions otherwise not accessible Telehealth is considered a successful care modality that allows for quality, affordable care in underserved rural areas. It allows patients to access care in the comfort of their homes or in local clinics empowering self-management. Patients that are diagnosed and treated earlier often have improved outcomes with lower health care costs. Telehealth can support home monitoring programs for chronic disease management that can impact health care by reducing high cost hospital visits or readmissions. Telehealth has the ability to support clinicians in
the obtaining of continuing education. Rural clinicians can consult specialists to address complex patient concerns allowing patients to remain in their community where transportation and cost are concerns.
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