# data[].attributes.attachment_link.title
THE FUTURE OF HEALTHCARE IS HERE (OnMed Stations)

# data[].attributes.body
Walgreens Pharmacy   Online Services

# data[].attributes.attachment_link.readable_text
©Johnson & Johnson Services, Inc. 2019. This site is published by Johnson & Johnson Services, Inc., which is solely responsible for its contents. This site is intended for U.S. residents only. Links on this site may take you to a website where our Privacy Policy does not apply. We encourage you to read the Privacy Policy of every website you visit. Date modified: 09/27/2019

# data[].attributes.attachment_link.description
©Johnson & Johnson Services, Inc. 2019. This site is published by Johnson & Johnson Services, Inc., which is solely responsible for its contents. This site is intended for U.S. residents only. Links on this site may take you to a website where our Privacy Policy does not apply.

# data[].attributes.body
Would you be interested in working in the telenursing field at some point in your career?

like = yes // dislike = no
comment = unsure

# data[].attributes.attachment_link.provider_name
American Academy of Ambulatory Care Nursing

# data[].attributes.attachment_link.readable_text
As the nurse's role in telehealth has increased in breadth and scope, the need for practice standards emerged. In 1997, the American Academy of Ambulatory Care Nursing published the firstTelehealth Nursing Practice Administration and Practice Standards to articulate expectations for nurses engaged in telehealth practice, and has published revised versions on a regular basis.
AAACN also recognized the void of formal education programs for the nurse involved in giving patient care via the telephone.

They organized and financially supported a team of telehealth nurses to develop the Telehealth Nursing Practice Core Course.

Additionally, an active AAACN special interest group exists that address professional issues and educational needs of nurses engaged in telephone practice.

The American Nurses Association has sponsored the formation of the Nursing Organization Telehealth Committee which serves as a forum for groups involved in telehealth practice to address emerging issues from a multidisciplinary perspective.

Both AAACN and ANA recognize the professional nurse (RN) as the appropriate provider of telehealth nursing services. The application of the nursing process when providing patient care has always pointed to a professional nurse practice.

This course supports and maintains that the nursing process is clearly demonstrated by the RN providing patient care via the telephone.
Join AAACN NOW to receive member rates on our telehealth nursing resources. Listed below are a number of the telehealth nursing resources available from AAACN. Read more about them:
Telemedicine: Lessons Learned Articles

Added: October 17, 2016 - AAACN member and past president Traci Haynes, MSN, RN, BA, CEN, wrote the feature article "Telehealth Nursing Practice" in the October issue of AnswerStat.

Health advice has been telephonically dispensed since the advent of the telephone. An often-told story identifies the first telehealth interaction occurring when Alexander Graham Bell placed a call to Mr. Watson, his assistant, requesting Watson to come help him with an injury to his hand.

Today, in our ever-changing healthcare environment coupled with... Read the full article.

Added: October 22, 2015 - Member Kathy Koehne, DNP, RN-BC, C-TNP, AAACN's representative to the American Academy of Pediatrics (AAP) Section on Telehealth Care (SOTC) has written an article titled Telemedicine: Lessons Learned that appeared in the Fall 2015 issue of the Section on Telehealth Care newsletter.

The article focuses on the ongoing development of a telemedicine program within a health system. The lessons learned pertain to all staff along this care delivery continuum. Direct care nurses and ambulatory nurse leaders will find valuable takeaways from this story --the implementation of a telemedicine grant.
Read the article
A formalized program can ensure competencies, reduce inefficiencies, and overall, improve the quality of this mode of care delivery.

Results of 2014 Telehealth

In order to better serve our members, AAACN conducted a survey in May, 2014 to determine the current state of telehealth nursing practice and to identify the anticipated challenges and the ways in which AAACN can meet the telehealth nursing practice needs of our members.

The Telehealth Nursing Practice survey was sent electronically to 2298 members, of which 381 (17%) responded. According to the survey response, the majority (79%) of telehealth nursing practice takes place in four settings: Academic Health Systems, Group Practice/Health centers, Managed Care/HMO/PPO's, and the VA. Other settings (21%) include: Public health/Community health, free standing call centers, University, Military, and ambulatory surgery centers.

Responses suggest growth in the use of online patient portals and secure message exchange as 70.4% and 64.8% of organizations (respectively) are thinking about using these modalities. View additional highlights of the survey.

AAACN plans to use the information to support current practice and to help our members meet the challenges of the future. Thank-you to those who participated by sharing their valuable expertise and experience with AAACN.

Deb Cox, MS, RN, Treasurer
Liz Greenberg, Liz Greenberg, PhD, RN-BC, C-TNP, CNE, Director
Suzi Wells, MSN, RN, Immediate Past President

Other Telehealth Education
Visit the Online Library
Sessions from the special telehealth track offered at our annual conferences and Webinar recordings are available in our Online Library.

An easy way to locate the telehealth education in the library is to use the "Browse Resources" box in the lower left margin, or search "telehealth" using the search feature.

The Nurse Licensure Compact (NLC)

The Nurse Licensure Compact advances public protection and access to care through the mutual recognition of one state-based license that is enforced locally and recognized nationally. If you are a Registered Nurse practicing in states that are considering joining the Compact, it is imperative that you understand the Compact and how it will benefit the practice of nursing.

Get access to the latest NLC information via this AAACN News Item.

# data[].attributes.attachment_link.description
As the nurse's role in telehealth has increased in breadth and scope, the need for practice standards emerged. In 1997, the American Academy of Ambulatory Care Nursing published the firstTelehealth Nursing Practice Administration and Practice Standards to articulate expectations for nurses engaged in telehealth practice, and has published revised versions on a regular basis.

# data[].attributes.body
t h a n k s  f o r  l i s t e n i n g !

# data[].attributes.attachment_link.readable_text
Two-and-a-half years after the partnership launched, the affiliation between Tallahassee Memorial HealthCare (TMH) and Wolfson Children's Hospital continues to grow as it enters its next phase with the establishment of the Tallahassee Memorial Children's Emergency Center, located on the second floor of the Tallahassee Memorial Emergency Center - Northeast. Since opening in 2013, the Emergency Center - Northeast, located at Thomasville Road and I-10, has grown to care for more than 10,000 pediatric patients annually.

"With a dedicated children's entrance and waiting area with an iPad bar, the Emergency Center - Northeast was already more kid-friendly than many ERs," shared Mark O'Bryant, President & CEO of Tallahassee Memorial HealthCare. "By teaming up with Wolfson Children's Hospital, we have expanded the pediatric training of our clinical team, added new child-approved design elements and incorporated telemedicine with the medical team in Jacksonville."

Telemedicine, the use of telecommunication and information technology to provide clinical healthcare from a distance, is a valuable tool for the board-certified emergency medicine physicians at TMH to collaborate with the board-certified pediatric emergency medicine physicians at Wolfson Children's, 24/7. This technology helps both organizations provide world-class patient care close to home in a modern, convenient and safe way. Unlike Skype or other communication platforms, telemedicine applications are HIPAA-compliant to protect patient privacy.

"Children of all ages really benefit when we all work together as a team," said Michael Aubin, President of Wolfson Children's Hospital. "With the launch of this new Children's Emergency Center, we are combining the exceptional pediatric care TMH already provides with the implementation of pediatric protocols available at Wolfson Children's Hospital to further enhance these services. Bringing our clinical and technological strengths together also means a better patient and family experience."

In addition to the utilization of telemedicine and the new kid-friendly design of the rooms, the nursing staff at the new Tallahassee Memorial Children's Emergency Center plays a critical role in the specialized emergency care offered to pediatric patients. While it has always been a requirement for nurses at the Emergency Center - Northeast to keep a current Pediatric Advanced Life Support (PALS) and/or Emergency Nursing Pediatric Course (ENPC) certification - with this new children's emergency center comes the need for further specialization and education.

"At the Emergency Center - Northeast, we already required our clinical team to have general pediatric training," explained Kyrie Stewart, DNP, Director of Operations, Tallahassee Memorial Emergency Center - Northeast. "With the additional specialty training and ongoing continuing education opportunities available through Wolfson Children's Hospital, the children in our community now have a dedicated team to meet their emergent healthcare needs."

With this new partnership, nurses are now required to go through a Neonatal Resuscitation Program (NRP), S.T.A.B.L.E classes - a neonatal education program to focus exclusively on the post-resuscitation/pre-transport stabilization care of sick infants - and continued education with the Emergency Nursing Pediatric Course (ENPC). Additionally, nurses with little or no pediatric experience are required to spend time in the Tallahassee Memorial Children's Center in the main hospital to learn more from the highly-skilled pediatric nursing team. The Children's Emergency Center team will also have its own Certified Child Life Specialist - a specialist who helps children and families cope with the stress and uncertainty of acute illness, injury or trauma.

"With the help of innovative technology solutions, via telehealth (telePedEM), our Jacksonville-based pediatric emergency medicine specialists with Emergency Resources Group (ERG) are able to aid in the treatment of children and offer their expertise to the patients, family and the local care team in the most concerning of times," said Matthew Rill, MD, CEO of ERG. "The utilization of our telePedEM program enhances the on-site pediatric staff in their ability to treat these young patients. Telemedicine will enable our pediatric emergency medicine providers to project their specialized knowledge and skill set beyond the walls of Wolfson Children's Hospital of Jacksonville and raise the bar for pediatric emergency medicine in the Tallahassee region."

Board-certified emergency medicine physicians, and other emergency-trained caregivers who provide care at the Tallahassee Memorial Emergency Center - Northeast, are collaborating with Wolfson Children's Hospital to implement evidence-based pediatric protocols in emergency care, pediatric pharmacological dosage and pediatric radiology.

In addition, the two not-for-profit healthcare providers will host quarterly continuing education opportunities for local physicians, nurses and others to update them on advances in pediatric emergency care. As part of the partnership, pediatric critical care specialists on the Kids Kare Mobile ICU team and Wolfson Children's pediatric trauma and emergency care providers will also offer training opportunities.

# data[].attributes.attachment_link.description
Two-and-a-half years after the partnership launched, the affiliation between Tallahassee Memorial HealthCare (TMH) and Wolfson Children's Hospital continues to grow as it enters its next phase with the establishment of the Tallahassee Memorial Children's Emergency Center, located on the second floor of the Tallahassee Memorial Emergency Center - Northeast.

# data[].attributes.body
trending: #telehealth

# data[].attributes.body
d i s c u s s i o n  q u e s t i o n s

# data[].attributes.body
e x t r a  l i n k s

# data[].attributes.body
s o c i a l  m e d i a

# data[].attributes.body
v i d e o

# data[].attributes.body
p r e s e n t a t i o n  &  p a p e r

# data[].attributes.attachment_link.readable_text
Integrating specific objectives into the workflow. Instead of conducting telehealth sessions without any stated purpose, specific disease management questions are integrated at specific points in the telehealth process. For example, there are points in the care process when the telehealth nurses will ask cancer patients about pain control or diabetic patients about sugar levels.

To ensure that patients continue to adhere to their medication regimens, medication management is purposefully integrated into the telehealth nurses' workflow. For example, on Tuesdays, the telehealth nurses focus on medication management by asking a series of specific questions about the patients' medication compliance. On Wednesdays, the nurses follow up to make sure the patients took action on any gaps that were identified the previous day. And on Thursdays, the nurses work with the patients to ensure that they are prepared to stay in compliance with the medications over the weekend.

"With this predesigned workflow, we can optimally staff each day because we have a better idea of what our needs will be," Hornbeck says.

Making sure all staff work at the top of their licenses. To optimize the cost-effectiveness of this initiative, MultiCare is striving to ensure that all staff members are being used as efficiently and thoroughly as possible.

"With every task, we ask, 'Is that staff member practicing at the top of their license?' " Gariando says. "So, if an RN is doing something that an LPN could do, we make sure the LPN starts doing it. If an LPN is doing something that a tech could do, we make sure the tech starts doing it. As a result, we have hired a lot more techs and are decreasing our costs."

By strategically expanding the telehealth program, MultiCare expects to continue to improve care, reduce readmissions, and enhance patient satisfaction, all while reducing costs.

"We are leveraging the telehealth as much as we can and expect that we will be able to stay on the right path toward improved care outcomes and decreased costs by engaging patients more intimately in their own care. Our goal is not only to expand this program within MultiCare, but to share what we have done and the best practices we have identified with other home health agencies so they can experience the similar positive outcomes," Hornbeck concludes.
Results: Reduced hospital readmissions
Just how successful has MultiCare's telehealth program been? Now in its third year of using video technology, the program has been shown to reduce 30-day readmission rates for both heart failure and COPD. For heart failure, the 30-day remote patient monitoring (RPM) readmission rates ( Figure 1) have never exceeded 5.1%, which compares favorably with national CHF 30-day readmission rates of 25% (Hanes, 2015). In addition, when compared to all of MultiCare's heart failure patients, the RPM patients experienced 30-day readmission rates of 3% and 4% compared to 22.38% and 18.70% respectively for the two reporting periods (2016 and January-June, 2017).

For COPD patients participating in the RPM program, 30-day readmission rates have decreased steadily since the program was implemented: 10.7% in 2015, 6.0% in 2016, and 4.0% in January-July 2017. These readmission rates also compare favorably with national COPD hospital readmission rates of 20.2% (Shah, Churpek, Coca Perraillon, & Konetzka, 2015).
Results: Positive patient satisfaction
Patient satisfaction is another area where hospital organizations can demonstrate care delivery improvements that also impact reimbursement levels. A summary of the satisfaction surveys administered in 2017 to RPM patients is shown at left ( Figure 2). For all but one question, 93%-97% of patients answered positively with an "agree" or "strongly agree" response. The highest-rated questions (agree or strongly agree) were for reliability and ease of use of the telehealth equipment (97%) and whether the patient would use the equipment in the future (96%).

MultiCare's RPM program has already resulted in improved patient care, enabling patients to stay in their homes and increasing the efficiency of care delivery by avoiding expensive rehospitalizations. While no formal return-on-investment study has been conducted, an in-house study by MultiCare in 2015 estimated a cost savings of $1.9 million. Further, by lowering its 30-day readmission rates, MultiCare avoids the costly penalties levied by CMS on hospital organizations with unacceptably high readmission rates. Going forward, as MultiCare expands its RPM programs to additional patient populations, it expects to realize similar benefits while continuing to demonstrate the possibility of delivering patient care that is both higher quality and more efficient.
Mitch Work References is president and CEO of The Work Group, Inc., a Chicago-based marketing and market research company. He can be reached at mitch1@workgroupinc.net.
Hanes, E. (2015, May 15). Emerging heart failure strategies improve outcomes and reduce readmissions. Modern Healthcare. Retrieved from http://www.modernhealthcare.com/article/20150501/SPONSORED/150509999

Shah, T., Churpek, M. M., Coca Perraillon, M., & Konetzka, R. T. (2015, May). Understanding why patients with COPD get readmitted: A large national study to delineate the Medicare population for the readmissions penalty expansion. Chest, 147(5), 1219-1226.

Be the Expert! Share this:

# data[].attributes.attachment_link.title
Expanding a Telehealth Program to Serve More Patients - Page 2 of 2 - Patient Safety & Quality Healthcare

# data[].attributes.attachment_link.description
Integrating specific objectives into the workflow. Instead of conducting telehealth sessions without any stated purpose, specific disease management questions are integrated at specific points in the telehealth process.

# data[].attributes.headline
Don't forget to do   your discussion board!            

# data[].attributes.subject
Don't forget to do   your discussion board!            

# data[].attributes.body
1. What do you think are the major challenges for providers and facilities adopting telehealth into their practice? Do you think the benefits would outweigh these challenges?

2.  How would the use of telehealth impact the patient population that you most commonly encounter in your practice?

# data[].attributes.attachment_link.readable_text
Blackboard is configured to use your JU username and password. This is the password that students and instructors use to login to WebAdvisor, Jacksonville University computers, e-mail and many more systems on campus.

Accounts & Enrollment

Accounts are automatically created once a student registers for at least one class for the upcoming semester. If the student does not register for an upcoming semester, the account will automatically be disabled until the student registers.
Please allow at least one full day (24-hour period) after registering for Blackboard to add the courses to the course list.

Supported Web Browsers for Blackboard 9.1 SP 14

In order for students and faculty to have the best experience using JU's Blackboard system, it is important to use one of the web browsers supported by Blackboard. See the currently Supported Web Browsers & Operating Systems.

where you will find the answers to the most Frequently Asked Questions (FAQ) about using Blackboard at Jacksonville University.

Call or visit our Blackboard Support page for assistance 24 X 7 - http://ju.edusupportcenter.com/ Call 844-348-1615

Course Related Problems: You should contact your course instructor for any problems, which are course related - i.e., problems finding course material and resources in the Blackboard course web site. Instructors organize their Blackboard sites differently and choose different settings. It's a good idea to ask your instructors because often the answer is specific to the way they are doing things. It's also important for your instructors to know if you're having a technical problem that may affect your ability to do your assignments.

Platform Related Problems: If you are experiencing any help with Blackboard, you can call 844-348-1615 or visit
http://ju.edusupportcenter.com/ to live chat with someone! Both services are available 24 hours a day / 7 days a week!

This demo course is designed to acquaint students with different features of Blackboard. The demo course will allow you to see how most online courses are designed, how to find information in different content areas and to introduce you to other features of Blackboard. Touring the demo course will allow you to see what taking an online course is like before enrolling in an online program. Be sure to follow the instructions in the demo to become acquainted with both Blackboard and online instruction.

*Be sure to Logout of Blackboard if you are currently logged in with your official JU account.

After logging in, click on the hyperlink on the right hand side of the page called Blackboard Demo Course. This will bring you to the announcements page and simply follow instructions.

You are being provided with copies of copyright material made for educational purposes. These include extracts of copyright works copied under copyright licences. You may not make these materials available to other persons, nor make a further copy for any other purpose. Failure to comply with the terms of this warning may expose you to legal action by a rights owner and/or disciplinary action by the University. By logging into Blackboard you are acknowledging this warning and agreeing to comply with its terms.

© 2013 | Jacksonville University | 2800 University Blvd N | Jacksonville, FL 32211

This site is for use solely by the current employees and students of Jacksonville University. All other use or access is strictly prohibited. Access herein is granted to those current employees and students subject to University Policies, available here, and appropriate US Laws and Regulations. Jacksonville University shall have the right at any time, and without notice, to change, add, delete or discontinue this service. Use of this website also constitutes an understanding that the University may at any time inspect files stored on any of its computing systems without notice.

# data[].attributes.attachment_link.description
Blackboard is configured to use your JU username and password. This is the password that students and instructors use to login to WebAdvisor, Jacksonville University computers, e-mail and many more systems on campus. Accounts & Enrollment Accounts are automatically created once a student registers for at least one class for the upcoming semester.

# data[].attributes.attachment_link.description
Empowering people to live better, happier lives through simple & affordable healthcare.

# data[].attributes.body
PowerPoint

# data[].attributes.body
Topic Summary Paper

# data[].attributes.body
Telehealth at Baptist                   South FL

# data[].attributes.attachment_link.title
Baptist Health South Florida's Telehealth Center