Telemedicine Quality Improvement Study
Telemedicine is a novel field that contributes to the modernized healthcare system we have today, wherein a need exists for further refinement of applied methods and technology that is readily available and economical. Telemedicine (TM) is the modern-day spinoff of a telecommunication system that has roots back to the early 1900s. The creation of Voice Over IP (VoIP) and synchronous communication allows individuals at two or more locations to communicate live in real-time, this is the margin that we use to develop and refine telemedicine technology at a reasonable cost. Success is measured in direct benefit to the patient in terms of quality of care and cost, and to the provider in terms of increased work flexibility and minimal technological difficulties. Mixed reality devices may further contribute to the telemedicine platform that is proven to increase provider and patient access and decrease both monetary cost and time spent traveling and waiting for appointments by providers and their patients alike. This quality improvement comparative analysis study consisted of simulations representing current-state and future-state telemedicine consultation appointments. The future-state consultation utilized a developer edition of HoloLens, a mixed reality head-mounted computer processor display that is untethered allowing for free-range mobility. This was compared to current-state technology made by InTouch Health. Feasibility and acceptability data from the provider perspective were gathered via administration of a REDCap survey. Our findings suggest that with further refinement in HoloLens technology, providers will accept this technology when conducting telemedicine appointments. Added usability of ancillary devices and refinements to ensure simple three-way communication would place the HoloLens at the same level of performance – if not higher – compared to the current InTouch platform. The HoloLens program as it develops should include device and technique training, and technological support. Adding HoloLens to the Children’s Mercy Hospital program could further enhance pediatric telehealthcare in prevention and treatment of disease regardless of physical location.
Table of Contents
Introduction -- Review of literature -- Methodology -- Results -- Discussion -- Appendix A. Script -- Appendix B. Consent to Participate and Survey Questionnaire -- Appendix C. Images
M.S. (Master of Science)