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Telehealth Implementation Issues
| Variables |
Safety Issues |
Options |
| Device Installation |
Dependent on Patient |
Shipment of device directly to patient with patient installing
Shipment of device to patient then visiting nurse installing
Delivery and installation by health provider
Shipment of device to patient then technology (home security) service set up support |
| Transmission of patient data |
Assurance of encryption
Limitation of access |
Ability to validate company's software and encryption standards
Ability to transmit data using cellular technology
Method of delivery to the healthcare provider (electronically, facsimile, etc) |
| Storage and Archiving of patient data |
Access to patient data |
Pass code protected access
Fingerprint access |
| Assurance of HIPAA compliance |
Confidential data exposure |
Patient data on the internet
Patient data to insurers
Patient data to vendor employees or business partners |
Farberow B, Hatton V, Leenknecht C, Goldberg LR, Hornung CA, Reyes B. Caveat Emptor: The Need for Evidence, Regulation and Certification of Home Telehealth Systems for the Management of Chronic Conditions, AJMQ in press.
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