Andersons pediatric cardiology 2315
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andaneasywaytodisruptthebusinessoperations.Asecuretelemedicine
networkmustbeabletoidentifydevicesastheyconnectandapplysecurity
policiesdynamically.TomeetwiththeHIPAAregulatorycomplianceand
minimizedatarisk,itwouldbeverybeneficialtohavehealthcareprofessionals
aspartofthecybersecuritycommitteeteam.Medicaldataavailabilityand
sharingthroughcloudapplicationsisgrowingatarapidpace,andevenif
desired,thisevolutionisunavoidable.
Reimbursement,Licensing,
Credentialing,andRegulatoryIssuesin
theUnitedStates
Regulatoryissuessurroundingreimbursement,licensing,andcredentialingfor
telemedicineremainassignificantobstaclesforwidespreadadoptionof
telemedicineforpediatriccardiology,particularlyintheUnitedStates.Thelarge
amountofdatafrompediatriccardiology,especiallysurroundingnewbornswith
suspectedheartdefects,canbeleveragedtomakeastrongcaseforamore
favorablehealthcareenvironmentthatsupportsbroaderacceptanceof
telemedicine.Theprioritiesofcostcontainment,qualityandoutcomes,patientcenteredcare,andoptimaluseoftechnologyarebestservedbyincreased
utilizationoftelemedicine.Removalofreimbursement,licensure,and
credentialingobstaclesisneededtorealizethefullbenefitthattelemedicinecan
haveforourpediatriccardiologypatients.
AnnotatedReferences
SatouGM,RheubanK,AlversonD,etal.
Telemedicineinpediatriccardiology:ascientific
statementfromtheAmericanHeartAssociation.
Circulation.2017;135(11):e648–e678.
Thisscientificstatementprovidesacomprehensive
summaryofthecurrentliteratureon
telemedicineapplicationsinpediatric
cardiology..
KrishnanA,FuskaM,DixonR,SableCA.The
evolutionofpediatrictele-echocardiography:15
yearexperienceofover10,000transmissions.
TelemedJEHealth.2014;20(8):681–686.
Thisisthelargestsinglecenterreportonutlization
ofpediatrictele-echocardiography..
WebbCL,WaughCL,GrigsbyJ,etal.Impactof
telemedicineonhospitaltransport,lengthof
stay,andmedicaloutcomesininfantswith
suspectedheartdisease:amulticenterstudy.J
AmSocEchocardiogr.2013;26(9):1090–1098.
Thisistheonlymutlicenterstudyonpediatricteleechocardiographyandfindingsshowthatuseof
telemedicineresultsindecreasedtransportsand
shorterlengthofstay..
FinleyJP,HumanDG,NantonMA,etal.
