Successful Rural Community Telemedicine Deployment

SUMMARY:

Rural communities would like to use telemedicine to access care, but services need to be implemented correctly the first time.
The model of deployment will vary based on differing community needs
Rural telemedicine is not just about the existence of broadband, but rather the quality of the coverage.

Favorable outcomes for Patients Depends on:
- Patient acuity and health condition to be treated
- Health system infrastructure
- Local workforce capabilities accommodating the increased demand

TRUST: Easy to lose but hard to regain, therefore, implement correctly the first time
3 Major Trust Areas:
- Trust in Connectivity: Avoid unreliable or unstable connectivity
- Trust in Persons Ability to Use Technology
  - Includes both patient and provider
  - Age is NOT a factor
  - Lack of knowledge of digital technology is key
- Trust in the Health Care System
  - The telemedicine system should be designed WITH the community rather than FOR the community
CHOICE: 3 major choice areas
- Choice in Health Service Access
  - Access to specialized care options
  - Access to mental health options
  - Travel considerations: combine telemedicine visits with other activities (i.e. shopping, library, social activities, medication pick up, etc)
- Choice in Consultation Type: video, phone, tablet, text email, etc.
- Choice in Telehealth Deployment:
  - Patients are very comfortable using digital technology
  - Home is the preferred site
  - However, a “Hub” model is acceptable as long as security is ensured.
  - Locations such as:
    - Community Hall
    - Rural local hospital
    - Primary care building
    - Mobil options (traveling busses for screenings, dental , etc).

Local rural communities need to be involved in designing telehealth services.
Maintaining trust and providing choice in health care access are key enablers of the rural telehealth experience.