Telehealth wiki? Or Spreadsheet

I don’t know if anyone already produces this – but wouldn’t it be great if there was a nationwide / worldwide chart of telehealth projects with clickable links.

Each project could be presented in a vertical column with key aspects of the projects listed down the side.

For each project we could indicate if it is uses remote monitoring ,video or telephone communications. ( or email, SMS etc)

A vertical column could indicate what parameters are being measured ; bp , pulse oxygen Sats from finger probe, temp, weight, peak flow ( for asthma) bm etc

Could list project start & end date & link to a review / interim report on the progress.

Knowing which particular risk profiling tool was used & which tier of risk patients are selected from would also be useful. ( patients at greater risk of hospital admission are likely to be shown to be more cost effective for telehealth )

It could list the cost initial setup of the equipment & cost of the ongoing charges for the data Management. Ie Cost per 1 week of remote monitoring measurements.

For remote monitoring systems it could list any standardised formula used for setting which readings would trigger a contact with a health professional.

I suspect that the current parameters are based on a clinical hunch / intuition basis as opposed to a calculation based on previous readings taken in the calibration phase.

Please post comments by clicking on the speech bubble.

This post follows a previous post regarding which metrics should be used & how frequently should they be measured.


2 thoughts on “Telehealth wiki? Or Spreadsheet

  1. I currently keep project lists based on publicly available information and provide accessible information in the TelecareLIN newsletter ( from time to time. It is difficult to get consistency across definitions of telecare, telehealth, ehealth, mhealth, telemedicine, telemonitoring, telecoaching etc.

    There is currently no consistent way of tracking costs and few evaluations have properly addressed ROI/cost-effectiveness.

    Different countries have different insurance/reimbursement models and for some countries the healthcare provider has to cover travel costs (eg Medicare/Medicaid in Alaska could have $000’s of travel expense for emergencies) which greatly assists the business case.

    Many evaluations are carried out by or are sponsored by suppliers/providers and may not be fully independent.

    There has been little use of predictive modelling to date.

    most current practice for home-based remote monitoring telehealth is generally based on the Veterans Healthcare CCHT Programme with 70k+ members over several years.

    A significant issue is the extent to which organisations reconfigure their services. This is often not well described particularly as most services are still in pilot/early adoption phases.

    Mike Clark (@clarkmike)

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