Healthcare // Patient Tools
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5/20/2014
09:31 AM
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Videoconferencing Connects Hospice Patients, Families

One hospice uses videoconferencing so residents and family members can communicate and share at a difficult time.

Healthcare Social Networks: New Choices For Doctors, Patients
Healthcare Social Networks: New Choices For Doctors, Patients
(Click image for larger view and slideshow.)

Connecting with loved ones during their last days is invaluable to survivors and patients, but can be impossible for family members and friends who live far away. When it built Ames House, Hospice of the Western Reserve wanted to incorporate videoconferencing to bring everyone together.

Although budget was a consideration, the nonprofit's main goals were to ensure the system easily melded into the facility's home-like atmosphere, Bob Plona, director of residential services at Hospice of the Western Reserve, says in an interview. It also had to be user friendly so patients didn't need any assistance from staff, he adds.

"We didn't want a sys that took an hour of staff time," he says. "We wanted to be able to use technology for a bunch of things, and one of them was to enhance the patient and family experience. This was one of the things that was very clear we needed to have to improve the person's end-of-life care."

[Remote medicine is growing up. Read Telemedicine Guidelines Tackle Patient Safety, ICU Operations.]

To avoid excess wiring, the hospice wanted one system for its 32 patient rooms and several common areas, including sitting rooms equipped with televisions that have built-in CDs and DVD players, he says.

Adds Todd Benenati, director of information systems, in an interview: "The human element in our business is paramount. We do not want technology to be another hurdle in a bad situation."

After researching its options, the hospice chose Tely Labs' secure TelyHD videoconferencing system for Ames House. The organization plans to add the system throughout the 40-bedroom 20-year-old Hospice House as part of its four-year-long redesign, says Plona.

Patient room at Ames House.(Image: Hospice of the Western Reserve)
Patient room at Ames House.
(Image: Hospice of the Western Reserve)

Tely Labs worked closely with the hospice to make usage simple, says Sreekanth Ravi, founder and CEO of the company. The system supports different protocols, such as Skype, iPads, and Web browsers, says Dave Crilley, vice president of marketing, in an interview, so remote users can easily communicate with patients. To ensure privacy, the system is dial-out only. That way, outside users can't disturb patients at an inopportune time, he says.

The system is a "distinguishing feature," Plona says. But although it might bring the hospice a competitive advantage over similar facilities, patients' reactions are the biggest rewards, executives say.

"We've had one of our patients [have] her great grandchild born -- in Scotland. She was able to see her great-grandchild and her granddaughter. You can't put a price on that," Plona says. "In our work, we only get one chance. Once the patient dies, we can't fix anything."

Previously, patients and families connected via telephone or tried to visit in person. Now patients tend to communicate more frequently -- weather doesn't prevent visits, for example. Virtual visits also last longer than phone calls, because participants can show photographs and schoolwork, or take a smartphone or tablet to a wedding, funeral, or party, and make the patient feel part of an event or gathering, he notes.

"Hospice is actually about living 'til you die, not dying 'til you die. We're able to dial into the wedding and so they actually get to see the person get married," he says. "They're actually able to attend the birthday party."

Videoconferencing also helps survivors cope, he says. Family and friends can attend patients' deaths virtually, with counselors on hand, to help with the grieving process, he says. This reduces the guilt often produced when people cannot get to a dying loved one's bedside, lessening the mental and emotional anguish -- and the related healthcare issues -- this situation might produce, he notes.

Download Healthcare IT In The Obamacare Era, the InformationWeek Healthcare digital issue on changes driven by regulation. Modern technology created the opportunity to restructure the healthcare industry around accountable care organizations, but ACOs also put new demands on IT.

Alison Diana has written about technology and business for more than 20 years. She was editor, contributors, at Internet Evolution; editor-in-chief of 21st Century IT; and managing editor, sections, at CRN. She has also written for eWeek, Baseline Magazine, Redmond Channel ... View Full Bio

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PaulS681
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PaulS681,
User Rank: Ninja
5/22/2014 | 4:01:14 PM
Re: Helping People
That is Great info Dave. Thanks

The bandwidth is so important and by scaling down when the bandwidth isn't there is a great feature.
DaveC437
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DaveC437,
User Rank: Apprentice
5/22/2014 | 3:51:02 PM
Re: Helping People
Hi, Paul, 

 

To answer your question, telyHD works best at 1.5Mbps, but will scale down to provide very useable video and audio calls when much less bandwidth is available.

Dave Crilley, Tely Labs

dave.crilley@tely.com
Alison_Diana
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Alison_Diana,
User Rank: Author
5/21/2014 | 9:19:19 AM
Re: Helping People
Thanks, Paul. This really was an uplifting piece to write, I must say. Of course, healthcare organizations need all the nuts and bolts back-end techs that keep the lights running and capture patient records, but this type of solution definitely generates the warm and fuzzies! 

This hospice told me executives from other hospices have visited this house to see the system in use, considering it for their own organizations. Hopefully other hospices will add videoconferencing to their offerings so family and friends can stay in touch with people during their final days. When I asked why not use something like Skype, control and privacy was the main reason. The hospice didn't want external users to be able to dial in at inconvenient times, such as when a patient was being examined or was resting. With this system, patients are in control of dialing out so it's always at their convenience or at a mutually convenient time (such as 3 pm every Sunday). It's important for hospices to consider all the various ramifications for their patients before they implement something like this.
PaulS681
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PaulS681,
User Rank: Ninja
5/20/2014 | 7:10:03 PM
Helping People
Nice article Alison!

I really enjoy these articles about technology helping people. Giving hospice patients a window to view that they could never see otherwise is awesome. I do wonder what they need for bandwidth to keep this useable for all.
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