Practice Management Book



Aka: Telemedicine, TeleHealth, Virtual Healthcare Visit, Electronic Visit, EVisit, Telemedicine Musculoskeletal Evaluation
  1. Definitions
    1. Telemedicine
      1. Telecommunications (voice, video) to provide off-site health services to patients
  2. Preparations
    1. Employ a HIPAA compliant mode of communication
    2. Use Test Patients first before using in practice
    3. Employ the patient's home devices for Vital Signs
      1. Portable oximeter provides Heart Rate and Oxygen Saturation
      2. Smart watch provides Heart Rate (or teach a patient how to check their pulse)
      3. Weight scale
      4. Peak Flow meter
  3. Technique
    1. Set expectations and goals for visit at the start of the encounter
    2. Maintain Bedside Manner while online
      1. Making eye contact with the patient requires the provider to look at the camera
      2. Maintain a pleasant speaking voice
    3. Clear verbal communication is key
      1. Social cues and body language are often hidden when communicating online
  4. Exam: Upper Extremity Telemedicine
    1. Shoulder Exam
    2. Elbow Exam
    3. Hand Exam
    4. Wrist Exam
  5. Exam: Lower Extremity Telemedicine
    1. Hip Exam
    2. Knee Exam
    3. Ankle Exam
  6. Imaging
    1. Decision rules may help guide who needs further evaluation with imaging
      1. Consider obtaining imaging followed by in person follow-up exam on same day
  7. Management
    1. Exercise caution in underevaluating patients virtually
      1. Red flag findings should prompt in person evaluation
    2. Home care online instructions
      1. Telemedicine evaluations may direct online resources (e.g. rehabilitation Exercises)
  8. Resources
    1. AAFP Telemedicine
  9. References
    1. (2020) presc lett 27(5):27
    2. Yedlinsky (2021) Am Fam Physician 103(3):147-54 [PubMed]

Telemedicine (C0162648)

Definition (NCI) The use of telecommunications technology to provide, enhance, or expedite health care services, as by accessing off-site databases, linking clinics or physicians' offices to central hospitals, or transmitting x-rays or other diagnostic images for examination at another site. (
Definition (NCI_NCI-GLOSS) The delivery of healthcare from a distance using electronic information and technology such as computers, cameras, videoconferencing, the Internet, satellite, and wireless communications.
Definition (MSH) Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.
Definition (PSY) Provision of health care via various forms of telecommunications media.
Definition (CSP) delivery of health services via remote telecommunications; includes interactive consultative and diagnostic services.
Concepts Health Care Activity (T058)
MSH D017216
Swedish Telemedicin
English TELEMED, telemedicine, telemedicine (treatment), Telehealth, Telemedicine
Czech poskytování zdravotnických služeb prostřednictvím telekomunikací, telemedicína
Finnish Telelääketiede
Japanese 遠隔医療, テレメディシン
Polish Telemedycyna
Norwegian Telemedisin
French Médecine à distance, Télémédecine
Spanish Telesalud, Telemedicina
Portuguese Telessaúde, Telemedicina
German Telemedizin
Italian Telemedicina
Dutch Telegeneeskunde
Derived from the NIH UMLS (Unified Medical Language System)

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