Acute Care Telemedicine
Telemedicine consultation in a hospital or other urgent care or emergency setting, including teleNeurology, telePsychiatry, teleICU. Usually via videoconference.
Acute Stroke Ready Hospital (ASRH) Certification
One of the four advanced levels of stroke certification for Joint Commission-accredited hospitals. ASRH is for hospitals or emergency centers with a dedicated stroke-focused program. See Stroke Certification.
American Telemedicine Association
Non-profit organization whose goal is to promote access to medical care for consumers and health professionals via telecommunications technology.
Psychiatric boarding, defined as psychiatric patients' waiting in hallways or other emergency room areas for inpatient beds.
ClearHealth Quality Institute (CHQI)
Independent, third-party telemedicine accreditation program certified by ClearHealth Quality Institute covering Consumer to Provider (C2P), Provider to Consumer (P2C), and Provider to Provider (P2P) telemedicine services.
Comprehensive Stroke Center (CSC)
One of the four advanced levels of stroke certification for Joint Commission-accredited hospitals. CSC is the most demanding certification and is designed for those hospitals that have specific abilities to receive and treat the most complex stroke cases. See Stroke Certification.
Coordination of Care
Activities between two or more participants (including the patient) involved in a patient's care to ensure the appropriate delivery of health care services. Requires exchange of information among participants responsible for different aspects of care.
Verification of physician education, residency, board certification, work history, and other credentials. See Credentialing, Licensing and Privileging for Telemedicine: A Primer
Critical Access Hospitals
Designated by the Centers for Medicare and Medicaid Services (CMS) as a rural hospital with 25 or fewer acute care inpatient beds which is located more than 35 miles from another hospital (some exceptions), maintains an average length of stay of 96 hours or less for acute care patients, and provides 24/7 emergency care services.
The specialized care of patients whose conditions are life-threatening and who require comprehensive care and constant monitoring, usually in intensive care units. Also known as intensive care.
Direct mental health care to non-hospitalized individuals (of all ages) experiencing an acute crisis of a psychiatric nature that may jeopardize their current community living situation. May include medication changes, therapy, case management or hospitalization with a goal to transition a person in crisis back to normalcy.
DICOM (Digital Imaging and Communications in Medicine) is a standard for handling, storing, printing, and transmitting information in medical imaging. It includes a file format definition and a network communications protocol.
The ability for patients to connect to a physician or nurse via videoconference for minor, non-emergency care. Often offered through health plans as a benefit.
Planning that allows an organization to maintain or quickly resume mission-critical functions following a disaster. See Delivering Telemedicine in a Blizzard or a Hurricane: A Disaster Preparation Strategy
Electronic Health Record (EHR
Electronic version of a patient’s medical history that is maintained by a provider over time, and may include all of the key administrative clinical data relevant to that person’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports.
Electronic Medical Record (EMR)
An electronic medical record (EMR) is a digital version of the traditional paper-based medical record for an individual. The EMR represents a medical record within a single facility, such as a doctor's office or a clinic.
Diagnostic test that records electrical signals of the brain. This electrical activity is detected by electrodes, or sensors, placed on the patient's scalp and transmitted to a polygraph that records the activity and produces graphs on moving paper using an ink writing pen or on a computer screen.
Stroke caused by a weakened vessel that ruptures and bleeds into the surrounding brain. The blood accumulates and compresses the surrounding brain tissue. The two types of hemorrhagic strokes are intracerebral (within the brain) hemorrhage or subarachnoid hemorrhage.
Health Insurance Portability and Accountability Act, a US law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers.
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. See Hospitalist Challenges Telemedicine Can Help Solve
Healthcare delivery network model consisting of an anchor establishment (hub) which offers a full array of services, complemented by secondary establishments (spokes) which offer more limited services, routing patients needing more intensive services to the hub for treatment.
The specialized care of patients whose conditions are life-threatening and who require comprehensive care and constant monitoring, usually in intensive care units. Also known as critical care
Interstate Medical Licensing Compact
The Interstate Medical Licensure Compact (IMLC) is an agreement between 26 states 1 territory allowing licensed physicians to qualify to practice medicine across state lines within the Compact.
Involuntary Commitment (IVC)
A legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is ordered by a court into treatment in a psychiatric hospital (inpatient) or in the community (outpatient).
Involuntary Commitment (IVC) Reversal
Determination that a mental health patient who was previously involuntarily committed no longer meets the criteria for commitment, i.e., is no longer a threat to themselves or others.
The Joint Commission
Independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations.
Lean Six Sigma
Structured problem-solving methodology that relies on a collaborative team effort to improve performance by standardizing processes, reducing defects and waste, and improving workflows. Done by using the DMAIC framework (Define, Measure, Analyze, Improve, and Control).
Process of being licensed to practice medicine in a certain state. Each state has its own licensing board, and varying requirements for licensing. See Credentialing, Licensing and Privileging for Telemedicine: A Primer
Using underutilized clinician time in one practice or facility to meet excess capacity at another practice or facility, often by using telemedicine.
Locum tenens physician
Physician who works in the place of another physician when a hospital or practice is short-staffed
Medication Management Support
Outpatient treatment rendered by a qualified physician, or others whose scope of practice includes prescribing medication, is the initial evaluation of the patient's need for psychotropic medications, the provision of a prescription, and, as-needed, ongoing medical monitoring/evaluation related to the patient’s use of the psychotropic medication.
The specialized care of patients with disorders of the nervous system, which includes the brain, the spinal cord, and the nerves.
Picture Archiving and Communication Systems. A system based on the universal (Digital Imaging and Communications in Medicine) standard, which uses a server to store and allow facile access to high-quality radiologic images, including conventional films, CT, MRI, PET scans and other medical images over a network.
Care received after a stay in an acute care hospital, provided at another facility, on an outpatient basis, or in the home.
Primary Stroke Center (PSC) Certification
One of the four advanced levels of stroke certification for Joint Commission-accredited hospitals. PSC is designed for hospitals providing the critical elements to achieve long-term success in improving outcomes. See Stroke Certification.
Process of granting privileges to practice in a hospital, HMO, or other healthcare facility. See Credentialing, Licensing and Privileging for Telemedicine: A Primer
The specialized care of patients with mental illness. Psychiatrists are medical doctors (MDs) who graduate from medical school, have a year of medical internship, and have 3 years of residency in the assessment and treatment of mental health disorders.
Acronym for Remote Acute Care Emergency Response protocol developed by SOC Telemed to assist acute care hospitals in emergency response efforts via telemedicine. See RACER: Successful 18-hour Emergency Telemedicine Implementation at Onslow Hospital
A hospital readmission is an episode when a patient who had been discharged from a hospital is admitted again within a specified time interval. Readmission rates have increasingly been used as an outcome measure in health services research and as a quality benchmark for health systems.
The act of clinicians assessing and treating patients in the hospital or another in-patient setting.
Short Term Acute Care Hospital
Hospitals where patients receive active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery. Short-term acute care hospitals are by far the most numerous hospital type in the United States, making up just under 50 percent of all U.S. hospitals.
Safety Management and Recommended Triage Rounds (SMARTRounds®). SOC Telemed teleIntensivists collaborate with local clinical teams to develop care plans and perform daily assessments through proactive, structured interactions via videoconferencing.
A stroke occurs when blood flow to an area of brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.
The Joint Commission offers four advanced levels of stroke certification for Joint Commission-accredited hospitals. The program requirements were developed in collaboration with the American Heart Association/American Stroke Certification (AHA/ASA).
Supply and demand
The balance between patients requiring care and the physicians and other health professionals available to treat them. Specialist shortages, aging population, increase in medical innovation all factor into the balance.
The delivery of critical care through telecommunications technology, usually videoconferencing. TeleICU allows critical care experts, or intensivists, to see patients remotely to supplement or replace in-person ICU care.
The delivery of neurological assessment and care through telecommunications technology, usually videoconferencing. TeleNeurology allows neurological experts to see patients remotely to supplement or replace in-person neurological care.
The delivery of psychiatric assessment and care through telecommunications technology, usually videoconferencing. TelePsychiatry allows psychiatrists and other mental health providers to see patients remotely to supplement or replace in-person psychiatric care.
Interventional procedure of removing a blood clot (thrombus) from a blood vessel.
Thrombectomy-Capable Stroke Center (TSC)
One of the four advanced levels of stroke certification for Joint Commission-accredited hospitals. TSC is designed for hospitals providing endovascular procedures and post-procedural care. See Stroke Certification.
Time last known well (TLKW)
The time prior to hospital arrival at which the patient was last known to be without the signs and symptoms of the current stroke or at his or her baseline state of health.
Tissue Plasminogen Activator, a “clot dissolving” medicine.
Transient Ischemic Attack (TIA)
A TIA begins just like an ischemic stroke; the difference is that in a TIA, the blockage is temporary and blood flow returns on its own. Since blood flow is interrupted only for a short time, the symptoms of a TIA don't last long--usually less than hour.
Healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes versus traditional fee-for-service.
Acute care telemedicine organization that provides specialists care to physical facilities via videoconferencing and other technology