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Slide Presentation from the AHRQ 2007 Annual Conference

Telehealth Implementation Issues

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Variables	Safety Issues	Options
Device Installation	Dependent on Patient	Shipment of device directly to patient with patient installing Shipment of device to patient then visiting nurse installing Delivery and installation by health provider Shipment of device to patient then technology (home security) service set up support
Transmission of patient data	Assurance of encryption Limitation of access	Ability to validate company's software and encryption standards Ability to transmit data using cellular technology Method of delivery to the healthcare provider (electronically, facsimile, etc)
Storage and Archiving of patient data	Access to patient data	Pass code protected access Fingerprint access
Assurance of HIPAA compliance	Confidential data exposure	Patient data on the internet Patient data to insurers Patient data to vendor employees or business partners

Farberow B, Hatton V, Leenknecht C, Goldberg LR, Hornung CA, Reyes B. Caveat Emptor: The Need for Evidence, Regulation and Certification of Home Telehealth Systems for the Management of Chronic Conditions, AJMQ in press.

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