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Ocular Telehealth: A Practical Guide [Minkštas viršelis]

Edited by (Associate Professor
Clinical Director of TECS)
  • Formatas: Paperback / softback, 266 pages, aukštis x plotis: 235x191 mm, weight: 430 g
  • Išleidimo metai: 29-Apr-2022
  • Leidėjas: Elsevier - Health Sciences Division
  • ISBN-10: 0323832040
  • ISBN-13: 9780323832045
Kitos knygos pagal šią temą:
Ocular Telehealth: A Practical GuideDidesnis paveikslėlis
  • Formatas: Paperback / softback, 266 pages, aukštis x plotis: 235x191 mm, weight: 430 g
  • Išleidimo metai: 29-Apr-2022
  • Leidėjas: Elsevier - Health Sciences Division
  • ISBN-10: 0323832040
  • ISBN-13: 9780323832045
Kitos knygos pagal šią temą:
Pastovi nuoroda: https://www.kriso.lt/db/9780323832045.html
Raktažodžiai:
Ocular Telehealth focuses on the latest guidance for the implementation and use of telemedicine in eye care settings. Detailing both benefits and challenges, this consolidated resource combines evidence-based literature with expert perspectives. Practicing and trainee ophthalmologists and optometrists will find this an indispensable resource for understanding the current issues and opportunities surrounding the integration of telemedicine into standard clinical practice.

  • Covers a range of topics, including remote patient monitoring, video communication skills, technology selection, and best practices for ensuring patient data protection.??

  • Addresses the challenges associated with integrating telemedicine into clinical practice including reimbursement issues, ethical/legal considerations, implementation strategies, and patient engagement.?

  • Features concise chapters written by a team of thought leaders on telemedicine.??

  • Consolidates today's available information on this timely topic into a single, convenient resource.?

  • Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.?

Recenzijos

"This book provides a practical guide to optometric and ophthalmic telehealth and the specialties within those fields. The tables and figures are useful, and the information is well organized. The editor has managed to put together an impressive array of topics relating to ocular telehealth in a thorough, concise text for eye care providers." ©Doody's Review Service, 2022, Theresa Cassidy, OD (Southern College of Optometry)

Doody's Score: 5 Stars!

Contributors xiii
Preface xv
Acknowledgments xvii
1 Background, Definitions, and An Introduction to Ocular Telehealth
1(1)
Robert Morris
Introduction to General Telehealth
1(1)
Introduction to Ocular Telehealth
2(1)
The "Real World" Use of Ocular Telehealth
2(2)
Definitions
4(1)
References
5(2)
2 Comprehensive Eye Telehealth
7(10)
Gerald Selvin
Anney Joseph
Section I Diabetic Teleretinal Screening: The Foundational Ocular Telehealth Program
7(1)
Gerald Selvin
Introduction
7(1)
Diabetic Retinopathy (DR)-The Goal of Population Screening With An Ocular Telehealth Method
7(2)
VA TRI: A Case Study of a Comprehensive Eye Telehealth Program
9(1)
Additional Diseases Suitable for Telehealth Population-Based Screening
10(1)
The Impact of Machine Learning on Population Health Management
10(1)
Summary of Population Health Management Using Ocular Telehealth
11(1)
Section II Comprehensive Eye Telehealth for Complete Ocular Health Assessment
11(1)
Anney Joseph
Introduction
11(1)
Components of a Complete Ocular Health Assessment via Telemedicine
11(1)
Representative Cases for a Comprehensive Ocular Telehealth Assessment
12(2)
Conclusion
14(1)
References
14(3)
3 Oculoplastic and Orbital Surgery Telehealth
17(10)
Elaine Downie
Suzanne van Landingham
Introduction
17(1)
History of Oculoplastic Telehealth
17(1)
Current State of Oculoplastics Telehealth
18(1)
Best Practices: Patient Selection and Telehealth Infrastructure
19(1)
Synchronous Visits
20(1)
Asynchronous Visits
21(2)
Techniques for Oculoplastic Telemedicine Visits
23(1)
Exam Components
23(1)
Oculoplastics Telehealth: Future Directions
24(1)
Conclusion
24(1)
References
24(3)
4 Cornea, Anterior Segment, and External Disease Telehealth
27(12)
Xiaoqin Alexa Lu
Introduction
27(1)
Section I Initial Anterior Segment Telehealth Assessment
28(1)
Section II Anterior Segment Imaging and Examination Modalities
28(1)
Slit Lamp Photography With Smartphone Cameras
28(1)
Slit Lamp Images With Portable Digital Cameras
29(1)
Remote-Controlled Slit Lamp Examination
30(1)
External Photography With Smartphone Cameras
31(1)
External Imaging With Smartphone Camera Attachments
31(1)
External Photography With Digital Cameras
31(2)
Future Anterior Segment Imaging Technology
33(1)
Section III Anterior Segment Structures
33(1)
Conjunctiva
33(1)
Cornea
34(1)
Anterior Chamber
35(1)
Iris
35(1)
Lens
35(1)
Future Directions of Anterior Segment Telehealth
36(1)
References
36(3)
5 Glaucoma Telehealth
39(10)
Annette L. Giangiacomo
Yao Liu
Introduction
39(1)
Background on Glaucoma and the Need to Expand Access to Care
39(1)
Exam Components of a Tele-Glaucoma Program
40(1)
Visual Acuity and Pupil Assessment
40(1)
Pachymetry
40(1)
Tonometry
40(1)
Gonioscopy
40(1)
Perimetry
41(1)
Imaging
42(1)
Models of Tele-Glaucoma Care
43(1)
Glaucoma Screening
43(1)
Glaucoma Consultation
44(1)
Long-Term Management/Glaucoma Follow-Up Care
45(1)
Post-Op Management
46(1)
Virtual Care in the Setting of the COVID-19 Pandemic
46(1)
Artificial Intelligence and Future Directions
46(1)
Conclusion
46(1)
References
46(3)
6 Retina, Uveitis, Ocular Oncology Telehealth
49(12)
Stephanie J. Weiss
Akshar Abbott
Introduction
49(1)
Diabetic Retinopathy
50(1)
History and Development of Diabetic Screening Programs
50(1)
Diabetic Teleretinal Screening Program Standards and Quality Control
51(1)
Accuracy of Diabetic Teleretinal Screening Programs
52(1)
Effect of Imaging Modality in Diabetic Teleretinal Screening Programs
52(1)
Placement of Diabetic Teleretinal Screening Programs in Primary Care Offices
53(1)
Reaching Rural and Underserved Populations for Diabetic Teleretinal Screening
53(1)
Compliance Rates and Conversion to In-Person Examinations for Diabetic Retinopathy
53(1)
Macular Degeneration
54(1)
The Role of Optical Coherence Tomography (OCT) in Tele-Macular Degeneration Management
54(1)
Other Retinal Pathology
54(1)
Hypertensive Retinopathy, Myopic Degeneration, and Epiretinal Membranes
55(1)
Acute Retinal Pathology
55(1)
Choroidal Nevus
55(1)
CMV
55(1)
Virtual Medical Retina Clinics
56(1)
Expansion of Telehealth in Retina Care in the Era of COVID-19
57(1)
Future Directions of Telehealth in Retina Care
57(1)
References
57(4)
7 Pediatric Ocular Telehealth
61(12)
Ankoor S. Shah
R.V. Paul Chan
Introduction
61(1)
Patient-to-Provider Telehealth
61(1)
Synchronous Telehealth Visit Structure
61(2)
Synchronous Telehealth Visit Types
63(1)
Webside Manner
64(1)
Diagnoses Amenable to a Synchronous Telehealth Encounter
65(1)
Evidence for Efficacy of Care Delivery and for Patient Satisfaction
66(1)
Hybrid Telehealth Visits
67(1)
Asynchronous Telehealth
68(1)
Provider-to-Provider Telehealth
68(1)
Synchronous Non-ophthalmic Provider-to-Ophthalmic Provider Telehealth
68(1)
Asynchronous Non-ophthalmic Provider-to-Ophthalmic Provider Telehealth Visits
68(1)
Synchronous and Asynchronous Ophthalmic Provider-to-Ophthalmic Provider Telehealth Visits
69(1)
Conclusions
70(1)
References
70(3)
8 Tele-Neuro-Ophthalmology
73(12)
Melissa W. Ko
Kevin E. Lai
Background
73(1)
The Case for Tele-Neuro-Ophthalmology
73(2)
Models of Tele-Neuro-Ophthalmology
75(1)
Combined Synchronous and Asynchronous Care
75(1)
Interprofessional Consultation (also Called E-Consult)
75(1)
Remote Interpretation of Data
75(1)
Other Available Modalities
75(1)
Selecting the Appropriate Type of Telemedicine Visit
76(1)
When to Consider a Video Visit
76(1)
When to Consider Phone Visits
76(1)
When to Consider Online Portal Communication
76(1)
When to Consider an Interprofessional Consultation (E-Consult)
76(1)
Implementation Strategies for Tele-Neuro-Ophthalmology
76(1)
Previsit
76(2)
Perivisit
78(2)
Postvisit
80(1)
Case Examples of Telehealth in Neuro-Ophthalmology
80(1)
Synchronous Telehealth
80(1)
Asynchronous Telehealth
81(1)
Future Directions
82(1)
References
83(2)
9 Low Vision Ocular Rehabilitation Telehealth
85(10)
Carolyn Ihrig
Thao M. Harris
Description and Background
85(2)
Consequences of Low Vision and Access for Low Vision Rehabilitation Services
87(1)
The Low Vision and Ocular Rehabilitation Telehealth Model: Index Case Example
87(1)
Goals of the Program
87(1)
Planning and Set up of Clinic-Based Synchronous Telehealth
88(1)
Referrals and Patient Recruitment
88(1)
Modifications for Low Vision Synchronous Home-Based Telehealth
89(2)
Low Vision and Ocular Rehabilitation Telehealth Billing
91(1)
Conclusions and Lessons Learned
92(1)
References
93(2)
10 Highlight on International Ocular Telehealth Programs in China and India
95(22)
Jian Jun Li
Rengaraj Venkatesh
Bharat Gurnani
Ravilla D. Thulasiraj
Section I China - JianJun Li, MD PhD
95(1)
Introduction to the Current Situation of Ocular Telehealth in China
95(1)
Types of Ocular Telehealth Services Offered in China
96(1)
Part 1 Tele-Eye Spoken and Written Consultation
96(1)
Part 2 Tele-Ophthalmic Image Screening
96(6)
Part 3 Tele-Ophthalmic Video Consultation
102(2)
Part 4 Tele-Ophthalmic Image Archiving
104(1)
Future Directions
104(3)
References for Section I
107(1)
Section II India -- The Vision Center Model of Telemedicine at Aravind Eye Care System
108(1)
Rengaraj Venkatesh
Bharat Gurnani
Ravilla D. Thulasiraj
Introduction and Background
108(3)
The AECS Model of Primary Eye Care Through Vision Centers--A Hybrid Telehealth Model
111(1)
How Do VCs Work to Provide PEC?
111(2)
What Type of Technology Is Used at a VC?
113(1)
Use of Low-Cost Imaging Devices in PEC
113(1)
Deployment of Artificial Intelligence
113(1)
Technology and Patient Care
113(1)
Patient Satisfaction and Quality Assurance-Clinical and Non-Clinical Audits
113(1)
Performance Management
113(1)
General Benefits of VCs and Tele-ophthalmology in Eye Care Service Delivery
114(1)
Conclusion
114(1)
References for Section II
114(3)
11 Ocular In-Home Monitoring Devices
117(610)
Akshar Abbott
Stephanie J. Weiss
Introduction
117(1)
Specific Home Monitoring Devices
118(1)
AmslerGrid
118(1)
ForeseeHome Device
119(1)
Smartphone-Based Apps
120(1)
iCare Home Tonometer
121(1)
Sensimed Triggerfish Contact Lens
122(1)
Eyemate
123(1)
Summary
123(1)
References
123(4)
12 Principles of Ocular Telehealth Implementation
127(1)
Loren J. Lock
Alejandra Torres Diaz
Annette L. Giangiacomo
Yao Liu
Overview
127(1)
Stakeholder Engagement
127(1)
Definition and Purpose
127(1)
Identifying Key Stakeholders
127(1)
Meeting With Stakeholders
128(1)
Applying Implementation Science
128(1)
Key Stakeholder Perspectives
129(5)
Strategies to Increase Clinical Stakeholder Engagement
134(4)
Patient Engagement
138(1)
Engagement With External Organizations
139(1)
Summary of Stakeholder Engagement
139(1)
Training Personnel
139(1)
Clinic Administrators and Information Technology (IT) Staff
139(1)
Referring Providers and Clinical Staff
140(1)
Imaging Staff/Telehealth Presenter or Facilitator
140(1)
Interpreting Providers
141(1)
Summary of Training Personnel
142(1)
Conclusion
142(1)
References
142(3)
13 Technology Considerations for Implementing an Eye Telehealth Program
145(30)
Gerald Selvin
April Maa
Stephanie J. Weiss
Section I Technology Considerations-- Bandwidth, Information Security, Technology Support
145(1)
Gerald Selvin
Introduction
145(1)
Important IT Infrastructure Considerations
146(1)
Technology Needs Assessment
146(1)
Clinical Needs and the Development of a Reading Worklist
147(1)
Bandwidth Speed
147(1)
Digital Imaging and Communication in Medicine (DICOM)
148(1)
Information Security
148(1)
Conclusion
148(1)
Section II Ocular Telehealth Equipment for Non-Posterior Segment Examination-- Vision, Refraction, Pupils, IOP, and Functional Testing
149(1)
April Maa
Introduction
149(1)
Vision Measurement Tools
149(1)
Refraction Tools
149(1)
Tabletop Autorefractors
149(1)
Wavefront Aberrometry Technology and Handheld Autorefractors
150(2)
Phoropters, Algorithms, and Refraction Suites
152(2)
Other Ocular Measurements: Pupils/APD, IOP, Pachymetry
154(1)
Pupils, RAPD, and Oculomotor Testing
154(1)
IOP
154(1)
Pachymetry
154(1)
Visual Field Equipment
154(4)
Anterior Segment Examination
158(1)
SI it-Lamp Cameras
158(1)
Slit-Lamp Adapters
159(1)
Section III Ocular Telehealth Equipment for Posterior Segment Examination--Fundus
Photography and Optical Coherence Tomography
160(1)
Stephanie J. Weiss
Introduction
160(1)
Fundus Cameras
160(1)
Traditional tabletop fundus camera
160(1)
Automated tabletop nonmydriatic fundus camera
161(1)
Ultra-widefield fundus imaging
162(3)
Handheld fundus cameras
165(1)
Smartphone-based fundus cameras
165(2)
Optical Coherence Tomography (OCT)
167(1)
Handheld OCT
168(1)
Combination OCT/Fundus Camera
168(1)
Summary
168(1)
Conclusion
168(1)
References
169(6)
14 Billing, Coding, and Reimbursement in Eye Telehealth Programs
175(610)
Charles F. Palmer
Introduction to Billing and Coding
175(1)
Billing and Coding Specifically for Ocular Telehealth
176(1)
E-Communications
176(1)
Telephone Care
177(1)
Asynchronous Telehealth Aka Store and Forward (e.g., Diabetic Teleretinal Screening)
177(2)
Asynchronous Telehealth--Provider Coding
179(1)
For a Non-consult Encounter
179(1)
For Consults
180(1)
Documentation Guidelines
181(1)
Modifications Using HCPCS Codes
182(1)
Relative Value Units
182(1)
Conclusion/Summary
183(1)
References
183(1)
Further Reading
184(1)
15 Ethical and Legal Considerations in Eye Telehealth Programs
185(1)
Daniel Lee
April Maa
Introduction
185(1)
Section I Ethics in Telemedicine
186(1)
The Stance of the American Medical Association, American Optometric Association, and American Academy of Ophthalmology
186(1)
Section II Legal Considerations
186(1)
Basics of Telehealth and Licensing--State Licensing
186(5)
Exceptions to The State Licensing Requirement
191(1)
Health Professional Compacts--Expediting the Out-of-state Licensing Process
192(1)
Telehealth and HIPAA
192(1)
Coverage and Payment: State Level
193(1)
Coverage and Payment: Federal Level
194(1)
Hospital Telehealth Credentialing
195(1)
Informed Consent
195(1)
Patient-Provider Relationship
195(1)
Prescribing Online Via Telemedicine for Ophthalmologists
196(1)
Prescribing Online Via Telemedicine for Optometrists--Pharmaceuticals and Corrective Lenses
196(1)
Telemedicine Tort Liability--Entering a New Legal Frontier
196(1)
Telemedicine malpractice insurance
197(1)
Mitigating telemedicine tort liability risk
197(1)
Conclusion
197(1)
Acknowledgments
198(1)
References
198(1)
16 Monitoring Quality and Improving Services in Ocular Telehealth Programs
199(8)
Robert Morris
Introduction to Quality Assurance and Program Improvement
199(1)
Quality Assurance
199(1)
Case Study: Diabetic Retinopathy Screening Programs
200(1)
Quality Assessment
201(2)
Performance Improvement and Stakeholder Satisfaction
203(1)
Other Quality Metrics to Consider for an Ocular Telehealth Program
204(1)
Conclusion
204(1)
References
204(3)
17 Acute Ocular Triage Telehealth
207(6)
April Maa
Introduction
207(1)
Considerations for Acute Ocular Triage Telehealth Programs
207(1)
Assessment of Need-- The Scope of the
Problem
207(1)
What Are the Goals of an Acute Ocular Triage Program?
208(1)
What Type of Telehealth Modalities Should Be Used and What Type of Equipment Should Be Chosen?
208(2)
Implementation, Training, Billing and Coding Considerations
210(1)
Current Use Cases of Ocular Telehealth Triage
210(1)
Future Directions
211(1)
Reference
211(2)
18 The Role of Data Analytics and Artificial Intelligence (Al) in Ocular Telehealth
213(20)
Matthew S. Hunt
Stephanie J. Weiss
Aaron Y. Lee
Machine Learning
213(1)
Introduction
213(1)
Machine Learning Categories
213(1)
Artificial Neural Networks
214(1)
Introduction Through Logistic Regression
214(3)
Neural Networks and Modeling Nonlinear Relationships Within Data
217(1)
Deep Learning and Convolutional Neural Networks
218(3)
Deep Learning in Ophthalmology
221(1)
Deep Learning in Retinal Imaging
221(2)
Application ofAl in Other Ophthalmic Subspecialties
223(4)
Applications of Al and Big Data in Ocular Telehealth
227(1)
Conclusion
228(1)
References
228(5)
19 Education of Future Providers on Ocular Telehealth and Integration of Telehealth Into Future Practice
233(7)
Xiaoqin Alexa Lu
Introduction
233(1)
Section I Teaching Medical Students, Optometry Students, or Allied Health Students
234(1)
Group A: Initial Exposure to Eye Care
234(2)
Case Example: Technology-based Eye Care Services (TECS) 3rd Year Medical Student Virtual Reading Session(s)
236(1)
Group B. Students Who are Interested in Pursuing a Career in Ophthalmology or Optometry
236(1)
Case Example: TECS 4th Year Medical Student Rotation
236(1)
Section II Ophthalmology Residents
236(1)
Section III Residents From Other Medical Specialties
237(1)
Case Example: TECS Session for Primary Care Providers
237(1)
Section IV Attending Ophthalmologists or Optometrists
238(1)
Case Example: TECS Reader Certification Course
238(1)
Quality Assessment and Improvement in Ocular Telehealth Education
239(1)
Increasing Adoption and Buy-in For Ocular Telehealth Through Education
240(1)
Conclusion 240(1)
References 241(3)
Index 243