SAM ADVANCED MANAGEMENT JOURNAL

Risk And Challenge Of Telemedicine Implementation During A Pandemic

Ghazala Yasmeen, Shafiq Rahman, and James Gelatt

DOI:

Citation: Yasmeen, G., Rahman, S., & Gelatt, J.(2021). Risk and challenge of telemedicine implementation during a pandemic. SAM Advanced Management Journal, 86(4),46-57.

Abstract

Telemedicine is an Information Technology (IT) system that supports medicine remotely for best patient care. COVID-19 has some crucial social, cultural, and economic impacts. It is directly affecting healthcare providers. Information Technology services are challenged to fulfill healthcare staff and patient needs. Its demand is expected to increase in the coming years. 

The purpose of this paper is to explore the importance of organizational readiness and staff training to implement telemedicine and overcome technological challenges after COVID19. This paper will highlight the impact, risks, and values telemedicine can bring to our lives. Three themes originated in this systematic review (SR). They were the importance of telemedicine, technological challenges with telemedicine, and organizational readiness to implement telemedicine. The current paper is filling the gap to bring all three themes together for effective implementation of telemedicine.

The key findings emerging from this review indicate that telemedicine is a need of the hour, helping providers to meet the healthcare needs of patients by keeping social distancing. Organizational readiness and staff training play an important role to overcome technological challenges to effectively implement telemedicine. It is recommended that healthcare providers can effectively implement telemedicine and overcome the technological challenges depending on how much they are prepared as an organization to accept and learn this cultural change. Healthcare management and administration can play a vital role to identify the need and develop policies and procedures that support organizational learning and effective implementation of telemedicine.

References

Agee, J. (2009). Developing qualitative research questions: A reflective process. International Journal of Qualitative Studies in Education, 22(4), 431–447. https://doi.org/10.1080/09518390902736512

American Medical Association. (2020). COVID-19: AMA’s recent and ongoing advocacy efforts. Retrieved from American Medical Association website: https://www.ama-assn.org/delivering-care/public-health/covid-19-amas-recent-and-ongoing-advocacy-efforts

Argyris, C. (1991). Teaching smart people how to learn. Harvard Business Review, 69(3), 99–109.

Barney, A., Buckelew, S., Mesheriakova, V., & Raymond-Flesch, M. (2020). The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: Challenges and opportunities for innovation. Journal of Adolescent Health, 67(2). https://doi.org/10.1016/j.jadohealth.2020.05.006

Bashshur, R., Doarn, C. R., Frenk, J. M., Kvedar, J. C., & Woolliscroft, J. O. (2020). Telemedicine and the COVID-19 pandemic, lessons for the future. Telemedicine and E-Health, 26(5). https://doi.org/10.1089/tmj.2020.29040.rb

Booth, A. (2006). Clear and present questions: Formulating questions for evidence based practice. Library Hi Tech, 24(3), 355–368. https://doi.org/10.1108/07378830610692127

Centers for Disease Control and Prevention. (2020). Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic. Retrieved from Centers for Disease Control and Prevention website: https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html

Day, J. A. (2020). Why Epic: Johns Hopkins Medicine. Retrieved from John Hopkins Medicine website: https://www.hopkinsmedicine.org/epic/why_epic/

DeVay, Y. (2020). Navigating the expansion of telehealth and virtual services during the COVID-19 outbreak. Retrieved from Universy of Maryland Global Campus website: https://eds-a-ebscohost-com.ezproxy.umgc.edu/eds/pdfviewer/pdfviewer?vid=4&sid=f99e54a6-f105-4a5b-95d6-25003646b93f%40sessionmgr4006

Diane, W. (1995). The learning organization: Management theory for the information age or new age fad? Retrieved from The Journal of Academic Librarianship website: https://ac.els-cdn.com/0099133395900608/1-s2.0-0099133395900608-main.pdf

Edmunds, M., Tuckson, R., Lewis, J., Atchinson, B., Rheuban, K., Fanberg, H., … Thomas, L. (2017). An emergent research and policy framework for telehealth. EGEMs, 5(2), 1. https://doi.org/10.13063/2327-9214.1303

Eftekhar Ardebili, M., Naserbakht, M., Bernstein, C., Alazmani-Noodeh, F., Hakimi, H., & Ranjbar, H. (2020). Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. American Journal of Infection Control, 49(5). https://doi.org/10.1016/j.ajic.2020.10.001

Faget, K. Y. (2020). Telehealth in the wake of COVID-19. Retrieved from University of Maryland Global Campus website: https://eds-a-ebscohost-com.ezproxy.umgc.edu/eds/pdfviewer/pdfviewer?vid=7&sid=f99e54a6-f105-4a5b-95d6-25003646b93f%40sessionmgr4006

Garvin, D. (1993). Building a learning organization. Retrieved from Harvard Business Review website: https://hbr.org/1993/07/building-a-learning-organization

George, G., Ferguson, L. A., & Pearce, P. (2014). Finding a needle in the haystack: Performing an in-depth literature search to answer a clinical question. Nursing: Research and Reviews, 4, 65–76. https://doi.org/10.2147/nrr.s63578

Gough, D., Oliver, S., & Thomas, J. (2012). Systematic reviews and research. Los Angeles: Sage Reference.

Harvey, M. J., & Harvey, M. G. (2014). Privacy and security issues for mobile health platforms. Journal of the Association for Information Science and Technology, 65(7), 1305–1318. https://doi.org/10.1002/asi.23066

Jensen, P. E. (2005). A contextual theory of learning and the learning organization. Knowledge and Process Management, 12(1), 53–64. https://doi.org/10.1002/kpm.217

Kreidler, M. L. (2022). Health care and information technology. Retrieved January 5, 2022, from Salem Press Encyclopedia website: https://eds-a-ebscohost-com.ezproxy.umgc.edu/eds/detail/detail?vid=2&sid=d5f57170-cb89-416d-8592-026f6830b1d8%40sdc-v-sessmgr02&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=89163746&db=ers

Levingston, S. A. (2013). Electronic health records’ “make-or-break year.” Retrieved from Bloomberg Businessweek website: http://www.businessweek.com/articles/2013-11-14/2014-outlook-electronic-health-records-make-or-break-year

Li, H. K. (1999). Telemedicine and ophthalmology. Survey of Ophthalmology, 44(1), 61–72. https://doi.org/10.1016/s0039-6257(99)00059-4

Link, M. M. (1965). Space Medicine in Project Mercury. NASA SP-4003. Retrieved from Harvard Article Database website: http://articles.adsabs.harvard.edu/full/1965NASSP4003…..L

Medicare and Medicade Programs. (2020). Policy and regulatory revisions in response to the COVID-19 public health emergency. In Federal Register (pp. 1–63). Retrieved from Department of Health and Human Services website: https://www.govinfo.gov/content/pkg/FR-2020-04-06/pdf/2020-06990.pdf

National Consortium of Telehealth Resource Centers. (n.d.). Retrieved from National Consortium of Telehealth Research Centers website: https://www.telehealthresourcecenter.org/

Nonaka, I. (1991). The knowledge-creating company. Harvard Business Review, 96–104. Retrieved from https://pdfs.semanticscholar.org/da2f/d9e368f14e0bb713fb6f4d7c32b0f72f6bcf.pdf

Orlando, J. F., Beard, M., & Kumar, S. (2019). Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PLOS ONE, 14(8), e0221848. https://doi.org/10.1371/journal.pone.0221848

Parks, R., Wigand, R. T., Othmani, M. B., Serhier, Z., & Bouhaddou, O. (2019). Electronic health records implementation in Morocco: Challenges of silo efforts and recommendations for improvements. International Journal of Medical Informatics, 129, 430–437. https://doi.org/10.1016/j.ijmedinf.2019.05.026

Pollock, K., Setzen, M., & Svider, P. F. (2020). Embracing telemedicine into your otolaryngology practice amid the COVID-19 crisis: An invited commentary. American Journal of Otolaryngology, 41(3), 102490. https://doi.org/10.1016/j.amjoto.2020.102490

Prager, E. M., Chambers, K. E., Plotkin, J. L., McArthur, D. L., Bandrowski, A. E., Bansal, N., … Graf, C. (2018). Improving transparency and scientific rigor in academic publishing. Journal of Neuroscience Research, 97(4), 377–390. https://doi.org/10.1002/jnr.24340

Rimsza, M. E., Hotaling, A. J., Keown, M. E., Marcin, J. P., Moskowitz, W. B., Sigrest, T. D., & Simon, H. K. (2015). The Use of Telemedicine to Address Access and Physician Workforce Shortages. Pediatrics, 136(1), 202–209. https://doi.org/10.1542/peds.2015-1253

Sanchez, R. (1997). Managing articulated knowledge in competence-based competition. In In Strategic Learning and Knowledge Managemen (pp. 163–187). Chichester: Wiley.

Sanchez, R., & Aimé Heene. (1997). Strategic learning and knowledge management. Chichester: Wiley.

Smith, W. R., Atala, A. J., Terlecki, R. P., Kelly, E. E., & Matthews, C. A. (2020). Implementation guide for rapid integration of an outpatient telemedicine program during the COVID-19 pandemic. Journal of the American College of Surgeons, 231(2). https://doi.org/10.1016/j.jamcollsurg.2020.04.030

Telehealth. (n.d.). HHS.gov: How to get or provide remote health care. Retrieved from telehealth.hhs.gov website: https://www.telehealth.hhs.gov/

Telehealth. (n.d.). Retrieved from American Association of Nurse Practitioners website: https://www.aanp.org/advocacy/advocacy-resource/position-statements/telehealth

UMGC. (n.d.-a). First Cycle Coding. Retrieved from University of Maryland Global Campus website: https://lti.umuc.edu/contentadaptor/page/topic?keyword=First%20Cycle%20Coding

UMGC. (n.d.-b). QDA: Deductive versus inductive coding. Retrieved from University of Maryland Global Campus website: https://lti.umuc.edu/contentadaptor/topics/byid/9f0de276-d936-4414-9bb8-318ef584bc28

UMGC. (n.d.-c). Thematic Synthesis. Retrieved from University of Maryland Global Campus website: https://lti.umuc.edu/contentadaptor/page/topic?keyword=Thematic%20Synthesis

Subscription or SAM Membership Required

Share This Article

Facebook
Twitter
LinkedIn