58-687: American Well Corporation, doing business as Amwell , is a telemedicine company based in Boston, Massachusetts , that connects patients with doctors over secure video . Amwell sells its platform as a subscription service to healthcare providers to put their medical professionals online and its proprietary software development kits, APIs , and system integrations enable clients to embed telehealth into existing workflows utilized by providers and patients. Amwell has roughly 800 employees and has raised more than $ 500 million from investors , including Anthem , Philips , Allianz and Teva Pharmaceuticals , with
116-442: A clinic because the patient has a disability or because of travel time. Telerehabilitation also allows experts in rehabilitation to engage in a clinical consultation at a distance. Most telerehabilitation is highly visual. As of 2014, the most commonly used mediums are webcams , videoconferencing , phone lines , videophones and webpages containing rich web applications. The visual nature of telerehabilitation technology limits
174-546: A teletherapy application for cognitive skills enhancement programs for school children. Tele-audiology (hearing assessments) is a growing application. Physical therapy and psychology interventions delivered via telehealth may result in similar outcomes as those delivered in-person for a range of health conditions. Two important areas of telerehabilitation research are (1) demonstrating equivalence of assessment and therapy to in-person assessment and therapy, and (2) building new data collection systems to digitize information that
232-414: A case over video conference ; a robotic surgery occurring through remote access; physical therapy done via digital monitoring instruments, live feed and application combinations; tests being forwarded between facilities for interpretation by a higher specialist; home monitoring through continuous sending of patient health data; client to practitioner online conference; or even videophone interpretation during
290-435: A consult. Telehealth is sometimes discussed interchangeably with telemedicine, the latter being more common than the former. The Health Resources and Services Administration distinguishes telehealth from telemedicine in its scope, defining telemedicine only as describing remote clinical services, such as diagnosis and monitoring, while telehealth includes preventative , promotive, and curative care delivery. This includes
348-831: A feasible approach to deliver palliative care among patients , caregivers and health care professionals. Telepalliative care can provide an added support system that enable patients to remain at home through self-reporting of symptoms and tailoring care to specific patients. Studies have shown that the use of telehealth in palliative care is mostly well received by patients, and that telepalliative care may improve access to health care professionals at home and enhance feelings of security and safety among patients receiving palliative care. Further, telepalliative care may enable more efficient utilization of healthcare resources , promotes collaboration between different levels of healthcare and makes healthcare professionals more responsive to changes in patients' condition. Challenging aspects of
406-405: A lack of mobility, conditions due to outbreaks, epidemics or pandemics, decreased funding, or a lack of staff restrict access to care, telehealth may bridge the gap as well as provide distance-learning; meetings, supervision, and presentations between practitioners; online information and health data management and healthcare system integration. Telehealth could include two clinicians discussing
464-757: A physical examination. Remote monitoring, also known as self-monitoring or testing, enables medical professionals to monitor a patient remotely using various technological devices. This method is primarily used for managing chronic diseases or specific conditions, such as heart disease, diabetes mellitus, or asthma. These services can provide comparable health outcomes to traditional in-person patient encounters, supply greater satisfaction to patients, and may be cost-effective. Examples include home-based nocturnal dialysis and improved joint management. Electronic consultations are possible through interactive telemedicine services which provide real-time interactions between patient and provider. Videoconferencing has been used in
522-404: A remote specialist to their local clinician. Such home care is convenient but requires access to and familiarity with internet. A 2017 randomized controlled trial of "virtual house calls" or video visits with individuals diagnosed with Parkinson disease evidences patient preference for the remote specialist vs their local clinician after one year. Teleneurology for patients with Parkison's disease
580-566: A therapist can use in practice. Ground-breaking research in telehaptics (the sense of touch) and virtual reality may broaden the scope of telerehabilitation practice, in the future. In the United States, the National Institute on Disability and Rehabilitation Research 's (NIDRR) supports research and the development of telerehabilitation. NIDRR's grantees include the "Rehabilitation Engineering and Research Center" (RERC) at
638-445: A variety of platforms, including mobile, web, phone and proprietary kiosks and carts that support multi-way video, phone or secure messaging interactions. The Amwell Medical Group is a nationwide physician owned and operated medical practice that provides telehealth care exclusively on Amwell platforms. The Amwell app is the direct-to-consumer telehealth platform of Amwell. The app connects people with doctors over secure video, without
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#1732783821833696-520: A village outside Jerusalem and both attended medical school in Israel . Roy completed his mandatory military service as a doctor, while Ido served in the military prior to his studies. In 1996, Ido and his wife Phyllis Gotlib founded medical software maker iMDsoft. Roy founded healthcare management software firm CareKey and brought Ido on board as CEO . After selling CareKey to TriZetto Group in 2005, Ido and Roy decided to started working on Amwell, basing
754-528: A wide range of clinical disciplines and settings for various purposes including management, diagnosis, counseling and monitoring of patients. Videotelephony comprises the technologies for the reception and transmission of audio-video signals by users at different locations, for communication between people in real-time. At the dawn of the technology, videotelephony also included image phones which would exchange still images between units every few seconds over conventional POTS -type telephone lines, essentially
812-642: Is achieving significant growth rates in many countries due to several factors: the preoccupation in reducing the costs of health care, an increase in the number of aging and chronically ill population, and the increase in coverage of health care to distant, rural, small or sparsely populated regions. Among its benefits, telenursing may help solve increasing shortages of nurses; to reduce distances and save travel time, and to keep patients out of hospital. A greater degree of job satisfaction has been registered among telenurses. In Australia , during January 2014, Melbourne tech startup Small World Social collaborated with
870-404: Is also being used in some trauma ICUs to reduce the spread of infections. Rounds are usually conducted at hospitals across the country by a team of approximately ten or more people to include attending physicians, fellows, residents and other clinicians. This group usually moves from bed to bed in a unit discussing each patient. This aids in the transition of care for patients from the night shift to
928-424: Is also gaining acceptance in the United States. There are several modalities currently being practiced that include but are not limited to TeleTriage, TeleMSE and ePPE. An example of telehealth in the field is when EMS arrives on scene of an incident and is able to take an EKG that is then sent directly to a physician at the hospital to be read. Therefore, allowing instant care and management. Telenursing refers to
986-601: Is conducted in Australia and Europe. Only a few health insurers in the United States, and about half of Medicaid programs, reimburse for telerehabilitation services. If the research shows that teleassessments and teletherapy are equivalent to clinical encounters, it is more likely that insurers and Medicare will cover telerehabilitation services. In India, the Indian Association of Chartered Physiotherapists (IACP) provides telerehabilitation facilities. With
1044-478: Is found to be cheaper than in person visits by reducing transportation and travel time A recent systematic review by Ray Dorsey et al. describes both the limitations and potential benefits of teleneurology to improve care for patients with chronic neurological conditions, especially in low-income countries. White, well educated and technologically savvy people are the biggest consumers of telehealth services for Parkinson's disease. as compared to ethnic minorities in
1102-553: Is the use of information technology and telecommunications for dental care, consultation, education, and public awareness in the same manner as telehealth and telemedicine. Tele-audiology is the utilization of telehealth to provide audiological services and may include the full scope of audiological practice. This term was first used by Gregg Givens in 1999 in reference to a system being developed at East Carolina University in North Carolina, US. Teleneurology describes
1160-565: Is the use of telehealth/videoconference technology for the remote administration of neuropsychological tests. Neuropsychological tests are used to evaluate the cognitive status of individuals with known or suspected brain disorders and provide a profile of cognitive strengths and weaknesses. Through a series of studies, there is growing support in the literature showing that remote videoconference-based administration of many standard neuropsychological tests results in test findings that are similar to traditional in-person evaluations, thereby establishing
1218-503: The Australian Breastfeeding Association to create the first hands-free breastfeeding Google Glass application for new mothers. The application, named Google Glass Breastfeeding app trial , allows mothers to nurse their baby while viewing instructions about common breastfeeding issues (latching on, posture etc.) or call a lactation consultant via a secure Google Hangout, who can view the issue through
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#17327838218331276-1082: The University of Pittsburgh , the Rehabilitation Institute of Chicago , the State University of New York at Buffalo, and the National Rehabilitation Hospital in Washington DC. Other federal funders of research are the Veterans Health Administration , the Health Services Research Administration in the US Department of Health and Human Services, and the Department of Defense. Outside the United States, excellent research
1334-590: The Amwell Platform. Telemedicine Telehealth is the distribution of health-related services and information via electronic information and telecommunication technologies . It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, monitoring, and remote admissions. Telemedicine is sometimes used as a synonym, or is used in a more limited sense to describe remote clinical services, such as diagnosis and monitoring. When rural settings, lack of transport,
1392-514: The US. Telemedicine in neurosurgery was historically primarily used for follow-up visits by patients that had to travel far to undergo surgery. In the last decade, telemedicine was also used for remote ICU rounding as well as prompt evaluation for acute ischemic stroke and administration of IV alteplase in conjunction with Neurology. From the onset of the COVID-19 pandemic, there was a rapid surge in
1450-532: The above-mentioned non-clinical applications, like administration and provider education. The United States Department of Health and Human Services states that the term telehealth includes "non-clinical services, such as provider training, administrative meetings, and continuing medical education", and that the term telemedicine means "remote clinical services". The World Health Organization uses telemedicine to describe all aspects of health care including preventive care. The American Telemedicine Association uses
1508-689: The aid of teleconferencing or videoconferencing . Remote dispensing of medications by automated packaging and labeling systems can also be thought of as an instance of telepharmacy. Telepharmacy services can be delivered at retail pharmacy sites or through hospitals, nursing homes, or other medical care facilities. This approach allows patients in remote or underserved areas to receive pharmacy services that would otherwise be unavailable to them, enhancing access to care and ensuring continuity in medication management. Health outcomes appear similar when pharmacy services are delivered by telepharmacy compared to traditional service delivery. The term can also refer to
1566-624: The barriers to telepalliative care relate to inflexible reporting of complex and fluctuating symptoms and circumstances using electronic questionnaires. Further, palliative care emphasizes a holistic approach that should address existential , spiritual and mental distress related to serious illness. However, few studies have included the self-reporting of existential or spiritual concerns, emotions , and well-being . Healthcare professionals may also be uncomfortable providing emotional or psychological care remotely. Palliative care has been characterized as high-touch rather than high-tech, limiting
1624-836: The basis for the reliability and validity of teleneuropsychological assessment. Telenutrition refers to the use of video conferencing/ telephony to provide online consultation by a nutritionist or dietician . Patient or clients upload their vital statistics, diet logs, food pictures etc. on a telenutrition portal which are then used by nutritionist or dietician to analyze their current health condition. Nutritionist or dietician can then set goals for their respective client/ patients and monitor their progress regularly by follow-up consultations. Telenutrition portals can help people seek remote consultation for themselves and/or their family. This can be extremely helpful for elderly or bed ridden patients who can consult their dietician from comfort of their homes. Telenutrition showed to be feasible and
1682-400: The company out of Boston . The company offers 24-hour teleconference access to licensed and credentialed physicians. It sells its platform as a subscription service to healthcare providers to put their medical professionals online and helps clients white-label and embed telehealth within their existing healthcare offerings for their patients and members. Amwell enables care delivery across
1740-415: The department of Medicine. Transmission using wireless was done using frequency modulation which eliminated noise. Transmission was also done through telephone lines. The ECG output was connected to the telephone input using a modulator which converted ECG into high frequency sound. At the other end a demodulator reconverted the sound into ECG with a good gain accuracy. The ECG was converted to sound waves with
1798-579: The form of a strong, reliable broadband connection, and broadband mobile communication technology of at least the fourth generation (4G) or long-term evolution (LTE) standard to overcome issues with video stability and bandwidth restrictions. As broadband infrastructure has improved, telehealth usage has become more widely feasible. Healthcare providers often begin telehealth with a needs assessment which assesses hardships which can be improved by telehealth such as travel time, costs or time off work. Collaborators, such as technology companies can ease
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1856-417: The goal of connecting patients to healthcare providers remotely. The company operates in all 50 United States and works with 55 health plans, which support over 36,000 employers and collectively represent more than 80 million covered lives, as well as 240 of the nation's largest health systems, encompassing more than 2,000 hospitals. In 2020, over 40,000 providers were using the Amwell Platform. American Well
1914-429: The healthcare continuum – from primary care and urgent care to high acuity specialty consults and telepsychiatry . The platform can be fully embedded into clients’ portals and provider workflows. Providers can launch telehealth directly from their native Electronic Health Records (EHRs) with seamless integration to their payer eligibility and claims systems. Providers, patients and members can access this care through
1972-563: The hospital directly to his lab. One of the oldest known telecardiology systems for teletransmissions of ECGs was established in Gwalior, India in 1975 at GR Medical college by Ajai Shanker, S. Makhija, P.K. Mantri using an indigenous technique for the first time in India. This system enabled wireless transmission of ECG from the moving ICU van or the patients home to the central station in ICU of
2030-429: The interest in applying technological advancements when developing interventions. To optimize the advantages and minimize the challenges with the use of telehealth in home-based palliative care, future research should include users in the design and development process . Understanding the potential of telehealth to support therapeutic relationships between patients and health care professionals and being aware of
2088-785: The majority of patients trusted the nutritional televisits, in place of the scheduled but not provided follow-up visits during the lockdown of the COVID-19 pandemic. Telerehabilitation (or e-rehabilitation ) is the delivery of rehabilitation services over telecommunication networks and the Internet. Most types of services fall into two categories: clinical assessment (the patient's functional abilities in his or her environment), and clinical therapy . Some fields of rehabilitation practice that have explored telerehabilitation are: neuropsychology , speech–language pathology , audiology , occupational therapy , and physical therapy . Telerehabilitation can deliver therapy to people who cannot travel to
2146-406: The morning shift, but also serves as an educational experience for new residents to the team. A new approach features the team conducting rounds from a conference room using a video-conferencing system. The trauma attending, residents, fellows, nurses, nurse practitioners, and pharmacists are able to watch a live video stream from the patient's bedside. They can see the vital signs on the monitor, view
2204-510: The mother's Google Glass camera. The trial was successfully concluded in Melbourne in April 2014, and 100% of participants were breastfeeding confidently. Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses . In the past, palliative care
2262-596: The need for an appointment. In 2014, Amwell passed the 1 million downloads mark and was called the most popular telehealth app of the year by App Annie , a mobile analytics firm. In March 2015, Amwell earned the American Telemedicine Association 's first Accreditation for online patient consults. Amwell has an international presence through a partnership with Meuhedet , the third-largest health maintenance organization in Israel, which leverages
2320-453: The patient. ECGs, or electrocardiographs , can be transmitted using telephone and wireless. Willem Einthoven , the inventor of the ECG, actually did tests with transmission of ECG via telephone lines. This was because the hospital did not allow him to move patients outside the hospital to his laboratory for testing of his new device. In 1906 Einthoven came up with a way to transmit the data from
2378-571: The possible difficulties and tensions it may create are critical to its successful and acceptable use. Telepharmacy is the delivery of pharmaceutical care via telecommunications to patients in locations where they may not have direct contact with a pharmacist . It is an instance of the wider phenomenon of telemedicine, as implemented in the field of pharmacy . Telepharmacy services include drug therapy monitoring, patient counseling, prior authorization and refill authorization for prescription drugs , and monitoring of formulary compliance with
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2436-420: The presence of both parties at the same time. Dermatology (cf: teledermatology ), radiology , and pathology are common specialties that are conducive to asynchronous telemedicine. A properly structured medical record preferably in electronic form should be a component of this transfer. The 'store-and-forward' process requires the clinician to rely on a history report and audio/video information in lieu of
2494-834: The same as slow scan TV systems. Currently, videotelephony is particularly useful to the deaf and speech-impaired who can use them with sign language and also with a video relay service , and well as to those with mobility issues or those who are located in distant places and are in need of telemedical or tele-educational services. Common daily emergency telemedicine is performed by SAMU Regulator Physicians in France , Spain , Chile and Brazil . Aircraft and maritime emergencies are also handled by SAMU centres in Paris, Lisbon and Toulouse. A recent study identified three major barriers to adoption of telemedicine in emergency and critical care units. They include: Emergency Telehealth
2552-465: The scene of a mass casualty or disaster situation, via the internet using mobile devices, to determine the severity of injuries. They can provide clinical assessments and determine whether those injured must be evacuated for necessary care. Remote trauma specialists can provide the same quality of clinical assessment and plan of care as a trauma specialist located physically with the patient. Telemedicine for intensive care unit (ICU) rounds: Telemedicine
2610-707: The settings on the respiratory ventilator, and/or view the patient's wounds. Video-conferencing allows the remote viewers two-way communication with clinicians at the bedside. Telemedicine for trauma education: some trauma centers are delivering trauma education lectures to hospitals and health care providers worldwide using video conferencing technology. Each lecture provides fundamental principles, firsthand knowledge and evidenced-based methods for critical analysis of established clinical practice standards, and comparisons to newer advanced alternatives. The various sites collaborate and share their perspective based on location, available staff, and available resources. Telemedicine in
2668-611: The short-term it can be as acceptable and effective as face-to-face care. Research also suggests comparable therapeutic factors, such as changes in problematic thinking or behaviour. It can improve access to mental health services for some but might also represent a barrier for those lacking access to a suitable device, the internet or the necessary digital skills . Factors such as poverty that are associated with lack of internet access are also associated with greater risk of mental health problems, making digital exclusion an important problem of telemental health services. Teledentistry
2726-576: The support and collaboration of local clinics and private practitioners and the Members IACP, IACP runs the facility, named Telemedicine. IACP has maintained an internet-based list of their members on their website, through which patients can make online appointments. Telemedicine can be utilized to improve the efficiency and effectiveness of the delivery of care in a trauma environment. Examples include: Telemedicine for trauma triage: using telemedicine, trauma specialists can interact with personnel on
2784-470: The terms telemedicine and telehealth interchangeably, although it acknowledges that telehealth is sometimes used more broadly for remote health not involving active clinical treatments. eHealth is another related term, used particularly in the U.K. and Europe, as an umbrella term that includes telehealth, electronic medical records , and other components of health information technology . Telehealth requires good Internet access by participants, usually in
2842-425: The transition. Delivery can come within four distinct domains: live video (synchronous) , store-and-forward (asynchronous) , remote patient monitoring , and mobile health . Store-and-forward telemedicine involves acquiring medical data (like medical images , biosignals etc.) and then transmitting this data to a doctor or medical specialist at a convenient time for assessment offline . It does not require
2900-414: The trauma operating room: trauma surgeons are able to observe and consult on cases from a remote location using video conferencing. This capability allows the attending to view the residents in real time. The remote surgeon has the capability to control the camera (pan, tilt and zoom) to get the best angle of the procedure while at the same time providing expertise in order to provide the best possible care to
2958-450: The types of rehabilitation services that can be provided. It is most widely used for neuropsychological rehabilitation ; fitting of rehabilitation equipment such as wheelchairs , braces or artificial limbs ; and in speech-language pathology. Rich web applications for neuropsychological rehabilitation (aka cognitive rehabilitation ) of cognitive impairment (from many etiologies) were first introduced in 2001. This endeavor has expanded as
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#17327838218333016-412: The use of telecommunications and information technology in order to provide nursing services in health care whenever a large physical distance exists between patient and nurse, or between any number of nurses. As a field it is part of telehealth, and has many points of contacts with other medical and non-medical applications, such as telediagnosis , teleconsultation, telemonitoring, etc. Telenursing
3074-454: The use of mobile technology to provide neurological care remotely, including care for stroke, movement disorders like Parkinson's disease, seizure disorders (e.g., epilepsy), etc. The use of teleneurology gives us the opportunity to improve health care access for billions around the globe, from those living in urban locations to those in remote, rural locations. Evidence shows that individuals with Parkinson's disease prefer personal connection with
3132-465: The use of telehealth in palliative care have also been described. Generally, palliative care is a diverse medical specialty, involving interdisciplinary professionals from different professional traditions and cultures , delivering care to a heterogenous cohort of patients with diverse diseases, conditions and symptoms. This makes it a challenge to develop telehealth that is suitable for all patients and in all contexts of palliative care. Some of
3190-517: The use of telemedicine across all divisions of neurosurgery: vascular, oncology, spine, and functional neurosurgery. Not only for follow-up visits, but it has gained popularity for seeing new patients or following established patients regardless of whether they underwent surgery. Telemedicine is not limited to direct patient care only; there are a number of new research groups and companies focused on using telemedicine for clinical trials involving patients with neurosurgical diagnoses. Teleneuropsychology
3248-510: The use of videoconferencing in pharmacy for other purposes, such as providing education, training, and management services to pharmacists and pharmacy staff remotely. Telepsychiatry or telemental health refers to the use of telecommunications technology (mostly videoconferencing and phone calls) to deliver psychiatric care remotely for people with mental health conditions . It is a branch of telemedicine. Telepsychiatry can be effective in treating people with mental health conditions. In
3306-758: Was a disease specific approach, but today the World Health Organization (WHO) takes a broader approach suggesting that palliative care should be applied as early as possible to any chronic and fatal illness. As in many aspects of healthcare , telehealth is increasingly being used in palliative care and is often referred to as telepalliative care. The types of technology applied in telepalliative care are typically telecommunication technologies, such as video conferencing or messaging for follow-up, or digital symptom assessments through digital questionnaires generating alerts to health care professionals. Telepalliative care has been shown to be
3364-448: Was rebranded to Amwell on March 9, 2020. In March 2023, Amwell added a cardiometabolic program to its offerings through its partnership with digital chronic condition management platform DarioHealth. With the partnership, Amwell patients can be referred to the program for chronic conditions like diabetes, high blood pressure and weight management. Amwell was founded by brothers Drs. Ido and Roy Schoenberg in 2006. The brothers grew up in
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