ANA-Michigan - 2020 Annual Book of Reports

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Administration (OSHA). 2015. Retrieved from https:// www.osha.gov/Publications/OSHA3827.pdf xxix U.S. Department of Labor, Bureau of Labor Statistics. (2014). Nonfatal occupational injuries and illnesses requiring days away from work, 2013. (No. USDL-14-2246). Retrieved from http://www.bls.gov/news.release/pdf/ osh2.pdf. 2020 ANNUAL BOOK OF REPORTS Approved: November 8, 2019 by the ANA-Michigan Board of Directors To be reviewed: November 8, 2021 Contact www.ana-michigan.org nurse@anamichigan.org (517) 325-5306 80
2020 ANNUAL BOOK OF REPORTS POSITION STATEMENT TELEHEALTH AND CONNECTED HEALTH BACKGROUND The United States is in the midst of a global pandemic from Covid-19, a highly contagious disease that has caused severe social, economic and cultural disruptions to everyday life in America. Telehealth, also referred to as Connected Health, has grown exponentially during this time as more services are being delivered and are eligible for reimbursement from public and private insurers. The Center for Medicare and Medicaid Services (CMS) released new guidelines for telehealth in April, 2020 that encourage expansion of services to populations they cover. Examples from major Michigan healthcare systems include Michigan Medicine which conducted 444 virtual visits in February, 2020 and increased those to more than 20,000 visits by the end of April, 2020. Henry Ford Health System went from conducting 150 virtual visits per week to 10,000 virtual visits and report high patient satisfaction with this option. Nearly 20% of Americans live in rural areas where there is a shortage of both providers and healthcare facilities. “The health consequences for communities that lack resources can be dire” states Joelle Fathi DNP RN ARNP CTTS, an expert on biobehavioral nursing and health informatics and a member of the 2018 ANA Steering Committee to revise its Core Principles of Telehealth. Fathi further states that connected health has value for patients in urban and major metropolitan areas. The expansion of healthcare services through connected health creates the opportunity to serve populations with care that is “necessary, timely, efficient, convenient and effective.” (Moore & Trainum, 2019, p. 32). The Affordable Care Act and the 2017 Health Care Act both support the use of telehealth and technology to expand access to care delivery. Tamara Broadnaux DNP RN NEA-BC, Clinical Operations, Department of Veterans Affairs states that “As providers move toward more value-based, shared saving, and accountable care models as required in healthcare reform, connected health provides better care coordination, management and communication with patients.” (Moore & Trainum, 2019, p. 32). In 2019, ANA released Core Principles on Connected Health (Principles) as a guide for healthcare professionals who use telehealth technologies to provide quality care. This document is an update to the 1998 ANA Core Principles on Telehealth and reflect the evolution of healthcare using a more interdisciplinary approach. There are 13 Principles within the guide that identify unique issues related to practice, regulatory, privacy, reimbursement, documentation and competencies. (ANA, 2019). The Centers for Disease Control and Prevention (CDC) has issued Guidelines on using Telehealth to expand access to essential healthcare services during and beyond the COVID-19 pandemic. ANA recognizes that connected health provides a method of healthcare delivery that can improve access to quality health care when implementation is conducted using accepted standards and best available evidence. Nurses play an essential role in the adoption and use of connected health across care settings and roles and are well-positioned to lead in the adoption and use of care via these technologies. 81
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