What is the Telehealth Education Toolkit?

Background and Domains

In 2019, under the umbrella of the Advanced Education Nursing Workforce (ANEW) HRSA grant, a group of over 45 nursing faculty from 19 U.S. states plus Canada and 28 universities, met to begin the work of developing a telehealth toolkit with the end goal of providing faculty with content and exemplars needed to integrate telehealth across the curriculum for health professions programs. This toolkit is a culmination of that work across several domains of telehealth.

Mission Statement

To provide resources that will enable faculty from health professional programs to develop comprehensive, high quality, patient focused learning opportunities for their health professional students in telehealth by providing educational content and exemplars for telehealth education.

Vision

To create a national telehealth education toolkit that is available for healthcare educators for preparing healthcare students and providers with the KSA’s to utilize telehealth to increase the accessibly, effectiveness, and efficiency of health care delivery.

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Education

Didactics in Telehealth

Description: Provides information and templates to assist a program in developing didactic content on telehealth for students. Includes the Four P’s Framework, Telehealth Competencies, and resources for didactic content.

Directions: Click on the Telehealth Didactic content below to access models & resources.

Didactic Content

Overview

Four P’s Framework of Telehealth Framework that outlines the content areas to be included in telehealth education
Telehealth Competencies Telehealth competencies based on the Four P’s to be accomplished by students
Didactic Resources for Planning Phase Resources for developing didactic content directed at advocating for telehealth delivery (i.e., Definitions, Legal & Regulatory Issues, Telehealth Delivery Models, Telehealth Devices, Benefits & Barriers, Telehealth Resource Centers, etc.)
Didactic Resources for Preparing Phase Resources for developing didactic content directed at preparing the site, the equipment, and the personnel for telehealth delivery
Didactic Resources Providing Phase Resources for developing didactic content directed at participation in telehealth clinical sites (i.e., Stages of Telehealth Visit – ISOAP, etc.)
Didactic Resources for Performance Evaluation Resources for developing didactic content directed at evaluating a telehealth delivery program (i.e., NQF Document, etc.)

Telehealth Simulations/Standardized Patient Cases

Description: Provides information and templates to assist a program in developing simulations/standardized patient encounters for student learning and skills assessment. Includes examples of telehealth simulations across the patient lifespan and with varying conditions and demographic characteristics.

Directions: Click on the simulation content below to access information, a template, and sample cases.

Simulation Content

Overview

ISOAP Model

 

Model that outlines the changes that occur in simulated cases to accommodate telehealth.  ISOAP stands for Introduction, Subjective, Objective, Assessment, and Plan.

Template for Simulation Development

 

Template for developing a Telehealth focused simulations/standardized patient case.

Evaluation Template

 

Example of an evaluation tool for simulation cases.

Examples of Standardized Patient Cases

Complete standardized patient cases are provided with overview of the case, materials for the learner, materials for the standardized patient and evaluations.

Telehealth Projects/Activities

Description: Provides information and templates to assist a program in developing projects for student learning and skills assessment. Includes examples of telehealth projects.

Directions: Click on each Telehealth Project below to access guidelines.

Projects/Activities

Overview

Website Development/

Students develop a website for patients or family members that are being impacted by a healthcare issue.

Hack-A-thon 

Students assess and advocate for the purchase of a piece of telehealth equipment for use with a patient population.  Similar to Shark TankTM

Etiquette-Messy Room

 

Student team are told they have a patient on-line for a videoconferencing visit in 10 minutes. The students are expected get the messy telehealth room ready for the visit.  

Escape Rooms 

 

Student actively participate in escape room exercises to develop competencies in each of the 4 P’s. Success when students escape from room showing competency met with each P. 

Telehealth Games

 

Students identify which thing do and do not belong in telehealth environment at each station. Similar to use in math/science/sorting concepts in k-12. 

Telehealth Equity and SDOH

Students address the importance of considering equity and SDOH in telehealth delivery.

Telehealth Professional Practice

Create plan for implementing telehealth where there are limited resources (solutions could include library, restaurant WIFI, hot spots, churches, nursing homes, shelters, VA)

Telehealth Policy 

Determine the telehealth policies in your state and discuss. Meet with local officials and private payers, summarize viewpoints/advocate for policies and regulations in telehealth.

Formal Telehealth Clinical/Practicum

Description: Provides methods to address the barriers for placing students in practice settings, resources, and strategies for identifying appropriate sites and partnerships. Content is provided for students, faculty, preceptors, and administrative coordinators. Expectations of students during their telehealth focused practicum are outlined.

Directions: Click on the Clinical Practicum content below to access information and examples.

Clinical  Resources

Overview

Clinical Experience Guide

Provides Content needed for clinical encounters with links

Students 

Resources for Students that would be entering clinicals in telehealth settings 

Faculty 

Resources for Faculty responsible for placing students in telehealth settings  

Preceptors 

Resources/guides for Preceptors responsible for mentoring students in telehealth settings  

Administrative Clinical/Placement Coordinator 

Resources for Administrative personnel responsible for placement of students at clinical sites 

Telehealth Technology

Description: Provides information on how a program can get started with using or purchasing equipment to start a telehealth training program (i.e., types of equipment, uses, cost, HIPAA & HPI, benefits and barriers, etc.).

Directions: Click on the technology modality below to access a template for each.

Technology Modalities

Description of Technology Type

Video Conferencing 

The delivery of a live (synchronous) interactive consultation using both audio and video to create connections between providers and patients or provider to provider.

Remote Patient Monitoring 

 

Monitoring patient health and clinical information at a distance (outside of traditional healthcare settings) using technology and peripherals to gather patient data. 

Mobile Health (mHealth or eHealth)

The use of wireless technologies (smart watch, smart phone, tablet, wearables, etc.) to collect clinical data for patient information or delivery to providers using mobile applications (apps).

Store and Forward

 

Transmission of recorded (asynchronous) history, images, and data through electronic communications system to a provider, who uses the information to evaluate the case and/or render a service outside of a live interaction.

Peripherals

Physical attachments that can be used with other modalities such as remote patient monitoring, store and forward, and videoconferencing to obtain clinical data (camera, stethoscope, EKG, ultrasound, etc.). 

Telehealth Evaluation

Description: Provides expectations for students at Time 1 (entry into practicum), Time 2 (during practicum, Time 3 (Graduation and Entry into Practice with DNP). An overview of the Knowledge, Skills, and Attitudes/abilities (KSAs) are outlined. Examples of evaluation tools are provided for the Four P’s of Telehealth.

Directions: Click on Evaluation Resources below to access information and sample evaluation tools.

Evaluation Resources

Overview

Expected Level Competencies

Table of expected student competencies at Time 1 (Entry into Practicum), Time 2 (During Practicum), Time 3 (Upon graduation and entry into practice with a DNP) based on the Four P’s of Telehealth Model.  Based on Benner’s 5 stages of Novice to Expert – Addresses stage 2, 3, & 4

Evaluation Tools for Planning Phase

Examples of tools to evaluate student’s abilities to plan and advocate for a telehealth program

Evaluation Tools for Preparing Phase

 

Examples of tools to evaluate students’ abilities to prepare for the telehealth delivery.  Include knowledge and skills with telehealth etiquette, conducting an assessment through telehealth, and utilization of telehealth equipment. 

Evaluation Tools for Providing Phase

Examples of tools to evaluate student performance in telehealth practicum encounters

Evaluation Tools for Performance Evaluation Phase

Examples of tools to evaluate the students’ ability to assess the impact of telehealth on patient, provider, and organization