Some Thoughts on Implementing Remote Telehealth

Authors: Neil J. Nusbaum, JD, MD, Judith Peratrovich, RN, BSN


The Department of Veterans Affairs (VA) has had a major focus on increasing access to care, including by use of telehealth. Telehealth technology has been used in direct patient care by numerous VA providers, up to and including the cabinet secretary in charge of the agency.1 The potential of telehealth also has excited interest in many other healthcare systems.2

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1. President Trump and Secretary Shulkin announce veteran telehealth initiatives. Published August 3, 2017. Accessed June 28, 2018.
2. Tuckson RV, Edmunds M, Hodgkins ML. Telehealth. Engl J Med 2017;377:1585-1592.
3. Warshaw E, Greer N, Hillman Y, et al. Teledermatology for Diagnosis and Management of Skin Conditions: A Systematic Review of the Evidence. Washington, DC: Department of Veterans Affairs (US) 2010.