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The US Veterans Health Administration has become the world leader in telehealth programs that use electronic information and telecommunication technologies to deliver distant clinical health care and patient and professional health-related education. The goal is to deliver health care to over 3.4 million enrolled eligible veterans who live in rural areas of the USA. The delivery of rural neurological care is particularly challenging as many veterans have chronic conditions making it difficult to drive long distances to reach major veterans administration (VA) medical centers. To minimize this difficulty, teleneurology now offers veterans a variety of telehealth services that include clinical video telehealth (enables a neurologist at a major VA medical center to directly talk and examine a veteran at their local VA community clinic using cutting edge video-teleconferencing systems), care coordination/home telehealth (CCHT) or home automated telemanagement (Internet-based platforms linking patients with chronic neurologic illnesses in their homes to care providers to improve patient education, self-management, and clinical outcomes), specialty care access network-extension for community healthcare outcomes [SCAN-ECHO] (delivery of integrated consultations from neurology specialists to providers in small medical centers with medically complex patients via videoconferencing), and store and forward technology (enables transmission of electroencephalograms, retinal images, and neuroimages from small VA medical centers to major medical centers for expert interpretation of the images). |
