Telemedicine

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Telemedicine is an emerging medical technology that allows patients to connect directly with medical providers via video conferencing without having to leave their own home. However, as with any medical tool or practice, there are legal risks and liability issues that need to be considered. Understanding these risks and liabilities, as well as how stakeholders both influence and are impacted by decisions relating to them, is crucial for success within the healthcare field.

Imagine you are a consultant for a healthcare provider considering implementing a new telemedicine application. Your supervisor has asked you and two other consultants to write an analysis report for each of the three types of telemedicine they are considering to help the healthcare provider determine the key legal risks and liability issues they may encounter if they choose to implement this application. You will select which type you want to focus on from the list of scenarios below:

An obstetrician-gynecologist’s office is considering adding a remote monitoring application to help track fetal monitoring for expectant mothers with high-risk pregnancies or who have experienced previous trauma. The remote monitoring application would allow patients to remain in their local hospital without having to transfer to a larger tertiary care facility to be monitored.
A small doctor’s office in a rural area is considering adding a store-and-forward telemedicine system to allow the doctor time to evaluate a patient’s concerns and determine whether they should come to the doctor’s office for further evaluation or make the lengthy trip out to the hospital located in the nearest city.
An emergency department is considering a real-time interactive teleneurology service to determine the administration of thrombolytics to a suspected stroke patient.
Before writing your report, you will need to research the telemedicine application you chose, as well as the legal risks and liability issues related to that system.

Directions
Write an analysis report discussing the legal risks and liability issues regarding your chosen telemedicine type.

 

Sample Solution

Telemedicine allows health care professionals to evaluate, diagnose and treat patients at a distance using telecommunications technology. The approach has been through a striking evolution in the last decade and it is becoming an increasingly important part of the American healthcare infrastructure. Telemedicine has the potential to improve access to health care for many people, but also poses significant legal risks to providers. Many of these risks are not unique to telemedicine, but rather reflect the increasing legal risks facing providers in general. For example, telemedicine can expose providers to liability because of the potential for misdiagnosis, inadequate disclosure of treatment alternatives, and failure to disclose underlying medical conditions.

adjusting blunder). The normal worth of the amount of these mistake E complete is registered by expecting that each piece in A, B and P has an equivalent likelihood of being one or zero. As portrayed in [24], this gives (2) The steady Ctotal is gotten by adjusting ,Etotal to n + k partial pieces, to such an extent that (3) where round(x) shows that x is adjusted to the closest whole number. The duplication network for a shortened multiplier that utilizes this technique is displayed in Figure 1b. In [26], the Variable Correction Truncated Multiplier is presented. With this sort of multiplier, the upsides of the fractional item bits in section n , k , 1 are utilized to appraise the mistake because of leaving o the n , k least signi cant segments. This is achieved by adding the halfway items bits in segment n , k , 1 to section n , k. To make up for the adjusting blunder that happens while shortening the items bits in sections n , 1 to n , k, an adjusting steady, Cround, is added to the duplication framework. Since every item chomped has an equivalent likelihood of being one or zero and the adjusting steady can’t go past section n , k, the worth utilized for Round is (4) Which compares to the added substance converse of the normal worth of the adjusting blunder, shortened after segment n , k. The adjustment consistent is added by placing ones in segments n , 2 to n , k, Truncated Multi-pincers have less normal, mean square and most extreme blunder for given upsides of n and k, however require more equipment. As examined in , exhibit multipliers can be executed all the more proficiently as Vari-capable Correction Truncated Multipliers and tree multipliers can be carried out more productively as Constant Correction Truncated Multipliers.

 

C. Variable Correction Truncated Multiplication Matrix 2.2 Truncated multiplier executions The cells along every slanting in the cluster multiplier relate to a section in the duplication grid. In this outline, a changed half viper (MHA) cell comprises of an AND door and a half snake. The AND entryway creates a fractional item chomped, and the half viper adds the produced incomplete item nibbled and a halfway item nibbled from the past column to deliver a total piece and a convey bit. Essentially, a changed full viper (MFA) comprises of an AND door, which creates an incomplete item chomped, and a full snake which adds the fractional item nibbled and the total and convey bits from the past line. The base line of adders creates the main portion of the item. To further develop execution, this column of adders is once in a while supplanted by a quick n-bit convey proliferate snake. A n by n exhibit multiplier requires n2 AND doors, n half adders, and n2 , 2n full adders. The Variable Correction Truncated Multiplication strategy gives a productive technique to re-ducing the power dispersal and equipment prerequisites of adjusted cluster multipliers. With this strategy, the diagonals that produce the t = n , k least huge item pieces are disposed of. To make up for this, the AND doors that create the fractional items for section t , 1 are utilized as contributions to the adjusted adders in segment t. Since the k leftover changed full adders on the right-hand-side of the exhibit don’t have to create item bits, they are supplanted by altered diminished full adders (RFAs), which produce a convey, however don’t deliver an aggregate. To add the consistent that rectifies for adjusting blunder, k , 1 of the MHAs in the second line of the cluster are changed to altered concentrated half adders (SHAs). SHAs are identical to MFAs that have an information set to one [7]. Cluster multipliers that utilization this strategy require t(t , 1)=2 less AND entryways, (t , 1)(t , 2)=2 less full adders, and (t , 1) less half adders than standard exhibit multipliers [26]. Figure 2b shows the block chart of a 8 by 8 exhibit multiplier that utilizes the Variable Correction Truncated Multiplication strategy. For this multiplier, n = 8, k = 2, and t = 6, which brings about an equipment investment funds of 15 AND entryways, 10 full adders, and 5 half adders. The two MFAs on the right-hand-side of the exhibit are supplanted by RFAs. The adjusting remedy

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