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A Telemedicine Method for Pre-discharge Screening of Hospital Patients. Disclosure Number: IPCOM000009652D
Publication Date: 2002-Sep-06
Document File: 1 page(s) / 23K

Publishing Venue

The Prior Art Database

Related People

T. Ho Haryadi, MD, MBA: AUTHOR [+7]


TeleScreening is a telemedicine method using high-resolution videoconferencing technology over the internet, to create remotely accessible searchable recordings of standardized pre-discharge evaluations of patients going from hospital to an alternate level of care. Evaluations are performed and recorded onto a server by trained clinicians from the TeleScreening station. Potential receiving facilities such as subacute, rehab and long term care nursing homes can make admission decisions based on remote access review of these video-on-demand recorded pre-discharge assessments without physical travel of screening teams, and associated time delays for discharge from the hospital.

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TeleScreening: a specific distance evaluation process and procedure in telemedicine

By T. Ho Haryadi, MD, MBA, Managing Partner


The coexistence of new technology and operational inefficiencies presents opportunities for creative innovation and development of new solution concepts to old problems.� TeleScreening represents creative use of cutting edge H.323, video-on-demand (VOD) and related data warehousing technologies in solving specific distance evaluation needs in pre-discharge screening of hospitalized patients.


Evaluation of patients in the hospital by subacute, rehab and long term care (alternate care) facilities for the purpose of arriving at a satisfactory matching between post-hospital care needs and bed types available has been a laborious, time consuming, inefficient and often haphazard process for all parties involved.� Typically a nurse and a social worker need to physically travel to the hospital and see the patient, review the record and talk to staff, in addition to seeing the patient in person for some time.� The patient, the hospital and the potential receiver alternate care site which does the direct contact screening evaluation, would have gone through random duplications of both redundant and ineffective effort with a great deal of time lost, before the patient is discharged to another facility.� The hospital suffers financial losses from any delay beyond the approved length-of-stay.� The facilities waste time and energy and may get an unmatched patient, resulting in re-hospitalization or transfer to yet another facility.� Finally, the patient loses optimum treatment follow through, and may get sicker again.


TeleScreening is a service package that bridges distance and time, in the assessment of patients for discharge from hospital to subacute, long term care and other non-hospital facilities with specific and changing bed-type availability.� The need for physical travel for the screener is eliminated by this distance evaluation method.� This is accomplished wi...