Where We Are And Where We Need To Be

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Where We AreAndWhere We Need To Be
Jay H. Sanders, MD
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Telemedicine Whats In A Name?
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TelemedicineIs Defined By What It DoesnotWho
does itorWhat does itorWhere it is
doneorWhen it is done
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The Portfolio of Telemedicine Technologies
Phone Fax VTC IP PACs
PDA/MDA/Video Phone Multi-Media
Platforms Sensors Cyberfiles Robotics
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The Portfolio of Telemedicine Applications
Rural/Urban/Global Education Corrections Military
Maritime
Public Health EMS ICU Space Home/Worksite
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The Quality-Cost Matrix
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So Where Do We Go From Here?
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We Must Bring The Examination Room To The Patient!
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We Must Bring The Office To The Practitioner!
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We Must Bring The Collective Expertise Of The
Practitioner To The Patients Bedside!
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It May Be Data But Is It Knowledge?
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The Name Game Telematics
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We Must Migrate From A System Based On Episodic
Or Periodic Evaluation To One That Provides
Continuous Assessment!
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We Must Encourage/Expect/Require Patients To Be
Their Own Primary Care Provider!
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Food Doesnt Cause Obesity,
People Do!
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We Must Collaborate And Partner
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We Must Continue To Explore Unique Market And
Medical Opportunities
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The Foot-In-The-Door Approach
Medicare HMOs Clinical Trials Home
Developers Power Companies International
Patient Safety Homeland Security E.R. Corporate
Health Consumer
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• Reflections On Consulting In The Presence Of
  Cultural Diversity
• Listen carefully to what is not said
• Look intently at what is not visible
• Recognize that perception may define
• reality
• AND
• Educate by being the student

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Never Underestimate One Of The Most Powerful Of
Human Instincts
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Resistance To Change
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That it will ever come into general use,
notwithstanding its value, is extremely doubtful
because its beneficial application requires much
time and gives a good bit of trouble, both to the
patient and to the practitioner because its hue
and character are foreign and opposed to all our
habits and associationsThe London Times, 1834
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The subject
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Do not go where the path may lead. Go instead
where there is no path, And make a trail Ralph
Waldo Emerson