Technology and Telehealth Model
Services integration programs in rural communities can involve various forms of technology, including telehealth
services. Telehealth is the use of telecommunications and information
technology to provide access to:
- Health assessments
- Information across distance
Telehealth can be a key component of integrated care in rural communities because
it connects patients to a range of providers and makes it possible for patients to receive screenings,
education, and other services without traveling to a provider’s office. Telehealth has been used in school
settings in rural communities to increase access to oral health and specialty care.
Acute care facilities are increasingly using telehealth as a tool to manage patient care. There is also growing
evidence to support the use of virtual technologies to improve access to care and quality services in behavioral
health and social services, particularly with respect to substance abuse and addiction. By using telehealth for
counseling and support, mental health providers are able to expand the reach of their services to different
populations living in areas where there are limited mental health services. Additionally, populations such as
children may feel more comfortable when participating in virtual therapy sessions from their own homes rather
than in a medical setting.
Telehealth is also a promising approach for creating virtual health homes and team-based approaches to care
where mental health, human services, nutrition, and healthcare services are integrated. Further, there are
opportunities to use telehealth to integrate behavioral health and social services for children living in
Other common forms of technology include electronic health records (EHR) systems, which help service providers
easily share patient information in a secure format. Common data standards can also help providers track basic
demographic information and facilitate collaboration between service providers. In addition, many aspects of
services integration require the support of system-wide computerized information systems that allow data
management and effective tracking of utilization and outcomes. EHRs can also be used to determine eligibility
for and help enroll people in human services programs such as:
- Temporary Assistance for Needy Families (TANF)
- The Low Income Home Energy Assistance Program (LIHEAP)
- Housing subsidies
- Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
Examples of Rural Programs that use Technology and Telehealth
The South Georgia Regional Prevention
Coalition has used
telehealth to address the issues related to transportation and lack of local specialists. Using telehealth
technology, rural providers are able to set up consultations with specialists in cities located long
distances away. These consultations help providers to determine if patients need to make the long
distance trips in order to see a specialist. Telehealth also assists with follow up care if procedures need
to be performed out of town.
The Rural Child Poverty Telehealth Network Grant Program was a three-year pilot program that funded existing
telehealth networks to develop innovative ways to address health challenges affecting children living in
impoverished rural areas. In some cases, grantees expanded access to healthcare services by integrating
human and social service providers in their telehealth networks, including early childhood development, food
and nutrition support, and economic support programs.
The Annie E. Casey Foundation developed an application called Casebook
that uses social networking and web-based technologies to build a family-centric, child welfare case
management tool. This tool helps service providers collect and report data across organizations as well as
develop information on the patient’s health, education performance, mental state, and social relationships.
Considerations for Implementation
A critical component in the use of telehealth is access to high-speed broadband. Though the majority of
communities in the U.S. has access, some rural communities may not have access. Wireless technology is also
effective, but may not be as dependable in rural areas. In addition, the telehealth field is growing quickly and
changing dramatically. Understanding new developments in the technology is critical. In order to use telehealth
as an integrative tool, participating providers and organizations need to adopt the same technology.
Implementing new technology and data recording systems can be very expensive and labor intensive. If the entire
network cannot support the technology, it may not be possible to fully integrate health and human services.
There are 12 regional telehealth technical assistance
centers and two national centers that provide toolkits,
guidance, and consultation.
Finally, telehealth enables the patient to be at the center of care, as opposed to the institution or provider.
Therefore, it is important to think outside the box about how to integrate services; it may be possible to
provide care within a patient’s home, school, or health center.
Resources to Learn More
Consortium of Telehealth Resource Centers
Telehealth Resource Centers (TRCs) provide assistance, education, and resources to those providing or seeking to
provide healthcare services to underserved populations at a distance.
Ground: A Guide to Facilitating Technology Innovation in Human Services
This report describes how human services can benefit by successfully leveraging technology innovation.
Author(s): Freedman Consulting
Organization(s): Data-Smart City Solutions, Harvard University
Office for the Advancement of Telehealth
This website provides a background on the use of telehealth in rural communities, a list of relevant telehealth
publications, a resource toolbox, and a list of funding opportunities in an effort to promote and improve
telehealth services in rural areas.
Organization(s): Health Resources and Services Administration
State Innovations in Horizontal
Integration: Leveraging Technology for Health and Human Services
This report provides examples of innovations in technology and services being implemented at the state level to
integrate health and human service programs. Highlights common themes across findings.
Author(s): Shaw, T., & Streett, L.
Organization(s): Social Interest Solutions and The Center on Budget and Policy Priorities