Veteran’s Affairs (VA) healthcare system



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Telemedicine Education and Training  

Casey Galey

Intro to Telemedicine, EHS 2211, George Washington University

Tippi Geron

June 17, 2018

















I, Casey A. Galey, affirm that I have completed this assignment/examination in accordance with the Code of Academic Integrity.  

Telemedicine Education and Training


My application is originally designed to operate for use with the Veteran’s Affairs (VA) healthcare system. The application’s purpose is to bring the veterans to their provider without having to travel great distances. 41 percent of all veterans enrolled in the VA healthcare system live in rural areas (Shore, 2014). That being said, the general purpose of the application is to bridge the gap between patient and provider. This application could be used and adapted to different platforms or healthcare systems. These adaptions can be used to target different demographics. Civilian personnel living in Rural areas and active duty troops in deployed settings around the world.  

Many people within the United States live in rural areas. Getting to quality healthcare facilities can be cumbersome. This target population could benefit from my proposed application just as much as our veterans. Many of the rural clinics and hospitals are not as “up-to-date” or proficient as hospitals that are in a closer proximity to a teaching hospital. This application can solve some of those issues. Our veterans or civilians in rural areas can utilize the system the same exact way.  

Another field that could utilize this platform may be active duty troops in the combat or deployed setting. There would be a separate more secure site for this application. The medics or corpsman on the ground could reach out to physicians and other providers to enhance their ability to provide a high immediate standard of care to casualties or for those patients that the medics are forced to treat for an extended amount of time.  

The proposed system can be accessed via any smart phone, mobile device, or computer. In the deployed setting the service members would have to utilize some sort of satellite device or wait until they returned to their base to use the existing internet. The veteran (not active duty) patients will be given the application name or link for download. The healthcare facility can provide a patient number or utilize the patient’s social security number for account registration and log on purposes. Making sure the patient’s information and health information is correct. There are going to be a variety of plug-and-play devices to be used for diagnostic purposes. Much like what we saw in the TED talk video during week 2 (Kraft, 2016). These devises will have the ability to work within the application while still providing patient-provider or patient-third party video conferencing. This will allow for the provider/third party to instruct or give direction during the use of the diagnostic device.  

People living in rural areas will not have the same accessibility to 4G cell networks or equal high-speed internet providers similar to highly populated cities due to their location. This will present the proposed program with connectivity challenges. Active duty troops are often in countries that do not have a solid infrastructure and finding reliable cell service or internet can be challenging. These applications will need a satellite mobile device to facilitate the proposed program. Additional equipment for diagnostics would also have to be carried by the combat medics. This is gear added to an already extremely loaded down individual. I suspect a lot of medics will opt-out of carrying more gear on their person. On the other hand, the equipment could easily be stored on/in the vehicles.  

Video lectures, interactive programs, provider lead training via videoconference, provider lead training in person are all training platforms that can and will be utilized as needed to support the end users of the software and hardware. Video lectures can be utilized to demonstrate simple tasks or procedures or providing instructions for installation of new software or medical diagnostic hardware. The videos will be available for viewing via an open source website like,” YouTube”. Interactive programs can be utilized to help guide new users throughout the website or app-based software. This type of instruction limits the options or the path taken of the user and provides step-by-step instructions. There are many programs within the military that utilize this type of instruction method. The troops in a deployed setting will be familiar with this process.  

Provider lead training in person will be utilized for those procedures that may be too complicated for the end user. In these scenarios the veteran may be lacking technological know-how. This method will also be utilized for those who would rather be taught in person. Videoconference (VC) technology is increasingly being utilized to provide medical education across a range of disciplines and settings. There has been increased knowledge using VC and several studies showing no significant difference between face-to-face or VC modalities. (Banbury, 2016)



Banbury, A. P. (2016). Delivering patient education by group teleconferencing into the homw: Lessons learnt from the Telehealth Literacy Project. Journal of Telemedicine and Telecare, 483-488.

Kraft, D. (2016, Mar 30). The Empowered You: How Healthcare Is Evolving With Technology. TEDx Talks.

Shore, P. G. (2014). Meeting Veterans Where They’re @: A VA Home Based Telemetacine Health (HBTMH) Pilot Program. International Journal of Psychiatry in Medicine, 5-17.




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