A rural hospital administrator is resistant to creating a telehealth system because of its impact on finances. What response by the director of nursing, who thinks a system should be started as soon as possible, would be best?
a. Inform the administrator of research findings related to telehealth.
b. Lobby federal lawmakers to require third-party funding for telehealth costs.
c. Work with the administrator to find ways to make up the revenue shortfall.
d. Write grants for funding to offset the costs of starting a telehealth system.
C
One of telehealth's successes is reducing admissions in patients who have chronic illnesses. This could make a huge impact on a hospital's finances, especially in a rural area populated by a large number of older adults with chronic illnesses. The DON could collaborate with the administrator to create billable services to help make up for this shortfall.
Informing the administrator of research findings will not change the financial impact of a telehealth service.
Lobbying for third-party reimbursement is an excellent choice but would take too long to be the best action.
Writing grants would also be an excellent choice, but the grant process is arduous and takes too long to be the best option, plus it will not address the real concern of loss of income.
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