Skip to main content
Mobile
  • Finance, Accounting & Economics
  • Global Business Management
  • Management, Leadership & Organisation
  • Marketing & Sales
  • Strategy
  • Technology & Operations
HS Talks HS Talks
Subjects  
Search
  • Notifications
    Notifications

    No current notifications.

  • User
    Welcome Guest
    You have Limited Access The Business & Management Collection
    Login
    Get Assistance
    Login
    Forgot your password?
    Login via your organisation
    Login via Organisation
    Get Assistance
Finance, Accounting & Economics
Global Business Management
Management, Leadership & Organisation
Marketing & Sales
Strategy
Technology & Operations
You currently don't have access to this journal. Request access now.
Practice paper

Telemedicine: The cure for rural outmigration?

Brian Bossard and Carol Friesen
Management in Healthcare: A Peer-Reviewed Journal, 3 (3), 229-243 (2018)
https://doi.org/10.69554/HEQU2411

Abstract

The Quadruple Aim — enhancing patient experience, improving population health, reducing costs and improving the work life of healthcare providers — is widely accepted as a compass to optimise health system performance. Access to timely, high-quality health-care services is an ongoing challenge in most rural communities in the USA, and a shortage in family practice and specialty-trained physicians is increasing rapidly according to current projections. In addition, a significant number of rural facilities are facing financial challenges and potential closure. Telemedicine offers an innovative solution to these problems in rural America by increasing access to medical specialty expertise. This paper considers the implementation of telemedicine services and potential barriers to its successful implementation, and describes examples of successful telemedicine programmes.

Keywords: telemedicine; outmigration; rural medicine; access; physician engagement

The full article is available to subscribers to the journal.

Already a subscriber? Login or review other options.

Author's Biography

Brian Bossard is Co-Founder and President of Bryan Telemedicine. He received his BS in Biology from the University of Nebraska in Lincoln and completed his medical training and internal medicine residency at the University of Nebraska Medical Center. He has been board certified in internal medicine since 1990. He co-founded Lincoln Internal Medicine Associates, where he also served as president and managing partner. He founded the first hospital medicine practice in Nebraska at Lincoln General Hospital in 1993, and he subsequently founded Inpatient Physician Associates in 2001, which remains the largest hospital medicine practice in Nebraska and the region. Among his leadership positions, he has served as chairman of the Department of Medicine and chief of staff of Bryan Health. He has also served on the Boards of Directors of the Lancaster County Medical Society, Bryan Health and the Bryan Foundation. He also served for several years as the medical staff quality designee for Bryan Health. He was a charter member of ‘Team Hospitalist’, a physician editorial advisory panel for the Society of Hospital Medicine publication, The Hospitalist. He has served for many years as adjunct professor of Internal Medicine at the University of Nebraska Medical Center.

Carol Friesen is Vice President of health system services at Bryan Health in Lincoln, Nebraska. The service lines included are the Heartland Health Alliance with 48 affiliated members, and the Bryan Critical Access Hospital Network with 28 hospitals, rural consulting services, and managed and owned rural hospitals. She is also responsible for physician services including physician recruitment, medical education, physician workflow consulting and performance excellence/Lean. Carol has an extensive background in healthcare finance, with over 20 years of experience. In addition to her role at Bryan, she is involved in the National Healthcare Financial Management Association (HFMA), the American Hospital Association and the Nebraska Hospital Association. She has served on the boards of all of these organisations and is currently chair of the National HFMA. She has received various high distinction awards, including the HFMA Muncie Gold Merit Outstanding Service Award, HFMA Founders Medal of Honor Award and American College of Healthcare Executives Early Careerist Award. Before becoming Vice President of health system services at Bryan, she served as President and Chief Executive Officer (CEO) of Crete Area Medical Center for six years and chief financial officer (CFO) of Boone County Health Center for eight years. She earned her master of public health in hospital administration and credential of advanced studies in health services administration from the University of Minnesota, Minneapolis, Minnesota.

Citation

Bossard, Brian and Friesen, Carol (2018, December 1). Telemedicine: The cure for rural outmigration?. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 3, Issue 3. https://doi.org/10.69554/HEQU2411.

Options

  • Download PDF
  • Share this page
    Share This Article
    Messaging
    • Outlook
    • Gmail
    • Yahoo!
    • WhatsApp
    Social
    • Facebook
    • X
    • LinkedIn
    • VKontakte
    Permalink
cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 3 / Issue 3
© Henry Stewart
Publications LLP

The Business & Management Collection

  • ISSN: 2059-7177
  • Contact Us
  • Request Free Trial
  • Recommend to Your Librarian
  • Subscription Information
  • Match Content
  • Share This Collection
  • Embed Options
  • View Quick Start Guide
  • Accessibility

Categories

  • Finance, Accounting & Economics
  • Global Business Management
  • Management, Leadership & Organisation
  • Marketing & Sales
  • Strategy
  • Technology & Operations

Librarian Information

  • General Information
  • MARC Records
  • Discovery Services
  • Onsite & Offsite Access
  • Federated (Shibboleth) Access
  • Usage Statistics
  • Promotional Materials
  • Testimonials

About Us

  • About HSTalks
  • Editors
  • Contact Information
  • About the Journals

HSTalks Home

Follow Us On:

HS Talks
  • Site Requirements
  • Copyright & Permissions
  • Terms
  • Privacy
  • Sitemap
© Copyright Henry Stewart Talks Ltd

Personal Account Required

To use this function, you need to be signed in with a personal account.

If you already have a personal account, please login here.

Otherwise you may sign up now for a personal account.

HS Talks

Cookies and Privacy

We use cookies, and similar tools, to improve the way this site functions, to track browsing patterns and enable marketing. For more information read our cookie policy and privacy policy.

Cookie Settings

How Cookies Are Used

Cookies are of the following types:

  • Essential to make the site function.
  • Used to analyse and improve visitor experience.

For more information see our Cookie Policy.

Some types of cookies can be disabled by you but doing so may adversely affect functionality. Please see below:

(always on)

If you block these cookies or set alerts in your browser parts of the website will not work.

Cookies that provide enhanced functionality and personalisation. If not allowed functionality may be impaired.

Cookies that count and track visits and on website activity enabling us to organise the website to optimise the experience of users. They may be blocked without immediate adverse effect.