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Government, including the Public Health Department, NASA, Department of Defense, and the Health and Human Sciences Department drove research and innovation in telemedicine. Sending cardiac rhythms during emergencies started at about this time. For instance, in Miami, the university medical center worked together with the fire rescue department by sending electro-cardiac rhythm signals over the voice radio channels from the rescue sites. But a growing trend makes it far easier for older adults to get medical attention, bringing routine exams and diagnostic tests to the patient's doorstep. It's called home-based medical care — when doctors, nurse practitioners, physician assistants, or other providers visit and treat older adults right in their homes.

In the end they did not fire me, however, they did give me a “documented verbal” warning that now stays in my personal file forever.I then told them that if this was the case then they should have told me that at the time of the promotion and I would not have done so.They then told me that my “scope of practice” changed when I was promoted and my new role is different and does not require direct patient care any longer and so I should not have accessed his chart.I have never been in any trouble and I strive to be an exemplary employee, my family is upset and now wants to transfer care due to this.I explained to them that 2 years ago I was told I could do this as long as I had permission and written consent from the family member to do so.

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Now telemedicine is used around the world, whether it’s to provide basic healthcare in third-world countries or allow an elderly patient with mobility issues to see the doctor from home. Telemedicine has the power not only to break down typical geographical barriers to care access, but to make the entire healthcare delivery model more convenient to patients. Originally, health professionals developed this technology to reach remote patients living in the rural areas.