I just came across some good links on Telemedicine ICU applications:
Check out the Doctors who developed the use of an ICU Telemedicine system used at Penn developed by a company, Visicu, the "eICU system" (Visicu, like "Visual ICU") .
Take a look at their technical architecture diagram.
Notice the similaries with RHIO technical architectural diagrams. Same HL7 challenges etc. Again, I see Telemedicine as a natural extension of disparate clinical data integration challenge.
In an earlier post, I mentioned how, because of lack of payer reimbursement for telemedicine, the costs may be borne out by facilities such as hospitals because of a perceived notion that telemedicine brings better outcomes and as a result reduced costs. This is apparently the case at Penn's Telemedicine ICU:
Doc in a Box blog writes:
"And also we must not forget about whether we can
bill for this service. Presently the hospital supports it based on the notion
that increased quality saves money."