Table 5.

Take Home Messages.

The technology is imperfect; have a backup plan (probably the telephone)

Video connections will not work well for everyone; be prepared to accept that not everyone’s needs will be fully met. Most people will appreciate that you tried

“Don’t let the perfect be the enemy of the good”

Be flexible, creative and use the tools that are available: if you cannot get tablets, phones in every room are better than nothing. Other alternatives: Vocera devices; baby monitors; their personal smart phones to establish a connection

When starting a palliative care telehealth project, develop a business plan and use a rapid-cycle quality improvement approach

Do not wait for someone else to get things started. Start small, but do start