As noted above, limitations in the number and rigor of evaluations in the field of telemedicine prompted the NLM to request that the IOM develop a broad framework for such evaluation. In 1996, based on the deliberations of a 15-member expert committee, the IOM released a report intended to encourage evaluations that would guide policymakers, reassure patients and clinicians, inform health policy managers, and help those who had invested in telemedicine to identify shortcomings in, and improve upon, their programs.
The IOM framework identified the following four main components as being essential to the design of a telemedicine evaluation.
- Evaluation principles
- Steps for evaluation planning
- Elements of an evaluation
- Evaluation questions (five categories)
The key points and questions of the each of the main components of the IOM framework are listed below.