2004 - 2005 Grantee Directory - Arizona

Project Purpose: Develop neurology subspecialty support for Page Hospital and Payson Regional Medical Hospital reducing patient travel to Phoenix. Develop interactive Grand Rounds and CME programs for the Arizona Telemedicine Program providing additional educational resources for healthcare providers in rural Arizona. Develop cardiac subspecialty support for Page Hospital with a cardiology clinic. Develop infectious disease support for Page and Payson with a clinic and consults as needed, reducing the number of patient transports to a tertiary center.

Outcomes Expected: Increased ability of rural providers to provide care in their facility, will monitor numbers (and their changes) of transports after implementation of clinics. Patient and Provider satisfaction surveys to determine level of satisfaction with program. CME intake forms at rural areas (required for ACGME accreditation), monitor satisfaction and relativity responses.

Service Area: Payson Regional Medical Center - Multispecialty 66 bed facility, serving all of Northern Gila County (pop. 49,051) with extensive rural areas that are HPSAs and MUAs. Page Hospital - Rural 25 bed hospital, serving the Navajo reservation, rural communities, and thousands of tourists from Lake Powell and Grand Canyon that are HPSAs and MUAs.

Services Provided: Presently provide consultations on movement disorder to Payson only. Presently fly a cardiologist to Page Hospital twice monthly for a cardiac clinic. Banner Good Samaritan Medical Center joined the Arizona Telemedicine Network in late 2002 and began a movement disorder clinic in 2003. Plan to begin other neurology support (e.g., Amyotrophic Lateral Sclerosis [ALS], neurosurgery) and cardiac support for both hospitals as well as a state network in 2004 to these facilities. Other clinical subspecialty support planned (2004) include infectious diseases, pediatrics, ObGyn, neonatology, and endocrinology.

Equipment: Banner Good Samaritan Medical Center - Tandberg 6000 videoconferencing unit (one in place, two more to be purchased this year), AMD - 3550 Smart Stethoscope. Payson Regional Medical Center - Tandberg Intern II Mobile Tele-HealthCare Unit, AMD - 3550 Smart Stethoscope. Page Hospital - Tandberg Intern II Mobile Tele-HealthCare Unit, AMD - 3550 Smart Stethoscope.

Transmission: Full and fractional T1 lines. ARIZONA Correctional Health Services Telemedicine Initiative Maricopa County

Network Partners: Adult and juvenile correctional health facilities. Arizona Telemedicine Program Participants.

Project Purpose: The network will tie County jail facilities together, making it possible for remote sites to consult with medical staff in other facilities. The network will significantly reduce the need to transport inmates out of the facility for specialty clinics and will reduce runs to the emergency room. The network will expand inmate access to a broader range of specialists and types of specialty care not previously available.

Outcomes Expected: Increase the number of bookings at remote booking stations with telemedicine screening. Reduce inmate transfers out of the facility for primary care and specialty appointments. Reduce transfers to the emergency room. Reduce false medical claims by inmates. Improve the continuity of care and access to care. Data will be acquired from the daily report system already in place in the jails.

Service Area: Maricopa County, Arizona.

Services Provided: Medical assessment for screening purposes prior to booking at the two remote booking stations in Maricopa County at Mesa and Avondale. Counseling services for juveniles at the Mesa Juvenile facility. 24/7 medical provider support for clinics from the intake facility.

Equipment: Tandberg SL-880 System ISDN - Inc NPP, external audio/video input/output panel and internal medical isolation transformer, Welch Allyn vital signs monitors, AMD exam cameras, Tandberg Intern II Mobile Tele-HealthCare Units, Tandberg Director videoconferencing unit, Tandberg 1000 videoconferencing units.

Transmission: Full T1 on a secured county network.

Sandy Beinar
1501 N. Campbell Avenue,
Tucson, AZ 85724-5105
PO Box 245105 Ph: 520-626-2493 Fax: 520-626-1027
http://www.telemedicine.arizona.edu Email: beinars@u.arizona.edu http://www.telemedicine.arizona.edu/advice

Network Partners: Arizona Foundation for the Eye, Phoenix, Children's Clinics for Rehabilitative Services, Tucson, St. Elizabeth's of Hungary Clinic, Tucson, Mariposa Community Health Center, Nogales, Tuba City Regional Healthcare Corp, Tuba City, schools in Tuba City and Nogales, homes and community center in Amado.

Project Purpose: Create the Arizona Diabetes Virtual Center of Excellence (ADVICE) network to establish a comprehensive telemedicine program for prevention, assessment and management; create and evaluate innovative distance learning programs on diabetes for patients, families, children, community-based allied health professionals and physicians in rural areas, thereby creating a community-based infrastructure for diabetes health education; and provide access to specialty health care for people with diabetes and pre-diabetes in rural areas.

Outcomes Expected: Science fair educational value & fact conveyance (measure) - survey (tool) Student Health Professional telemedicine knowledge (measure) - survey (tool) Promotora telemedicine training (measure) - time-motion studies & survey (tool) Educational impact (measure) - satisfaction & knowledge survey (tool) Clinical services impact (measure) - patient record evaluation & OAT forms (tool) Outcomes studies will demonstrate participation, knowledge gained, and satisfaction with education and clinical activities with school children, community, patients, caregivers, health professionals and providers.

Service Area: Pima, Santa Cruz, Navajo and Coconino Counties serving 3 MUAs, 3 HPSAs, 1 Primary Care Association (PCA), 1 border community and 1 Native American site.

Services Provided: The Arizona Telemedicine Program has been in existence since July of 1996 and has provided clinical consultations in over 55 specialties. Under this grant, services will be provided for diabetes care & management, ophthalmology, podiatry, wound management and nutrition.

Equipment: Tandberg 6000 videoconference unit, Canon CR6-45NM Non-Mydriatic Retinal Camera System, Digital Stethoscope Receive Unit, Tandberg HCS III, PCs with Telemed Software, Tele-Home Health Central Station and Remote Units (various).

Transmission: Full T1, Internet, POTS, Video teleconference (VTC) Bridge.