2004 - 2005 Grantee Directory - Hawaii

Hawai'i Primary Care Association (HPCA)
Christine Ma'i'i Sakuda, Director
345 Queen Street, Suite 601
Telehealth Honolulu, HI 96813
Ph: 808-536-8442
Fax: 808-524-0347
http://www.hawaiipca.net Email: csakuda@hawaiipca.net

Network Partners: Federally Qualified Community Health Centers (FQHCs), Native Hawaiian Health Care Systems, Pacific Telehealth and Technology Hui, (a Department of Defense/Veteran Affairs joint venture), University of Hawai'i, Hawai'i Area Health Education Center (AHEC), Dr. Doug Johnson (dermatologist).

Project Purpose: Help the FQHCs prepare for the effective, practical, and seamless use of telehealth in clinical, administrative, and educational settings, by creating a positive experience of telehealth among Community Health Center (CHC) providers, administrators, and patients. Three primary objectives are (1) increase remote access to health care using telecommunications, (2) encourage consultations among CHCs that have or need shareable clinical capacity, (3) use telehealth to meet important non-clinical needs: administration, education, and outreach.

Outcomes Expected: (1) Assess the efficacy of store-and-forward capability between Primary Care Physicians (PCPs) and specialists starting with dermatology, (2) establish video-teleconferencing capability in all FQHCs, (3) sustainable, on-going VTC programs-CMEs, grand rounds, community health education, community outreach, (4) increase the number of telehealth consults in FQHCs, (5) decrease patient and Provider travel costs, (5) increase cost-efficient telecommunication capacity within FQHCs.

Service Area: There are 11 FQHCs with 38 locations across the State of Hawai'i serving roughly 72% of Hawai'i's population. 80% of these represent Medically Underserved Populations (MUPs), 20% represent Medically Underserved Areas (MUAs) and is comprised largely of Native Hawaiians, Immigrants, Migrants form the Freely Associated States of the Marshall Islands, Micronesia, and Palau, homeless people, and uninsured people.

Services Provided: Tele-dermatology, behavioral health, distance education, administrative support. In the future hope to service such specialties as rheumatology, chronic disease management, home healthcare.

Equipment: Tandberg MCU bridge, Tandberg 550 videoconferencing unit, PictureTel SwiftSite 760 videoconferencing unit, PictureTel medical carts, Polycom ViewStations, Polycom 512 multi- point units, Nikon CoolPix, general exam cameras, document reader, dermascopes, otoscopes, ophthalmoscopes.

Transmission: A mix of T1 lines, frame-relay, DSL, and ISDN. Most sites have 384kbs ISDN connection but some are migrating to IP. Frame-relay is used for internet and store-and-forward technology. HAWAII Molokai Telehealth Network Molokai General Hospital

Project Purpose: To develop telemedicine linkages in order to expand and increase access to urban medical specialists. This will reduce travel costs and improve disease management.

Outcomes Expected: Patient satisfaction - 7-point Likert Scale Provider satisfaction - 7-point Likert Scale Patient Usage - OAT GPRA Data Collection tool

Service Area: The entire island of Molokai, with a resident population of just over 7,000. It is designated as both a primary care HPSA and as a mental health HPSA.

Services Provided: Diabetes Care Management, Professional Development, Child and Adolescent Psychiatry, Fetal Ultrasound/Genetic Counseling, Gestational Diabetes, Behavioral Medicine/Counseling (Tobacco Cessation), Dermatology (1/2004), Oncology Case Management (1/2004), VA psychiatry (TBD), Early intervention/Headstart (TBD), Teleradiology.

Equipment: Tandberg Health Care System (HCS) III (2), Tandberg 880 videoconferencing unit (2), Tandberg 800 videoconferencing unit (1), digital camera, Sony video camera, ultrasound machine.

Transmission: Fetal ultrasound: ISDN @ 768 Kbps Dermatology: Store and Forward (1/2004) All other services: ISDN @ 384 Kbps.