2004 - 2005 Grantee Directory - Michigan

Herbert H. & Grace A. Dow College of Health Professions
Tim Pletcher
2214 Health Professions Building
Mt. Pleasant, Mi 48859
Ph: 989-774-1622 Fax: 989-774-2624
http://www.chp.cmich.edu/rtcen
Email: pletc1ta@cmich.edu

Network Partners: Major network partners are the twenty-six member Isabella County Health & Human Services Collaborative Council, six additional health care systems, the Michigan Health Council, Michigan Center for Rural Health, the Clare & Gratiot County Collaborative Councils.

Project Purpose: Providing rural health educational access, service and outreach across the state, the nation and globally to support education, learning and the advancement of knowledge in communities and among citizens, many of whom would not otherwise have access to higher and health education opportunities.

Outcomes Expected: Reduction in medical errors through better training of medical and health professions personnel (numerous assessment methods & on-line tools). Increased access to quality health information through online wellness and printed health and wellness materials leading to greater citizen self efficacy. (web utilization and book delivery). Detailed multi-county health survey and follow on year survey to compare progress.

Service Area: Our primary service area the communities located in Mid Michigan, however, we positioned to service the state, national, and even international locations.

Services Provided: Primary activities focus on wellness and preventative education. Clinical services are limited to audiology and speech pathology consultations. We currently have two dedicated Telemedicine facilities and are exploring their use as regional telemedicine facilities that tertiary care facilities might rent. We are also now able to provide conversion services from video conferences to Web casts.

Equipment: We currently have one Polycom i680 set up in an administrative and small group distance education facility. A Polycom Med Link cart is permanently located in a dedicated telemedicine clinic, this equipment has a number of AMD scopes and devices attached. We have 7 classrooms, plus 64 clinical and research areas equipped to transmit varying types of medical content routed to a large shared Tandberg unit. We are in the process of acquiring a human patient simulator.

Transmission: We currently have quad ISDN (4 BRI) service coming into the facilities. We also have high speed internet (100Mb/s) for quality IP based video conferencing for distance education. MICHIGAN Close to Home, Close to Health Marquette General Health System.

Project Purpose: 1. Demonstrate the viability of remote neurological consultation presenting at the CAH's (Expansion grew to the entire Upper Peninsula Telemedicine Network [UPTN]). 2. Provide in-community maternal child health care in two critical access hospital communities. (Expansion grew to the entire UPTN). 3. Establish telemedicine services at Mackinac Island Medical Center related to profound isolation and limited access to comprehensive health care services.

Outcomes Expected: Patient/Provider satisfaction with telemedicine services in the UPTN is 4.71 (scale of 1-5 Likert style questions with 5 being satisfied and 1 being not satisfied). Patient encounters grew 761% from 2000 thru 2003, with 24 specialty offices and 56 specialist providing telemedicine services to patients in our network. Patient and specialty usage is monitored through the UPTN access database, UPTN excel growth carts and are reported in the OAT GPRA reports.

Service Area: The Upper Peninsula encompasses 16,446 square land miles with a population of 317,616 (19.31 people per square mile) serving 15 counties. Of the 15 counties, 14 have full HPSA status with 1 partial, 7 of these counties are full MUA, 3 partial and 3 listed as N/A. Isolation in the Upper Peninsula is further heightened by an unreliable and changing economy, high unemployment, and lower than average household incomes.

Services Provided: The UPTN was operational in 1995. Clinical telemedicine encounters occurred on a very limited scale (18 encounters in 1995 versus 1,068 in 2003). Services currently provided over telemedicine include: Allergy, Cardiology, Diabetes Care and Management, Endocrinology, Infectious Disease, Mental Health, Neonatology, Nutrition, OB/GYN, Oncology, Orthopedic, Pediatrics, Radiology, Rehabilitation, Surgery, Emergency and Nephrology.

Equipment: UPTN uses 20 Polycom systems, 9 Via Video desktop systems, 6 Zydacron desktop systems, 4 Tandberg Interns and 2 Picture Tel videoconferencing units.

Transmission: The majority of clinical telemedicine are now occurring over existing data network lines, which allowed the expansion to desktop system point-to-point IP connections (T1 lines). Sites that utilize ISDN technology merge with IP through an accord bridge. MICHIGAN Michigan Collaborative Project on Internet Based Clinical Telemedicine University of Michigan.

Network Partners: University of Michigan Hospital/Dept of Emergency Medicine/Children's Emergency Services and Marquette Hospital/Upper Peninsula Telemedicine Network.

Project Purpose: The purpose of this project is to facilitate formation/support working groups of health providers to develop model/templates for various clinical telemedicine applications with a focus on acute/emergency applications. Second we integrated telemedicine principles/technology with advanced simulation technologies to develop a model of advanced distance emergency education for various health providers. Third we created a private Internet connection to test commercially available products/methods to rate priority of service reliability & acceptability from clinical/health providers.

Outcomes Expected: The project will: a) develop a number of clinical/technical protocols for clinical applications. This will include a standard format for information (clinical guide, equipment & technical specifications, operations, options, etc), b) develop model for using adjunctive distance learning technologies to augment clinical, medical, and educational skills training, and c) improve access of first responders to access Advanced Life Support (ALS) educational opportunities. Project has focused on pediatric emergency medical skills training, including mock arrest scenarios (medical and trauma).

Service Area: No specific clinical care was performed. Service area for development and educational outreach was within the State of Michigan with special emphasis on rural populations/health providers.

Services Provided: Pediatric advanced life support and emergency education events.

Equipment: Polycom view stations, AMD Handheld exam cameras, digital camera (Nikon), Document Cameras, Pediasim™ (METI) human patient simulator with accessories/software, Laptop PC, Cisco routers.

Transmission: All activities were Internet based transmissions.