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Healthy
Mothers and Babies Technology Demonstration
Fairview Lakes Regional Medical Center
Fairview
Ridges Hospital
Brian Milavitz
201 Nicollet Boulevard
Burnsville, MN 55337
Ph: 612-672-2253 Fax: 612-672-7050
http://www.fairview.org
Email: bmilavi1@fairview.org
Network
Partners: Fairview-University Medical Center (F-UMC)
(hub), Fairview Southdale Hospital (spoke), Fairview
Lakes Medical Center (spoke).
Project
Purpose: To reduce maternal and neonatal morbidity
and mortality in Minnesota using technology and communication
methodologies in a way that leverages skilled professionals
and builds on community based systems. To show that
using technology and telemedicine techniques, hospitals
will be better able to provide accessible specialty
care to mothers and their babies in the communities
where they live.
Outcomes
Expected: Local availability of services will
increase access and quality of care and provider and
patient satisfaction. Measures:
-
Number of and reason for maternal and neonatal referrals.
-
Number of and reason for neonatal referrals (inpatient
and outpatient).
-
Volume of obstetric patients receiving prenatal
care and delivering at Ridges.
- Morbidity
and mortality statistics for obstetric and neonatal
population.
-
Patient and physician satisfaction.
Service
Area: Portions of Dakota and Scott counties in
Southeastern Minnesota. Total population of the area
in 2000 was 286,000 with a 1.5% annual growth rate.
Services
Provided: High level ultrasounds with ability
for neonatalogists to provide near real time remote
interpretation via high speed store and forward link
to F-UMC. Remote specialty consultations with physicians
at F-UMC. Physiological monitoring and support equipment
to facilitate level II care on-site at Ridges.
Equipment:
Electronic maternal and fetal monitoring equipment,
high level ultrasound, remote linkage software, life
support equipment, EMR upgrades, videoconferencing
equipment.
Transmission:
Very high bandwidth optical ring, ISDN. MINNESOTA
Informatics/Health Information Services Grant: Auto.
Med. Dispensing Fairview Lakes Regional Medical Center.
Informatics/Health
Information Services Grant: Auto. Med Dispensing
Fairview
Lakes Regional Medical Center
Mark Nelson 5200 Fairview Blvd.
Wyoming,
MN 55092
Ph: 651-982-7237 Fax: 651-982-7236
http://www.Fairview.org
Email: mnelson1@fairview.org
Network
Partners: Fairview Pharmacy Services WORx Support,
711 Kasota Ave., St. Paul, MN, Cardinal Health, Pyxis
Corporation, 3750 Torrey View Court, San Diego, CA.
Project
Purpose: Develop an automated medication dispensing
system in our rural hospital to improve service delivery
and patient safety in medication dispensing and administration,
decrease costs related to staff rework and medication
waste, and enhance the volume of electronic data exchanges
involved in service delivery.
Outcomes
Expected: Decrease turnaround time between medication
order and administration (time study), Reduce medication
errors (medication error reporting), Reduce number
of medication/pharmacy credits (data analysis), Improve
employee satisfaction (staff surveys), Increase the
data elements able to exchange via electronic methods
(flow analysis), Establish interfaces with other information
management programs (system analysis). Service Area:
Used throughout the hospital which services all or
portions of 5 counties north of the Twin Cities metro
area.
Services
Provided: Inpatient and outpatient hospital pharmacy
services have been provided to patients at this location
since February of 1998. The automation of this process
utilizing this grant began in April of 2003 and the
project was completed in August of 2003.
Equipment:
Nine (9) medstation main units, one (1) medstation
console unit, five (5) auxiliary units, one (1) tower
unit, one (1) Pyxis CII safe controlled substance
management system unit, one (1) auxiliary vault unit,
and one (1) Pyxis PARx Auto-Replenishment system.
Transmission:
Mediware's WORx computerized pharmacy management
system - Pyxis interface. MINNESOTA Fairview-University
of Minnesota Telemedicine Network University of Minnesota
Fairview-University
of Minnesota Telemedicine Network
University of Minnesota
Stuart M. Speedie, Ph.D
420 Delaware Street,
Box 293 Mayo
Minneapolis, MN 55455
Ph: (612) 624-4657 Fax: (612) 626-0489
http://www.fairview.org/telemedicine/
Email: speed002@umn.edu
Network Partners: Fairview Health Svcs. (Minneapolis,
MN), UMN Physicians (Minneapolis, MN), MN AHEC (Minneapolis,
MN), Behavioral Healthcare Providers (Minneapolis, MN),
Prairie at St. Johns (Fargo, ND), Northern Pines Mental
Health Center (Brainerd, MN), UMN Duluth Medical School
(Duluth/MN). Originating Sites: Wadena, Aitkin, Crosby,
Red Wing, Hibbing, Cook, Moose Lake, Big Fork, Onamia,
Ne-Ia-Shing Clinic, Princeton.
Project
Purpose: Meet the needs of rural Minnesotans for
a greater range of specialty medicine consultations
with an emphasis on mental health, geriatric issues
and perinatal care; improve treatment of chronic conditions
including heart disease, diabetes, organ transplants
and chronic pain; and health professional education.
Facilitate the continued growth of FUMTN into an open
network of multiple telemedicine providers and users
to reach a larger percent of the state's rural underserved
populations in multiple settings. Patients will be
served by telemedicine not just in hospitals, but
in rural clinics, homes, and long term care facilities.
Outcomes
Expected: Increase number of network members where
patients can seek telemedicine consultations and assist
those sites to extend telemedicine into the community
through home care agencies, long- term care facilities
and rural health clinics. It is anticipated that the
outcomes will be larger numbers of available services,
providers and network sites; greater number of consults;
larger number of educational programs; more home care
visits and discharges to lower levels of care.
Service
Area: Portions of 12 Minnesota counties. Covers
11 HPSAs and pHPSAs; 13 full and partial mental health
HPSAs; 10 MUAs and pMUAs; one partial MUP. Counties
served: Aitkin, Carlton, Cass, Crow Wing, Goodhue,
Itasca, Mille Lacs, Otter Tail, Pine, St. Louis, Todd
and Wadena.
Services
Provided: Current specialties: Dermatology, Orthopedic
surgery, cardiology, pulmonology, neurology, gastroenterology,
asthma/allergy and child psychiatry. New services:
Geriatrics, Adult Mental Health, Chronic Illness and
Fetal and Maternal Health.
Equipment:
Currently using: 4 Polycom FX's and 6 Polycom Viewstation
videoconferencing units, 6 handheld exam cameras,
6 digital cameras, 4 digital stethoscopes, 1 otoscope,
and 5 document cameras. Planned installations: 5 Polycom
Viewstation videoconferencing units, 4 digital cameras,
7 video phones for home care.
Transmission:
4 network members utilize ISDN connections. 5 network
members are using IP connection. Telehome care will
be either h.324 over POTS lines or h.323 for IP communications.
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