Patient
Inclusion in a Community-based
Telehealth Network
Duke University Medical Center
Division
of Clinical Informatics, Duke University
Dr. David Lobach
DUMC 2914
Durham, NC, 27710
Ph: 919-684-6421 Fax: 919-684-8675
http://dmi-www.mc.duke.edu/
Email: clinicalinformatics@duke.edu
Network
Partners: Duke (Hospital, Family Medicine Center,
Pediatrics, Urgent Care North and South, Outpatient
Clinic), Lincoln Community Health Center (Center,
Urgent Care), Durham Co. (Health Dept., Dept. of Social
Services), Durham Regional Hospital, Durham Community
Health Network, Durham Pediatrics, El Centro Hispano,
Catholic Social Ministries.
Purpose:
Support proactive care management; facilitate communication
between clinicians, social workers, care managers,
health educators and patients; provide access to personal
health information and education materials to patients.
Clinical information is collected directly from patients
through a
computer interface that adapts to fit the native language,
reading literacy and computer skills of the user.
Thus, care management services will be customized
to each patient and will include disease-specific
education, health risk reduction programs, and assistance
accessing appropriate
clinical services and complying with medications.
Outcomes
Expected: Expected improvement in HEDIS indicators
for cancer screening, immunizations, diabetes care,
asthma care, Chlamydia screening, well-child visits
and post-partum care will be measured from site encounter
data. Decreased emergency department utilization and
admissions for ambulatory care-sensitive conditions
measured from site encounter data. Tested instruments
to assess condition-specific health literacy and surveys
of patients' self-efficacy for managing their illnesses
to be measured by patient surveys.
Service
Area: Durham County, North Carolina. 9 MUAs and
2 HPSAs.
Services
Provided: The provider network has been in existence
sense July of 1998. Members of the network will provide
and/or increase telemedicine and distance education
services.
Equipment:
This project is Internet based. The equipment
used includes a specially designed touch-screen patient
data entry kiosk with a video camera to provide real
time contact to a care manager. Partner sites access
the data via the Internet on their office personal
computers.
Transmission:
T1 lines at the partner sites, over the Internet.
REACH-TV
(Rural EAstern Carolina Health Network)
East Carolina University
The
Brody School of Medicine at East Carolina University
Gloria Jones
600 Moye Blvd Brody Bldg. Rm 1S-10 Ph: 252-744-3855
Greenville, NC 27834 Fax: 252-744-1872
http://www.telemed.med.ecu.edu
Email: jonesgl@mail.ecu.edu
Network
Partners:
The Telemedicine Center is affiliated with a large
regional tertiary care hospital, rural hospitals &
clinics, federal prison, rehabilitation center, home
health agencies, state agencies (School for the Deaf,
Mental Hospital, Adult Homes for the Developmentally
Disabled, prisons) and community-based organizations.
Project
Purpose:
To maintain and expand existing telemedicine network
across eastern North Carolina Connecting the regional
trauma center to rural emergency rooms and local hospitals
to specialty care units, prisons, schools & other
state agencies for numerous and varying telehealth
needs. To continue research and develop for homeland
security and disaster relief applications using telecommunication
in local rural areas. To develop and support a web
based inventory tool for
HRSA grantee information.
Outcomes
Expected:
The telemedicine staff and associated healthcare providers
using the Telehealth links, locally and regionally,
meet on a regular basis to discuss continuous usage
with delivery of quality care. Annually written surveys
are collected to assess the Center's telehealth program.
Service
Area:
The Telemedicine Center provides telehealth to a 29
county area in eastern North Carolina serving a combination
of 101 HPSAs, MUAs and MHPSAs. Also included are contractual
services to prisons and other state agencies outside
of the eastern partition of the state.
Services
Provided:
Since 1992, the Telemedicine Center has delivered
a variety of specialty care consultations and other
healthcare services. The telehealth services have
grown with the increased knowledge of healthcare providers
throughout the region. Radiology, Cardiology, Dermatology,
Pediatrics, Rehab Medicine & Psychiatry continue
to be high volume users.
Equipment:
A combination of a variety of equipment mainly controlled
through an Accord Bridge. Other equipment consist
of PolyCom, Tandberg, V-Brick, and 8 X 8 analog units
as codecs with ALI Radiology stations and an array
of diagnostic tools.
Transmission:
T1s (768kps), ISDN (128 to 384kps), IP (Internet Protocol)
at 512kps-1.5M, POTS, and a 45 MB microwave network.
Western
NC Regional Data Link Project
Education and Research Consortium of Western Carolinas
Education
and Research Consortium of Western
Carolinas Jennie Pressley
22 South Pack Square, Suite 500
Asheville, NC 28801
Ph: 828-281-1954 Fax: 828-281-1988
http://www.wnchn.org
Email: jenniepressley@ercwc.org
Network Partners:
The 16 hospitals serving western North Carolina: Angel
Medical Center, Cherokee Indian Hospital, Harris Regional
Hospital, Haywood Regional Medical Center, Highlands-Cashiers
Hospital, McDowell Hospital, Mission Hospitals, Murphy
Medical Center, Pardee Hospital, Park Ridge Hospital,
Rutherford Hospital, Spruce Pine Community Hospital,
St. Luke's Hospital, Swain County Hospital, Thoms
Rehab Hospital, Transylvania Community Hospital.
Project
Purpose:
Develop and implement a system to electronically transfer
patient data among the 16 independent, community-based
hospitals serving western North Carolina. There is
currently no means to electronically transmit or access
patient information from one hospital to another within
the region. This slows access to critical patient
information, delays care, and increases the chance
of medical transcription errors. The long-term goal
is to create a longitudinal electronic medical record
that can be accessed and updated by any authorized
health care provider in the region.
Outcomes
Expected:
The project will improve the delivery of patient care
in western North Carolina by speeding access to critical
patient medical information, eliminating the potential
for transcription errors, speeding the timeframe for
treatment of patients, eliminating the need for patients
or family members to repeat information at other providers,
and reducing the cost of care by creating efficiencies
within the hospitals.
Service
Area:
The 16 counties in western North Carolina.
Services
Provided:
Electronic transmission of patient medical information
between western NC hospitals and between local hospitals
and their admitting physicians. Implementation planned
for early 2005.
Equipment:
To be determined following RFP phase.
Transmission:
The project plans to use VPN lines for transmission.
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