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Rural
Disabilities Wellness Project
Minot State University
North
Dakota Center for Persons with Disabilities
Joseph M. Ferrara
500 University Ave. West
Minot, North Dakota, 58707
Ph: 701-858-3055 Fax: 701-858-3483
http://ndcpd.org/wellness
Email: ferrara@warp6.cs.misu.nodak.edu
Network Partners: Enable, Inc., Bismarck, ND
H.I.T. Inc., Mandan, ND HAV-IT Inc., Harvey, ND Pride
Inc., Bismarck, ND VTC Inc., Fargo, ND
Project
Purpose: As a group, people with developmental
disabilities such as mental retardation are significantly
less active and more susceptible to the health and
social problems associated with inactivity than the
general population. The purpose of this project is
to increase the overall level of physical fitness
in this group through an exercise program that uses
specialized recordkeeping software, motivational software,
and interactive computer video support.
Outcomes
Expected: 1) Improved Health and Wellness in participants.
Standard measures of body mass index, resting heart
rate, and blood pressure will be used. 2) Validation
Data. Staff will collect daily measures of participant
performance in an individualized exercise program
that may include aerobic, flexibility, and strength
activities (e.g. steps walked, sit and reach in cm,
weight lifted, exercise repetitions). Video records
of exercise will be kept. 3) Replication Package.
Delivery of a replication package that includes: data
collection software, protocols for internet-based
video monitoring, and protocols for validated behavioral
intervention.
Service
Area: North Dakota Counties served include: Burleigh,
Cass, Morton, and Wells serving 14 MHPSAs.
Services
Provided: Physical education, fitness and psychological
services.
Equipment:
1) Del internet servers supporting: Wave3 Corporation's
Session Audio/Video teleconferencing server software
and NDCPD's Online Exercise Support System. 2) Remote
site PCs supporting Wave3 Corporation's Session Audio/Video
teleconferencing client software, USB cameras, and
Echo canceling microphones.
Transmission:
Full T1 to Internet, full T1 at three remote sites,
and DSL at the fourth site.
North
Dakota Telepharmacy Project
North Dakota State University
College
of Pharmacy
Charles D. Peterson, Pharm.D.
123 Sudro Hall
Fargo, ND 58105
Ph: 701-231-7609 Fax: 701-231-7606
http://www.ndsu.edu/pharmacy/
Email: Charles.Peterson@ndsu.nodak.edu
Network
Partners: Licensed rural community and hospital
pharmacies, rural communities, North Dakota State
Board of Pharmacy, and North Dakota State Pharmaceutical
Association. Project Purpose: To restore and retain
pharmacy services in underserved rural communities
in North Dakota through the use of telepharmacy technology.
To allow a registered pharmacy technician to process
prescriptions in a full service pharmacy at a remote
telepharmacy spoke site under the direct supervision
of a licensed pharmacist located at a central pharmacy
hub site. Activities are in full compliance with all
rules and regulations for the practice of pharmacy
in the State as established by the North Dakota State
Board of Pharmacy.
Project Purpose: To restore and retain pharmacy
services in underserved rural communities in North
Dakota through the use of telepharmacy technology.
To allow a registered pharmacy technician to process
prescriptions in a full service pharmacy at a remote
telepharmacy spoke site under the direct supervision
of a licensed pharmacist located at a central pharmacy
hub site. Activities are
in full compliance with all rules and regulations
for the practice of pharmacy in the State as established
by the North Dakota State Board of Pharmacy.
Outcomes
Expected: To restore access to health care, pharmacy
services, and pharmacists in remote rural communities
throughout the State; to improve rural economic development
by building new businesses and adding new jobs; to
make rural community pharmacy businesses more attractive
and financially viable, profitable, and sustainable;
to improve the chances of recruiting and retaining
pharmacists in rural areas; to provide educational
opportunities in telepharmacy for pharmacy students
at the University.
Service
Area: 18 rural communities in 17 MUA counties
geographically located in western, north central,
and southeastern regions of the State serving a total
population of 20,203. Communities involved include:
Killdeer, Beach, New England, Rugby, Maddock, Rolette,
Forman, Gwinner, Watford City, New Town, LaMoure,
Enderlin, Lisbon, Oakes, New Salem, Mohall, Minot,
and Bismarck.
Services
Provided: Full service pharmacies including complete
inventory of prescription and nonprescription drugs
which process prescriptions, provide drug utilization
reviews as well as mandatory patient education counseling
and other health, beauty aids, and convenience items.
Equipment:
Pharmacy operations software on a standard PC
computer; digital imaging camera, and Polycom- FX
video conferencing equipment located at both remote
telepharmacy spoke site and central pharmacy hub site.
Transmission:
Transmitted over the Internet using DSL lines at 512K
bandwidth or dedicated fractional T1 and secured through
a VPN.
St.
Alexius/Northland Telecare Network
Northland Healthcare Alliance
St.
Alexius Medical Center
Nancy R. Willis, Director
900 East Broadway,
PO Box 5510 Bismarck, ND 58506-5510
Ph: 701-530-7615 Fax: 701-530-7099
http://www.st.alexius.org
Email: nwillis@primecare.org
Network
Partners: Northland Healthcare Alliance, North
Dakota: Ashley Medical Center (Ashley), Missouri Slope
Clinic (Beulah), Carrington Hospital (Carrington),
St. Joseph's Hospital and Health Center (Dickinson),
Great Plains Clinic (Dickinson), Garrison Memorial
Hospital (Garrison), Glen Ullin Marion Manor (Glen
Ullin), St. Aloisius Hospital (Harvey), Sakakawea
Medical Center (Hazen), West River Regional Health
Center (Hettinger), Linton Medical Center (Linton),
Presentation Medical Center (Rolla), Prairie Health
Clinic (Steele), Strasburg Nursing Home (Strasburg),
Community Memorial Hospital (Turtle Lake), Mercy Medical
Center (Williston), Wishek Community Hospital and
Clinics (Wishek). South Dakota: Isabel Clinic (Isabel),
McLaughlin Clinic (McLaughlin), Mobridge Regional
Hospital and Clinics (Mobridge).
Project
Purpose: Provide health-related services at provider,
patient and community request including clinical visits,
clinical consults, professional and community education
and administrative functions.
Outcomes
Expected: Clinical outcomes for all services would
be equal to outcomes expected for outpatient care
within the medical center. Speech therapy outcomes
are those used by therapists to determine quality
of life improvement in and return as much as possible
to normalcy. Speech therapists use a specific rehabilitation
assessment tool to gauge these. For educational outcomes
include students graduating from the paramedic program
and/or other educational objectives being met. Outcomes
from all activities is 100% customer satisfaction
that is measured on evaluation tools used specifically
for each audience (providers, patients, customers).
Service
Area: Central and Western ND, Eastern Montana
and North Central South Dakota.
Services
Provided: Specialty consults to rural physicians;
specialty visits to rural patients; speech therapy,
medication management and wound management to nursing
homes; paramedic education to assist in keeping rural
ambulance squads manned; professional education to
physicians and other staff at clinics, nursing homes
and hospitals, including leadership training; videoconferencing
services for administrative meetings throughout the
network so that members can avoid needless travel.
A number of support groups meet system-wide (e.g.
Alzheimer's) and care conferences among professionals
are conducted at various facilities. In addition,
follow-up burn care is provided for the Regions Medical
Center in Minneapolis to reduce patient out-of-state
travel.
Equipment:
NEC TeleDocs with Canon exam cameras, and Kodak digitizers
for tele-radiology purposes. Moving to PolyCom for
network purposes and a PACS system for tele-radiology.
Transmission:
Point to point T1 lines to all sites. Some sites are
piggy-backed on these lines. Northland is in the process
of moving toward an ATM network using video over IP.
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