2004 - 2005 Grantee Directory - New York

Daemen College
Keith Taylor, Ph.D., PT
4380 Main Street
Amherst, NY 14226
Ph: 716-839-8554 Fax: 716-839-8314
http://distance.daemen.edu/endsite3.htm
Email: ktaylor@daemen.edu

Network Partners: Medina Memorial Hospital, Medina, NY Mercycare Residential Health Care Facility, North Hornell, NY Wyoming County Community Health System, Warsaw, NY Charles May Vocational Center (Genesee Valley BOCES), Mt. Morris, NY

Project Purpose: To provide and coordinate health education resources in partner communities through video conferencing and web-based facilities established in partner organizations including academic (secondary and post-secondary) and clinical facilities (hospital and long term care settings). To improve access to a broad spectrum of educational content for career exploration and professional development and training of allied health professionals and students in professional education programs (primarily nursing, physical therapy and physician assistant training). To serve as a communications link between Daemen College and students completing off site internship training.

Outcomes Expected: Deliver credit and non-credit bearing instructional programs for Nursing, PA and PT professionals (# courses, # participants, satisfaction surveys). Communication between allied health students completing internships in rural settings and faculty (# interactions, performance of students, satisfaction surveys). Rural middle and high school student education regarding allied health professional career opportunities available in rural health care settings (# of career modules/activities, # participants, enrollments of participants in professional programs).

Service Area: Genessee, Livingston, Orleans, Wyoming, Stueben, Monroe and Erie Counties in Western New York State serving 9 HPSAs (3 mental, 3 primary care, 3 dental), 41 MUAs.

Services Provided: Daemen College provides video-conference and web-based experiences (credit courses and continuing education) for health professionals & students in allied health professional programs; credit and noncredit courses on health topics and health careers for the general public, and health professional student supervision in rural settings via video conferencing.

Equipment: Two PictureTel and three Polycom video conferencing units, three Portable Video Conferencing Units, and30 port IP video MCU.

Transmission: ISDN (384) (for all partner sites), PRI for IP video bridge and DS3 Broad Band (select sites).

HealthReach NY
Patricia A. Gallegos
72-35
112th Street, PR5
Forest Hills, NY 11375
Ph: 718-263-1964 Fax: 718-263-8326
http://www.healthreachny.org Email: Healthreachny@aol.com

Network Partners: YWCA - Flushing branch, HANAC, Northern Queens Health Coalition, Jewish Board of Family and Children's Services, NYANA. Hospitals-New York Hospital of Queens, Mt. Sinai Medical Center - Queens Campus.

Project Purpose: HealthReach NY is a not-for-profit organization that provides access to free medical care for the uninsured and economically disadvantaged adult population of Queens, New York. HealthReach NY began its work in 1998. In the New York City area, Queens is the most ethnically diverse county and has the highest percentage (33%) of uninsured people.

HealthReach NY meets the needs of the ethnically diverse and uninsured population of Queens through a network of health care providers who provide free medical care in private offices and institutions, through collaboration with community organizations and through the provision of community health education. The computer network allows tracking and recording of data on patients from each of the satellite community sites. This information will serve to determine which diseases are prevalent in each community, and enable the project to do targeted screenings and health education.

Outcomes Expected: Improve health of individuals by providing access to free primary and specialty care by volunteer providers in private offices and through case managers tracking care.

Service Area: Queens County

Services Provided: Primary care, cardiology, gynecology, orthopedics, diabetes care and management, asthma management, health education, laboratory and imaging services.

Equipment: Intel Pentium III Server, Pentium III workstations, Adaptec Controller, 3 Com 3c905-TX 10/100 T-PRO Ethernet NIC Card, HUB Etherfast.

Transmission: 56 K.

Institute for Urban Family Health
Susanne Callahan
16 East 16th Street
New York, N.Y. 10003
Ph: 212-633-0800, ext. 234 Fax: 212-989-2840
http://institute2000.org Email: scallahan@institute2000.org

Network Partners: Continuum Health Partners, ABC Health Plan, Care for the Homeless, and the Bronx REACH 2010 Coalition.

Project Purpose: To increase access to health care and health information for underserved communities in New York City. The project period was September 2002 - August 2003. The objectives were to: improve coordination of care; permit tracking and monitoring of patient care; increase enrollment in insurance programs; and enhance patients' ability to care for and advocate for themselves. The cornerstone of this telemedicine project was the development and implementation of an electronic medical record (EMR) called EpicCare.

Outcomes Expected: Implemented the EMR at twelve of the Institute's practices; developed systems and guidelines in the EMR to improve patient care; trained more than 100 staff members in use of the system; provided primary care to 2,500 uninsured patients, roughly half of whom were new patients, and were screened for insurance eligibility and assisted with insurance enrollment; through installed exam room computers and printers, medical providers provide patients health education materials and portions of the patients' medical records from the EMR.

Service Area: Six zip code areas in Manhattan and the Bronx, with a population of approximately 500,000. The communities served are comprised predominately of low-income ethnically diverse groups.

Services Provided: Primary health care, health education, social services, mental health, care to special populations, including the homeless, persons living with HIV/AIDS, and the uninsured. In addition, the project facilitated a electronic medical record and practice management system and computer- based health information.

Equipment: Desktops - Compaq Evo300s/Pentium 4; 1-7 Nortel switches, Cisco Router Multiple NT and Citrix servers in the server location.

Transmission: IP Frame Relay WAN; bandwidth is factional T1 from remote sites into 2 Hub sites; full T1 with redundancy from Hub sites to server location where Epic/EpicCare are located. NEW YORK Electronic Medical Records Expansion Montefiore Medical Center & The Children's Hospital at Montefiore.

Network Partners: N/A

Project Purpose: Link Group Practice site and Integrated Delivery network into a single electronic medical record.

Outcomes Expected: Quality improvement in patient care allowing the doctor to review all relevant patient information in one depository.

Service Area: Bronx, New York and lower Westchester County.

Services Provided: Buy equipment and programming for Primary Care and referrals into larger Montefiore Delivery Network.

Equipment: Network Communications Equipment, Workstations, and Printers.

Transmission: T1 line with frame relay. NEW YORK Electronic Linkage New York Presbyterian Hospital.

New York - Presbyterian Hospital
Karen Colón
161 Fort Washington Avenue
New York, NY 10032
Ph: 212-305-4530 Fax: 212-927-8447
http://www.nyp.org Email: colonka@nyp.org

Network Partners: Emergency Departments (EDs) at New York-Presbyterian Hospital (NYP) in three locations in Manhattan.

Project Purpose: This project is to electronically provide to community hospitals the full resources of an academic medical center in the event of infectious disease or possible terrorist incident. In addition, public health is facilitated though the capture of clinical data is captured at the community hospital site and immediately available to the academic health centers and subsequently to public health authorities. This linkage will furnish much-needed, real-time syndromic surveillance ability.

Outcomes Expected: · Provide a state-of-the-art information services infrastructure to gather, track, and aggregate patient data for the purpose of identifying symptomatic and syndromic trends. · Make patient data and trends available to clinical staff and Hospital administrators on a real-time basis across the footprint of the New York-Presbyterian diverse geographic locations. · Create an environment in which the Hospital can rapidly initiate appropriate treatment responses and isolation protocols. · Develop a real-time notification system of reporting to local, state and federal emergency response and health agencies.

Service Area: New York City

Services Provided: This project will create a proof-of-concept to demonstrate that the exchange of clinical data (laboratory results, pharmacy results, etc.) between academic medical centers and a community hospital can serve as an early warning system for large-scale incidents and improve point-of- service care at all hospitals.

Equipment: TIBCO Portal Builder and TIBCO Business Factor software, eleven Dell PowerEdge 2650 Servers.

Transmission: Full T1, ISDN at 128 kbps. NEW YORK Patient Health Monitor (Vigilens) New York Presbyterian Hospital.

New York Presbyterian Hospital
Yves A. Lussier (Co-PI)
622 West 168 Street, VC5
New York, NY, 10032
Ph: 212-305-0939
Fax: 212-343-0669
E-mail: Lussier@dbmi.columbia.edu
http://www.dbmi.columbia.edu/homepages/yal7001/Vigilens.html

Network Partners: New York Presbyterian Hospital

Project Purpose: The goal of the proposed research is to examine ways in which the design a telemedicine- enabled, vendor-independent, reusable, modular, multi-institution decision support server can favorably influence healthcare.

Outcomes Expected: The modular and reusable design of the Vigilens Patient Health Monitor shares some substantial development and maintenance costs across several institutions. Technological goals: To demonstrate that the development of a modular, multi-institution decision support server is technically feasible by, (i) Allowing easy swapping of different controlled vocabularies. (ii) Facilitating easy substitution of data repositories and, (iii) Augmenting data capture capability to facilitate intelligent alarms (Process variables were used as measurement tools).

Service Area: Tri-state area near New York City. This region includes MUAs 180-273, excluding 181, 183, 185, 187, 197.01, 199, 201.01, 203, 305, 207.01, 234.01, 245, 249, 251, 253, 255, 261, 263 and 267.

Services Provided: Automated reminders and alerts over NYPH patient health data. The estimated number of daily events that the event monitor must track at the NYPH are the following: 30,000 laboratory results; 17,000 admission-discharge-transfer events; 4,000 inpatient pharmacy prescriptions and 3,000 radiology events.

Equipment: Hardware: Two Solaris dual-processor V880 Servers. The system utilized the established computing infrastructure of the NYPH, Comparing networked computers including one IBM mainframe and over 2000 Deployed PCs. Software: DB2 database, DB2 replicator, DB2 connect.

Transmission: Internet T1.

State University of New York (SUNY) at Buffalo
David Ellis, MD C/o ECMC,
Dept. Emergency Medicine
462 Grider Street
Buffalo, NY 14215
Ph: 716-898-4957 Fax: 716-898-4432
Email: dellis@ecmc.edu Web under construction

Network Partners: 1) The TLC Healthcare Network, 100 Memorial Dr., Gowanda, NY 14070, with clinics in Chautauqua and Cattaraugus Counties. 2) Wyoming County Community Health System, 400 N. Main St., Warsaw, NY 14569, located in Wyoming County.

Project Purpose: This project builds on a successful, state-wide correctional emergency telemedicine network (Y2003, >3000 patients, with 41% ER trip avoidance) to develop clinical services, distance learning (Grand Rounds) & informatics through rural and tertiary care hospital ER linkages. The project will improve health outcomes for victims of rural trauma (tele-trauma) through rural EMS telehealth coordination and a virtual-onsite trauma care partnership using wireless roll-about IP- based videoconferencing units. This will provide a flexible, scalable model for rural access and 24x7 mental health, serving children and adolescents, as well as adults.

Outcomes Expected: Rural Trauma Care: Resuscitation times (arrival - transfer), Patients intubated - GCS < 12, blood administration when hypotensive, FAST ultrasound performed, mode of transfer, length of admission/stay (LOS) in trauma center, LOS in trauma center ED, Time to Operating Room, Physiologic outcomes for trauma based on Injury Severity Scores specific locations Head/Spinal injury, Chest, Abdominal, Extremity injury; General indicators: Patient/Provider Satisfaction - Likert surveys, Quantifying Patient Usage of Services Provided through OAT GPRA Performance Measures.

Service Area: Chautauqua Co. (HPSA) 3 full, full mental, 27/30 cities full dental; MUAs #2401, #5034. Cattaraugus Co. (HPSA) 5 full, full mental, full dental; MUAs #2409, #2410. Wyoming Co. (HPSA) 3 full, full dental, MUAs #2396, #2408.

Services Provided: Emergency / Trauma (Tele-trauma), Mental Health, Emergency Mental Health, Child /Adolescent Psychiatry, Hand, Maxillo-Facial, Infectious Disease / HIV, Gastroenterology. Future (2005-6) Services: Pediatric Emergency / Trauma, Pediatric Cardiology, Pediatric Specialties, Dental.

Equipment: 3 Wireless IP roll-about videoconferencing units, Polycom codecs, Dual-screen consultation systems, networking hubs.

Transmission: Full T1 connections with IP transmission protocols.