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Avera
Rural and Frontier Disease Management Telehealth Network
Avera Health
Avera Rural Health Institute
610 W. 23rd Street
Yankton, SD 57078
http://www.avera.org
Mary DeVany
Ph: 605-322-6038
Fax: 605-322-6006
Email:
mary.devany@mckennan.org
Network
Partners: Avera Queen of Peace Hospital,
Mitchell, SD (3 SD sites in Wessington Springs, Platte,
and Parkston); Avera St. Luke’s Hospital, Aberdeen,
SD (a specialty clinic, 3 SD sites in Eureka, Miller
and Britton); Avera Sacred Heart Hospital, Yankton,
SD (1 site in O’Neill, NE, a local clinic);
Avera McKennan Hospital, Sioux Falls, SD (3 sites
in Sioux Center, IA, Pipestone, MN, Scotland, SD;
2 mental health centers in Luverne, MN and Pierre,
SD; and various specialty physician providers).
Project
Purpose: Develop a telehealth disease management
program focusing in the areas of Congestive Heart
Failure (CHF), Diabetes, Asthma/Allergy, expand current
services in Mental Health and Dermatology; expand
available telehealth specialty services to additional
regional in need, specifically in pediatrics (cardiology,
neurology and infectious disease); expand availability
of Certified Nurse Assistant (CNA) training; continue
the expansion of distance education events to interested
regional facilities; establish a network-wide telehealth
“standard of practice”.
Outcomes
Expected:
-
Disease Management .
-
CHF, compare admission/readmissions, improve
patient education, improved quality of life
(SF36);
-
Diabetes, increase participation in appropriate
diabetes management measures, control Blood
Sugar levels, reduce hospitalizations, decrease
A1c hemoglobin levels;
-
Asthma/Allergy, decrease emergency room visits,
improve quality of life;
- Dermatology,
increase access, improve provider efficiency,
improve patient quality of life;
-
Mental Health, improve access;
-
Pediatrics (cardiology, neurology, infectious
disease) – reduce patient travel, increase
access and decrease diagnostic turn-around time,
and
-
CAN Training, increase access to state-required
CNA training opportunities (tools yet to be
finalized).
Service Area: Includes 32 counties in: South Dakota
(26), Iowa (1), Minnesota (2), and Nebraska (3) of
which 21 counties are Primary Care HPSAs and 30 counties
are Mental Health HPSAs.
Services Provided: Operational since December of
1993 and has provided a variety of services. Project
will focus on Disease Management (CHF, Diabetes, Asthma/Allergy,
Dermatology, Mental Health); Pediatrics (Cardiology,
Neurology, Infectious Disease), CNA training and other
distance education.
Equipment: The interactive video
portion utilizes various Polycom videoconferencing
models, including iPower 9000, iPower 600, ViaVideos
and various Viewstation models. The home telehealth
equipment is currently being evaluated and has yet
to be determined.
Transmission: Most sites utilize
either a converged or a fractional T1. In addition,
some sites will continue to utilize ISDN lines. The
video bridge allows for both network options and provides
“cross-networks” connectivity. The telehomehealth
piece may also incorporate POTS lines.
Reducing the Prevalence of Diabetes by Building
a Bridge of Healing Cultures between Indigenous, Alternative
and Western Healing Practices
South Dakota State University Foundation
South Dakota State University Foundation
823 Medary Avenue
Box 525/SDSU
Brookings, SD 57007-0499
http://sdenterpriseinstitute.org
http://keyatracker.com
Marcia Hendrickson
Ph: 605-697-7475
Fax: 605-697-5641
Email:
marcia_hendrickson@sdstate.edu
Network
Partners:
- InteractiveTHINK,
Sioux Falls, SD
-
Koerner Learning, Sioux Falls, SD
-
Yankton Sioux Tribe, Marty, SD
-
Sisseton-Wahpeton Sioux Tribe, Agency Village, SD
-
South Dakota State University, Brookings, SD
-
University of South Dakota School of Medicine, Vermillion,
SD
Project
Purpose: An integrated disease prevention/management
template for Native People was created, beginning
with diabetes mellitus. Health summits were convened
to increase the understanding of diabetes management
from Western, Indigenous, Alternative Healing and
Tribal Health Educator perspectives. Resources and
tools were created or modified to enhance the quality
of life of Native People through collaborative work
and a culturally based health care information database.
The health care template provides resource materials
and an internet-based Health Tracker database and
communication tool to help Native Peoples, in partnership
with healers, manage their ongoing health and build
self care capacity.
Outcomes
Expected: Increased patient compliance, increased
patient awareness of their health, decreased reliance
on medications, increased communication between health
care providers and patients, culturally sensitive
care plans, improve clinical indicators, utilization
and care satisfaction outcomes for Natives living
with diabetes while sensitizing social support networks
to the needs of diabetics and the mutual benefits
of successful management to the whole community.
Service Area: Two reservations in South Dakota.
Services Provided: Web based wellness tracking,
develop better communication between various caregivers
and their patients, culturally sensitive integrated
care plans for diabetes, reproducible template for
culturally-sensitive disease prevention/management.
Equipment: InteractiveTHINK, Inc. software, PCs
with internet connections.
Transmission: Dial up modem, ISDN.
Growing
Our Own: A Nursing Education/Provider Partnership
The University of South Dakota (USD) - Vermillion
University of South Dakota
Department of Nursing
414 E. Clark Street
Vermillion, S.D. 57069
http://www.usd.edu/nursing
Kathy Manning
Ph: 605-677-6224
Fax: 605-677-5886
Email: kmanning@usd.edu
Network
Partners: Evangelical Lutheran Good Samaritan
Society (ELGSS) and Statewide Education Services.
Project
Purpose: The University of South Dakota Department
of Nursing will deliver nursing lecture and seminar
content via the Internet with clinical experiences
supervised by University of South Dakota (USD) faculty
hired from the local communities. The USD Statewide
Education Services will deliver the general education
coursework. This Nursing Education/Partnership will
create a
supportive, connected learning environment providing
the student to “attend college” and earn
an Associate of Science in nursing in a part-time
format while employed by the partnering Evangelical
Lutheran Good Samaritan Society.
Outcomes
Expected: The goal of the project is to utilize
distance learning methods to train a supply of registered
nurses (RNs) for long-term care agencies realizing
a critical shortage of RNs. Beyond successful passage
of the N-CLEX examinations for RNs, a number of evaluation
methodologies are used to inform faculty about outcomes
which focus on critical thinking, communication, therapeutic
nursing interventions, completion/graduation rates,
and program satisfaction.
Service Area: Five states in Plains States Region,
in communities with a population of 10,000 or less.
Services Provided: Deliver pre-licensure nursing
education to employees of the ELGSS.
Equipment: Interactive, satellite-based Distance
Learning Network (DLN), and Dakota Digital Network
(DDN), V-Tel LC-5000 videoconferencing system, WebCT
software, Internet2.
Transmission: T1, web-based, satellite (DLN) which
utilizes Echostar 61.5 Mhz, and DDN that operates
at a line speed of 768 bytes per second.
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