|
|
 |
|
|
Mid-Appalachia
Telehealth Project
University of Tennessee (Knoxville)
University of Tennessee Telehealth Network ™ (UTTN)
1924 Alcoa Highway #70
Knoxville, TN 37920-6999
Sam Burgiss, Ph.D
Ph: 865-544-8059
Fax: 865-544-8975
Email: sburgiss@mc.utmck.edu
Network
Partners:
- Rural
Education and Community Health Services (FQHC),
Jacksboro, TN
- Morgan
County Medical Center (FQHC), Wartburg, TN
- Mountain
People’s Health Councils (FQHC), Huntsville,
TN
- Ridgeview
Psychiatric Hospital and Center, Oak Ridge, TN (provider)
Project
Purpose: Develop telehealth services in three
underserved counties in the traditionally coal mining
Appalachian region of Tennessee. Provide disease management
services from county clinic nurses to asthmatic and
diabetic patients. Asthmatic children in schools in
each county will use peak flow meters daily and record
data. County clinic nurses will have videoconferences
with each student at least weekly. Nurses will have
telephone assessments with each patient at least weekly.
Clinic nurses will receive data transmitted by Type
2 diabetic patients in each county. Counseling will
be provided to patients having black lung disease.
Outcomes
Expected: Pediatric asthmatic disease management
– increase appropriate treatment with anti-inflammatory
medication from typical level <70%, to target level
of >95%, and reduce lost school days per six
weeks from typical two to <1. Diabetes disease
management – reduce average HbA1C readings from
typical >9% to <7% and increase patients having
dilated eye exams from typical <30% to target of
>70%. Black lung clinics – increase access
of coal miners to black lung benefits. Increase depression
screening for diabetics and anxiety screening for
asthmatics.
Service Area: Counties served are contiguous in
Tennessee: Campbell (Jacksboro), low income HPSA,
dental HPSA and a full county MUA; Morgan (Wartburg),
full county HPSA, dental HPSA, and full county MUA;
and Scott (Huntsville), low income HPSA, dental HPSA,
and low income MUA.
Ridgeview provides mental health services for all
counties with huge waiting lists for services.
Services Provided: UT Telehealth Network has been
operational since September 1995 and is providing
services in dermatology, rehabilitation medicine,
pre-anesthesia evaluation, pulmonology, emergency
mental
health, home care, disease management in diabetes
and congestive heart failure, and education. Services
for diabetic, asthmatic and black lung patients will
begin in first quarter of 2004.
Equipment: At remote sites: 5 Polycom
videoconferencing systems; 9 component POTS videoconferencing
systems; 45 Roche Accu-Chek glucometers with modems;
and 2 PCs, server, and network for data collection.
At UTTN office: Polycom CODEC, and Polycom bridge.
Transmission: Full T1 lines between
clinics and UTTN office (distance independent UT contract),
POTS to homes and schools, ISDN to mental health provider
and hospital, Internet and Internet2 for medical staff
and patient education.
Mid-South Telehealth Consortium
University of Tennessee, College of Medicine (Memphis)
Mid South Telehealth Consortium
877 Madison Ave., 7th Fl.
Memphis, TN 38163
http://www.utmem.edu/telemedicine
Karen Fox
Ph: 901.448.5092
Fax: 901.448.8199
Email: kfox@utmem.edu
Network
Partners:
- Hub:
UT Memphis
-
Spokes: Haywood Park Hospital,
Brownsville, TN; UT Family Practice, Jackson, TN;
McKenzie Regional Hospital, McKenzie, TN; Dyersburg
Regional Hospital, Dyersburg, TN; Volunteer Hospital,
Martin, TN.
Project
Purpose:
- Access
– Increase the availability of a variety of
adult and pediatric healthcare services for the
residents of rural West Tennessee.
-
Isolation – Empower both rural and urban healthcare
providers the ability to pursue and advance professional
interactions.
-
Integrated Delivery System – Maximize the
efficiency and effectiveness of all healthcare providers.
-
Community Education. Networking – Partner
with various healthcare organizations, government,
and other entities to achieve a standard of consistently
high quality healthcare to all residents in West
Tennessee and throughout the State of Tennessee.
-
Evaluation – Ensure proper measurement tools
are implemented and business strategies are reevaluated
on a regular basis.
Outcomes
Expected:
-
Measure:
- Program
Description (over time),
-
Need/Objectives of the program,
- Impact
of the program,
- Sustainability
of the program, and
- How
barriers/facilitators to program development
affect sustainability.
-
Tool: Utilize both quantitative
and qualitative data analysis methods to convert
the data into useful information.
Service Area: 12 West Tennessee counties through
5 sites (4 are HPSAs/MUAs).
Services Provided: Asthma Management, Cardiology,
Dermatology, Endocrinology, ENT, Mental Health, Neurology,
Orthopedics, Pediatrics (General, ENT, Neurology,
Orthopedics), Radiology, Urology.
Equipment: 6 Polycoms, 6 27” Sony monitors,
5 Hand held cameras, 5 document cameras, 5 otoscopes
and light sources.
Transmission: T1 lines, Internet, ISDN, MCG Bridge.
|
|
|
|
|
