Community
Health Center Technology Upgrade
The Community Health Center of Burlington
The Community Health Center
617 Riverside Avenue
Burlington, VT 05401
http://www.vtmednet.org/telemedicine
Peter Brown
Ph: 802-864-6309 ext. 198
Fax: 802-860-4325
Email: pbrown@chcb.org
Network
Partners: Fletcher Allen Health Care, Champlain
Valley Area Health Education Centers.
Project
Purpose: CHCB
will completely upgrade all technology infrastructure
including patient management systems software, add
electronic medical records and real time connections
to three satellite sites. Project improves quality
assurance capacity, allows for the addition of oral
health services, reduces potential for medical errors
and supports growth in numbers of patients seeking
care from Chittenden County’s only Federally
Qualified Health Center.
Outcomes
Expected: Improved scheduling and
patient access to providers.
Enhanced chronic disease management capability and
follow-up care.
Streamlined billing functions with electronic submissions.
Improved accuracy of data reports as system moves
from manual data entry to automated
immediate, real time access to electronic medical
records at all sites.
Measurement tools include Patient Satisfaction Tools,
Uniform Data System Reports.
Service Area: Chittenden County and the Medically
Underserved Area (MUA) of Burlington and Winooski
Cities.
Services Provided: Primary health care and human
services program, behavioral health services. Dental
services (implemented January 2004).
Equipment: Dell 2650 and 6650 servers.
New medical and dental practice management software
systems including Electronic Medical Records.
Transmission: Gigabit Ethernet WAN
via fiber network to remote sites including lab services
at Fletcher Allen Health Care. T1 speed Internet access
via fiber network.
The
Vermont Tele-Trauma Project
The University of Vermont (UVM)
University of Vermont College of Medicine
86 Beaumont Avenue, Given D-319
Burlington, VT 05405
http://www.fahc.org/telemedicine
Michael A. Ricci, M.D.
Ph: 802-656-4216
Fax: 802-656-0680
Email: Michael.Ricci@uvm.edu
Network
Partners: Fletcher Allen Health Care (FAHC),
Burlington, VT, with 3 VT rural spoke hospitals in
Middlebury, Morrisville and Rutland and 5 NY rural
spoke hospitals in Massena, Malone, Canton-Potsdam,
Saranac Lake and Ticonderoga.
Project
Purpose: Victims
of trauma in rural regions like Vermont and Northeastern
NY State die at higher rates than their urban counterparts
because of discrepancies in access to care at specialized
trauma centers. Using a two-way interactive video
telemedicine link between our Level 1 trauma center,
trauma surgeons’ homes and 8 rural hospital
Emergency departments, the goal is to reduce disparities
in clinical trauma care and medical education by:
1) providing 24-hour access to trauma center specialty
surgeons; and 2) educating rural ambulance personnel
and doctors, who have a low volume of trauma and limited
access to trauma education opportunities.
Outcomes
Expected: Compare the impact of teletrauma
upon survival, complications, length of stay and injury
severity of a teletrauma vs. general trauma population
using data from the FAHC Trauma Registry and from
the Teletrauma Evaluation Form. This form collects
data on patient’s injuries, mechanism of injury,
vital signs, questions from the rural provider and
advice from trauma surgeon, as well as data using
a Likert-type scale to measure trauma surgeon’s
perception of improved quality of care, quality of
video and audio equipment ease of use, and quality
of communication between the consulting physicians.
The Trauma Registry includes variables such as injury
time, injury severity score, arrival/discharge times,
complications, discharge disposition.
Service Area: The UVM College of Medicine /Fletcher
Allen teletrauma network services 3 counties in the
state of Vermont and three non-MSA or rural counties
in northeastern New York. All of these areas are designated
as partial HPSAs and partial MUAs.
Services Provided: Teleconsults in the areas of
24/7 trauma/emergency, surgical follow-up, mental
health/psychiatry, and dermatology services. Distance
education to EMS personnel in the network.
Equipment: Polycom Viewstation 512
videoconferencing units.
Transmission: ISDN 3-BRI up to 384
kbps, working towards use of IP.
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