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Children’s
Health Access Regional Telemedicine (CHART) Program
Children’s Hospital & Regional Medical Center
- Seattle
Children’s Hospital & Regional Medical Center
4800 Sand Point Way NE
PO Box 5371/Mail Stop 3G-3
Seattle, Washington 98105-0371
Sandy Melzer, MD
Project Director
Ph: 206-987-2622
Fax: 206-987-5022
Email:
sandy.melzer@seattlechildrens.org
Network
Partners: Spoke sites include rural and community
hospitals, regional outpatient specialty clinics,
a pediatric clinic and related children’s services.
Project
Purpose: The purpose of the project is to
improve the health of children with chronic conditions
who reside in rural areas of the Pacific Northwest.
This will be accomplished primarily through use of
telemedicine technology to provide effective and timely
access between community- based providers, patients
and their families who are in need of pediatric specialty
services and pediatric specialty providers at Children’s.
The CHART Program also supports continuing medical
education, health education for parents, and care
coordination efforts among professionals and families.
Outcomes
Expected: The Project will improve access
to pediatric specialty care in rural and under-served
areas of the Pacific Northwest; promote coordinated
care through clinical partnerships that enhance care
for children with chronic conditions; provide continuing
health education to health care
professionals and health education sessions to parents
of children with chronic conditions; and work toward
Program sustainability. Parent and provider satisfaction
questionnaires are used to evaluate telemedicine services.
Program growth and service need statistics are documented.
Service Area: The CHART Program uses a telemedicine
and video teleconferencing network to link Children’s
with 11 regional spokes - in Alaska, at Anchorage,;
in Washington, at Wenatchee, Olympia, Yakima, Naselle,
Longview, Bellingham, Kennewick, and Spokane; in Montana,
at Missoula;
and, in Idaho, at Boise.
Services Provided: Clinical pediatric specialty
services include pulmonary, dermatology, endocrinology,
crainofacial and neuro-developmental follow-up services,
mental health (including child psychiatry and psychology),
echocardiography and distance learning (including
case conferences).
Equipment: Two Polycom FX and 11
MP units, digital cameras, document cameras, LCD projectors
with laptop PCs, electronic stethoscope, and a Woods
light for dermatology.
Transmission: Clinical video teleconferencing
occurs with 3 ISDN lines. Two of the systems have
4 ISDN lines.
Northwest TeleHealth
Inland Northwest Health Services
Inland Northwest Health Services
157 S. Howard St, Suite 500
Spokane, WA 99201
http://www.inhs.org/
http://www.nwtelehealth.org
Denny Lordan
Ph: 509-232-8121
Fax: 509-232-8357
Email: lordand@inhs.org
Network
Partners: Northwest TeleHealth’s network
includes 49 sites. The OAT funded project included
the following sites: Lake Chelan Community Hospital,
Lincoln Hospital, Odessa Memorial Hospital, Mid-Valley
Hospital, Othello Community Hospital, Ferry County
Memorial Hospital, Mt. Carmel Hospital, Selkirk Community
Health Center, Newport Community Hospital, Whitman
Hospital & Medical Center, 4 physician offices
and 5 urban hub sites.
Project
Purpose: To increase clinical volumes at
a pace consistent with need by installing conferencing
equipment and marketing program benefits to rural
and urban healthcare providers; link rural providers
with appropriate consultants, educational and administrative
resources; provides professional continuing education;
and, develop a cost-effective Telepharmacy model that
provide pharmacy services to rural hospitals that
have been unable to recruit or retrain a licensed
pharmacist.
Outcomes
Expected: Increased clinical usage
as indicated by more consults and consultants from
varying clinical specialties participating in the
program; increased usage and variety of distance learning
opportunities throughout the network with positive
written evaluations recorded; provide a cost- effective
Telepharmacy program that addresses the growing pharmacist
shortage, decreases the incidence of medication errors,
increases patient safety and decreases healthcare
costs.
Service Area: Serving 49 sites within Eastern Washington
and Northern Idaho, including 22 counties, 27 HPSAs
and 49 MUAs.
Services Provided: Telemedicine, Distance Learning,
Patient Education, Health Information Services, Telepharmacy.
Equipment: Polycom FX VCU; Polycom
VS4000 VCU; Polycom ViaVideo Desktop VCU; PyxisConnect
Automatic Dispensing Systems for Telepharmacy.
Transmission: TeleHealth is a private
(full) T1 network with a video conferencing bridge
(Polycom/Accord 100).
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