| Technology
and Transmission
|
All
OAT grantees were asked if they used Store and Forward
technology, Internet Protocols (IP), Internet/World
Wide Web, Wireless Technology, and/or Broadband Transmission
in delivery of their services. (Definitions are provided
at the end of the table). Grantees were also asked to
give a brief explanation of the purposes for the use
of the transmission technology. Their responses are
indicated in the following section.
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| Primary
Care, Family Medicine, ENT, Audiology, Dermat-ology,
Cardiology, Radiology |
Access
to S&F servers. Voice over IP telephony. Remote
HIS access. Audio and Video and Text. |
|
Primary
Care, Family Medicine, ENT, Audiology, Dermatology,
Cardiology |
Videoconferencing |
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Electronic
mail and solicitation of survey responses for Evaluation
Project. |
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Home
Monitoring |
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| Radiology |
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| Children's
Sexual Abuse |
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Videoconferencing |
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| Radiology
Ultrasound for High-Risk OB |
H.323
and H.320 Video for Interactive Telehealth |
Professional
and Public Education |
|
Videoconferencing |
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| Ophthalmology,
Real Time Support |
H.323
Video for Interactive Telehealth |
Web
Site |
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Clinical
Real Time Services |
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Telehealth
Consultations, Distance Learning, Grand Rounds |
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Video
Conferencing |
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Telehealth
Consultations, Distance Learning, Grand Rounds |
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|
Video
Conferencing |
| Maternal
Fetal Medicine, Fetal Ultrasounds |
Telehealth
Consultations, Distance Learning, Grand Rounds |
|
Microwave
Component of Network |
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County
WAN with FTP IP Protocol on a secured network |
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Technology and Transmission (cont.)
| Tele-dentistry |
|
Defined
secure network (Dentistry) |
|
T1
network and ISDN (Critical Care) |
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Yes |
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| Wound
Care |
Distance
Education |
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Distance
Education |
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Distance
Education for CME |
|
CHA/CHP
Communications, Project Dissemination |
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| Radiology,
Laboratory, and Transcription |
IP
is used to facilitate secure “server to server”
communication and data interchange/exchange between
participation solution providers |
The
solution is delivered through a secure web-based
application architecture, providing access to clinical
information through a web browser |
None |
Transmission
rates vary by facility using this application |
| Repository
of immunizations, medical record information |
XML/HL7
messaging |
SSL-secure
websites |
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| Codified
(standard) health data between distinct institutions
(entities) |
Codified
(standard) health data between distinct institutions
(entities) |
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Support
HL7 inbound data |
Primary
user access method |
|
Radiology
images/audio |
| |
In
order to gain access to MedsInfo, any users at the
three hospitals, participating data sources, and
MA-SHARE must have a recognized user name, password,
and IP address. |
The
three emergency departments access for a secure,
web-based application for medication history. |
|
All
three hospitals use broadband. |
Technology and Transmission (cont.)
| Radiology |
Clinical
Results Clinical Documentation |
Clinical
Results Clinical Documentation |
Clinical
Results Emergency Department OB/GYN Case Management |
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| Store
of patient profiles for later review and consultation |
Extranet
call center connectivity |
Distribution
of clinical trial information |
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| Distance
Learning: Video conferencing & presentation
with satellite offices/clinics-Teledentistry Consultation:
For capturing, reviewing, manipulation and storing
of biopsies.-Digital Radiography: For capturing,
reviewing, manipulation and storing digital x-ray
images. |
Distance
Learning: Used for eLearning, eTransaction &
Video conferencing. -Teledentistry Consultation:
Video conferencing for consultation.-Digital Radiography:
For transmitting, retrieving, and storing digital
x-ray images. |
Distance
Learning: eLearning & eTransaction presentation-Teledentistry
Consultation: Interactive consultation via web.
Real-time streaming of consultation practices.-Digital
Radiography: For retrieving & reviewing digital
x-ray via QR web front end system. |
Distance
Learning: For accessing eLearning & eTransaction
modules within dental science main building.-Teledentistry
Consultation: Can be used for teledentistry consultation
from within dental science building.-Digital Radiography:
Can be used to access digital radiographs stored
via QR system. |
Distance
Learning: T1 (1.5mps) access to some clinics (St.
Petersburg, Hialeah, HCC, Apopka) and DS3/T3 to
JAX from Gainesville.-Teledentistry Consultation:
T1 (1.5mps) access to some clinics (St. Petersburg,
Hialeah, HCC, Apopka) and DS3/T3 to JAX from Gainesville.-Digital
Radiography: Broadband access speed within dental
science building is 10/100/1000 mps. |
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| Diabetes
Screening |
Diabetes
Screening |
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Diabetes
Screening |
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H323
Video for interactive Telehealth and Distance Learning |
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Technology and Transmission (cont.)
| Tele-dermatology,
in future Rheumatology and others |
Store-and-forward
application is a Web- based application |
Store-and-forward
application is a Web- based application |
|
Each
CHC is on their own local area network connected
with 256kbs frame-relay, T1-IP, DSL. nine of eleven
sites connected with 384kbs ISDN. Used for VTC |
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| Dermatology,
Radiology |
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OB/GYN
Rheumatology Oncology Mental Health |
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Monitor
patient condition, monitor BP |
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| Radiology |
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ISDN
- Clinical, Educational, Administrative |
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| Wound
care, dermatology |
The
majority of IP applications with partner sites are
educational due to limits on bandwidth. |
Telehealth
Idaho Toolbox, Digital Medical Library |
We
are examining wireless LANs for use within facilities. |
Educational
telecommunications, mental health, EHR |
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| Radiology |
Pharmacy,
education, mental health |
Pathology |
|
Rehab
services (OT/PT/SLP) |
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| CT
images will be stored |
Exchange
information between Fermi Lab and NIU |
Posted
information on neutron therapy and plan to update
progress continuously (see http://www.neutrontherapy.niu.edu/neutrontherapy/)
|
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Technology and Transmission (cont.)
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Installed
campus-wide wireless infrastructure |
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| Teleradiology |
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Tele-imaging |
|
T1
line connecting two Hospitals |
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| Radiology |
Family
Practice |
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Family
Practice |
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| Email,
Radiology, Exam camera, Stethoscope sound clips,
Videophone camera stills, Remote PC Control Document
Delivery, Nasopharyngeal stills & clips |
Videoconferencing,
email, website document delivery |
MCU
monitoring, website document delivery |
Wireless
LAN, Satellite downlink |
LAN,
ISDN, IP, WAN |
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T-1
connections between Riley and hospital sites |
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ISDN |
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Administrative
Meetings, educational programs, clinics |
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Telemedicine
clinics, educational programs, administrative meetings |
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| Home
Disease Management Program |
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ISDN/T1's
Distance learning, clinical applications |
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Used
to connect a web server to the host server |
How
physicians communicate to our web server |
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Technology and Transmission (cont.)
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IP
interactive video |
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| Pharmacy
distance learning program |
Pharmacy
distance learning program |
Pharmacy
distance learning program |
|
Pharmacy
distance learning program |
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| Radiology |
Radiology |
Radiology |
|
Radiology |
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| Teledermatology |
Teledermatology
|
Teledermatology |
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| Teledermatology |
Teledermatology
|
Teledermatology |
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| Distance
ED (email and discussion) |
Distance
ED & Homeland Security |
Distance
ED & Homeland Security |
Distance
ED |
Distance
ED & Homeland Security |
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| Radiology |
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| Teleradiology,
tele-echocardiolgoy telepathology |
Meetings,
education, telemedicine, support groups, bondings |
|
Family
visits, early discharge planning, telemedicine |
Meetings,
education, bondings, support groups, telemedicine |
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Clinical
Pediatric Emergency Education |
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Allied
Health Consults |
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| EMC-Symmetrix
platform, COMPAQ servers (NT4 and W2K) and interfacing
with PC-based computer workstations |
Physician
Internet Portal |
Physician
Internet Portal |
|
WAN
with T1 and OS3 transmission systems |
Technology and Transmission (cont.)
| Fetal
ultrasound |
Electronic
medical record |
|
|
Specialty
consultations, physiological monitoring |
| |
Organization's
Intranet provides drug and patient information transmission. |
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| Dermatology |
Secure
IP protocol with quality of service for clinical
consults |
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