Arizona Telemedicine Program
1501 N. Campbell Avenue, PO Box 245105
Tucson, AZ 85718
www.telemedicine.arizona.edu

Ronald S. Weinstein, MD
Sandy Beinar
Ph: 520-626-2493
Fax: 520-626-1027
Email: beinars@u.arizona.edu

Network Partners: Arizona Foundation for the Eye, Phoenix, Children’s Clinics for Rehabilitative Services, Tucson, St. Elizabeth’s of Hungary Clinic, Tucson, Mariposa Community Health Center, Nogales, Tuba City Regional Healthcare Corp and the Tonalea and Cameron Chapter Houses, Tuba City, schools in Tuba City and Nogales; homes, Sapori Elementary School and Community Food Bank in Amado.

Project Purpose: Create the Arizona Diabetes Virtual Center of Excellence (ADVICE) network to establish a comprehensive telemedicine program for prevention, assessment and management; create and evaluate
innovative distance learning programs on diabetes for patients, families, children, community-based allied health professionals and physicians in rural areas, thereby creating a community-based infrastructure for diabetes health education; and provide access to specialty health care for people with diabetes and pre-diabetes in rural areas.

Outcomes Expected: Science fair educational value & fact conveyance (measure) – survey (tool) Student Health Professional telemedicine knowledge (measure) – survey (tool) Promotora telemedicine training (measure) – time-motion studies & survey (tool) Educational impact (measure) – satisfaction & knowledge survey (tool) Clinical services impact (measure) – patient record evaluation & OAT forms (tool)Outcomes studies will demonstrate participation, knowledge gained, and satisfaction with education and clinical activities with school children, community, patients, caregivers, health professionals and providers.

Service Area: Pima, Santa Cruz, Navajo and Coconino Counties serving three MUAs, three HPSAs, one Primary Care Association (PCA), one border community and one Native American site.

Services Provided: The Arizona Telemedicine Program has been in existence since July of 1996 and has provided clinical consultations in over 55 specialties. Under this grant, services will be provided for diabetes care & management, ophthalmology, podiatry, wound management and nutrition.

Equipment: Tandberg 6000 videoconference unit, Canon CR6-45NM Non-Mydriatic Retinal Camera System, Digital Stethoscope Receive Unit, Tandberg HCS III, PCs with Telemed Software, Tele-Home Health Central Station and Remote Units (various).

Transmission: Full T1, Internet, POTS, Video teleconference (VTC) Bridge.

Arizona Telemedicine Program
1501 N. Campbell Avenue, PO Box 245105
Tucson, AZ 85178
www.telemedicine.arizona.edu

Ronald S. Weinstein, MD
Sandy Beinar
Ph: 520-626-2493
Fax: 520-626-1027
Email: beinars@u.arizona.edu

Network Partners:
During year one of this grant, the other project partners will be the Colleges at the Arizona Health Sciences Center in Tucson, including the College of Medicine, the College of Nursing, the College of Pharmacy, and the College of Public Health. All of the Colleges have active programs with the
Arizona Telemedicine Program and are integral to the Program.

Project Purpose: Establish the Institute for Advanced Telemedicine and Telehealth (THealth) at a new campus of the University of Arizona, College of Medicine to be located in Phoenix, Arizona. THealth will include a state-of-the-art THealth Learning Center designed for contextual-based learning by interdisciplinary teams. Curricula will be developed to take advantage of both on-site and extramural telemedicine patients. Serve as Telemedicine Training Center for healthcare workers in Arizona.

Outcomes Expected: THealth will be regarded as a next generation video-conferencing facility that leverages accessibility to a combination of content-rich education and training resources, including traditional learning
modalities, multi-media programming, faculty-student video-conferencing, and telemedicine patient encounters, to provide students with a rich, multi-disciplinary, interactive, learning experience. Provide enriched learning for healthcare workers involved in the delivery of healthcare services by
telemedicine.

Service Area: THealth will be linked to the adjacent biomedical communications control room. This will provide access to the entire Arizona Telemedicine Program Network that links to 150 sites in Arizona and adjacent states. Initially the service area will be Tucson and Phoenix.

Services Provided:
Initially, this will be used as a supplemental curriculum, designed to complement and broaden the medical school curriculum. A track being developed will emphasize advanced technologies and medical informatics. Medical simulation, virtual reality, robotics, and telemedicine clinics will be
important features of this new curriculum pathway. Didactic presentations on telemedicine/telehealth, which are components of the telemedicine courses of the Arizona Telemedicine Program, will be held as well.

Equipment: Digital dermascope, digital otoscope, digital opthalmoscope, digital stethoscope, and other patient input devices. Several video monitors, specialized control and monitoring devices, headsets for the electronic stethoscope, and viewing equipment for home and school telenursing. All to be used in Telemedicine Training Center.

Transmission: THealth will be linked to the adjacent biomedical communications control room. This will provide access to the entire Arizona Telemedicine Program that links to 150 sites in Arizona and adjacent sites.

Telemedicine Department, WT-1
Banner Good Samaritan Medical Center
1111 East McDowell Road
Phoenix, AZ 85006

Marshall L. Smith, MD, PhD
Jim Lombardi
Ph: 602-239-5927
Fax: 602-239-2472
Email: jim.lombardi@Bannerhealth.com

Network Partners: Payson Regional Medical Center; Payson, Arizona; Page Hospital; Page, Arizona; Arizona Telemedicine Program; Navajo Nation.

Project Purpose: Develop subspecialty support for Page Hospital and Arizona; provide telehealth clinics reducing need to travel to Phoenix; develop interactive Grand Rounds for Arizona, supplementing programs of the Arizona Telemedicine Network over the state; develop telehealth programs of current and special interest for healthcare providers of Arizona (e.g., special statewide lectures on diabetes, infectious diseases, etc.); develop neurological and gastrointestinal disease clinic to support Payson Medical Center, OB ultrasound and high risk prenatal care for Navajo Nation.

Outcomes Expected: Increased ability of rural providers to provide care in their facility; tracking numbers of clinical encounters and visits; tracing acceptance and satisfaction of patients and referring physicians; numbers of visits are increasing and are expected to continue to climb; satisfaction surveys of patients and referring providers are very positive. CME intake forms at rural areas (required for ACGME accreditation), and monitor satisfaction and relativity responses.

Service Area: Payson Regional Medical Center—Multispecialty 66-bed facility, serving all of Northern Gila County (pop. 49,051) with extensive rural areas that are HPSAs and MUAs. Page Hospital—Rural 25-bed
hospital, serving the Navajo reservation, rural communities, and thousands of tourists from Lake Powell and Grand Canyon that are HPSAs and MUAs.

Services Provided: Telemedicine movement disorder clinic to Payson and soon to entire state, AML support to state. Cardiology support imminent to Page. Monthly Grand Rounds and other CME and educational programs to state. Subspecialty support in 2005 to rural areas of state includes OB/GYN, gastrointestinal, and maternal fetal ultrasound.

Equipment: BGSMC—Tandberg 6000 videoconferencing units, AMD—3550 Smart Stethoscope (2). Payson Regional Medical Center—Page and Payson Hospital—Tandberg Intern II Mobile Tele-HealthCare Unit, AMD—3550 Smart Stethoscope; Arizona, Polycom FX units.

Transmission: Full and fractional T-1 lines.