Familia Unida Living with Multiple Sclerosis
4716 E. Cesar Chavez Ave. Bldg. A
Los Angeles, CA 90022
www.msfamiliaunida.org

Irma Resendez, MSW
Edmundo Castellanos, AA
Ph: 323-261-5565
Fax: 323-261-5999
Email: ecastellanos@msfamiliaunida.org

Network Partners:
White Memorial Medical Center.

Project Purpose: To acquire needed technology equipment such as wireless laptops, video equipment for storytelling, testimonies of clients served, research, and navigating resources, PowerPoint presentations, basic computer training. Additionally, the website will be updated to display health updates, employment opportunities on the Internet, including links to the employer networks.

Outcomes Expected: Strengthen our ability to provide super services to our clients more effectively and efficiently. Outreach to homebound clients and those without transportation.

Service Area: The targeted area for this application is the northeast area of the City of Los Angeles, including East Los Angeles. This area is home to the largest concentration of Latino immigrant and native language speakers in the County of Los Angeles.

Services Provided: We offer services in English, Spanish, Mandarin, Cantonese and American Sign Language. Currently, we have served over 11,000 clients and their families per year with food pantry, home technology visits, monthly support group meetings, ticket to work (Unlimited Access Program) assisting with social security benefits planning, and outreach services to program eligible clients.

Equipment: Our present information system consists of 11 stand-alone computers and work stations, 1 laptop and 3 outdated printers.

Transmission: The funding will be used to develop a web-based data collection system for use by staff working either in the field, at clients’ homes or within the office. Other applications include making the website more accessible to blind and hearing impaired clients through the use of the most state-of-the-art software and hardware.

Multi-Dimensional Imaging, Inc.
12 Corporate Plaza Drive, Suite 120
Newport Beach, CA 92660
http://www.mdivac.com

Harvey Eisenberg, MD
Beth Eisenberg, PhD
Ph: 949-278-8890
Fax: 949-200-4689
Email: HCEisenberg@healthview.com

Network Partners: Not Applicable.

Project Purpose: Develop a prototype Mobile Preventive Medicine model system designed to bring cutting-edge advanced technologies in diagnostic screening and behavioral medicine through telemedicine, improved informatics and interactive health education to a wide public, including workplace and rural America.

Outcomes Expected: Transmission of large patient data files will be successfully sent from Spoke to Hub and clarity of audio-visual transmission will be sent from Hub to Spoke for patient consultation. Administrative services will be streamlined with successful transmission of payment from Spoke to Hub, successful intake and transmission of health and patient satisfaction forms, using Likert-type scales. Patient
education videos will be created to improve understanding of preventive medicine concepts and strategies for improving health outcomes.

Service Area: Counties served include sites in Los Angeles, San Bernardino, and Orange County, as well as individuals from all Counties in Southern California. We have provided services to individuals nationwide and worldwide. Our current project aims to include more rural communities.

Services Provided: Multi-Dimensional Imaging has been in existence since 1992, developing products and technologies for the purpose of early disease detection capabilities, graphic patient education, behavioral medicine, and telepresent therapies. Products developed by MDI have been managed since 1997 by HealthView Services and are currently utilized by Body Scan International.

Equipment: Refurbished and ruggedized, Multidetector, Spiral CT (MDCT) and will be replaced by a VAC system with future funding. PCs with several form factors for CT data reconstruction, analysis and display and
patient intake/education system. Multiple-to-one video processors for screen control.

Transmission: Satellite Internet system on the spoke utilizing approximately 1MB/s of bandwidth, coupled with a full T1 at the hub secured at each end with a VPN. Teleconferencing is secured using AES encryption.

San Joaquin General Hospital Jennifer Hirai, PharmD
PO Box 1020
Stockton, CA 95201
www.sjgeneralhospital.com

Donald Johnston, Jr.
Ph: 209-468-6790
Fax: 209-468-6546
Email: djohnston@sjgh.org

Network Partners: Not Applicable in this phase, but bar-code standards on Patient Identification and Medication Labeling will be adopted for all of Health Care Services once validated at San Joaquin General Hospital (SJGH).

Project Purpose: Reduce medication errors and adverse drug events by installing the network infrastructure necessary to support bedside medication verification. This infrastructure will include upgrading our network switches to support higher volumes of data, installing barcode printers and scanners at key workflow locations (Registration, Laboratory, Pharmacy, Medical Records, etc.) and introducing portable wireless devices and wireless access points to support nurses with verifying medication at the bedside. This grant is not sufficient to fund the cquisition of a new Pharmacy system, which will be necessary to fully automate bedside medication verification, but will fund the installation of the infrastructure necessary for the planned system.

Outcomes Expected: We will directly replace 12 older switches in our inpatient/outpatient areas to provide full gigabit bandwidth over those links. Bandwidth increase will be verified by measuring transfer rates and
response times of representative clients on each network segment. Wristband and label suitability from barcode equipment will be measured against developing SJGH specification, interface support with existing and planned software applications, and actual testing in a clinical setting. Key patient areas will be covered by a wireless network. Wireless access points and security will be verified following industry standards.

Service Area: San Joaquin County, in the central valley of California, which is a low-income HPSA and a full-county MUA.

Services Provided: San Joaquin County’s Health Care Services is the safety-net provider for the community. San Joaquin General Hospital, originally established in 1857, is a general acute care facility providing a full range of inpatient services including General Medical/Surgical Care, High-Risk Obstetrics and Neonatal Intensive Care, Pediatrics and Acute Physical Medicine and Rehabilitation.

Equipment: The hosting systems are a mixture of IBM UNIX mainframe and Intel Windows/Citrix servers. The hospital network backbone will be based on Cisco routers and switches, after project completion. Barcode printer and scanner vendors to be used will be determined during the course of the project.

Transmission: Full T1 lines and/or the County ATM WAN connect the hospital, Public Health Services and Behavioral Health Services. DSL connections are used for the remote clinic locations in the County.

Santa Rosa Memorial Hospital Gary Greensweig, DO
Northern California Telemedicine Network
1287 Fulton Road
Santa Rosa, CA 95401-4923

Sharon McComb, MS
Ph: 707-543-2006
Fax: 707-543-2429
E-mail: smccomb@srm.stjoe.org

Network Partners:
Anderson Valley Health Center; Eureka Community Health Center; K'ima:w Indian Health Center; Mendocino Coast Clinics; Northern California Center for Well-Being; Redwood Coast Medical Center; Redwoods Rural Health Center; Round Valley Indian Health Center; Southern Trinity Health Services; University of CA, Davis Health System; UCSF Intensive Care Nursery at Santa Rosa Memorial Hospital.

Project Purpose: Improve and expand access to specialty medical services for residents in Northern California’s medically underserved communities through the use of telecommunication technologies. Project goals include: (a) Provide specialty medical services to low income patients remotely; (b) Educate rural health care providers via CME and Nursing distance education video-conferencing programs; (c) Educate rural patients via Health Education distance learning video-conferencing programs; and (d) Utilize video-conferencing system for non-clinical applications (i.e., administrative meetings; community business meetings, etc.) at remote spoke sites.

Outcomes Expected:
(a) Patients have greater access to specialty medical services/Review NCTN Telemedicine Specialty Clinic Consult Log; (b) Providers have improved access to CME & Nursing Education programs/Review NCTN Non-Clinical Use of System Log; (c) Patients have improved access to Health Education distance learning programs/Review NCTN Non-Clinical Use of System Log; (d) Spoke sites have increased use of video-conferencing systems for non-clinical applications/Review NCTN Non-
Clinical Use of System Log.

Service Area: 4 counties in Northern California serving 6 dental HPSAs, 5 mental health HPSAs and 3 MUAs.

Services Provided: NCTN has been operational since April 2001. Services include: (a) specialty medical services in Behavioral Health (Mental Health Medication Management, Counseling, and Evaluation),
Endocrinology, Dermatology, Rheumatology, Pediatric Cardiology, Infectious Disease, and Nutrition; (b) CME distance education for providers; and (c) Health Education distance learning classes for patients.

Equipment: PolyCom Viewstation FX and Tandberg videoconferencing systems.

Transmission: ISDN and Fractional T1.