Network Partners: All Federally
Qualified Community Health Centers (FQHCs),
Native Hawaiian Health Care Systems (NHHCS),
Queen Emma Clinics, Pacific Telehealth and Technology
Hui, (A Department of
Defense/Veteran Affairs joint venture), University
of Hawai’I John A. Burns School of Medicine,
Hawai’I Area Health Education Center (AHEC),
Dr. Doug Johnson (dermatologist).
Project Purpose: Help the FQHCs
prepare for the effective, practical, and seamless
use of telehealth in clinical, administrative,
and educational settings, by creating a positive
experience of telehealth among
Community Health Center (CHC) providers, administrators,
and patients. Three primary objectives are 1)
increase remote access to health care using
telecommunications, 2) encourage consultations
among CHCs that have or need shareable clinical
capacity, and 3) use telehealth to meet important
non-clinical needs: administration, education,
and outreach.
Outcomes Expected: (1) Increase the
number of patients accessing needed specialists
in Hawai’I’s FQHCs, primarily through
dermatology and behavioral health, (2) develop
and support sustainable, on-going VTC
programs—CMEs, grand rounds, community
health education, community outreach, (3) increase
the number of telehealth consults in FQHCs,
(4) decrease PT and Provider travel costs.
Service Area: There are 13
FQHCs with 37 locations across the State of
Hawai‘i serving roughly 72% of Hawai‘i’s
population. 80% of these represent Medically
Underserved Populations (MUPs), 20% represent
Medically Underserved Areas (MUAs) and is comprised
largely of Native Hawaiians, Immigrants, Migrants
from the Freely Associated States of the Marshall
Islands, Micronesia, and Palau, homeless people,
and uninsured people.
Services Provided: Teledermatology,
behavioral health, audio and video multi-point
conferencing services, distance education (for
example, Lutheran Dental Residency Program),
Community Health Education Program, Website
development, electronic practice management/health
records procurement collaborative, Medicine
Bank online database.
Transmission: A mix of PRI,
IP T-1 lines, frame-relay, DSL, and ISDN. MCU
is mostly supported by an ISDN PR and cable
broadband IT transport. Most spoke sites have
384 KB/s ISDN connectivity but some are
migrating to IP.
The Moloka`i Telehealth Network
Moloka’i General Hospitaltop
Molokai General Hospital
PO Box 408
Kaunakakai, HI 96748
Desiree Puhi RN, BSN
Ph: 808-553-3191
Fax: 808-553-3112
Email: dpuhi@queens.org
Network Partners: Queen’s Medical
Center, Honolulu, HI, Hawaii Pacific Health,
Honolulu, HI, University of Hawaii, Honolulu,
HI, TeleDerm Solutions, Inc, San Antonio, RX,
Oncare Hawaii, Honolulu, HI.
Project Purpose: To develop
telemedicine linkages in order to expand and
increase access to urban medical specialists.
This will reduce travel costs and improve disease
management.
Outcomes Expected: Patient
satisfaction: 7-point Likert Scale Provider
satisfaction, 7 point Likert Scale Patient Usage,
OAT GPRA Data Collection tool.
Service Area: The entire island
of Molokai, with a resident population of just
over 7,000. It is designated as both a primary
care HPSA and as a mental health HPSA.
Services Provided: Diabetes
Care Management, Oncology Case Management, Fetal
Ultrasound/Genetic Counseling, Psychiatry, Dermatology,
Teleradiology, Professional Development.
Equipment: Tandberg Health
Care System (HCS) III (2), Tandberg 880 videoconferencing
unit (2), Tandberg 800 videoconferencing unit
(1), digital camera, Sony video camera, ultrasound
machine.
Transmission: Fetal ultrasound:
ISDN @ 768 Kbps, Dermatology: Store and Forward,
All other services: ISDN @ 384 Kbps.
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