The James B. Haggin Memorial Hospital
464 Linden Avenue
Harrodsburg, KY 40330

Earl J. Motzer, PhD
Ph: 859-733-4801
Fax: 859-734-5563
Contact Person: emotzer@aol.com

Network Partners: Dairyland Healthcare Solutions for demographic interchange.

Project Purpose: To improve quality of service to our patients. To reduce necessary storage area for film and expedite location of previous studies.

Outcomes Expected: Improved turn around times in diagnosis of Imaging studies, Improvements will be measured in time from start of procedure to physician diagnosis.

Service Area: Mercer County. Services Provided: X-Ray, Mammography, Fluoroscopy, CT Scan, MRI, Ultrasound, Bone Density Studies.

Equipment: GE and Shimadzu X-Ray equipment (static and portable), Siemens CT and MRI equipment, GE Mammography, Philips Ultrasound, Agfa Film Printers, QCT 3D Plus Bone Density Analyzer, Agfa CR Readers, PACS software/servers will be purchased from Agfa.

Transmission: DSL with future upgrade to Fractional T-1

Marcum & Wallace Memorial Hospital
60 Mercy Court
Irvine, KY 40336

Sharon Whitaker
Ph: 606-726-2106
Fax: 606-723-2951
Contact Person: slwhitaker@Health-Partners.org

Network Partners: Lourdes Hospital 1530 Lone Oak Road Paducah, KY 42003

Project Purpose: To continue to provide local access to radiology and echocardiology services to our rural community by utilizing telemedicine/teleradiology. All physicians who provide healthcare services to our hospital through private practice, specialty clinics, and emergency services will be linked to the project, which will expedite diagnosis and treatment.

Outcomes Expected: Annual physician and patient satisfaction surveys—evaluating improvement of quality of radiology services. Quality review of turnaround time for radiology reports—decrease turnaround times.
Radiologist peer review for quality interpretative services.

Service Area: The hospital serves rural areas of Appalachia and eastern Kentucky, which incorporates six rural counties with a cumulative population of over 62,000 serving a total of seven MUA and six HPSA status communities. (Five of these counties are dependent on our hospital to provide their healthcare needs.)

Services Provided: In 1959 Marcum & Wallace Memorial Hospital began operations as a healthcare facility. In 2000 the hospital received Critical Access Designation. The hospital provides radiology and echocardiography services to rural Appalachia and eastern Kentucky.

Equipment: Software upgrade for Sonos 5500 echocardiography unit, Easylink license for attachment of additional imaging modalities such as an MRI, Web Browser for Internet access, three PACS viewing stations,
and a radiologist reading station.

Transmission: Full T-1 lines between facilities (Marcum & Wallace Memorial Hospital and Lourdes Hospital). Internet access for physician utilization to view procedures and reports. 

New Horizons Health Systems, Inc.
330 Roland Avenue
Owenton, KY 40359

Bernard T. Poe, RPh
Ph: 502-484-3663
Fax: 502-484-2702
Contact Person: berniepoe@hotmail.com

Network Partners: N/A.

Project Purpose: New Horizons Health Systems, Inc proposes to develop and implement an infrastructure of immediate medical technological information to assist in the delivery of emergency and primary healthcare
services. The implementation of an electronic information system that is accessible by all patient providers will safeguard individual patient characteristics to ensure the highest quality of care for each
patient.

Outcomes Expected: The development and implementation of an electronic information system will allow physicians, nurses pharmacists, and other healthcare professionals access to a patient’s electronic health record (HER) and will allow these professional caregivers to exchange and analyze information easily, throughout the hospital and rural health clinics. Monthly surveys will substantiate the effectiveness of the electronic information system.

Service Area: Six counties in Northern KY: Owen—MUA/HPSA, Gallatin—HPSA, Carroll—MUA/HPSA, Grant, Henry—Low Income HPSA, and Trimble—MUA. All areas are medically underserved in the mental
health area of service.

Services Provided: Since 2001 New Horizons Health Systems, Inc. has provided primary and emergency care to the citizens of Owen County and the surrounding areas. In addition, New Horizons Health System, Inc.
offers acute medical surgical inpatient, outpatient, emergency and long term care, health education, health screening, wellness, rehabilitation, and appropriate research.

Equipment: Server: IBM RS6000; Model: 7044; Type: 44P; Running IBM-AIX (equivalent to UNIX).

Transmission: Current information systems are run on a UNIX based server. It is run with PACS utilizing HL7. HL7 is the highest level of the International Standards Organizations communications model for an Open
Systems Interconnection. It also uses Logical Observation Identifiers Names and Codes.

Kentucky TeleCare
|K128 KY Clinic
740 S. Limestone
Lexington, KY 40536-0284
www.mc.uky.edu/kytelecare

James Norton, PhD/Rob Sprang, MBA
Rob Sprang, MBA
Ph: 859-257-6404
Fax: 859-257-2881
Contact Person: rsprang@email.uky.edu

Network Partners: St. Claire Regional Medical Center is the rural hub for six public schools and four primary care clinics. Lewis County Primary Care Center is the hub for five public school clinics, Fleming County Hospital, and Tollesboro Family Health Clinic. The two hubs connect to the University of Kentucky/Kentucky
TeleCare.

Project Purpose: Utilize telehealth technology to bring needed healthcare resources into public school clinics by connecting the University of Kentucky, St. Claire Regional Medical Center, Fleming County Hospital,
Lewis County Primary Care and 13 public school clinics to provide education to combat our high rates of cardiovascular disease, lung disease, obesity, cancer, and smoking. Telehealth will bring clinical
and educational support to children to improve early diagnosis and treatment and help students make better choices and improve chronic disease management.

Outcomes Expected: Combat chronic problems of juvenile diabetes, obesity, hypertension, smoking, mental/behavioral health and other risk factors which produce negative health outcomes by improving access to preventative health information and chronic disease support, as well as improving access to primary care and specialty clinicians. Satisfaction measurement with Likert surveys and outcome data collected with
OAT GPRA Performance Measures using quasi-experimental studies.

Service Area: The participating network in this study includes 7 counties, 2,243.8 square miles with a population of 101,256 (not including Fayette County 284.5 square miles, population of 260,512). Except UKMC, all sites are rural and include six HPSAs, seven MUAs, thirteen Mental Health HPSAs, six Dental HPSAs,four FQHCs, and two licensed Rural Health Clinics within public schools.

Services Provided: Interactive videoconference technology provides dermatology, pediatric cardiology, and child psych specialty consults. Lewis County utilizes electronic medical records. Both hubs deliver supporting education and clinical activity for children with chronic diseases such as diabetes, asthma, hypertension and other health risks such as obesity, smoking, as well as other health care services.

Equipment: The network utilizes Polycom video systems with Accord video bridges. A Radvision bridge provides rural connectivity within the Lewis county sub-network.

Transmission: The network operates at 768K through dedicated T-1s and includes both H.323 and H.320 connectivity. Direct, point-to-point services are provided in the network.