Fairview Health Services
323 Stinson Blvd NE
Minneapolis, MN 55413-2611
www.fairview.org

William Showalter
Tom Ormand
Ph: 612-672-6900
Fax: 612-672-5955
E-mail: wshowal1@fairview.org

Network Partners: Fairview Health Services including University of Minnesota Medical Center at Fairview–Riverside and University Campuses, and freestanding clinics (6); Fairview Southdale Hospital and freestanding clinics (4); and Fairview Ridges Hospital and freestanding clinics (5).

Project Purpose: Acquire and install an ambulatory electronic medical record application in Fairview’s hospitals and clinics. Re-design and automate core care delivery processes and provide physicians with decision support tools at the point of care in the clinics setting. Provide electronic access to the ambulatory record to physicians at the time of ED and hospital care and from any Internet access point. Provide patient information across the continuum of care throughout Fairview’s regional care systems supporting same day, on demand appointments.

Outcomes Expected:

• 100% computerized physician order entry
• 100% results available on-line.
• Improved availability of information for clinical care decision making.
• Clinical quality measurement reporting to enable improvement efforts.
• 80% reduction in ambulatory dictation/transcription costs resulting from point-of-care documentation.
• HIPAA compliance

Service Area: Hennepin and Ramsey Counties in Minnesota including eleven 11 HPSAs/MUAs and serving 2.7 million.

Services Provided: The ambulatory electronic medical record system supports 15 primary care clinics delivering over 500,000 patient visits each year and 4 hospital campuses providing a complete range of clinical services from prevention of illness and injury to care for the most complex medical conditions.

Equipment: The ambulatory electronic medical record system is a three-tier computer architecture using PCs running Windows 2000, HP Servers running Windows Server 2003 and Citrix, and IBM AIX Servers running Intersystems Cache DBMS, storing data on a Hitachi Storage Area Network. PCs are located
at every Fairview site and networked via WAN/LAN technologies. Epic Systems Inc. software is used—multiple modules.

Transmission: Secure Internet connections and private wide-area and local-area networks consisting of T1 and OS3 transmission services.

University of Minnesota
420 Delaware Street, Box 293
www.fairview.org/telemedicine

Stuart M. Speedie, PhD
Mayo Zoi Hills
Minneapolis, MN 55455
Ph: (612) 624-4657
Fax: (612) 626-0489

Email: speed002@umn.edu

Network Partners: Fairview Health Svcs, (Mpls.), UMN Physicians, (Mpls.), Prairie St. Johns (Moorhead), Human Development Center (Duluth), UMN Duluth Medical School (Duluth), Surgical Consultations (Edina), Sports
and Ortho Specialists (Edina). Originating Sites: Wadena, Aitkin, Crosby, Red Wing, Hibbing, Cook, Moose Lake, Big Fork, Onamia, Ne-Ia-Shing Clinic, Mora, Littlefork, Cass Lake.

Project Purpose: Meet the needs of rural Minnesotans for a greater range of specialty medicine consultations with an emphasis on mental health, geriatric issues; improve treatment of chronic conditions including heart
disease, diabetes, and chronic pain; and health professional education. Facilitate the continued growth of FUMTN into an open network of multiple telemedicine providers and users to reach a larger percent of the state’s rural underserved populations in multiple settings. Patients will be served by telemedicine not just in hospitals, but in rural clinics, homes, and long term care facilities.

Outcomes Expected: Increase the number of network members where patients can seek telemedicine consultations and assist those sites to extend telemedicine into the community through home care agencies, long-term care facilities and rural health clinics. It is anticipated that the outcomes will be larger numbers of available services, providers and network sites; greater number of consults; larger number of educational
programs and more home care visits.

Service Area: Portions of 14 Minnesota counties. Covers 13 HPSAs and pHPSAs; 15 full and partial mental health HPSAs; 12 MUAs and pMUAs; one partial MUP. Counties served: Aitkin, Carlton, Cass, Crow Wing, Goodhue, Itasca, Mille Lacs, Otter Tail, Pine, St. Louis, Todd, Kanabec, Koochiching, and Wadena.

Services Provided: Dermatology, orthopedics, neurology, gastroenterology, asthma/allergy, adult psychiatry, child psychiatry, wound care, NICU visits, chronic illnesses such as diabetes, pain management, cardiology
and pulmonology.

Equipment: Currently using 18 Polycom video conferencing units (5 FXs, 2 VSX 7000s, 1 VSX 3000 and 10 Viewstations), 2 Tandberg 880 videoconferencing units, 6 handheld exam cameras, 10 digital cameras,
4 digital stethoscopes, 1 otoscope, 5 document cameras, and 6 video phones for home care.

Transmission: 2 network members utilize ISDN connections. The remainder network members are using secure IP connections. Home telehealth will be either h.324 over POTS lines or h.323 for IP communications.