Case Western Reserve University
10900 Euclid Ave.
Cleveland, Ohio 44106-4956
www.netwellness.org
www.cwru.edu

Susan Wentz, MD, MS
Ph: 216-368-5493
Fax: 216-368-0263
Email: sww2@case.edu

Network Partners: The Ohio State University, Columbus, Ohio University of Cincinnati, Cincinnati, Ohio

Project Purpose: Develop a website that incorporates easy to understand information on hundreds of health topics, current health news, and an Ask an Expert feature where users can get individual responses on hundreds of health topics from volunteer faculty experts at the three universities. Over 380
academic medical and research professionals donate their time by writing articles on many of the health topics and through the site’s Ask an Expert feature.

Outcomes Expected: The intended outcomes are increased knowledge of the healthcare consumer, improved physician/patient communication and ultimately reduced healthcare costs. User surveys, continuous feedback from a form available on every NetWellness page, continuous analysis of use and other site data are used to evaluate its effectiveness. Additionally, through collaboration with the Ohio Public and School Library networks and other academic, professional, community and government partners, virtual focus groups are occasionally formed to advise NetWellness on specific issues.

Service Area: Nationwide

Services Provided: This year marks the tenth year of NetWellness, which has been in operation since 1994. With the introduction of a completely redesigned site, Netwellness continues to provide health information via the Web. This includes access to a portfolio of health resources such as an encyclopedia, directories, manuals, reviewed Weblinks, and original content on health topics written by university health sciences faculty. A key component is our Ask an Expert feature through which users can get individual responses on hundreds of diseases, conditions, and wellness topics from over 380 volunteer faculty
experts at the three universities.

Equipment: Standard Web and database servers.

Transmission: Internet.

Cincinnati Children’s Hospital Medical Center
3333 Burnet Avenue
Cincinnati, OH 45229
www.cincinnatichildrens.org

Uma R. Kotagal, MBBS, MSc
Charles W. Swanson, MPA, RRT
Ph: 513-636-3176
Fax: 513-636-0171
Email: chuck.swanson@cchmc.org

Network Partners: Not Applicable.

Project Purpose: The aims and goals of Pursuing Perfection have been to make fundamental, transformational changes in the way health care is delivered through supporting efforts of grantee organizations in provision of
care that is knowledge based, systems-minded and patient centered. This project will allow us to spread the learning and improvements outside the Medical Center, and allow patients and families to access information and have a more active role in their care.

Outcomes Expected: Our outcomes/goals for the project include: 1) Improving care for individual patients or population of patients both in clinical, (patient centric measures), such as mortality, morbidity complication rates, or improving care processes such as reducing delays, and reducing adverse events; 2) Goal 2 is aimed at spreading the learning to transform care. The outcome for goal 2 will be measured (a) by number of site visits made to CCHMC, (b) number of national presentations by experts in improvement from CCHMC, and (c) number of personnel from CCHMC who play a leadership role on national quality organizations.

Service Area: CCHMC’s immediate service area includes 29 counties from southwest Ohio, southeast Indiana, and northern Kentucky. We also serve as a regional, national and international referral center for the specialties provided in pediatric care at the Medical Center.

Services Provided: Current services provided at CCHMC include primary through quaternary pediatric services. This project will allow us to implement additional patient portals for the chronically ill.

Equipment: Equipment used at this point for patient portals include our Web-based servers for patients and families to access through home-based, high-speed connections. The equipment to be installed through the MIND center is still being researched at this time.

Transmission: Transmission at this time is limited to our web-based servers. Additional options will be explored to increase availability, access, and speed.

Northeastern Ohio Universities College of Medicine
4209 State Route 44
Rootstown, Ohio 44272
www.neoucom.edu/index.php

Thomas C. Atwood, MS, MA
Ph: 330-325-6611 Fax: 330-325-0522
Email: tcatwood@neoucom.edu'

Network Partners: The University of Akron, Kent State University, Youngstown State University, Cleveland State University, 8 Major Teaching Hospitals located in Akron, Canton and Youngstown, 3 Area Health Education Centers (AHEC), 12 Clinics for Underserved Populations, 3 Veterans Administration Clinics.

Project Purpose: Provide medical education to patients, physicians, residents, undergraduate medical education students and other health professionals in northeastern Ohio through a variety of methods. Improve the quality of education by using technology to develop and deliver materials over the Internet. Provide access to NEOUCOM’s Read Distance Education Center and associated training materials. Improve the quality and availability of undergraduate and continuing medical education in the region.

Outcomes Expected: Enhanced communications throughout the region for live (synchronous) presentations and archived (asynchronous) materials. New content is being developed for a regional audience of the underserved
populace, veterans, migrant workers, and healthcare professionals and an ever-expanding circle of participants including students, physicians, psychologists, nurses, counselors, social workers, clergy, nursing home administrators, and safety officers.

Service Area: 22 counties in northeastern Ohio.

Services Provided: H.323 (IP-Sept 2003) and H.320 (ISDN-Jan 2004) video conferencing. Instructional materials delivered via the Internet using WebCT course management system, custom applications, CDROM, DVD and
streaming video.

Equipment: Two academic servers provide online access to educational materials and applications. Tandberg 6000 and Tandberg 2500 systems provide video conferencing capabilities. DVD recorders, cameras, scanners, printers, etc. used to develop content.

Transmission: Web-based, T1 (H.323) and ISDN (H.320) to Consortium Universities and Major Teaching Hospitals. Future plans include Internet 2 capability.

Ohio Board of Regents
36th Fl., 30 E. Broad St.
Columbus, OH 43215
www.regents.state.oh.us

David Barber
Ph: 614-752-9530
Fax: 614-466-5866
Email: dbarber@regents.state.oh.us

Network Partners: Columbus Children’s Hospital, Ohio Supercomputer Center, University of Cincinnati Genome Research Institute, Ohio State University (Medical Center and Department of Family Medicine), Owens Community College, Northeast Ohio Universities College of Medicine, University of Findlay,
and Mt. Union College.

Project Purpose: The Medical Collaboration Network will interconnect Ohio’s colleges and medical schools with Ohio’s hospitals through the Third Frontier Network and remove barriers to the collaboration among the researchers, educators, students, and physicians at these sites by the implementation of gigabit networks and high-quality video conferencing.

Outcomes Expected: Experience will be gained with the improved ability to collaborate created by high-quality video conferencing. Shared access will be created to facilities for drug discovery research to support related research and education programs. A study on the impact of telemedicine on Medicaid costs will be conducted. A multi-institutional continuing medical education program will be created, and educational programming will be shared between homeland security training sites. Telemedicine equipment capable of supporting neonatology will be identified.

Service Area: Project will serve the entire State of Ohio through the Third Frontier Network.

Services Provided: Neonatology, administrative conferencing, distance education, research support, and technology evaluation.

Equipment: H.323 videoconferencing equipment with H.264 Codec; Experimental HD and DV video capture cards; telemedicine peripherals for neonatology.

Transmission: Gigabit Ethernet.

Ohio Supercomputer Center
1224 Kinnear Road
Columbus, OH 43212
www.osc.edu

Eric A. Stahlberg, PhD
Ph: 614-292-2696
Fax: 614-292-7168
Email: eas@osc.edu

Network Partners: Cincinnati Children’s Hospital Medical Center The Medical College of Ohio

Project Purpose: Develop software to support network system for pediatric cancer research. System will securely transfer and transform protected pediatric patient information for correlative studies involving related genetic and proteomic data. The effort will employ advanced computing technologies for information transformation, correlation and meta-analysis. Ultimately, the project provides a set of proven technologies for future safe, secure and compliant participation for community and service hospitals in efforts requiring transport of protected health information.

Outcomes Expected: System for Clinical Information Transfer (SCIT) and Clinical Bioinformatics Integrated Visualization (CBIV) system for transforming and normalizing pediatric patient information for cancer research (measure). Software product validation tests (tool).

Service Area: Primary areas are Franklin, Hamilton, and Lucas counties in Ohio serving pediatric patients nationally. Areas will extend incrementally to additional sites in Ohio and nationwide.

Services Provided: Collaboration clinical information transfer capabilities and tools (2005).

Equipment: (3 each) Virtual Private Network (VPN) appliances connected to Linux server systems. Aggregated database will be housed at OSC.

Transmission: OC3 from Columbus to Cincinnati (future gigabit connectivity via TFN fiber-optic). DS3 from Columbus to Toledo (future gigabit connectivity via TFN fiber-optic).

Southern Consortium for Children
20 Circle Drive, Unit 37206
PO Box 956
Athens, Ohio 45701
www.scchildren.com

John Borchard, BSN
Steven C. Trout, MA
Ph: 740-593-8293
Fax: 740-592-4170
Email: strout@frognet.net

Network Partners: Ohio University’s College of Osteopathic Medicine (one site); Shawnee Mental Health Center, Inc. (four sites); Tri-County Mental Health and Counseling Services, Inc. (four sites); Washington County Community Mental Health Services (one site); Woodland Centers, Inc. (three sites).

Project Purpose: To create a telepsychiatric and distance learning network by linking eight new sites to an existing four-site network. A telepsychiatric program for children will be created in year one and expanded to serve adults in years two and three. Distance learning programs will be expanded and more readily accessed throughout the 10-county region.

Outcomes Expected: Project outcomes include: connecting eight new satellite sites to an existing 4-site videoconferencing network, Internet accessibility for all sites will be achieved using one ISP, children and adults will use
videoconferencing technology for routine med/somatic visits, the adult psychiatric caseload will be doubled by grant’s end, greater efficiency in scheduling clients will reduce “no show” rates by 15 percent by grant’s end, and greater access to distance learning. A satisfaction questionnaire and the
Ohio Scales will be used to measure telepsychiatry outcomes.

Service Area: Athens, Hocking, Vinton, Gallia, Jackson, Meigs, Adams, Lawrence, Scioto, and Washington Counties. Three counties are designated primary health HPSAs, six counties p-HPSA, and Gallia County is not designated. Eight counties are designated mental health HPSAs (Lawrence and Washington are excluded), six of the counties are designated MUAs, with three counties designated partial MUAs.

Services Provided: The major focus is telepsychiatry for children in year one and then move onto the adult population in years two and three. The second service priority is expanded distance learning capacity for regional behavioral health care providers and allied health professionals. Construction of the network began in 1998; expanded in 2003.

Equipment: At each site: Polycom VSX 7000, Router - Cisco 1760, Switch - Cisco 2950, PC At OU-COM (Athens): Main Router - Cisco 3745.

Transmission: T1 lines to all sites except Tri-County Mental Health and Counseling Services, Inc. in Athens, which utilizes line-of-sight microwave transmission.