Family Resources Community Action
245 Main Street
Woonsocket, RI 02895
www.famresri.org

Benedict F. Lessing, Jr., MSW
Ph: 401-766-0900
Fax: 401-767-4075
Contact Person: blessing@famresri.org

Network Partners: Thundermist Health Center Physicians from various hospitals in the Providence area. AIDS Project Rhode Island.

Project Purpose: Develop a holistic approach to overall health maintenance and well being for persons living with HIV/AIDS by engaging clients in healthy lifestyle behaviors. This program uses health education, exercise training, nutritional counseling, and alternative therapies to enhance medical services and maximize gains made through consistent medical care and treatment adherence.

Outcomes Expected: Over 25% of consumers will be engaged in exercise related activities and 50% will use nutrition services. Both groups will report improved physical stamina and overall mental health. 50% will use
education, support groups, weekly meals and social activities. Consumers will have a better understanding of the disease and access to safe, drug free environments.

Service Area: Northern Rhode Island.

Services Provided: Personal exercise training, nutritional counseling, food pantry, meals, cooking classes, educational forums, massage therapy, support groups, art classes, mental health and substance abuse counseling.

Equipment: Weight training and exercise equipment.

Transmission: Not Applicable.

VNA of Care New England
51 Health Lane
Warwick, RI 02886
www.cnehomehealth.org

Karen Beauchesne RN, MN
Ph: 401-737-6050
Fax: 401-732-6210
kbeauchesne@carene.org

Network Partners: None

Project Purpose: VNA of Care New England Point of Care Technology allows all home health staff involved in a single patient’s care to use a notebook computer to carry an electronic copy of a patient's record into their home and then send updated information back to a common database, making it available in real-time to other field staff involved in the patient’s care. Additionally, medication orders are automatically checked for potential drug interactions greatly enhancing patient safety.

Outcomes Expected:

1. Ensure that the patient, all field staff involved in their care and agency have access to needed clinical information when and where it is needed
2. Deliver cost-effective care;
3. Ensure that patient needs are met in a timely and accurate manner;
4. Minimize the chance for potential error, and
5. Enhance overall patient safety.

Service Area: Our service area is the entire state of Rhode Island.

Services Provided: VNA of Care New England provides a comprehensive range of home healthcare services.

Equipment: Fujitsu B-series Touch screen Notebook computers.

Transmission: Not applicable.

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.

VNA of Care New England
51 Health Lane
Warwick, RI 02886
www.cnehomehealth.org

Karen Beauchesne, RN, MN
Ph: 401-737-6050
Fax: 401-732-6210
kbeauchesne@carene.org

Network Partners: We do not have any project partners.

Project Purpose: Increasing Access to Home Health Care through Telehealth — Phase II will focus on increasing the diagnoses that are treated with telehealth where benefits similar to those that have been proven in the
CHF population may be realized for both the patient and the VNACNE. During the project, a dedicated FTE will be added and additional equipment purchased.

Outcomes Expected:

1. Comparison of baseline data prior to telehealth program implementation per patient for use of emergent care, re-hospitalization rates and readmissions to home health care.
2. Improved utilization of nursing resources measured via case review.
   3. Outcome Concept Solutions benchmarking project to capture data that includes hospitalizations, emergent care utilization and resource utilization to be measured through key indicators of program efficacy, which include quality, clinical, financial and resource utilization. Analysis will be performed on both risk-adjusted and non-risk adjusted data and will be both comprehensive andcondition-specific.

Service Area: VNACNE provides statewide services.

Services Provided: Telehealth services are currently provided to Medicare patients only with cardiac diagnoses. During the grant period, we hope to add additional chronic diagnoses such as diabetes and engage additional
payors.

Equipment: McKesson Health Buddy.

Transmission: Transmission of patient data is through the Health Buddy appliance internal modem (33.6 KB/s) via POTS line. Data is transmitted and housed through a Web portal that is hosted by McKesson.

Thundermist Health Center Ernie Balasco
450 Clinton Street
Woonsocket, RI 02895
www.thundermisthealth.org

Ph: 401-767-4100, Ext. 3491
Fax: 401-235-6899
ernieb@thundermisthealth.org

Network Partners: 8 spokes in the network are part of the applicant organization and RHIO Project: RI Dept. of Health, EHRRI, RIHCA, RI Quality Institute. Hospitals: Landmark Medical Center, Kent Hospital, South County Hospital

Project Purpose: To install and implement an electronic health record across all eight medical sites in the Thundermist Health Center system. The EHR will be purchased through EHRRI, a Value Added Reseller owned by four health care organizations, including Thundermist Health Center. EHRRI’s mission is to promote statewide physician adoption of electronic health records by offering a single HER product and to subsidize the sale and service of the product to its members. The Thundermist HER will enhance quality of care at Thundermist, provide data to the RI RHIO and connect sites with community hospitals.

Outcomes Expected: Improved Clinical Quality as measured by HEDIS, HRSA and internal data audits. Improved Patient Satisfaction as measured by the HRSA PEERS survey. Improved Clinical Compliance as measured by JCAHO standards. Lower costs as measured by staffing analysis CBR and internal audits of accounts receivable. Lower adverse incidents as measured by incident reports. Higher productivity as measured by RVU weekly and monthly reports by provider/site.

Service Area: Providence County, Kent County and Washington County, serving 8 HPSAs (medical, dental and mental health).

Services Provided: Thundermist provides primary medical care (pediatrics, internal medicine, obstetrics, gynecology and family practice), HIV specialty care, dental services and behavioral health services, and pharmaceutical services. EHR is to be implemented in 2006 at all sites. A patient portal is planned for 2007.

Equipment: A single network serving all sites with the EHR and Practice Management Software equipment includes 25 tablet PCs, routers, T-1 lines, servers and PCs.

Transmission: Virtual Ethernet Wan, Broadband and T-1 connections.