The Community Health Center
617 Riverside Avenue
Burlington, VT 05401
www.communityhealthcenterburlington.org

Dave Simmons
Ph: 802-864-6309 ext. 197
Fax: 802-860-4325
Email: dsimmons@chcb.org

Network Partners: Fletcher Allen Health Care, Champlain Valley Area Health Education Centers.

Project Purpose: CHCB will completely upgrade all technology infrastructure including patient management systems software, add electronic medical records and real time connections to three satellite sites. Project improves quality assurance capacity, allows for the addition of oral health services,
reduces potential for medical errors and supports growth in numbers of patients seeking care from Chittenden County’s only Federally Qualified Health Center.

Outcomes Expected: Improved scheduling and patient access to providers.
Enhanced chronic disease management capability and follow-up care.
Streamlined billing functions with electronic submissions. Improved accuracy of data reports as system moves from manual data entry to automated
immediate, real time access to electronic medical records at all sites.
Measurement tools include Patient Satisfaction Tools, Uniform Data System Reports.

Service Area: Chittenden County and the Medically Underserved Area (MUA) of Burlington and Winooski Cities.

Services Provided: Primary health care and human services program, behavioral health services. Dental services (implemented January 2004).

Equipment: Dell 2650 and 6650 servers. New medical and dental practice management software systems including Electronic Medical Records.

Transmission: Gigabit Ethernet WAN via fiber network to remote sites including lab services at Fletcher Allen Health Care. T1 speed Internet access via fiber network.

University of Vermont/Fletcher Allen Health Care Telemedicine Program
89 Beaumont Avenue, Given D-104
Burlington, VT 05401
www.fahc.org/telemedicine

William Charash, MD
Michael P. Caputo, MS
Ph: 802-656-9658
Fax: 802-656-4800
E-mail: Michael.Caputo@uvm.edu

Network Partners: Currently includes Fletcher Allen Health Care (Level 1 trauma center), Porter Hospital, Rutland Regional Hospital in VT and Alice Hyde Hospital, Massena Memorial, Canton-Potsdam Hospital, Adirondack Medical Ctr. and Moses Ludington Hospital in NY. This project will add Copley Hospital
and Northwestern Regional Medical Center, both located in Vermont.

Project Purpose: Both adults and children in rural communities die at nearly twice the rate of their urban counterparts from motor vehicle accidents, homicides, falls, and suicides. This is partially due to discrepancies in
access to care at specialized trauma centers. Will use a two-way interactive video telemedicine link between our Level 1 trauma center, trauma surgeons’ homes and rural hospital EDs, to reduce disparities in clinical trauma care by providing 24-hour access to trauma center specialty surgeons and pediatric intensivists.

Outcomes Expected: Compare the impact of teletrauma upon survival, complications, length of stay and injury severity of a teletrauma vs. general trauma population using data from the FAHC Trauma Registry and from the
Teletrauma Evaluation Form. This form collects data on patient’s injuries, mechanism of injury, vital signs, questions from the rural provider and advice from trauma surgeon, as well as data using a Likerttype scale to measure physician’s perception of improved quality of care, quality of video and audio,
equipment ease of use, and quality of communication between the consulting physicians. The Trauma Registry includes variables such as injury time, injury severity score, arrival/discharge times, complications, and discharge disposition. Expected that use of this system will reduce time to transfer
and improve outcomes.

Service Area: The original telemedicine program started in 1968 (Tampas, J.P. & Soule, A.B. (1968), “Experiences with Two-Way Television in a Teaching Hospital Complex,” JAMA, 204 (13), 83-5. The current telemtrauma portion of the program has been operational since 1999 and services 4 counties in
Vermont and three non-MSA or rural counties in northeastern New York. All but one of these areas have designated partial HPSAs and partial MUAs

Services Provided:We provide teleconsults for trauma/emergency (24/7), pediatric surgical care, surgical follow-up, psychiatry, and dermatology services. We provide Continuing Medical Education to providers in our network. Also provide contractual services to prisons in NY.

Equipment: Polycom Viewstation 512 and Polycom VSX 3000 & 7000. Polycom bridge at hub.

Transmission: ISDN 3-BRI up to 384 KB/s. Working toward use of IP in selected situations. Starting to use Internet and Internet2 as the transmission pathway for certain projects.