La Crosse Medical Health Science Consortium
1300 Badger Street, Suite 3065
La Crosse, WI, 54601
www.uwlax.edu/lmhsc

John N. Katrana
Ph: 608-785-5150
Fax: 608-785-5154
Email: katrana.john@uwlax.edu

Network Partners: Gundersen Lutheran Medical System, Western Wisconsin Technical College, Viterbo University, Franciscan Skemp Healthcare/Mayo Health System, University of Wisconsin—La Crosse, Black River Falls Memorial Hospital, Tomah Memorial Hospital, Hess Memorial Hospital, Vernon
Memorial Hospital, Prairie du Chien Memorial Hospital, Rural Wisconsin Health Cooperative, Ho Chunk Health Care Center—Black River Falls and Ho Chunk House of Wellness—Baraboo, Reedsburg Area Medical Center, Reedsburg, Moundview Memorial Hospital, Krohn Clinic, Mile Bluff Clinic.

Project Purpose: Develop distance education partnerships among the Consortium’s educational institutions, rural hospitals, and clinics. Focus on delivery through interactive two-way video and Web-based health programs for health professions education as well as professional development.

Outcomes Expected: Project outcomes focus on: 1) degree to which the project is able to address shortages in allied health personnel in the region; 2) the professional development and continuing education needs of health professionals throughout the region; and 3) development of online courses in the health professions. Measurement is by the quantification of attendance at/or participation in the respective programs.

Service Area: Counties in which network participants are located include: Jackson, Monroe, LaCrosse, Vernon, Crawford, Sauk, and Juneau counties.

Services Provided: Credit Courses, noncredit and CEU courses, certificate programs and special workshops for nursing and allied health professionals and students pursuing health careers, in addition, nursing lectureships.

Equipment: Teaching Station with AMX room control that controls the video projector, visualizer, audio, and computer. Classrooms and lecture halls in the Health Science Center (opened 2000) were designed specifically for distance education.

Transmission: In designated rooms there is access to ISDN, Video Over IP, DS-3 connections. Polycom Viewstation Bridge allows to connect multiple locations simultaneously. For line Interconnections, T1 is used.

Marshfield Clinic TeleHealth Network
1000 N. Oak Avenue
Marshfield WI 54449
www.marshfieldclinic.org/telehealth

Nina M. Antoniotti, RN, MBA, Ph.D.
Ph: 715-389-3694
Fax: 75-387-5240
E-mail: antoniotti.nina@marshfieldclinic.org

Network Partners: 15 Physician Offices, 4 Dental Offices, 2 Skilled Nursing Facilities, 1 School, 1 County Jail, 1 Geriatric Education Center, 1 University School of Dentistry, 3 Food Manufacturers, 1 Indian Health Center.

Project Purpose: Provide preventative dental and health services, dental and health case management, and public health services to address the needs of people with chronic conditions such as Diabetes in a variety of settings
including the home, rural health clinics, and Native American health centers. Distance education will also be provided for health care professionals, patients, and their families in conjunction with the clinical services provided.

Outcomes Expected: To increase the number of children and elderly who have access to dental services and participating in sealant programs by age 6 and 10. To provide preventative dental care or early oral health detection for
residents of nursing homes. To decrease the delay in receiving timely retinal screening in high-risk populations. To increase the detection rate of hidden diabetic retinal damage in asymptomatic diabetic populations. To increase educational opportunities for communities in the areas of food safety. To
increase access to timely referrals for suspected food contamination illnesses. To decrease the incidence of food contamination. To increase the safety of food production. To control the impact of food contamination by intrinsic, secondary, or intentional threat.

Service Area: Rural and underserved areas in North Central Wisconsin. 8.7% of the population lives below the poverty level. 15% are disabled, 9.6% are a designated dental Health Professional Shortage Area (HPSA). The majority of the counties to be served are partial primary care HPSAs.

Services Provided: Dermatology, Psychiatry, Child Psychiatry, Psychotherapy, Oncology, Cardiology, Speech Pathology, Nutrition—Diabetes Management, Nutrition—all others, Diabetes Management, Endocrinology, Burn Care, Neurology, Pulmonary Medicine, Plastic Surgery, Long Term Care, School TeleHealth, BACH, Cancer, Prostate, and Chronic Pain Support Group, Research Oncology, Home TeleHealth, Parkinson Clinic, EAP, Infectious Diseases, Occupational Medicine, Wound Therapy, ADHD Parenting Class,
Anticoagulation Management, Nurse Triage, and Diabetes and Asthma Care Management, Pain Management, Food Safety, TelePathology, Palliative Care, Dentistry, Remote Monitoring.

Equipment: Polycom network for patient sites and VCON products on the PC for providers. AMD patient peripherals, patient exam cameras (commercially available high-end video camcorders). Standard TV monitors/video switchers in exam rooms. Video bridge—ACCORD.

Transmission: IP video at 512 KB/s over proprietary lines, IP video at 384 KB/s over proprietary lines, ISDN video at 384 KB/s over leased lines.

Rural Wisconsin Health Cooperative (RWHC)
880 Independence Lane, PO Box 490
Sauk City, WI 53583
www.rwhc.com

Tim Size, MPH
Larry Clifford, MA
Ph: 608-643-2343
Fax: 608-643-4936
lclifford@rwhc.com

Network Partners: Rural Wisconsin Health Cooperative Wisconsin Primary Health Care Association

Project Purpose: To help rural communities build the necessary human, technical and financial infrastructure to develop sustainable telehealth/ telemedicine programs. Establish a videoconferencing network that will connect multiple sites, thereby enabling rural hospitals and clinics to access a wide range of telehealth services. Within a year, the participating hospitals/ clinics will be linked by a robust state-of-the-art videoconferencing system and have a workable plan for developing shared teleradiology/PACS services. Assess the participants’ readiness for teleradiology and develop an implementation plan for a shared picture archiving and communications system (PACS).

Outcomes Expected: Improve compliance and outcomes involving patients with chronic conditions through teleradiology, education and remote consultation with specialists, thereby reducing inappropriate clinic visits and hospital readmissions by 10%. On-site telehealth coordinators will collect data relating to: costs, utilization, outcomes, and patient/provider satisfaction. With guidance from RWHC staff members with experience in clinical/financial performance measurement, the telehealth coordinators will design and implement a survey that will track the selected measures.

Service Area: Three community health clinics (WPHCA members) and nine rural hospitals (RWHC members) provide enhanced primary care to over 625,000 residents in a 26-county region covering south-central Wisconsin. Most/all encompass HPSAs and MUAs.

Services Provided: Services provided include: videoconferencing, distance learning, remote consultation with medical specialists, and teleradiology services that will include a shared PACS system.

Equipment: Each of the participating sites will receive a Polycom H.323 Viewstation (videoconferencing system) with a 32” monitor and cart.

Transmission: The network features frame-relay ports for dedicated T1 access, VPN options, videostreaming , and subnetwork integration. The network also provides a video bridge for multi-point videoconferencing.

St. Elizabeth Hospital Community Foundation
1506 South Oneida St
Appleton, WI 54915-1397
www.affinityhealth.org

Ann Byrne, RN, BSN
Ph: 920-730-2650
Fax: 920-730-2665
Email: abyrne@affinityhealth.org

Network Partners: Affinity Health System UW Health

Project Purpose: To broaden the population of pediatric patients we serve in the Fox River Valley. The first objective is to purchase peripheral attachments for patient exams in Appleton. The second objective is to purchase the basic receiving components for Madison. Provide training and education for MDs and staff on the use of the equipment and determination of the appropriate patient population to receive services through telemedicine.

Outcomes Expected: By the end of the project grant period, we will have purchased and installed the peripheral equipment, base unit and conducted the training necessary to add 7-10 more pediatric sub-specialists to the
telemedicine program. Patient satisfaction at least 90% for all telemedicine visits. Measurement tools used: Patient satisfaction survey, developed for project, completed implementation timeline and OAT –GPRA Performance Measures.

Service Area: We predominantly serve Calumet, Outagamie and Winnebago counties. We also do draw patients from Northeastern Wisconsin and the UP of Michigan.

Services Provided: We currently provide a pediatric endocrinology telemedicine clinic for stable endocrine patients every other month. We also provide a diabetes follow up clinic quarterly for stable diabetic patients. We are
in the process of developing a stable asthma telemedicine clinic to be implemented in 2006.

Equipment: One Tandberg 500213 HCSIII-6000 videoconferencing system in Appleton, WI. One Tandberg 500213 HCSIII-6000 videoconferencing system in Madison, WI. Peripheral attachments: Stethoscope, Otoscope, Ophthalmoscope, Document camera and video printer.

Transmission: Our system runs on 3 ISDN lines, with each line operating at 115 KB/s, for a total of 384 KB/s.