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.
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.
RWHC/WPHCA Telehealth Initiative Rural Wisconsin Health Cooperativetop
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.
Affinity/UW
Telemedicine Project
St. Elizabeth Hospital Community Foundation
St. Elizabeth Hospital Community Foundation
1506 South Oneida St
Appleton, WI 54915-1397 www.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.
3.3 MB)
