Appalachian Pain Foundation
PO Box 3312
Charleston, WV 25333
www.PainCentral.com

Skip Lineberg, Executive Director
Ph: 304-342-6970
Fax: 304-342-6973
info@paincentral.com

Network Partners: Purdue Pharma, Novartis Pharma, Medtronic Neurological, American Osteopathic Medicine Association, West Virginia Hospital Association, WVHA—Health Education Foundation.

Project Purpose: To develop a curriculum for a pain management course to be taught in medical centers throughout the region. In addition, the APF is developing education initiatives, management forums, information web
sites and meeting with law enforcement, industry, physicians, clinicians and community leaders to help ensure that patients receive proper, ethical and effective pain treatment and to reduce the diversion of prescription pain-killer medications.

Outcomes Expected: Grow the APF membership to self-sustaining levels; validate APF as a regional resource for clinical and administrative dialogue on appropriate and outcome supported pain management; represent to
legislation generators, administrators and enforcers the importance of reasonable, rational and responsible assessment and management of chronic pain; create a Board of Advisors from broad interdisciplinary and administrative backgrounds to promote balance and reality-tested goals and activities of APF.; conduct patient education seminars (via Webcast) and to confer continuing
education credits for such educational events.

Service Area: Primary service area includes West Virginia and the Appalachian region.

Services Provided: The services provided in this project include developing a comprehensive educational curriculum designed to educate healthcare professionals, related professions and key sectors of communities about
effective pain management and the dangers of the abuse of prescription medication.

Equipment: Distance learning video and audio processing equipment for Webcast and videoconferencing.

Transmission: Internet protocols (IP), Internet—World Wide Web.

Robert C. Byrd Center for Rural Health
Joan C. Edwards School of Medicine
1600 Medical Center Drive, Suite 1400
Huntington, WV 25701

Jennifer Plymale, MS
Amber Vance, MS
Phone: 304-691-1184
Fax: 304-691-1183
Email: Elkins34@marshall.edu

Network Partners: Walter Reed Army Medical Center, Tug River Health, Lincoln Primary Care Center, JW Endicott MD, Mason County Health Department, Pleasant Valley Hospital, Larry J Harless Community Center, Southwestern Area Health Education Center.

Project Purpose: The purpose of this project is to increase access to preventive health care for Southern West Virginia utilizing a comprehensive chronic disease assessment, community focused interventions, and deployment of mobile medical units focusing on pediatrics and preventive medicine.

Outcomes Expected: Improved prevention, detection, and management of the most prevalent and debilitating chronic diseases of the region such as heart disease, diabetes, selected cancers, and obesity. Provide families in
underserved rural communities access to healthcare services currently unavailable by designating and implementing targeted intervention programs.

Service Area: Southern West Virginia; primarily Mason, Lincoln, Mingo and McDowell Counties.

Services Provided: The services in this project are the development and deployment of a comprehensive chronic disease and colorectal cancer screening program; continued development and deployment of a ommunity based electronic health record, emphasizing a comprehensive chronic disease assessment; continued and expanded operations of the Center’s pediatric mobile medical unit, in addition to the deployment of a preventive medicine mobile medical unit.

Equipment: Video conferencing (H.323) for telemedicine is provided by a V-Tel Galaxy Class video conferencing; H.323 video conferencing is available with a roll-about Polycom ViewStation FX unit, and 384 KB/sISDN-based video conferencing.

Transmission: Dedicated T-1 lines, Internet Protocols (IP).

West Virginia University, MDTV
PO Box 9081
Morgantown, WV 26506-9081
wvthenet.hsc.wvu.edu

JoAnn Hornsby, MD/Christopher Budig
Christopher Budig
Phone: 304-293-6945
Fax: 304-293-8565
Email: cbudig@hsc.wvu.edu

Network Partners: Appalachian Community Health Center, East Ridge Health Systems (1 satellite) FMRS Mental Health Council (3 satellite), Healthways (1 satellite), Logan-Mingo mental Health (1 satellite), Northwood Health Systems (2 satellite), Prestera (10 satellite), Senecal Mental Health (4 satellite), Southern
Highlands Mental Health Center (2 satellite), Valley Healthcare (4 satellite), Westbrook Health Services (1 satellite).

Project Purpose: Provide telemedicine services to the rural community mental healthcare centers (CMHC). West Virginia has 14 major community mental health care centers. All of these sites are in need of additional psychiatric healthcare services. A secondary purpose is to allow for healthcare workers in
these communities to utilize these telemedicine units for continuing professional education and in that same spirit allow the community members to take advantage of the health education programs provided through MDTV.

Outcomes Expected: Help patients in rural areas obtain improved access to psychiatric care. To be able to relieve some of the current strain on the community mental health centers by the creation of psychiatric telemedicine
clinics. Overall patient care improves while physician time commitment is shortened. This leads to cost savings and patient satisfaction improvements. Evaluation/Surveys will be utilized in determining patient/provider comfort levels during consultations vs. face-to-face consultations.

Service Area: Counties served are all within the state of West Virginia: There are 34 counties participating in this project. Within the 34 counties, 23 are HPSA and 26 are MUA.

Services Provided: Mountaineer Doctor Television has been operational since 1992 and is providing telemedicine, distant education, continuing medical education as well as administrative services throughout the state of West
Virginia and beyond.

Equipment: 44 Remote Sites received a Tandberg 880 ISDN-IP Codec; The MDTV office received 1 Tandberg 6000 codec, 3 Tandberg 2500 codec, and 7 Tandberg 880 codecs; 1 Tandberg Gateway, 2 Tandberg MCUs, Sanyo Video Projector, DVC ProCamera and DVC Pro Studio VCR.

Transmission: Internet, (IP) transmissions are possible between individual clinics and MDTV. Connections are established using the following: Frame Relay 768 KB/s bandwidth.