|
All
OAT grantees were asked if they used Store and Forward
technology, Internet Protocols (IP), Internet/World
Wide Web, Wireless Technology, and/or Broadband Transmission
in delivery of their services (definitions are provided
at the end of the table). Grantees were also asked to
give a brief explanation of the purposes for the use
of the transmission technology. Their responses are
indicated in the following section.
N/A
= Not Applicable
| |
|
|
|
|
|
All
services except mental health |
All
network communication relies on IP. No ISDN |
Internet
used for Store & Forward (S&F) with encryption |
All
S&F systems use encrypted wireless within
clinics |
Most
clinics have broadband for S&F, video |
|
| |
|
Electronic
mail and solicitation of survey responses for
Evaluation project |
|
|
|
| |
|
|
|
|
|
| |
TCP/IP,
to deliver behavioral health services to remote
villages in Alaska |
|
|
Fiber
Optic Terrestrial Links T-1 & Satellite to
deliver behavioral health services to remote villages
in Alaska. |
|
| |
|
|
|
|
|
| |
|
Remote
Monitoring/
Claims
Data |
|
|
|
| |
Education
Programs/Consults |
|
|
Medical
Consults/Education Programs |
|
| |
|
|
|
|
|
Radiology |
T1
lines for compressed video transmission |
Continuing
education for health care professionals |
|
Transmit
real-time voice/video to all sites |
|
| |
|
|
|
|
|
Ophthalmology |
H.323
Video for Podiatry & Interactive Telehealth |
Web
Site & Streaming Video archives of diabetes
education sessions |
Planned
for late 2005 to connect in mobile clinic in Amado |
All
connections are broadband at T1 rates except POTS
used in Amado. Used for clinical & educational
video |
|
| |
H.323—education |
Website
& Streaming Video Archives of educational
sessions |
|
All
connections are broadband at T1 rates for education
and training |
|
| |
|
|
|
|
|
S/F
maternal fetal ultrasound reads |
IP
for clinical services and for education over T1
fractional lines to rural towns |
|
|
|
|
| |
|
|
|
|
|
| |
IP
for clinical services and for education over T1
terrestrial lines |
|
|
|
|
| |
|
|
|
|
|
| |
|
Connect
clients with programs & services |
|
|
Laptops
used for community outreach and presentations |
| |
|
|
|
|
|
Radiology |
IP
for clinical services and patient education |
To
be used for Patient Health Education and Behavioral
Medicine and administrative services |
Satellite
to connect Hub to Spoke and vice versa for telehealth
consultations with graphic patient image transfer
and health education |
T1
based land-link to complete connection between
satellite, spoke and hub for telehealth consultations
and graphic patient education |
|
| |
|
|
|
|
|
| |
IP
for CPOE, Nursing and Pharmacy services over hospital
backbone |
Pharmacy
formulary and drug information look-up |
Cisco
WAPs with handheld devices in reading patient
wristbands and medication labels |
|
|
| |
|
|
|
|
|
Ophthalmology |
|
|
|
T1
& ISDN for clinical telemedicine and distance
education |
|
Avista
Adventist Hospital |
|
|
|
|
|
|
Clinical
Integration Through Health Informatics |
Radiology |
Remote
Desktop Protocol and Virtual Private Network |
Patient
scheduling, lab results, formularies |
Laptops
in clinics |
|
|
University
of Colorado Health Sciences Center |
|
|
|
|
|
|
Native
Telehealth Outreach & Technical Assistance
Program |
|
|
Distance
Education for CME |
|
|
CHA
(Community Health Advocate) Communications, Project
Dissemination |
American
Red Cross |
|
|
|
|
|
|
Congressionally
Mandated Telehealth Grants |
|
Access
application over wide area network (WAN) via T1
circuits |
|
|
|
|
Foundation
For eHealth Initiative |
|
|
|
|
|
|
Connecting
Communities for Better Health Program |
|
|
|
|
|
|
CareSpark,
TN |
Claims
data (planned 2006) |
Clinical
records, patient demographics, (planned 2006) |
|
|
|
|
Colorado
Health Information Exchange, CO |
|
Codified
(standard) health data between distinct institutions
(entities) |
|
|
|
|
Indiana
Health Information Exchange, IN |
X |
X |
X |
|
X |
|
Maryland/DC
Collaborative for Healthcare Information Technology,
MD |
|
|
|
|
|
|
Massachusetts
Health Data Consortium (MA-SHARE), MA |
|
Server-to-server
communication and data exchange |
Secure
Web-based access |
|
Server-to-server
communication and data exchange |
|
National
Institute for Medical Informatics, WI |
Repository
for providers not able to offer real-time retrieval
for requests |
Secure
portal for results, diagnoses, med records planned |
Secure
portal for results, diagnoses, med records planned |
|
|
|
Santa
Barbara County Care Data Exchange, CA |
Planned |
Support
HL7 transactions & peer-to-peer connections |
Method
of access by users |
Some
users may use to access WWW |
Some
users may use to access WWW |
|
PACS,
video for teleradiology and cardiology |
Network
intranet infrastructure, user and device administration,
Hospital network to Community HIE |
Health
info resources, VPN, PHR, eRx |
Between
sites and within individual practice locations |
Between
sites, client, and LAN to LAN VPN |
All
modes support access to hospital EMR, PACs, RIS,
health info resources, e-mail, lab results |
Radiology,
laboratory, and transcription |
IP
is used to facilitate secure “server-to-server”
communication and data interchange/
exchange
between participation solution providers |
The
solution is delivered through a secure Web-based
application architecture providing access to clinical
information through a Web browser |
|
Transmission
rates vary by facility using the application,
i.e., DSL to T3 capacity |
|
| |
|
|
|
|
|
Radiology |
|
Physicians
have access to patients’ results, dictated reports,
and financial information on the Web through BayCare
MD |
Patient
registration is performed bedside with wireless
devices; I/O, and medication using a wireless
device |
|
|
| |
|
|
|
|
|
Store
of patient profiles for later review and consultation |
Extranet
call center connectivity |
Distribution
of clinical trial information |
|
|
|
| |
|
|
|
|
|
Distance
Learning: Video conferencing & presentation
with satellite offices/clinics-Teledentistry Consultation:
For capturing, reviewing, manipulation and storing
of biopsies. Digital Radiography: For capturing,
reviewing, manipulation and storing digital X-ray
images |
Distance
Learning: Used for eLearning, eTransaction &
Video conferencing. Teledentistry Consultation:
Video conferencing for consultation.-Digital Radiography:
For transmitting, retrieving, and storing digital
x-ray images |
Distance
Learning: eLearning & eTransaction presentation-Teledentistry
Consultation: Interactive consultation via Web.
Real-time streaming of consultation practices.
Digital Radiography: For retrieving & reviewing
digital x-ray via QR Web front end system |
Distance
Learning: For accessing eLearning & eTransaction
modules within dental science main building. Can
be used for teledentistry consultation from within
dental science building. Digital Radiography:
Can be used to access digital radiographs stored
via QR system |
Distance
Learning: T1 (1.5mps) access to some clinics (St.
Petersburg, Hialeah, HCC, Apopka) and DS3/T3 to
JAX from Gainesville
Teledentistry
Consultation: T1 (1.5mps) access to some clinics
(St. Petersburg, Hialeah, HCC, Apopka) and DS3/T3
to JAX from Gainesville
Digital
Radiography: Broadband access speed within dental
science building is 10/100/1000 mps |
|
| |
|
|
|
|
|
Digital
retinal images are obtained and transmitted in
emails for interpretation |
Training
courses are streamed across the internet in real
time |
|
|
Digital
retinal images are obtained and transmitted in
emails for interpretation |
|
| |
|
|
|
|
|
| |
|
|
|
Broadband
LAN to connect telemedicine and telehealth sites
for clinical consultations and distance learning |
|
| |
|
|
|
|
|
| |
Dental
Residency Program, community health outreach program
and other programs using VTC |
Teledermatology
Web-based system |
|
Telemental
health sites using ISDN and IP lines.
Dental
residency program, community health outreach program
and other programs using VTC |
|
| |
|
|
|
|
|
Radiology
links a rural isolated Hawaiian island to urban
Radiologist for image interpretation |
|
Telederm
Solutions, Inc., store and forward via WWW |
|
|
Broad
Band ISDN for clinical and educational services
over a fractional T1 (384K) to urban island sites |
| |
|
|
|
|
|
| |
|
Monitor
patient condition, monitor BP |
|
|
|
| |
|
Internet-based
Health Risk Assessments-Chronic Disease Portals
with activity logs, self-management tools, education |
|
|
POTS
for patient care & management |
| |
|
|
|
|
|
| |
|
|
|
ISDN-PRI
for Clinical, Educational, & Administrative
uses |
POTS
for seclusion and restraint monitoring and diabetes
and CHF patient monitoring |
| |
|
|
|
|
|
| |
WAN
to share software |
VPN
to share EMR, radiology, digital library |
Connect
clinics to share EMR |
Connect
hospitals to share EMR |
|
| |
|
|
|
|
|
Planned
wound care, dermatology |
The
majority of IP applications with partner sites
are educational due to limits on bandwidth |
Telehealth
Idaho Toolbox |
We
are examining wireless LANs for use within facilities |
|
Educational
telecommunication, mental health, EHR |
| |
|
|
|
|
|
Radiology |
Pharmacy,
education, mental health |
Pathology |
Electronic
Health Record |
Rehab
services (OT/PT) |
|
| |
|
|
|
|
|
| |
|
Interactive
website to document and publicize the effectiveness
of neutron therapy and advise patients over the
Web:
www.neutrontherapy.niu.edu/neutrontherapy/ |
|
Through
a full T3 line with a maximum overhead of 69 meg
ingoing/outgoing traffic through Illinois Century
Network for billing |
|
| |
|
|
|
|
|
EKG
Carts |
|
|
Wireless
for EKG carts |
T-1
lines for telemedicine transmission |
|
| ST |
Program(s)
Name |
Store
and Forward |
Internet
Protocols (IP) |
Internet/World
Wide Web |
Wireless
Technology |
Broadband
Transmission |
Other
Transmission |
| |
|
|
|
|
|
| Neonatology
Obstetrics
Genetics |
IP
for clinical services and for education over T1
terrestrial lines to rural hospitals |
|
|
|
|
| |
|
|
|
|
|
| |
|
