Telehealth Grantee Directory

Network Partners:

Three major Community Healthcare Alliances: St. Anthony's Health Care, Morton Plant Mease Health Care, and St. Joseph's-Baptist Health Care. BayCare Health System was formed in 1997 and includes these hospitals: St. Anthony's, Morton Plant, Mease Dunedin, Mease Countryside, NorthBay, St. Joseph's, St. Joseph's Women's, Tampa Children's and South Florida Baptist.

Project Purpose:

Create an Electronic Medical Record (EMR) to enable the transformation of care delivery and business practices throughout BayCare and the community we serve. A subsystem of the EMR is the implementation of a Computerized Physician Order Entry (CPOE) system; the system will use rules and clinical knowledge-based information to improve clinical processes and reduce errors.

Outcomes Expected/Project Accomplishments:

All of the original expected outcomes are still in measurement and/or applications are in the development stage. Medication errors will be reduced by flagging unusual doses, universally noting patient allergies, and displaying key lab values influencing medication dosing. Number and type of errors (measure). Duplicate orders will be reduced by increased online availability of previous encounter information. Number of duplicate orders (measure). Utilization of the clinical system rules engine and corresponding patient alerts will enable prospective management of critical findings and automate routine protocols. Number of adverse drug events (measure). Rules engine (tool). Time available for direct patient care will increase with online documentation systems for clinicians. Increase Patient Satisfaction, Quality Data Management scores (tool).

Service Area:

All nine hospital sites listed above had equipment and/or services funded by the grant. Tampa Bay area of Florida including counties: Pinellas, Pasco, Hernando, and Hillsborough.

Services Provided:

Cardiology, gynecology, diabetes care and management, mental health, oncology, orthopedics, radiology, surgery and rehabilitation services.

Equipment:

• IBM RS6000 CPU, HP servers and workstations, Oracle database and Cerner application software.
• Microsoft Windows and Citrix desktop software, and Cloverleaf (Quovadx) integration engine.

Transmission:

Data Center to facilities via a 20MB ATM. Facilities to the desktop via 100MB Ethernet, Cisco Wireless LAN

Network Partners:

American Cancer Society/Florida Division, AARP of Florida, Shands Cancer Center University of Florida. Mayo Clinic Jacksonville, Florida Atlantic University, H. Lee Moffitt Cancer Center and Research Institute, FLASCO, Sylvester Cancer Center University of Miami, M.D. Anderson Orlando, NAACP Florida Conference EmergingMed Com, Inc., plus 50 other organizations and hospitals.

Project Purpose:

The project has launched an interactive Web-based Clinical Trials Information and Matching Service that provides cancer patients and other users with information about the active cancer clinical trials available in Florida. Users have the ability to search a comprehensive database to identify trials for more than 20 different kinds of cancers in which they might be eligible. The website provides access to pertinent information about cancer clinical trials that patients can print and discuss with their physicians. Florida residents who do not have Internet access or who prefer one-on-one assistance can obtain the same information by calling a toll-free number.

Outcomes Expected/Project Accomplishments:

• Maintain and expand clinical trials information system-Report Data Files.
• Promote availability of database-Participant evaluation data, Report Data Files, Focus groups.
• Promote clinical trials and database to special populations-Report Data Files, training reports.
• Clinical trials tracking system-Tracking system data, Participant feedback.

Service Area:

Entire State of Florida, including all ACOS approved hospitals in Florida.

Services Provided:

• Cancer clinical trials information and matching service.
• Patient and physician education on importance of clinical trials.
• Extensive media campaign promoting value of clinical trials.

Equipment:

4 Dell Poweredge Servers, Altigen IP PBX phone system, Checkpoint Firewall, Siemens phone switch, Genesys, etalk.

Transmission:

Three dedicated full T-1 lines, POTS lines.

Network Partners:

N/A.

Project Purpose:

The University of Florida College of Dentistry (UFCD) is seeking to enhance its Statewide Network for Community Oral Health to include expanded capabilities in the areas of distance learning and teledentistry.

Outcomes Expected/Project Accomplishments:

• Expansion and evaluation of video-conferencing capabilities from the Gainesville campus to dental clinics throughout the state has been completed. This includes classroom/conference room facilities upgrades and distance learning for dental students and residents via videoconferencing throughout UFCD's network of clinics. The mobile videoconference cart has been tested on-site.
• Web-based educational experiences for dental students, dental residents, faculty and dental practitioners have been offered and include the ongoing "oral pathology" case of the month. The educational website related to teledentistry and distance education and the testing of the "virtual" dental study club concept is completed.
• Digital radiography implementation has been completed at the Gainesville, Hialeah and St. Petersburg sites, with implementation in Jacksonville expected in the next few months.

Service Area:

University of Florida Gainesville campus to health facilities located throughout the state, specifically, Jacksonville, St. Petersburg and Hialeah. Counties where clinics are located include Pinellas, Alachua, Duval and Miami-Dade. Web-based technology will give us a presence throughout the statewide network for community oral health.

Services Provided:

Dental services provided include digital radiography and eventually, teledentistry consultations. In addition, Distance Learning technology was upgraded and expanded to include area practitioners across the State of Florida. The existing statewide network has been operational for over 10 years.

Equipment:

Video Conferencing Equipment: Polycom VSX 7000, Sony Cameras, Polycom Practitioner Cart, Polycom Gateway; Dell PowerEdge, Medicor: EMC Centera Dell Optiplex GX270 PCs, Cisco Routers & switches, etc.

Transmission:

TCP/IP over Full T3, T1s and ISDN telecommunication circuits.