Overview
Grants Overview
ARKANSAS, Pulaski County
South Arkansas Integrated Telehealth Oncology Program
University of Arkansas for Medical Sciences (UAMS)
RTGP FY 97-99, TNGP 00-02, 03-05
UAMS Rural Hospital Program
1123 S. University, Suite 400
Little Rock, AR 72204
http://rhp.uams.edu
Ann Bynum, Ed.D.
Ph: 501-686-2595
Fax: 501-686-2585
Email: bynumcarola@uams.edu
Network Partners:
The tertiary hub center (20 sites) at UAMS in Little Rock, plus 34 rural hospitals, seven AHECs, two CHCs, one county health department, 90 schools, six community mental health centers, and six human development centers. Additional health departments and hospitals were added in 2006. UAMS Network operational since 1995. Actual number of patients served 10/1/05 to 9/30/06: 1,159.
Project Purpose:
Link rural providers, health care infrastructure and targeted populations with evidence-based prevention, screening, treatment and palliative care guidelines for oncology. Extend specialty oncology consultation services into rural settings, and provide continuing education for rural practitioners, and consumer education and cancer support programs for the public.
Project Accomplishments/Project Accomplishments:
Oncology services via telehealth increased from 0 to 242/yr; multidisciplinary cancer case conferences for rural providers increased from 0 to 45/yr; continuing professional education programs increased from 0 to 60/yr; cancer education programs and support groups for patients and families increased from 5 to 9/yr; clinical trial discussions increased from 0 to 11 times/yr. Evaluation using OAT GPRA Performance Measures with 244-item data form scanned into Microsoft SQL database.
Service Area:
Medical Center of South AR and AHEC SA (Union Co.), Bradley County Med Center (Bradley Co.), Ouachita County Med Center (Ouachita Co.), Mena Med Center (Polk Co.), CABUN Migrant Health Center (Hempstead Co.); CABUN CHC (Calhoun Co.), AHEC SW (Miller Co.), AHEC FS (Sebastian Co.), AHEC NE (Craighead Co.), AHEC NW (Washington Co.), AHEC PB (Jefferson).
Services Provided:
Professional oncology services, continuing education, case conferences, and public education in cancer prevention, detection, and treatment, plus dermatology, diabetes management, high-risk obstetrics and genetics, cardiology, endocrinology, neurology, mental health, pediatrics, and pharmacy. New this year: pre-/post-op for transplants, and neonatology back-transport and fetal echo.
Equipment:
Remote sites: 2 WellchAllyn Video Colposcopes, 3 General exam cameras; UAMS/ACRC site: 1 Polycom View Station, 1 LifeSize Unit.
Transmission:
Fractional T1, ISDN, IP, H.323 and H.320.
ARKANSAS, Pulaski County
Telehealth for Kids In Delta Schools (Telehealth KIDS)
University of Arkansas for Medical Sciences (UAMS)
TNGP 06-09
UAMS Center for Distance Health
4301 West Markham, Slot 812
Little Rock, AR 72205-7199
http://www.uams.edu/cdh
Ann Bynum, Ed.D.
Ph: 501-686-2595
Fax: 501-686-2585
Email: bynumcarola@uams.edu
Network Partners:
New sites in Lee County are Whitten Elementary School, Lee High School, Lee County Health Unit, and Lee County Cooperative Clinic (CHC). These sites will join the existing 50 site UAMS' Rural Telehealth Network, operational since 1995. Estimated # of patient encounters 10/1/06-9/30/07: 400.
Project Purpose:
Provide telehealth pediatric services to children in two Lee County schools who do not have access to pediatric services due to poverty or lack of transportation. School-based services will 1) Increase number of students receiving pediatric services; 2) Increase number of Diabetic students performing self-glucose monitoring daily; 3) Decrease school absenteeism of students with asthma; 4) Reduce behavioral problems; and 5) Increase referrals and educational resources to students/families.
Outcomes Expected/Project Accomplishments:
Increased access to pediatric services; Reduced Hemoglobin A1c in diabetic students; Increased proficiency of self-administered asthma medications; Reduced school absenteeism, emergency room (ER) visits, and hospital admissions; Cost savings from reduced ER and hospital visits; Reduced classroom behavioral disruptions; and Increased family access to resources. A goal attainment model will be used to evaluate the Telehealth for KIDS project.
Service Area:
Whitten Elementary School, Lee High School, Lee County Health Unit, and Lee County Cooperative Clinic (CHC), in the remote Mississippi Delta community of Marianna in Lee County. At the schools, 90 percent of all students are African-American, and 93 percent are eligible for free/reduced lunch.
Services Provided:
Real-time telehealth consults with Pediatric and Behavioral specialists at UAMS for services that are unavailable otherwise, and educational programming regarding pediatric and behavioral topics for students, parents, and school staff. Connect local health professionals at the Lee County Health Unit and CHC to facilitate referrals, ease follow-up care with students, and provide continuing education.
Equipment:
Remote sites: two Tandberg MXP interactive video systems, two Polycom interactive educational units, 20 Viterion 100 Home Health Monitors with peak flow and blood glucose measures for rural students; and two Logitech Desktop interactive cameras and laptops.
Transmission:
Fractional T1, ISDN, IP, H.323 and H.320.
