Telehealth Grantee Directory

Network Partners:

Fairview Health Services including University of Minnesota Medical Center at Fairview-Riverside and University Campuses, and free-standing clinics (6); Fairview Southdale Hospital and free-standing clinics (4); and Fairview Ridges Hospital and free-standing clinics (6).

Project Purpose:

Acquire and install an ambulatory electronic medical record application in Fairview's hospitals and clinics. Redesign and automate core care delivery processes and provide physicians with decision support tools at the point of care in the clinics setting. Provide electronic access to the ambulatory record to physicians at the time of ED and hospital care and from any Internet access point. Provide patient information across the continuum of care throughout Fairview's regional care systems supporting same day, on demand appointments.

Outcomes Expected/Project Accomplishments:

• 100 percent computerized physician order entry
• 100 percent results available on-line.
• Improved availability of information for clinical care decision making.
• Clinical quality measurement reporting to enable improvement efforts.
• 80 percent reduction in ambulatory dictation/transcription costs resulting from point-of-care documentation.
• HIPAA compliance

Service Area:

Hennepin and Ramsey Counties in Minnesota including 11 HPSAs/MUAs and serving 2.7 million residents.

Services Provided:

The ambulatory electronic medical record system supports 15 primary care clinics delivering over 500,000 patient visits each year and four hospital campuses providing a complete range of clinical services from prevention of illness and injury to care for the most complex medical conditions.

Equipment:

The ambulatory electronic medical record system is a three-tier computer architecture using PCs running Windows 2000, HP Servers running Windows Server 2003 and Citrix, and IBM AIX Servers running Intersystems Cache DBMS, storing data on a Hitachi Storage Area Network. PCs are located at every Fairview site and networked via WAN/LAN technologies. Epic Systems Inc. software is used-multiple modules.

Transmission:

Secure Internet connections and private wide-area and local-area networks consisting of T1 and OS3 transmission services.

Network Partners:

University of Minnesota, Minneapolis, 1994 with previous Fairview University of MN Telemedicine Network consisting of 17 active sites; North Region Health Alliance representing a consortium of 22 rural hospitals across northwest MN and northeast ND; and SISU Medical Systems, Duluth, a consortium of 14 medical centers in northern MN.

Project Purpose:

Implement a Minnesota Telehealth Network across northern MN and eastern ND. Address the restricted access to medical specialty and healthcare professionals in rural areas. Special needs include geriatric care, chronic disease management, mental health and rehab services for underserved populations and health professional education.

Outcomes Expected/Project Accomplishments:

Increase access to medical specialists and health professionals by increasing the number of network members who provide telehealth services, 7 new rural sites each year. Quantify patient usage of telehealth services using data collection of OAT GPRA performance measures. Provide medical and health professional education.

Service Area:

MN: Wadena, Todd, Otter Tail, Polk, Kittson, Pennington, Clearwater, Roseau, Lake of the Woods, Norman, Marshall, Carlton, St. Louis, Crow, Wing, Itasca, Aitkin, Cook, Kanabec, Becker, McLeod, Dakota, Cass, Pine, Goodhue, Koochiching, Mille Lacs, Traverse. ND: Grand Forks, Traill, Cavalier, Walsh, Pembina, Ramsey, Griggs, Nelson.

Services Provided:

Dermatology, orthopedics, neurology, gastroenterology, asthma/allergy, behavioral health, cardiology, child/adult psychiatry, endocrinology, gerontology, home care/hospice, pharmacy, pulmonology, wound care, rehab services, NICU visits, oncology, dietitian, and chronic disease management such as diabetes/CHF/pain.

Equipment:

• Rural sites: Document Video Visualizer, Digital Camera, Polycom Videoconferencing System, Exam Camera.
• Providers: Polycom/Tandberg Videoconferencing System, Stethoscope.

Transmission:

Interoperable transmission standards will be used made up of IP videoconference capable connections-i.e., point to point enabled layer 3, quality of service managed connections.

Network Partners:

Fairview Health Svcs, (Minneapolis, MN), UMN Physicians, (Minneapolis, MN), Prairie at St. Johns (Fargo, ND), UMN Duluth Medical School (Duluth, MN), Sports and Ortho Specialists (Edina, MN). Originating Sites: Wadena, Aitkin, Crosby, Red Wing, Hibbing, Cook, Moose Lake, Big Fork, Onamia, Ne-Ia-Shing Clinic, Mora, Littlefork, Cass Lake, International Falls, Wheaton. Patients: 810. Encounters: 866.

Project Purpose:

Meet the needs of rural Minnesotans for a greater range of specialty medicine consultations with an emphasis on mental health, geriatric issues; improve treatment of chronic conditions including heart disease, diabetes, and chronic pain; and health professional education. Facilitate the continued growth of FUMTN into an open network of multiple telemedicine providers and users to reach a larger percent of the state's rural underserved populations in multiple settings. Patients will be served by telemedicine not just in hospitals, but in rural clinics and homes.

Outcomes Expected/Project Accomplishments:

Increase the number of network members where patients can seek telemedicine consultations and assist those sites to extend telemedicine into the community through home care agencies and rural health clinics. It is anticipated that the outcomes will be larger numbers of available services, providers and network sites; greater number of consults; more home care visits and discharges to lower levels of care.

Service Area:

Portions of 12 Minnesota counties. Covers 11 HPSAs and pHPSAs; 13 full and partial mental health HPSAs; 10 MUAs and pMUAs; one partial MUP. Counties served: Aitkin, Carlton, Cass, Crow Wing, Goodhue, Itasca, Mille Lacs, Otter Tail, Pine, St. Louis, Todd, and Wadena.

Services Provided:

Current specialties: Dermatology, orthopedic surgery, cardiology, pulmonology, neurology, gastroenterology, asthma/allergy, adult psychiatry, child psychiatry, and endocrinology. New services: adult mental health, chronic illness, pain management, and NICU visits.

Equipment:

Currently using 6 Polycom FXs and 6 Polycom Viewstations videoconferencing units, 6 handheld exam cameras, 6 digital cameras, 4 digital stethoscopes, 1 otoscope, and 5 document cameras. Planned installations: 5 Polycom Viewstation videoconferencing units, 4 digital cameras, 7 video phones.

Transmission:

One network member utilizes an ISDN connection. The remainder network members are using secure IP connections. Home telehealth is using h.324 over POTS lines.