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Overview

Grants Overview

CALIFORNIA, Sacramento County
Western Regional Telehealth Resource Center
California Telemedicine and eHealth Center

TRC FY 06-09

California Telemedicine & eHealth Center
1215 K Street, Suite 800
Sacramento, CA 95814
www.cteconline.org

Barbara Johnston, MSN
Ph: 916-552-7679
Fax: 916-552-7526
Email: bjohnston@calhealth.org

Network Partners:

Current CTEC funded Networks include: Community Clinic Health Network (May 2005), Central Valley eHealth Network (March 2005), Central Valley Teleopthalmology Network (May 2005), Del Norte Clinics Network (January 2005), Teledentistry Network (May 2005), North Coast Telemedicine Network (January 2005), Northern California Telemedicine Network (January 2005), Northern Sierra Health Network (January 2005), Shasta Community Health Center Network (January 2005), and Southern California eHealth Network (June 2005). Actual number of patient encounters 1 OCT 05-30 SEP 06: 2,801.

Project Purpose:

To serve as a model Telehealth Resource center for new and developing Telehealth networks. CTEC will focus its strategic efforts for the next three years on building Telehealth capacity among providers, increasing access to specialty care, decreasing the digital divide as it relates to health care services, and improving access to quality care for rural and medically underserved populations.

Outcomes Expected/Project Accomplishments:

Expand the Telemedicine Learning Center into a second location in Southern California. Develop online Distance learning modules, which will be made available through CTEC's website. Publish two Telehealth Best Practice Guides each year and publish biennial updates for current CTEC resources.

Service Area:

Rural and medically underserved communities in the Western Region of the United States.

Services Provided:

Services include behavioral health, cardiology, dentistry, dermatology, endocrinology, gastroenterology, general surgery, internal medicine, infectious diseases, language interpretation, mental health/psychiatry, nephrology, neurology, nutrition, OB/GYN, ophthalmology, optometry, orthopedics, otohinolaryngology, pain management, pediatrics, pediatric endocrinology, pediatric neurology, podiatry, public health, pulmonary care, radiology, and rheumatology.

Equipment:

Networks use mixture of room-sized, set-top, and desktop videoconferencing systems from Polycom and Tandberg. Store and forward programs use open source EyePACs for ophthalmology and Second Opinion for dermatology.

Transmission:

Approximately 65 percent of the networks are connected by ISDN, the remainder used T-1 lines for IP-based videoconferencing.

CALIFORNIA, Los Angeles County
Telehealth Grant
Familia Unida Living with Multiple Sclerosis

CMP FY 05

Familia Unida Living with Multiple Sclerosis
4716 E. Cesar Chavez Ave. Bldg. A
Los Angeles, CA 90022
www.msfamiliaunida.org

Irma Resendez, MSW
Ph: 323-261-5565
Fax: 323-261-5999
Email: iresendez@msfamiliaunida.org

Network Partners:

White Memorial Medical Center.

Project Purpose:

To acquire needed technology equipment such as wireless laptops, video equipment for storytelling, testimonies of clients served, research, and navigating resources, PowerPoint presentations, basic computer training. Additionally, the website will be updated to display health updates, employment opportunities on the Internet, including links to the employer networks.

Outcomes Expected/Project Accomplishments:

Strengthen our ability to provide super services to our clients more effectively and efficiently. Outreach to homebound clients and those without transportation.

Service Area:

The targeted area for this application is the northeast area of the City of Los Angeles, including East Los Angeles. This area is home to the largest concentration of Latino immigrant and native language speakers in the County of Los Angeles.

Services Provided:

We offer services in English, Spanish, Mandarin, Cantonese and American Sign Language. Currently, we have served over 11,000 clients and their families per year with food pantry, home technology visits, monthly support group meetings, ticket to work (Unlimited Access Program) assisting with social security benefits planning, and outreach services to program eligible clients.

Equipment:

Sony Vio Computer VGN FS 804w; 2 Toshiba Satellite Tablet TOS; 2 Dell Business, computer Supplies; Dell Computers, computer supplies; 1 MacBook; Final Cut Studio 5.1, B&H Photo & Video equipment.

Transmission:

In the process of developing a Web-based data collection system for use by staff working either in the field, at clients' homes or within the office. Other applications include making the website more accessible to blind and hearing impaired clients through the use of the most state-of-the-art software and hardware.

CALIFORNIA, Orange County
Telemedicine for Improved Health Care and Education
Multi-Dimensional Imaging, Inc.

CMP FY 05

Multi-Dimensional Imaging, Inc.
2722 Walnut Avenue
Tustin, CA 92780
http://www.mdivac.com

Harvey Eisenberg, MD
Ph: 949-278-8890
Fax: 949-200-3689
Email: HCEisenberg@healthview.com

Network Partners:

Not Applicable.

Project Purpose:

Develop a prototype Mobile Preventive Medicine model system designed to bring cutting-edge advanced technologies in diagnostic screening and behavioral medicine through telemedicine, improved informatics and interactive health education to a wide public, including workplace and rural America.

Outcomes Expected/Project Accomplishments:

Transmission of large patient data files are now successfully sent from Spoke to Hub and clarity of visual/audio transmission are sent from Hub to Spoke for patient consultation. Administrative services will be streamlined with successful transmission of payment from Spoke to Hub, successful intake, storage and transmission of health and patient satisfaction forms. Patient education videos will be created to improve understanding of preventive medicine concepts and strategies for improving health outcomes.

Service Area:

Counties served include sites in Los Angeles, San Bernardino, and Orange County, as well as individuals from all Counties in Southern California. We have provided services to individuals nationwide and worldwide. Our current project aims to include more rural communities.

Services Provided:

Multi-Dimensional Imaging has been in existence since 1992, developing products and technologies for the purpose of early disease detection capabilities, graphic patient education, behavioral medicine, and telepresent therapies. Products developed by MDI have been managed since 1997 by HealthView Services and are currently utilized by Body Scan International.

Equipment:

Refurbished and ruggedized, Multidetector, Spiral CT (MDCT) and will be replaced by a VAC system with future funding. PCs with several form factors for CT data reconstruction, analysis and display and patient intake/education system. Multiple-to-one video processors for screen control.

Transmission:

Satellite Internet system on the spoke utilizing approximately 1Mbps of bandwidth, coupled with a full T1 at the hub secured at each end with a VPN. Teleconferencing is secured using AES encryption.

CALIFORNIA, Nevada County
Telehealth Network Grant Program
Northern Sierra Rural Health Network

TNGP 06-09

Northern Sierra Rural Health Network
138 New Mohawk Road STE 100
Nevada City, CA 95959-2921
www.nsrhn.org

Speranza Avram
Susan Thomas
Ph: 530-722-1156
Fax: 530-722-1154
Email: tsc@nsrhn.org

Network Partners:

The Northern Sierra Rural Health Network consisting of 29-member telehealth network sites consisting of rural hospitals, community health centers, rural health clinics, public health departments, private physicians, and tribal health centers. Specialty services are provided by urban community health centers and university systems.

Project Purpose:

Expand the range and scope of telehealth services by adding new sites, develop new types of teleheatlh services, integrate telehealth with our health information exchange efforts, and expand the ability of rural providers to use telehealth technology to support distance learning.

Outcomes Expected/Project Accomplishments:

Increase the capacity of the Northern Sierra Rural Health Network to use telehealth to increase access to health care by adding twelve new telehealth sites in our rural region, expand access to specialty care services for rural and underserved patients, enhance the ability of rural providers to recruit and retain a rural workforce, support the ability of regional and statewide organizations to use videoconferencing.

Service Area:

The region consists of nine counties that comprise the northeastern corner of California. The region covers 30,000 square miles and contains a population of 435,706 residents. 81 percent of these residents live in rural or frontier communities, 50 percent of the communities are designated as a MUA/MUP, 65 percent are Health Professional Shortage Areas (HPSA) and 50 percent are designated dental health HPSAs.

Services Provided:

Our current telehealth network supports the ability of 29 rural and safety-net providers to participate in a variety of telehealth services and activities. Since 1999, our network members have completed over 5,000 clinical telehealth consultations, and over 1,100 distance learning continuing education and other telehealth events. Our goal is to expand these numbers by 5 percent each year.

Equipment:

Polycom VSX 7000 with interface and Quad BRI module, Optima Series 32" Tall Cart, monitor, Polycom PVX desktop video software and hardware, Accord MGC-100 24-port video conferencing bridge.

Transmission:

A broad telecommunications network consisting of high-speed T1 and PRI lines that are shared by 11 of our network members. Other members connect via ISDN and video-over-IP into our videoconferencing bridge.

CALIFORNIA, San Joaquin County
Automated Drug Dispensing Medication Administration System
San Joaquin County Health Care Services

CMP FY 05

San Joaquin General Hospital
PO Box 1020
Stockton, CA 95201
www.sjgeneralhospital.com

Jennifer Hirai, Pharm D.
Donald Johnston, Jr
Ph: 209-468-6790
Fax: 209-468-6546
Email: djohnston@sjgh.org

Network Partners:

Not Applicable in this phase, but bar-code standards on Patient Identification and Medication Labeling will be adopted for all of Health Care Services once validated at San Joaquin General Hospital (SJGH).

Project Purpose:

Reduce medication errors and adverse drug events by installing the network infrastructure necessary to support bedside medication verification. This will include upgrading network switches to support higher volumes of data, installing barcode printers and scanners at key workflow locations (Registration, Laboratory, Pharmacy, Medical Records, etc.) and introducing portable wireless devices and wireless access points to support nurses with verifying medication at the bedside.

Outcomes Expected/Project Accomplishments:

We replaced 10 older switches in our inpatient/outpatient areas to provide full gigabit bandwidth over those links. The new units also provide Power-over-Ethernet (POE) which has simplified the deployment of the hospital's first wireless network in the Emergency Department. Patient wrist-band and label barcodes have been specified and are in the process of being implemented throughout our Hospital Information System, along with the scanners and handheld devices to read them.

Service Area:

San Joaquin General Hospital of San Joaquin County, in the central valley of California, which is a low-income HPSA and a full-county MUA.

Services Provided:

San Joaquin Countyss Health Care Services is the safety-net provider for the community. San Joaquin General Hospital, originally established in 1857, is a general acute care facility providing a full range of inpatient services including general medical/surgical care, high-risk obstetrics and neonatal intensive care, pediatrics and acute physical medicine and rehabilitation.

Equipment:

Cisco switches were used in upgrading the network backbone. Siemens wireless equipment and security server provided the wireless network in the Emergency Department. Symbol Technologies and Zebra Technologies were the manufacturers of the barcode devices (printers, scanners, handhelds).

Transmission:

Full T1 lines and/or the County ATM WAN connect the hospital, Public Health Services and Behavioral Health Services. DSL connections are used for the remote clinic locations in the County.