Overview
Grants Overview
HAWAI'I, Honolulu County
The Hawai'i CHC Telehealth Network Project
Hawai'i Primary Care Association (HPCA)
CMP FY 02, 03, 04, 05
Hawai'i Primary Care Association (HPCA)
345 Queen Street, Suite 601
Honolulu, HI 96813
http://www.hawaiipca.net
Orin Kanaema Sherman, MBA
Ph: 808-536-8442
Fax: 808-524-0347
Email: csakuda@hawaiipca.net
Network Partners:
All Federally Qualified Community Health Centers (FQHCs) in Hawai'i, Native Hawaiian Health Care Systems (NHHCS), Queen Emma Clinics, Pacific Telehealth and Technology Hui, (A Department of Defense/Veteran Affairs joint venture), University of Hawai'I John A. Burns School of Medicine, Hawai'I Area Health Education Center (AHEC), Dr. Doug Johnson (dermatologist).
Project Purpose:
Help the FQHCs prepare for the effective, practical, and seamless use of telehealth in clinical, administrative, and educational settings, by creating a positive experience of telehealth among Community Health Center (CHC) providers, administrators, and patients. Three primary objectives are (1) increase remote access to health care using telecommunications, (2) encourageconsultations among CHCs that have or need shareable clinical capacity, (3) use telehealth to meet important non-clinical needs: administration, education, and outreach.
Outcomes Expected/Project Accomplishments:
(1) Increase the number of patients accessing needed specialists in Hawai'i's FQHCs, primarily through dermatology and behavioral health, (2) develop and support sustainable, ongoing VTC programs-CMEs, grand rounds, community health education, community outreach, (3) increase the number of telehealth consults in FQHCs, (4) decrease PT and Provider travel costs.
Service Area:
There are 13 FQHCs with 37 locations across the State of Hawai'i serving roughly 72 percent of Hawai'i's population. 80 percent of these represent Medically Underserved Populations (MUPs), 20 percent represent Medically Underserved Areas (MUAs) and is comprised largely of Native Hawaiians, Immigrants, Migrants from the Freely Associated States of the Marshall Islands, Micronesia, and Palau, homeless people, and uninsured people.
Services Provided:
Teledermatology, audio and video multi-point conferencing services, distance education (for example, Lutheran Dental Residency Program), Community Health Education Program, website development, electronic practice management/health records procurement collaborative, Medicine Bank online database.
Equipment:
Tandberg MCU bridge, Tandberg/Sony/PictureTel/Polycom VTC units, Nikon CoolPix cameras, general exam cameras, document reader, dermascopes, otoscopes, opthalmoscopes.
Transmission:
A mix of PRI, IP T-1 lines, frame-relay, DSL, and ISDN. MCU is mostly supported by an ISDN PRI and cable broadband IT transport. Most spoke sites have 384 kbs ISDN connectivity but some aremigrating to IP.
HAWAI'I, Honolulu County
Hawaii Neuroscience Telehealth Network
The Queen's Medical Center
TNGP FY 06-09
The Queen's Medical Center
1301 Punchbowl Street
Honolulu, HI 96813
http://www.queens.org/services/neurosciences.html
Cherylee Chang MD, FACP
Karen Seth
Ph: 808-537-7152
Fax: 808-547-4001
Email: kseth@queens.org
Network Partners:
Hilo Medical Center and Kona Community Hospital, both in Hawaii County. The Hawaii Neuroscience Telehealth Network will be operational by March 2007.
Project Purpose:
To develop a telemedicine system to connect two hospitals without neuroscience expertise to a medical center that has expertise in this area at all times in order to improve the quality of acute neurological and neurosurgical care for patients at these rural sites.
Outcomes Expected/Project Accomplishments:
The system will be easy to use with few system or technical failures as measured by technical end user evaluations, usage frequency, and technical failures. This system will enhance the quality and scope of acute neurological patient care at the initiating sites, during transport and for those who are transferred.
Service Area:
The Hawaii Neuroscience Telehealth Network will initially serve Hawaii County via the rural hospital sites of Hilo Medical Center and Kona Community Hospital. Hawaii County has a population of about 160,000 with a land area of 4,038 square miles. It is designated as both a Medically Underserved Population (MUP) and a primary care Health Professional Shortage Area (HPSA).
Services Provided:
Emergency neurology and neurocritical care and potential referral to neurosurgical specialty care.
Equipment:
This telehealth network is based on a three component architecture managed by Interactive Care Technologies: 1) An ASP server application, called the Virtual Care Team; 2) Two iCare Vision Elite camera systems for remote sites that are digital, wireless, battery-operated with a single off-on switch; and 3) Telehealth ISP routing methodology that layers on top of consumer Internet connectivity.
Transmission:
Telehealth ISP and Internet, ASP hosted source, video traffic protected by end-to-end encryption using VPN SSL technologies, and POTS.
