Overview
Grants Overview
NORTH CAROLINA, Durham County
Patient Inclusion in a Community-based Telehealth Network
Duke University Medical Center
TNGP FY 03-05
Division of Clinical Informatics, Duke University
DUMC 2914
Durham, NC 27710
http://cfm.mc.duke.edu
David Lobach, MD, PhD
Jan M. Willis MS, MBA
Ph: 919-684-6421
Fax: 919-684-8675
Email: clinicalinformatics@mc.duke.edu
Network Partners:
Duke (Hospital, Family Medicine Center, Pediatrics, OB/GYN, Outpatient Clinic, Urgent Care North and South), Lincoln Community Health Center (Center, Urgent Care), Durham Pediatrics, Regional Pediatrics, Central Family Medicine, Durham Regional Hospital, Durham County (Health Department, Dept. of Social Services), Durham Community Health Network. Network in operation since July, 1998; Number of patients served: 17,669.
Project Purpose:
To support proactive population health management through care managers and other community workers and to facilitate communication among healthcare providers and patients. Health risk information and barriers to accessing care are collected directly from patients through free-standing kiosks using an adaptive computer interface. Healthcare services are customized to each patient and include health education, health risk reduction programs, and assistance accessing appropriate clinical services and complying with medication regimes.
Outcomes Expected/Project Accomplishments:
Decreased emergency department utilization and admissions for ambulatory care-sensitive conditions; Improved HEDIS indicators for cancer screening, immunizations, diabetes care, asthma care, Chlamydia screening , well-child visits, and post-partum care; Increased condition-specific health literacy, self-efficacy and patient satisfaction levels.
Service Area:
Durham County, North Carolina. One MUA (30 census tracks) and one HPSA.
Services Provided:
Members of the network will provide telemedicine services, receive telemedicine services, provide distance education services and receive distance education services.
Equipment:
This project is Internet based. The equipment used includes a specially designed touch-screen patient data entry kiosk. The kiosk includes an output printer and a video camera to provide real time contact to a care manager. Partner sites access the data via the Internet on their office personal computers.
Transmission:
T1 lines at the partner sites, over the Internet; wireless broadband for mobile applications.
NORTH CAROLINA, Buncombe County
Patient Participation in a Rural Community-Based Telehealth Network
Duke University Medical Center
TNGP FY 06-09
Division of Clinical Informatics, Duke University
DUMC 2914
Durham, NC 27710
http://cfm.mc.duke.edu
David Lobach, MD, PhD
Jan M. Willis MS, MBA
Ph: 919-684-6421
Fax: 919-684-8675
Email: clinicalinformatics@mc.duke.edu
Network Partners:
Major sites: Granville Medical Center, Maria Parham Medical Center, Person Memorial Hospital, 24 primary care practices, Vance-Granville District Health Department, Person County Health Department, Warren County Health Department, 4 Departments of Social Services; Number of patients served: 17,923.
Project Purpose:
To support proactive care management of medically underserved populations in four rural counties in the Northern Piedmont region of North Carolina. Medicaid claims data, billing data imported from community hospital, and clinical information collected directly from patients will be used for proactive population health management through a standards-based clinical decision support system. Healthcare services are customized to each patient and include health education, health risk reduction programs, and assistance accessing appropriate clinical services and complying with medication regimens.
Outcomes Expected/Project Accomplishments:
Decreased emergency department utilization and admissions for ambulatory care-sensitive conditions. Improved HEDIS indicators for cancer screening, immunizations, diabetes care, asthma care, Chlamydia screening, well-child visits and post-partum care.
Service Area:
Granville, Person, Vance and Warren counties. Four MUAs and four HPSAs.
Services Provided:
Members of the network will provide telemedicine services, receive telemedicine services, provide distance education services and receive distance education services.
Equipment:
This project is Internet based. Equipment used includes a specially designed touch-screen patient data entry kiosk. The kiosk includes an output printer and a video camera to provide real-time contact to a care manager. Partner sites access the data via the Internet on their office personal computers.
Transmission:
T1 lines at the partner sites, over the Internet.
NORTH CAROLINA, Buncombe County and 16 Western NC Counties
WNC Data Link Project
Education and Research Consortium of the Western Carolinas
CMP 02
Education and Research Consortium of the Western Carolinas
22 South Pack Square, Suite 500
Asheville, NC 28801
http://www.ercwc.org
Amy LeClare
Ph: 828-281-1954
Fax: 828-281-1988
Email: amyleclare@ercwc.org
Network Partners:
The 16 hospitals serving western North Carolina: Angel Medical Center, Cherokee Indian Hospital, Harris Regional Hospital, Haywood Regional Medical Center, Highlands-Cashiers Hospital, McDowell Hospital, Mission Hospitals, Murphy Medical Center, Pardee Hospital, Park Ridge Hospital, Rutherford Hospital, Spruce Pine Community Hospital, St. Luke's Hospital, Swain County Hospital, Thoms Rehab Hospital, Transylvania Community Hospital.
Project Purpose:
Develop and implement a system to electronically access and transfer patient data from the 16 independent, community-based hospitals serving western North Carolina. There is currently no means to electronically transmit or access patient information from one hospital to another within the region. The long-term goal is to create a longitudinal electronic medical record that can be accessed and updated by any authorized health care provider in the region.
Outcomes Expected/Project Accomplishments:
The project will improve the delivery of patient care in western North Carolina by speeding access to critical patient medical information, eliminating the potential for transcription errors, speeding the timeframe for treatment of patients, eliminating the need for patients or family members to repeat information at other providers, and reducing the cost of care by creating efficiencies within the hospitals.
Service Area:
The 16 counties in western North Carolina: Buncombe, Cherokee, Clay, Haywood, Henderson, Jackson, Graham, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey.
Services Provided:
Electronic transmission of patient medical information between western NC hospitals and between local hospitals and their admitting physicians.
Equipment:
At remote sites: VPN boxes. At hosting site: 4 servers.
Transmission:
Remote sites will transmit to hosting site via VPN lines. Clinical data users will utilize IP via the Web.
