Overview
Grants Overview
TENNESSEE, Knox County
High-Risk Newborn Services Project
University Health System, Inc. (dba UT Medical Center)
CMP FY 05
University Health System, Inc.
1520 Cherokee Trail, Suite 110
Knoxville, TN 37920
http://www.utmedicalcenter.org
John J. Sheridan
Ph: 865-544-6611
Fax: 865-544-6619
Email: jsherida@mc.utmck.edu
Network Partners:
None listed at this time.
Project Purpose:
The University of Tennessee Medical Center provides perinatal care including professional education, consultation, transportation and follow-up with high-risk newborns and provides the highest level of diagnosis and treatment for those life-threatening conditions of mothers and infants. The project has provided for the renovation of existing facilities, expand the opportunities for existing services and purchase state-of-the-art equipment.
Outcomes Expected/Project Accomplishments:
The upgrade of equipment and renovation of the perinatal care system at UT Medical Center provides improved access and availability and the highest level of care for expectant mothers and critically ill newborns. Upon the commencement of services in a facility with improved physical attributes and upgraded equipment, new benchmarks can be established allowing for the continuing measurement of outcomes.
Service Area:
A 21-county region in East Tennessee, along with Appalachian areas of Southeast Kentucky, Southwest Virginia and Western North Carolina.
Services Provided:
The University of Tennessee Medical Center provides special care services for critically ill and premature infants and those women experiencing high-risk pregnancies.
Equipment:
Giraffe Omnibeds (10).
Transmission:
Not listed at this time.
TENNESSEE, Shelby County
Delta Health Partnership
University of Tennessee Health Science Center
CMP FY 05
University of Tennessee Health Science Center
920 Madison Avenue, Suite 434
Memphis, TN 38163
http://www.utmem.edu/telemedicine
Karen C. Fox, PhD
Sydney Gray, MA
Ph: 901-448-2611
Fax: 901-448-4324
Email: sgray@utmem.edu
Network Partners:
University of Mississippi Medical Center
Project Purpose:
To demonstrate the value of a health information technology (HIT) intervention that delivers best practices care to an underserved population. This HIT intervention will consist of telehealth coupled with an electronic health record (EHR) system. This project will demonstrate that a telehealth-based diabetes disease management (THDDM) program can lower overall costs of care and access barriers by reducing care delays, and improving patient self-care practices, self-care efficacy and satisfaction with care. This program will improve access to care for rural patients with diabetes and, as a result of this improved access, patients in the program will enjoy higher quality care and better health outcomes.
Outcomes Expected/Project Accomplishments:
Diabetes self-management education; Medical Nutrition Therapy (MNT)-Modification of diet to attain and maintain normal blood glucose, lipid, and pressure levels; Glycemic control-average HgbA1C of ~7 percent; Blood pressure control-lower blood pressure to <140mmHg systolic and <80mmHg diastolic; Lipid control-Use of nutritional assessment and intervention, increased physical activity and statins as needed to maintain target lipid levels; Monitoring-Patient self-monitoring of blood glucose levels; Care Teams-Care from a physician-coordinated, collaborative and integrated team that includes (but is not limited to) physicians, nurses, dietitians, and mental health professionals with expertise in diabetes; Individual management plans-Plans should consider patient age, school or work schedule, physical activity, eating patterns, social situation and personality, cultural factors, and the presence of complications or comorbid conditions. Goals and treatment plans must be reasonable. Effective implementation requires that each aspect of the plan be understood and agreed upon by the patient and the care team.
Service Area:
Jackson, Mississippi (inner city is a Primary Care HPSA); Greenville, Mississippi (Primary Care HPSA); Clarksdale, Mississippi (Primary Care HPSA); Lexington, Mississippi (Primary Care HPSA).
Services Provided:
The UTHSC Telehealth Network has been operational since 2001. Specialty services include: allergy, dermatology, endocrinology, ENT, infectious disease, mental health, nutrition, pediatrics, surgery, and neurology; Bioterrorism/disaster preparedness training for healthcare professionals; Patient and provider-centered education.
Equipment:
At remote sites: 5 Polycom videoconferencing systems, which include stethoscopes, otoscopes, dermascopes, and document cameras. In Memphis: Polycom, ACCORD bridge, satellite, server, and network.
Transmission:
Full T1 lines between Mississippi clinics and hub in Jackson, MS; Full T1 to Memphis from Jackson hub with an ISDN option; Internet and Internet 2.
TENNESSEE, Shelby County
Mid-Appalachia Telehealth Project
University of Tennessee Health Science Center
RTGP 97-99, RTGP 00-02, TNGP 03-05
University of Tennessee Health Science Center
90 Madison Avenue, Suite 434
Memphis, TN 38163
http://www.utmem.edu/telemedicine
Toy Strickland, MBA
Sydney Gray, MA
Ph: 901-448-2611
Fax: 901-448-4324
Email: sgray@utmem.edu
Network Partners:
Rural Education and Community Health Services (FQHC), Jacksboro, TN; Morgan County Medical Center (FQHC), Wartburg, TN; Mountain People's Health Councils (FQHC), Huntsville, TN; Ridgeview Psychiatric Hospital and Center, Oak Ridge, TN (provider).
Project Purpose:
Develop telehealth services in three underserved counties in the traditionally coal mining Appalachian region of Tennessee. Provide disease management services from county clinic nurses to asthmatic and diabetic patients. Asthmatic children in schools in each county will use peak flow meters daily and record data. County clinic nurses will have videoconferences with each student at least weekly. Clinic nurses will receive data transmitted by Type 2 diabetic patients in each county. Counseling will be provided to patients having black lung disease.
Outcomes Expected/Project Accomplishments:
Pediatric asthmatic disease management-increase appropriate treatment with anti-inflammatory medication from typical level <70 percent to target level of >95 percent, and reduce lost school days per six weeks from typical two to <1. Diabetes disease management-reduce average HbA1C readings from typical >9 percent to <7 percent and increase patients having dilated eye exams from typical <30 percent to target of >70 percent. Black lung clinics-increase access of coal miners to black lung benefits and education.
Service Area:
Counties served are contiguous in Tennessee: Campbell (Jacksboro), low income HPSA, dental HPSA, and a full county MUA; Morgan (Wartburg), full county HPSA, dental HPSA, and a full county MUA; and Scott (Huntsville), low income HPSA, dental HPSA, and a low-income MUA. Ridgeview provides mental health services for all counties with huge waiting lists for services.
Services Provided:
UT Telehealth Network has been operational since September 1995 and is providing services in dermatology, rehabilitation medicine, pre-anesthesia evaluation, emergency mental health, home agency care, disease management in diabetes, congestive heart failure, and pediatric asthma; black lung benefits consultations; and practitioner and patient education; bioterrorism/disaster preparedness training for healthcare professionals. As of 2004, specialty services have expanded to include: allergy, dermatology, endocrinology, ENT, infectious disease, mental health, nutrition, pediatrics, and neurology.
Equipment:
At remote sites: 5 Polycom videoconferencing systems, 9 component POTS videoconferencing systems, 90 Roche Accu-Chek glucometers with modems, and 3 PCs. Knoxville campus: Polycom and POTS CODEC, Polycom bridge, and server and network for data collection.
Transmission:
Full T-1 lines between clinics and UTTN office (distance independent UT contract), POTS to homes and schools, ISDN to mental health provider and hospital, Internet and Internet 2 for medical staff and patient education.
TENNESSEE, Shelby County
Mid-South Telehealth Consortium
University of Tennessee Health Science Center
RTGP 00-02, 03
University of Tennessee Health Science Center
90 Madison Avenue, Suite 434
Memphis, TN 38163
http://www.utmem.edu/telemedicine
Toy Strickland, MBA
Sydney Gray, MA
Ph: 901-448-2611
Fax: 901-448-4324
Email: sgray@utmem.edu
Network Partners:
University of Tennessee Medical Group, Inc., The Regional Medical Center, LeBonheur Children's Medical Center, Dyersburg Regional Medical Center, UTMG Jackson and Covington Family Clinic, Alliance HealthCare System, University of Tennessee at Martin Health Clinic, Tennessee Department of Health, Tennessee Department of Children Services.
Project Purpose:
Bridge the gap between the resource-rich metropolitan center of Shelby County with surrounding medically under-served counties. Through a network of telemedicine connections, rural health care providers will have access to a wide range of specialty services available from UTHSC. In addition to clinical services, patient seminars, and continuing medical education programs are made available to all participants to supplement their educational needs.
Outcomes Expected/Project Accomplishments:
Improvement in the quality of healthcare through increased access, more timely interventions, coordinated preventative measures, a broader range of medical services, reduction in time and expense for patients, and an increase in medical expertise. Expected outcomes include improved health status for targeted communities, decreased number of unnecessary transports, improved access to patient educational materials, and increased collaboration between rural and urban healthcare professionals.
Service Area:
Martin, Tennessee (Primary Care HPSA); Dyersburg, Tennessee; Jackson, Tennessee; Holly Springs, Mississippi (Primary Care HPSA); Forrest City, Arkansas (Primary Care HPSA).
Services Provided:
The UTHSC Telehealth Network has been operational since 2001. Specialty services include allergy, dermatology, endocrinology, ENT, infectious disease, mental health, nutrition, pediatrics, surgery and neurology; Bioterrorism/disaster preparedness training for healthcare professionals; Patient and provider-centered education.
Equipment:
At remote sites: 5 Polycom videoconferencing systems, which include stethoscopes, otoscopes, dermascopes and document cameras. In Memphis: ACCORD bridge, satellite, server and network.
Transmission:
Full T-1 lines between clinics and Memphis (hub) with an IDSN option; Internet and Internet 2.
TENNESSEE, Shelby County
Telehealth for Diabetic Patients in Hispanic and Underserved Rural Communities
University of Tennessee Health Science Center
RTGP 00-02, 03, CMP FY 04
University of Tennessee Health Science Center
90 Madison Avenue, Suite 434
Memphis, TN 38163
http://www.utmem.edu/telemedicine
Toy Strickland, MBA
Sydney Gray, MA
Ph: 901-448-2611
Fax: 901-448-4324
Email: sgray@utmem.edu
Network Partners:
Putnam County Health Department (PCHD), Cookeville, TN, Monroe County Health Department (MCHD), Madisonville, TN.
Project Purpose:
Demonstrate the value of using telehealth in providing care for vulnerable populations, specifically rural and Hispanic communities in East Tennessee. Diabetes control management and education, including the fortification of self-management skills for diabetics in two underserved mountainous counties-Putnam and Monroe.
Outcomes Expected/Project Accomplishments:
Diabetes disease management: Increase number of patients who control HbA1C readings per year from <25 percent to national Healthy People target level of >90 percent, reduce average HbA1C reading from typical level of >9.0 percent to <7.0 percent. Diabetes education through audio-conferencing - Hold 12 monthly tele-support group meetings, do pre- and post-tests to determine knowledge gained through attendance at support group meetings.
Service Area:
Putnam County (Cookeville), Non-NSA; p-MUA (low income); HPSA (low income), Dental HPSA; Monroe County (Madisonville) Non-NSA; NUA; HPSA (low income); Dental HPSA.
Services Provided:
This Telehealth Network has been operational since September 1995. It provides specialty clinical consultation; psychiatric crisis services; home telehealth care; disease management for adult diabetics and for child asthmatics; bioterrorism/disaster preparedness training for healthcare professionals. As of 2004, specialty services have expanded to include: allergy, dermatology, endocrinology, ENT, infectious disease, mental health, nutrition, pediatrics and neurology.
Equipment:
At remote sites: 2 Polycom videoconferencing systems, 2 component POTS videoconferencing systems, 15 Roche Accu-Chek glucometers with modems, 5 conference phones, and a PC. At UT office: Polycom and POTS CODECs, Polycom bridge, data server and network.
Transmission:
Full T-1 lines between clinics and the Knoxville campus, POTS to homes, Internet and Internet 2 for medical staff and patient education.
