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This section describes entities that administered
grants that directly interfaced with Indian Health Service or tribally
operated programs.
The Alaska Telemedicine Project
works with the University of Alaska having received a National
Library of Medicine contract to rollout basic telemedicine service to 26
native villages as a test pilot for a statewide strategy. A contract amendment extends
service to seven remote private clinics that serve the general and native
populations were added. <http://www.telemedicine.alaska.edu/>
The Arizona Telemedicine
Program is a multidisciplinary clinical program of the University of Arizona
Health Sciences Center. The
program was created in July 1996 by the State Legislature under a special
appropriation for eight sites that included the Tuba City Medical Center
and the Navajo Nation Sage Memorial Hospital in Ganado.
The Whiteriver IHS Indian Hospital and the new Hopi Health Center
were added through Rural Utilities Service grants obtained by the
University of Arizona. Other
network additions are the Flagstaff Medical Center and the Northern
Arizona Behavioral Health Authority.
The program utilizes a state of art Asynchronous Transfer Mode
(ATM) network with switches in Flagstaff, Phoenix, and Tucson.
The sites have T1 connections via a dedicated VPN (Virtual Private
Network) from the University of Arizona Medical Center.
A new effort called Project Nightingale will interconnect this
network with other health care networks in the state. <http://www.telemedicine.arizona.edu/>
California
Telehealth & Telemedicine Center will manage a new grant for up to 18 tribes for
diabetic retinopathy screening programs.
Tribal participation is based on successful competition with awards
by February 2000. The
supporting medical provider is the Los Angles Eye Institute.
The California Rural Indian Health Board is providing assistance to
the Center on outreach and selecting an advisory board.
<http://www.cttconline.org/>
Clallam County
Hospital District 1 (dba Forks Community Hospital) developed
a telemedicine network consisting of eight mental health providers in
nothern Washington State. The project focuses on mental health and
chemical dependency treatments, and HIV counseling.
Quileute Health Center and Neah Bay Service Units are remote sites.
Dakota Health Network, Avera St.
Luke's Hospital, Aberdeen operates a 13-site Telehealth program in
Northeastern South Dakota and Southeastern North Dakota for medical
education and offers telemedicine consultation services in mental health,
cardiology, pulmology, orthopedics, pediatrics, trauma, dermatology,
post-operative care, wound care, and counseling for nutrition and
diabetes. The Sisseston
Indian PHS Hospital is an end-user site.
Dakota
Telemedicine Network is operated from Medcenter One a large regional hospital located in
Bismarck, North Dakota. The
network includes twelve sites including the Fargo VA Medical Center and
offers 270 medical specialties. The
Fort Yates PHS Indian Hospital is a member.
Medcenter One also provides Fort Yates on-site health care
professional treatment such as nephrology.
DownEast
Telemedicine Network connects 15 Washington and Aroostoock County medical and mental health
facilities home care agencies near Bangor, Maine. Its members represent all health, home care, and schools
entities within these two counties. The Passamaquoddy Pleasant Point and
Indian Township health clinics are members.
McKennan Health
Service is part of the McKennan Hospital system based in Sioux Falls, South
Dakota with over 100 affiliated hospitals and clinics in Eastern South
Dakota and surrounding states. McKenna
manages an obstetrical care access project for IHS hospitals at Sisseston,
Pine Ridge, and Rosebud.
Mountain Plains
Health Consortium operates from the Fort Meade Veterans Medical Center in South Dakota.
The consortium has an interagency agreement with the Aberdeen
Indian Health Service's Black Hills Training Center for distance education
and on-site training. The
consortium serves the Aberdeen Area, except Tama, Iowa, and a Wind River
tribal facility.
Northeast
Telemedicine Network operates from the same regional medical center as the DownEast
Telemedicine Network. The Northeast Telemedicine Network concentrates on
continuing education for health care staff and facilitating communication
between home care agencies and health care providers. The network provides
24-hour monitoring home care patients by providing triage nurse
availability as well as in-home telemedicine monitoring. Telemedicine
application emphasis is placed on pulmonary, wound care management, and
mental health. The main
network providers are the Visiting Nurses Association and the Sunrise
Health Care Coalition. A new outreach mental health program will be
phased-in under a new $600,000, 3-year program.
The Aroostock Band of Micmac and Houlton Band of Maliseet are
network members. The
Passamaquoddy Pleasant Point receives services under a contract.
Northland
Health Care Alliance operates the TeleCare Network in association with the St.. Alexius
Hospital in Bismarck, North Dakota. The
TeleCare Network includes 12 hospitals, four long-term nursing homes and
four South Dakota satellite clinics that includes the Eagle Butte Family
Health Center and West River Health Center.
The Eagle Butte site is inactive.
North Idaho
School Education Program is a local nursing service cooperative associated with five regional
healthcare providers. The
program develops age-appropriate health promotion curricula for delivery
in part, through interactive video and broad bandwidth telecommunications
technologies. Children from
the Kootenai and Coeur d' Alene tribe receive benefits.
REACH -
Realizing Education and Community Health is operated by Benefis Healthcare (formerly
Deacones Medical) as a telemedicine network for specialty services and
physician consultations. Emphasis
is placed on expanding the level of obstetrical, geriatric and
mental/addiction services and continuing education for physicians, lab
technicians, X-ray technicians, physical therapists, registered and
licensed practical nurses, medical records personnel, EMTs, and
administrators. The Rocky Boy
Health Board is a member.
St. Vincent's
Hospital
in Billings, Montana, managed a NASA technology transfer to the Lame Deer
PHS Indian Hospital. The
project uses a rugged portable diagnostic system for gathering vital
statistics on home bound diabetic patients. Crow Agency was the original
site, but withdrew when it learned the equipment was unsuitable for
ambulance use. Lame Deer and Crow both received videoconferencing
equipment, and telecom upgrades. Lame
Deer and the Billings Area Office also received staff support costs.
University of
New Mexico
operates a telemedicine network from the School of Medicine.
It also has an arrangement with the Albuquerque High Performance
Computing Center's Education and Research Center which is co-located at
UNM. The AHPCC uses advanced
Internet-based systems and high performance computing to enhance
education, training, patient care management and problem solving in
collaboration with students, and healthcare providers at dispersed
locations. The Northern
Navajo Medical Center is a partner for both the Telemedicine Network and
AHPCC.
Upper Peninsula Telehealth
Care Network and Marquette General Health System operates a
continuing medical education program for 13 hospitals, three rural health
clinics, a medical center, and two tribal health centers.
Telemedicine applications include psychiatry, surgical follow-up
for pediatric and cardiothoracic patients, neontal discharge planning,
pediatric learning assessments, and dermatology. The
videoconferencing network is also used for health care administration and
is open to community groups and businesses. The Bay Mills Indian Community and Sault Ste. Marie Health and
Human Services are members. <http://www.mgh.org/education/telemed.html>
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