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Ultra High-Speed  Broadband Task Force Health Care Panel March 20, 2009
Health Care Panel  March 20, 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object]
An Overview of Broadband Dependent Health Technologies:  Telehealth and Electronic Health Records Stuart M. Speedie, PhD Institute for Health Informatics University of Minnesota © 2009 University of Minnesota
The Basics of Telehealth Telecommunications Link Geographic Distance
Telehealth in Action
The Terms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tele-Mental Health
eICU (c) 2008 University of Minnsota Hospital 1 Hospital 3 Hospital 2 Central Monitoring Station
Teleradiology Rural Hospital 2am 24/7 radiology Interpretation service San Francisco Electronic image transmission
Store & Forward Teledermatology Secure Server Dermatologist Consult  Report Consult  Report
Home Telehealth (c) 2008 University of Minnsota
Medicare Reimbursement ,[object Object],[object Object],[object Object],[object Object]
State-Level Coverage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Telemedicine Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object]
Non-medical benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Telemedicine Telecommunications Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object]
Electronic Health Records ,[object Object],[object Object]
The Federal Commitment ,[object Object],President Obama
ARRA Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scope of EHR use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Requirement for Interoperability ,[object Object],[object Object]
EHR Telecommunications Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],How does a telehealth consult work?
Wadena, MN Telehealth Outreach  2005 Statistics Specialty Outreach Table Telemedicine VIA TELEMEDICINE VISITS TOTAL VISITS Orthopedics 278 Knee 30 Shoulder 184 Foot/Ankle 11 Wrist/Hand 36 Spine 3 Dermatology 243 Psychiatry 110 TOTAL 631
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Orthopedic Example
New Connections for Community Mental Health   Partners: Blue Cross & Blue Shield of Minnesota United Behavioral Health Tele-Community Development/DHS
Home Telehealth
Cost to treat CHF in the hospital? $14,200
Congestive Heart Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Outcomes: Admissions to a higher level of care Control TeleHomeCare
Telehomemonitoring is a lifeline to keep people with fragile health at home longer.
[object Object],[object Object],[object Object],[object Object],[object Object],Service Growth Areas  -  Willmar
The eICU Solution Steve Mulder, MD
eICU ,[object Object],[object Object]
[object Object],[object Object],[object Object],The Leap Frog Group
The eICU Solution ,[object Object],[object Object],[object Object],[object Object]
eICU Workstation
Video  Assessment
Image Acquisition
Remote Bedside Monitoring
Immediate Contact
Smart Alerts
Real Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Greater MN Telehealth  Broadband Initiative ,[object Object],[object Object],[object Object],[object Object],[object Object]
Greater MN Telehealth  Broadband Initiative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GMTBI: potential barriers to full utilization of $5.4 funds and network deployment ,[object Object],[object Object],[object Object],[object Object]
For more information ,[object Object],[object Object],[object Object],[object Object],[object Object]
Eduard Michel, MD
New Paradigm:  Old Paradigm: 2000 & Beyond Distributed  Digital Radiologists Travel to Images Images Travel to Radiologists Teleradiology – A Paradigm Shift in Radiology
[object Object],[object Object],[object Object],[object Object],Source:  American Journal of Roentgenology  Nationwide Radiologist Staffing Crisis Projected Shortage of Radiologists
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Teleradiology Provides Critical Service to Communities
Virtual Radiologic’s Distributed Network ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Possible Image-Transmission Bottlenecks Hospital Teleradiologist Internet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Affecting TAT Possible Bottlenecks ISP ISP ISP ISP ISP Images
Trauma Outcomes Are Sometimes a Matter of Minutes or Seconds Begin triage Transport Scanning  Patient Treatment Teleradiologist Interprets Patient Exam
Typical Transmission Times* ,[object Object],[object Object],[object Object],*Other factors that may impact transmission time: latency, location, compression factors, # of studies **5 Mbps DICOM limitation Study DSL (.76 Mbps) T1 (1.5 Mbps) 3Mb Cable (3.0 Mbps) T3 Line (45 Mbps)** CT Brain 100 images 8.65 min 4.43 min 2.22 min 1.33 min CT Body 250 images 21.6 min 11.1 min 5.55 min 3.33 min
[object Object],[object Object],[object Object],[object Object],[object Object],Teleradiology Summary
RETURN ON INVESTMENT Presented by Maureen Ideker ,  RN Associate Administrator – Chief Nursing Officer Rice Memorial Hospital  -  Willmar, MN March 20, 2009
[object Object],[object Object],[object Object],[object Object]
Win-Win Situation for  Rural and Urban Sites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rural Revenue Example #1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rural Revenue Example #2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rural Revenue Example #3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],For more information:
Minnesota Broadband in Healthcare Opportunities and Barriers March 20, 2009
Overview of SISU ,[object Object],[object Object]
What We Have Accomplished With Broadband Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Barrier – Broadband Costs ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Current / Future Broadband Opportunities ,[object Object],[object Object],[object Object],[object Object]
New Barrier – Broadband Resiliency Recurring Barrier – Cost ,[object Object],[object Object],If we build or enhance rural broadband communications without regards for resiliency, we are missing the target!
Questions?

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Health Care Panel presented to the Minnesota Ultra High-Speed Broadband Task Force on March 20, 2009