Telehealth aetc appalachian project
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Telehealth AETC Appalachian Project. Principal Investigator and Executive Director Telehealth AETC Appalachian Project Linda Frank, PhD, MSN, ACRN, FAAN Associate Professor, Department of Infectious Diseases

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Telehealth AETC Appalachian Project

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Telehealth aetc appalachian project

Telehealth AETC Appalachian Project

Principal Investigator and Executive DirectorTelehealth AETC Appalachian Project

Linda Frank, PhD, MSN, ACRN, FAAN

Associate Professor, Department of Infectious Diseases

Graduate School of Public Health, Community and Health Systems, School of Nursing and Clinical and Translational Science Institute, School of Medicine


Taap goals

TAAP Goals

  • Clinical consultation which may include the use of case presentations and patient co-management (though it is not intended to supplant patient referral to an expert when needed);

  • Other education and training modalities that result in a continuum of longitudinal learning opportunities for trainees; and

  • Development of an informed support system for trainees.


Organizational chart

Organizational Chart

Project DirectorDr. Linda Frank

Education Coordinator Jeanette Southerly

Evaluation Consultant Janet Meyers

Clinical DirectorsDrs. Rashida Khakoo, David Wheeler, Pamposh Kaul, Jane Cecil, Bruce Gilliam

Outreach Tech SupportDavid Hoover

Data ManagementDavid Korman

NCCCDr. Ronald Goldschmidt

Technology CoordinatorMatthew Garofalo

FiscalLissa Foster

Clinical ConsultantsPharmacy, Subspecialist, Psychiatry, Nursing & Substance Abuse


Taap cores

TAAP Cores


Telehealth aetc appalachian project selecting webex web conferencing technology

Telehealth AETC Appalachian Project:Selecting WebEx Web Conferencing Technology

Matthew Garofalo

Telehealth Coordinator


Taap goals1

TAAP Goals

  • Clinical consultation which may include the use of case presentations and patient co-management (though it is not intended to supplant patient referral to an expert when needed);

  • Other education and training modalities that result in a continuum of longitudinal learning opportunities for trainees; and

  • Development of an informed support system for trainees.


Telehealth aetc appalachian project

Technology System

Marketing Concept

Patient receives primary care and specialty services

Provider

Patient in need of clinical services

Interact with provider

Implement treatment plan

Treatment Support Materials

Develop a

treatment plan

Answers

Questions

Technology as a medium to interact with resources

Specialist Consultations

Clinical Practice Portal (Resources, scheduling, tracking, etc.)

Peer Learning


Project goals technological support

Project Goals Technological Support


Telehealth aetc appalachian project

Technology Support Design

Technology Coordinator

Technical support


Telehealth aetc appalachian project

Technology System Concept

Targeted Clinicians:

physicians, dentists, nurse practitioners, advanced practice nurses, pharmacists, physician assistants

  • Intervention needed:

  • Assessment

  • Prevention

  • Clinical management

  • Decision making

Patient

  • Telehealth Intervention

  • Ongoing interactive training events

  • Problem-based learning, case studies

  • Regular clinical consultation

  • Ongoing technical assistance events

Clinical Practice Portal

  • Resources

  • Literature: print, online

  • Guidelines

  • Best practices

  • Performance indicators

  • Peer Learning

  • Group discussions

  • Peer to peer input

  • Store & Forward

  • consultations

  • case studies

  • training

  • Clinical expert consultation

  • Weekly, bi-weekly based on needs assessments

  • Evaluation of outcomes

  • Resource utilization tracking

  • Surveys, questionnaire results

  • Summary of key informant interviews

  • Capacity building documentation

  • Longitudinal training outcomes: practice, policy changes; patient clinical outcomes


Targets for technological support

Targets for Technological Support

  • Low volume health care providers in Appalachia community health centers

  • Project clinical directors who provide consultation

  • Project team


Project goals technological support1

Project Goals Technological Support


Web conferencing options webex

Web Conferencing Options: WebEx

  • Polycom

  • Adobe Connect

  • GotoMeeting

  • WebEx

WebEx


What is webex

What is WebEx?

  • WebEx is an Application Program Interface (API)

  • Uses Https (S stands for SSL or secure socket layers)

  • 128 bit HIPAA compliant encryption

  • Password protected scheduling, archival and webcasts

  • Works across platforms (Mac, PC, Unix, and Linux)


Advantages of webex

Advantages of WebEx

  • Packaged product- features don’t change

  • Infrequent updates

  • Provides a free secure video server

  • Quick to set up

  • Minimum CPU and software requirements to run

  • Works with standard webcams

  • Host controlled synchronization


Rural health technology

Rural Health Technology

A number of criteria have been promoted for a systemic approach to telecommunications for rural health, including:

  • Interoperability (ability to exchange information with other systems)

  • Scalability (elements that work equally well in small or large settings)

  • Flexibility in approach and in tools used

  • Use of low-end and more readily available “off-the-shelf” technologies

  • Recognition of the different starting points of most programs

  • Broad consideration of various technological approaches without bias or preference for any particular technology and appreciation of the situational and cost needs of host communities and institutions

  • Designing systems that are secure and promote patient confidentiality

    (Neuberger, Payne, & Wakefield, 2001)

Neuberger, N., Payne, M. E., & Wakefield, M. (2001). Rural Health Care and the Internet: Issues and Opportunities for Using Interactive Communications to Improve Rural Health Care Services. VA: Health Tech Strategies, LLC.


Low end readily available technologies

Low-End & Readily Available Technologies

The Telehealth Training Center’s approach to technology must be neither “high tech,” nor “low tech,” but “appropriate tech.” Just as consultation and education services must be tailored for the specific needs of the provider and patient, so must the communication medium. Rural areas often have less access to technology and training resources. (Meit, 2004)

Meit, M. (2004). Rural Public Health Preparedness: The Rural Public Health Research Agenda. Pittsburgh, PA: University of Pittsburgh, Center for Rural Health Practice.


Standard webex features

Standard WebEx Features

  • Invite and remind participants - invite participants to an online meeting that has already started via email, voice conference, or instant messenger, and send reminders about your upcoming meeting.

  • Use integrated WebEx audio – create a more productive meeting experience with integrated WebEx audio.

  • Record your meeting - record your actions during your meeting so you can review the discussion at a later time, or send to colleagues who couldn’t attend.

  • Share content - get everyone on the same page. Open any document or application and discuss it in real time with other participants.

  • Pass the ball - let other participants share and present documents from their computers and assign privileges to individual participants.

  • Transfer files - avoid sending emails back and forth by exchanging files – no matter how large – in your meeting quickly, easily, and securely.

  • Interact within a meeting - use polling and chat, and learn how to integrate webcams into your meeting for a more personal experience.


Questions

Questions


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