Telemedicine Applications in Clinical Genetics. Definitions. Telemedicine is the use of telecommunications to provide medical information and services
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1) Participation in the IEP and IFSP processes
A) MMI staff could perform the entire evaluation. We suspect that this would be necessary only on a temporary basis during times of need or crisis (summer hiatus, temporary suspension of team activities, etc.)
B) MMI staff could participate in the IEP / IFSP processes with an existing team as a gap - filling member (e.g. an existing team is in place , but does not have a physical therapist)
2) Direct (primary) patient assessments . These services could be provided for any of the MMI disciplines (clinical genetics, genetic counseling, physical therapy, occupational therapy, speech pathology, child psychology, developmental pediatrics, nutrition, nursing (case management), social work, recreational therapy, and diabetes / endocrinology).
3) Discipline specific consultative services on difficult cases (available for all MMI disciplines listed above)
4) Continuing education / training. An ongoing series of special topics, issues in the care of CSHCN, and new updates would be provided. These activities would be open to a broader audience than those for direct patient services.
5) Quality assurance monitoring of local teams. This would include help with Federal compliance reviews, ongoing team monitoring, and technical assistance in the development of local QA activities.
6) Provision of quaternary interdisciplinary services only available in Nebraska metropolitan areas
Speciality services in complicated disorders may only be found in Omaha and sometimes Lincoln. Even if the primary discipline is available to the patient, complex cases may require quaternary services. Examples of such services would include the interdisciplinary teams as well as services in sleep disorders, eneuresis / encopresis, autism and the neurobehavioral team.
. person can be accomplished as a tele-genetics service
Title V $150,000 Teratogen Project $110,000
Appropriations $ 35,000Outreach Clinics $ 73,000
[South Dakota $ 57,000] [ IHS contract $8000][MHCP Clinics]
Youth & referring person can be accomplished as a tele-genetics service
paperwork & send
to CFC (in packet)
Youth hears about clinic
(SC, School Nurse,
CFC has records
reviewed & schedules
& HC assessment
sent to youth &
source of referral
Youth & family are assisted in following their plan (Referrals contacted, youth linked with resources)
2nd visit draft plan
is reviewed with
youth and finalized
Transition plan is
goals set at 1st clinic
Coming soon to a DVD near you