Invitational Workshop on Personal Devices

1. Invitational Workshop on Personal Devices Tele-home Care: Expanding the Opportunity for Personal Medical Devices Dena S. Puskin, Sc.D. Health Resources and Services Administration

2. VISION NO MATTER WHO YOU ARE OR WHERE YOU AREYOU GET THE HEALTH CARE YOU NEED WHEN YOU NEED IT

3. Office for the Advancement of Telehealth (OAT) Responsibilities • Administer telemedicine grants • Evaluate telehealth programs • Develop telehealth policy • Joint Working Group on Telemedicine

4. OAT APPROPRIATIONS • Awarded over $225 million in grants since 1989 • FY2004: Approximately $31 million • Competitive and congressionally- mandated projects • FY2003: 110 programs, in 43 states and District of Columbia

5. What is Telemedicine? What is Telehealth?

6. TELEVILLAGE TELEHEALTH Health Professional Education K-12 Education Consumer Health Services TELEMEDICINE Business Administration Libraries Public Health Justice

7. Telehealth can be thought of as a tool box of technologies applied to diverse health care needs in a wide range of health care settings.

8. U.S. Department of Health and Human Services Health Resources and Services Administration Educational and Administrative Uses Continuing education Patient education Administrative meetings Rural providers can receive continuing education without the need to travel.

9. Real-Time Telemedicine Patient in rural ER gets benefit of local care plus remote consultation with specialists. Remote doctor examines a patient’s inner ear from a remote location.

10. U.S. Department of Health and Human Services Health Resources and Services Administration Store-and-Forward • Primary care provider takes a still image and sends it to a consulting physician who later reviews it • No real time interaction between patient & consultant • Commonly used for dermatology, radiology Clinician reviews scan which was forwarded for consultation.

11. Home Health • Low-cost equipment that needs only a regular phone line • Used to check vital signs, monitor medications, visualize patient, provide enhanced support Patient and nurse interacting during a “video home visit.”

12. U.S. Department of Health and Human Services Health Resources and Services Administration

13. U.S. Department of Health and Human Services Health Resources and Services Administration Disease Management

15. U.S. Department of Health and Human Services Health Resources and Services Administration Emerging Technology Applications • Emphasis on low cost applications • Applications that improve quality of care • Integration of information and imaging applications in low cost devices

16. Department of Defense (DoD) Smallpox Vaccination Patient Monitoring

18. U.S. Department of Health and Human Services Health Resources and Services Administration Informatics

19. U.S. Department of Health and Human Services Health Resources and Services Administration Informatics

20. I. Example: Encounters by Setting (12 months)

21. Evaluation Key Questions Who What How When Where

24. CONTACT US Dena Puskin, Sc.D. 5600 Fishers Lane Room 7C-22 Rockville, MD 20857 Phone: (301) 443-0447 Fax: (301) 443-1330 Fax E-Mail: dpuskin@hrsa.gov