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The FCC Rural Health Care Pilot Program: Improving Access and Quality of Health Care throughout Cali

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Telemedicine can bring that expertise to the emergency room or to the inpatient bedside ... Redistributing Expertise in the Inpatient Setting ... – PowerPoint PPT presentation

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Title: The FCC Rural Health Care Pilot Program: Improving Access and Quality of Health Care throughout Cali


1
The FCC Rural Health Care Pilot Program
Improving Access and Quality of Health Care
throughout California
  • Thomas Nesbitt, M.D., M.P.H.
  • Executive Associate Dean, School of Medicine
  • Director, Center for Health and Technology
  • University of California, Davis

2
The explosion of new knowledge and information in
the health sciences is ironically creating
greater disparities in the quality of health care
services.
3
If we discover a cure for cancer, but only half
the people have access to it, we have only
discovered half the cure for cancer.
  • Medical Science, no matter how good it is, is
    worthless if not applied appropriately to
    patients who need it

4
Advances in telecommunications and information
technologies can help to redistribute health care
knowledge and expertise to where and when it is
needed
5
These technologies can help facilitate a new,
more efficient model of care across the economic
and geographic spectrum.
6
The role of information and telecommunication
technology in health care
7
Telemedicine
  • Interactive healthcare over distance using
    technology
  • Telemedicine brings the expertise of a specialist
    to the point of care and allows that expertise to
    be customized to that patient

8
UC Davis Telemedicine Services
  • Pediatric Critical Care
  • Pediatric Sexual Abuse QA
  • OB/GYN
  • Pediatric Cardiology
  • Surgical Oncology
  • Allergy
  • Occupational Medicine
  • Child Development
  • Burn
  • Genetics
  • Transplant
  • Urology
  • Pediatric Rheumatology
  • Pulmonary
  • Plastic Surgery
  • Pediatric PMR
  • Podiatry
  • Hematology
  • Pediatric Urology
  • Cardiology
  • Pediatric Endocrinology
  • Pediatric Nephrology
  • Gastroenterology
  • Infectious Disease
  • Pediatric Neurology
  • Pain Management
  • Pediatric Genetics
  • Nephrology
  • Psychology
  • Rheumatology
  • Neurology
  • Hepatology
  • Otolaryngology
  • Pediatric Obesity
  • Orthopaedics
  • Nutrition
  • Endrocrinology
  • Psychiatry

9
Medical Peripherals
10
Outpatient Telemedicine
11
Outpatient Telemedicine
12
Telemedicine in the Hospital Setting
  • Hospitalized patients are much sicker than in the
    past
  • Having the right expertise at the point of care
    24/7 is essential
  • Access to specialty expertise is a significant
    challenge for smaller hospitals
  • Telemedicine can bring that expertise to the
    emergency room or to the inpatient bedside

13
Emergency Room Telemedicine
14
Redistributing Expertise in the Inpatient Setting
15
Requirements for a successful statewide
telehealth network
  • Broadband connectivity
  • Reliability
  • Quality of Service (QOS)
  • Security
  • Privacy
  • Equipment
  • At specialty and remote sites
  • A trained workforce

16
Proposition 1D
  • Proposition 1D K-University Public Education
    Facilities Bond Act of 2006
  • the amount of 200 million shall be used for
    capital improvements that expand and enhance
    medical education programs with an emphasis on
    telemedicine aimed at developing high-tech
    approaches to health care.

17
Californias Proposition 1D Passes
  • With Proposition 1D we will be able to connect
    our best hospitals and our best medical schools
    with clinics in remote areas all over the state
    of California.
  • --Governor Arnold Schwarzenegger 

18
The California Telehealth NetworkA digital
health care highway
19
Current State
20
FCC Rural Health Care Pilot Program
  • Dedicated over 417 million for 69 pilot program
    networks
  • Encourages regional broadband health care
    networks with connections to national backbones

UPDATE!
21
Consortium Members
  • The Office of the Governor
  • California Business, Transportation and Housing
    Agency (BTH)
  • The California Emerging Technology Fund (CETF)
  • The California Public Utilities Commission (CPUC)
  • The California Department of Managed Health Care
    (DMHC)
  • The California Telemedicine eHealth Center
    (CTEC)
  • Rural Telehealth Networks
  • The UC Office of the President
  • University of California Davis Health System
  • The Office of Statewide Health Planning and
    Development (OSHPD)
  • California Health Human Services Agency (CHHSA)
  • The Corporation for Education Network Initiatives
    in California
  • The California Office of Emergency Services
    (OES) 
  • The California Institute for Telecommunications
    and Information Technology
  • The California Hospital Association (CHA)
  • The California Health Foundation and Trust (CHFT)
  • The California State Rural Health Association
    (CSRHA)
  • The California Primary Care Association (CPCA)

22
FCC Rural Health Care Pilot Program Californias
Goals Summarized
  • Goal 1 Create statewide broadband network
    dedicated to health care with explicit QOS,
    privacy and security
  • Goal 2 Link the California Telehealth Network
    (CTN) to a national backbone
  • Goal 3 Leverage and build upon recent
    investments in telehealth
  • Goal 4 Utilize CTN for ongoing disaster
    preparedness training

23
Technical Goals
  • Extend broadband connections to 300 rural health
    care providers in 3 years
  • Address technical and cost constraints
  • Facilitate use of state-of-the-art telehealth
    services
  • Telemedicine
  • Continuing Medical Education

24
Current Status of the CTN
  • Award of 22.1M from FCC
  • California Emerging Technology Fund (CETF)
    providing 3.6M for 15 match and start-up funds
  • Letter of Agency process (completed)
  • Original goal was 319
  • Nearly 1000 locations represented in the received
    letters of agency
  • USAC has qualified over 730 sites
  • RFP has been submitted for posting on the USAC
    RHCPP web-site

25
Current State
MAYERS MEMORIAL HOSPITAL
FREMONT-RIDEOUT CANCER CENTER
UCDAVIS HEALTH SYSTEM
TAHOE-FOREST HEALTH SYSTEM
ROUND VALLEY INDIAN HEALTH CENTER
26
Current Model
27
California Telehealth Network
28
California Telehealth Network
29
This effort has not only led to the next
generation of telecommunication for under served
areas but has also led to a new focus on
telehealth in the State as well as a new level of
collaboration among stakeholders
30
How will all of this benefit Californians?
31
(No Transcript)
32
The FCC Rural Health Care Pilot Program
Improving Access and Quality of Health Care
throughout California
  • Thomas Nesbitt, M.D., M.P.H.
  • Executive Associate Dean, School of Medicine
  • Director, Center for Health and Technology
  • University of California, Davis
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