Center for Distance Health

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Center for Distance Health
Telemedicine at UAMS
Presented By Julie Hall-Barrow, EdD
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CDH Presentation Objectives

• Overview
• Review of Projects Initiatives
• Results in 2007
• Conclusion

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Global Healthcare

• Age of the internet
• Patients communicate globally
• Greater education
• Age of information

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The age of information

• Alter the doctor-patient relationship
• Change disease management

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New World of Healthcare

• global healthcare
• global providership
• information technology
• Internet
• telemedicine

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Modern Healthcare Industry

• Acuity is rising
• Length of stay is decreasing
• Traditional inpatients now becoming outpatients
• Technology's role is ever increasing

Porter-O'Grady T Of hubris and hope transforming
nursing for a new age. Nurs Econ. 200321
(2)59-64.
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Future Healthcare

• What are the trends?
• What are the barriers?
• What activities do we need to pursue?
• How must we prepare culturally and physically to
  succeed?
• What are the drivers and the vehicles for change?

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Technology is Fundamental
Information technology and communication via the
Internet is not to be mistaken as a competitive
advantage of a healthcare organization, but
rather, a fundamental commodity inherent in the
delivery of healthcare now and in the future!
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Information Technology

• Healthcare is investing
• 18 of capital budget
• Technology investment is now a requirement

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CDH Overview

• The Center for Distance Health (CDH) is an
  innovative Center within the College of Medicine
  that allows the University of Arkansas for
  Medical Sciences (UAMS) to respond to the demands
  for dynamic, contemporary health care.

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Arkansas A State of Emergency
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Arkansas A State of Emergency
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Arkansas A State of Emergency
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Arkansas A State of Emergency
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Arkansas A State of Emergency
49th in Immunization Coverage
50th in Stroke Mortality
49th in Per Capita Health Spending
46th in Premature Death
45th in Poor Mental Health Days
46th in Overall Health
40th in Prevalence of Smoking
44th in Cardiovascular Deaths
44th in Occupational Fatalities
41st in Infant Mortality
41st in Adequacy of Prenatal Care
41st in Lack of Health Insurance
44th in Poor Physical Health Days
43rd in Cancer Deaths
44th in Obesity
United Health Foundation, 2006
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CDH Projects
Current Projects Arkansas SAVES Prison
Telemedicine Mental Health / Substance
Abuse Train Maintain UAMS Physician Call
Center Forensic Psychiatry Telehealth
KIDS Academic Services Merger In -Process CDH
Telemedicine Training Center Trauma Network
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UAMS Telemedicine ClinicsInitiatives
Current Projects Rehabilitation Hematology /
Oncology Neurosurgery Neurology Cardiology Future
Projects Geriatrics Interpreter Services
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ANGELS Projects
Current Projects High-Risk Infant Monitoring
Project Birth Wait ANGELS CAMP ANGEL Eye Child
Advocacy Program Tele-Nursery Obesity Case
Conferences Museum of Discovery Peds
PLACE Tele-ER Future Projects Tele-PICU
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FCC Rural Health Care Pilot Program

FCC supports UAMS to the sum of 4,217,688 in
achieving the goals of consolidation, expansion,
and management of the Arkansas Telehealth
Network.
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Results In 2007

• In 2007 alone, CDH and ANGELS
• Performed 1,290 telemedicine consultations
• Facilitated 720 high-risk maternal transports to
  the closest,
• most appropriate hospital.
• Administered evidence-based medication
  recommendations to 72
• of maternal transports that were not otherwise
  administering
• best practices to its emergent, pregnant
  women.
• Accepted and made 84,668 obstetrical support
  calls.
• Held 52 obstetrical and 12 neonatal provider
  teleconferences reviewing
• evidence-based guidelines with an average of
  21 total attendees per
• teleconference.

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CENTER forDISTANCEHEALTH