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AFHCAN & Alaska Telemedicine             Cindy Roleff, MS, BSN, RN-BC                 AFHCAN Lead Telehealth Coordinator  ...
 Who is AFHCAN? What are our challenges? What solutions have we implemented? What were the outcomes? What are the nex...
AFHCAN started in1998 as a federallyfunded 4-year projectto provide telehealthsolutions to 235 sitesbelonging to 39autonom...
◦ AFHCAN Program Development  Strategic development and/or expansion of telehealth   programs  Designs clinical workflow...
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571,951 sq. mi.           710,231 residentsDeveloped regions < 1% of total land area
Store & Forward                                        Real-Time (VtC)             • Asynchronous               Interactio...
   Primary Care Tool    ◦   Ear Disease    ◦   Heart Disease    ◦   Respiratory Illnesses    ◦   Trauma, Skin and Wounds ...
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   Accredited by the American       Telemedicine Association   AFHCAN specific training targeted to federal    partners ...
   Variety of training options:    ◦   Train the Trainer (5-day)    ◦   Super User (3-day)    ◦   Clinical Administrator ...
1/1/2001 to 12/31/2011
Cases Created per Year                35,000                30,000                25,000Cases Created                20,00...
% Cases Using Each Device Digital Camera Images                                    49%Video Otoscope Images               ...
Annual Travel Savings (by Case Role)$7,000,000$6,000,000$5,000,000$4,000,000$3,000,000$2,000,000$1,000,000       $0       ...
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   Unique AK needs   Unique opportunity based on currently non-    competing programs   Initial partners   Goal of sta...
   Goals    ◦ Establish a collaborative, non-competitive professional      forum to share ideas, promote educational oppo...
University Partnership• AFHCAN & University of Alaska have  partnered to offer three college courses  – Course 1- Teleheal...
   Not AFHCAN specific courses, open to all   Continuing education credit   Transition to university credit option    ◦...
   Issues to consider    ◦ Definition of terms in telehealth    ◦ Affordability of courses    ◦ Accessibility of courses ...
For additional information about AFHCAN check our website                     at www.afhcan.org
AFHCAN & Alaska Telemedicine
AFHCAN & Alaska Telemedicine
AFHCAN & Alaska Telemedicine
AFHCAN & Alaska Telemedicine
AFHCAN & Alaska Telemedicine
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AFHCAN & Alaska Telemedicine

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AFHCAN & Alaska Telemedicine

  1. 1. AFHCAN & Alaska Telemedicine Cindy Roleff, MS, BSN, RN-BC AFHCAN Lead Telehealth Coordinator Alaska Native Tribal Health Consortium
  2. 2.  Who is AFHCAN? What are our challenges? What solutions have we implemented? What were the outcomes? What are the next steps to meet the remaining challenges?
  3. 3. AFHCAN started in1998 as a federallyfunded 4-year projectto provide telehealthsolutions to 235 sitesbelonging to 39autonomous healthorganizations in Alaska FY 1999-2000 - needs assessments & development of h/w & s/w solutions Oct 2002 - all equipment deployed Oct 2002 - 2006 – organizations worked with telecommunications companies to extend connectivity to all sites Federal partners: VA, DOD, USCG, IHS 4
  4. 4. ◦ AFHCAN Program Development  Strategic development and/or expansion of telehealth programs  Designs clinical workflows  Provides training & education◦ AFHCAN Product Development  Provides customer service  Develops h/w and s/w solutions  Evaluates new technology through a Telehealth Technology Assessment Center  Manages AFHCAN warehousing & inventory
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  6. 6. 571,951 sq. mi. 710,231 residentsDeveloped regions < 1% of total land area
  7. 7. Store & Forward Real-Time (VtC) • Asynchronous Interaction • Face-to-Face • Documents & Images Remote Interaction consultation • Immediate • Electronic Medical Records Feedback • Patient Education • Radiology • Cardiology • Psychology/ PsychiatryClinicalspecialties for • Dermatology • ENT • Neurologytelemedicine • Pathology • GI • Speech therapy • Oncology • Pulmonary • Physical therapy • Ophthalmology • Rheumatology • Dental 10
  8. 8.  Primary Care Tool ◦ Ear Disease ◦ Heart Disease ◦ Respiratory Illnesses ◦ Trauma, Skin and Wounds ◦ Dental Problems ◦ General Care Currently supported peripherals include: ◦ Video Otoscope ◦ Digital Camera ◦ Scanner ◦ Video Conferencing ◦ ECG ◦ Spirometer ◦ Tympanometer ◦ Audiometer ◦ Dental Camera ◦ Vital Signs Monitor ◦ Stethoscope
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  10. 10.  Accredited by the American Telemedicine Association AFHCAN specific training targeted to federal partners and others with our systems…evolving to a much broader audience Add new course about once/year based on need Wide range of courses and learning modalities
  11. 11.  Variety of training options: ◦ Train the Trainer (5-day) ◦ Super User (3-day) ◦ Clinical Administrator (1 ½ -day) ◦ Telehealth Technical Support (3-day) ◦ AFHCAN orientation/training (1-day, ½ day, hourly) ◦ Videoconferencing user training (1-hr. modules) ◦ Continuing education courses through UA Three e-learning options: ◦ Videoconferencing (VTC) ◦ Computer-based training (CBT) ◦ Web-based training (WBT)
  12. 12. 1/1/2001 to 12/31/2011
  13. 13. Cases Created per Year 35,000 30,000 25,000Cases Created 20,000 15,000 10,000 5,000 0 Alaska customer base includes: 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011  ◦ 300 sites, 44 organizations  Tribal, US Army & Air Force, Public Health Nursing, Community Health Centers, Alaska Psychiatric Institute, Private Physicians 18
  14. 14. % Cases Using Each Device Digital Camera Images 49%Video Otoscope Images 27% Scanned Images 20% ECG Files 9% Electronic Forms 13% 0% 10% 20% 30% 40% 50% 60% % Cases 19
  15. 15. Annual Travel Savings (by Case Role)$7,000,000$6,000,000$5,000,000$4,000,000$3,000,000$2,000,000$1,000,000 $0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Primary Care Specialty Care
  16. 16. 21
  17. 17.  Unique AK needs Unique opportunity based on currently non- competing programs Initial partners Goal of statewide membership AK Collaborative for Telemedicine & Telehealth (ACTT) NRTRC opportunities
  18. 18.  Goals ◦ Establish a collaborative, non-competitive professional forum to share ideas, promote educational opportunities and best practices among telehealth providers statewide ◦ Create a website that provides information regarding statewide telehealth programs, educational opportunities and links to telehealth resources in Alaska and throughout the Northwest region
  19. 19. University Partnership• AFHCAN & University of Alaska have partnered to offer three college courses – Course 1- Telehealth Fundamentals – Course 2 – Beyond the Basics of Telehealth – Course 3 – Telehealth Program Management• Completion of Courses 1&2 result in certification as Telehealth Coordinator• Completion Courses 1-3 result in certification as Telehealth Program Manager
  20. 20.  Not AFHCAN specific courses, open to all Continuing education credit Transition to university credit option ◦ Occupational endorsement ◦ Continued option to take for CE only at reduced price ◦ Electives for a variety of degree programs Housing of courses
  21. 21.  Issues to consider ◦ Definition of terms in telehealth ◦ Affordability of courses ◦ Accessibility of courses ◦ Academic credit, occupational endorsement, certification….what’s really needed? ◦ Content challenges ◦ Are practicums practical?
  22. 22. For additional information about AFHCAN check our website at www.afhcan.org

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