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AFHCAN & Alaska Telemedicine
1. AFHCAN & Alaska Telemedicine
Cindy Roleff, MS, BSN, RN-BC
AFHCAN Lead Telehealth Coordinator
Alaska Native Tribal Health Consortium
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.
4. AFHCAN started in
1998 as a federally
funded 4-year project
to provide telehealth
solutions to 235 sites
belonging to 39
autonomous health
organizations 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
5. ◦ 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
15. 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
16. 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)
18. Cases Created per Year
35,000
30,000
25,000
Cases 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
19. % 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
20. 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
22. 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
23. 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
24. 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
25. 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
26. 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?
