Telehealth is used in Alaska to provide specialty care like hepatitis C and HIV treatment to rural areas. The Alaska Native Tribal Health Consortium runs a program called LiverConnect that uses telehealth for hepatitis C and HIV consultation. LiverConnect holds weekly videoconferences where rural providers present patient cases to ANTHC specialists. The specialists provide treatment recommendations and education. Telehealth reduces costs and travel times for specialty care. It has increased access to care and reduced wait times for appointments. LiverConnect case studies show how telehealth is used to diagnose and manage conditions like autoimmune hepatitis.
Clive Bowman: The future for residential care provisionThe King's Fund
Clive Bowman, Medical Director, Bupa Care Homes, gives a history of care homes in England and looks at the challenges facing residential care provision in the future.
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Alex Tarling
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Presentation delivered at the World Congress for IT conference, Amsterdam, June 2010.
Clive Bowman: The future for residential care provisionThe King's Fund
Clive Bowman, Medical Director, Bupa Care Homes, gives a history of care homes in England and looks at the challenges facing residential care provision in the future.
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Alex Tarling
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Presentation delivered at the World Congress for IT conference, Amsterdam, June 2010.
Martin Hefford
Sapere Research Group
(Friday, 10.00, Telehealth/mHealth)
See the related video: http://www.slideshare.net/secret/1msf1AYsNLJlSW
Congestive Heart Failure and Chronic Obstructive Pulmonary Disease are two chronic conditions that have important impacts on both the quality and length of life of individuals and on utilisation of health services. In the context of limited health funding, workforce restrictions, and an ageing population, there is increasing interest in the use of remote monitoring technologies to improve the quality of life of patients with these conditions, and to reduce unplanned use of hospital services.
In 2009 Lake Taupo Primary Health Organisation (PHO), Lakes District Health Board (DHB) and Healthcare of New Zealand Ltd, entered into a strategic partnership to pilot telehealth devices to support chronic care management in the Lake Taupo community, using a small randomised control trial approach, with ten patients in each arm. Sapere Research Group was commissioned to independently evaluate the 12 month pilot, and found good evidence that the telehealth remote monitoring technology was accepted by both Maori and non-Maori participants; that quality of life was significantly better in the telehealth group than in the control group; and some indications of a trend toward improved survival in the telehealth group. Hospitalisations were reduced in both the control (-19%) and telehealth group (-25%). Results should be considered tentative given the small numbers in the trial, but are consistent with findings of improved survival, quality of life and cost savings from recent international reviews. The impact of the telehealth intervention may have been partially masked by the simultaneous implementation of the Healthright disease management programme.
Telemedicina i pacients crònics / Telemedicine in chronic patientsAntoni Parada
Telemedicina i pacients crònics. Conferència impartida pel Professor canadenc Denis Protti Health Information Science - Victoria University. Barcelona, 2 de febrer de 2012. Organitzada per la Fundació TicSalut i l’Agència d’Informació, Avaluació i Qualitat en Salut.
A presentation given by Susan Jury & Andrew Kornberg at The Journey, CHA Conference 2012, in the 'Enhancing Outcomes Through Innovations in Technologies' stream.
Dr Michael Sullivan
Associate Professor of Paediatric Oncology, University of Otago; Consultant Paediatric Haematologist/Oncologist in the Children’s Haematology Oncology Centre, Christchurch Hospital
Martin Hefford
Sapere Research Group
(Friday, 10.00, Telehealth/mHealth)
See the related video: http://www.slideshare.net/secret/1msf1AYsNLJlSW
Congestive Heart Failure and Chronic Obstructive Pulmonary Disease are two chronic conditions that have important impacts on both the quality and length of life of individuals and on utilisation of health services. In the context of limited health funding, workforce restrictions, and an ageing population, there is increasing interest in the use of remote monitoring technologies to improve the quality of life of patients with these conditions, and to reduce unplanned use of hospital services.
In 2009 Lake Taupo Primary Health Organisation (PHO), Lakes District Health Board (DHB) and Healthcare of New Zealand Ltd, entered into a strategic partnership to pilot telehealth devices to support chronic care management in the Lake Taupo community, using a small randomised control trial approach, with ten patients in each arm. Sapere Research Group was commissioned to independently evaluate the 12 month pilot, and found good evidence that the telehealth remote monitoring technology was accepted by both Maori and non-Maori participants; that quality of life was significantly better in the telehealth group than in the control group; and some indications of a trend toward improved survival in the telehealth group. Hospitalisations were reduced in both the control (-19%) and telehealth group (-25%). Results should be considered tentative given the small numbers in the trial, but are consistent with findings of improved survival, quality of life and cost savings from recent international reviews. The impact of the telehealth intervention may have been partially masked by the simultaneous implementation of the Healthright disease management programme.
Telemedicina i pacients crònics / Telemedicine in chronic patientsAntoni Parada
Telemedicina i pacients crònics. Conferència impartida pel Professor canadenc Denis Protti Health Information Science - Victoria University. Barcelona, 2 de febrer de 2012. Organitzada per la Fundació TicSalut i l’Agència d’Informació, Avaluació i Qualitat en Salut.
A presentation given by Susan Jury & Andrew Kornberg at The Journey, CHA Conference 2012, in the 'Enhancing Outcomes Through Innovations in Technologies' stream.
Dr Michael Sullivan
Associate Professor of Paediatric Oncology, University of Otago; Consultant Paediatric Haematologist/Oncologist in the Children’s Haematology Oncology Centre, Christchurch Hospital
World medical tourism and global health conference providing low cost child h...Gordon Otieno Odundo
7th World Medical Tourism and Global Healthcare Congress presentation to the 3rd Annual Medical Director Summit held on Sept. 21st during the Annual Congress. The Congress took place September 20th -24th 2014 at the Gaylord National Resort & Convention Center in the Washington, DC area. The esteemed presenters were CEOs and Healthcare Leaders from around the world who recognize the value of the event as the largest medical tourism event in the world where people come together for prearranged business to business meetings to maximize their ROI. The Summit gathered Chief Medial Officers and Medical Directors from top hospitals and insurance companies from around the world to collaborate and network regarding the challenges in providing quality healthcare and insurance to local and international patients, and allowed discussion with peers in other countries and learn best practices to strategically improve our organization’s planning. The presentation centered on Delivering High Quality, Low Cost Care at Scale through Primary Care : A case Study from Gertrude's Childrens' Hospital, Nairobi Kenya.Gertrude's Children's Hospital, Nairobi Kenya is the longest established paediatric hospital in East and Central Africa. The hospital is reaching out into peripheral clinics to offer child health services, vaccination and primary care. Seven day working, a shared record and IT for scheduling ensures that waiting times are very low and that continuity of care is maintained. In a competitive market forming an early relationship with children and their families is important and a well organised clinic, in a convenient location and staffed with skilled and well qualified professionals is an important part of this strategy. The model is very successful and won a Millennium Development Goal Award and is being copied by other providers in the country.
Dr Anthony Smith
Deputy Director and Associate Professor at the Centre for Online Health, The University of Queensland, Australia
Executive Committee Member for the Australasian Telehealth Society
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
6. Nuiqsut to Anchorage
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$1350
7. Telehealth
can be used
to bridge
gaps in
specialty
care
So, what is telehealth?
State of Alaska Health and Social Services, Division of Public Health
www.hss.state.ak.us/dph/healthplanning/telehealth
9. Telehealth in Alaska Tribal Health System
Cases Created per Year 11 year Operational
35,000
30,000
History
25,000 33,000 cases/year
Cases Created
20,000
15,000 125,482 Cases (ATHS)
10,000
5,000
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Installed Customer base includes:
Alaska: 248 sites, 44 organizations
59 operational systems in 2011
1,443 providers in 2011
22,763 patients in 2011
Other states and countries
9
10. Telehealth Terminology
Live-interactive
Refers to telemedicine encounters where the patient, primary care
provider with the patient, and the specialist in a different location are on-
line at the same time, interacting real-time and not delayed.
Store-and-forward
In contrast to live-interactive telemedicine encounters, this means
the health provider where the patient is at stores the data from the
encounter in a digital format, and then forwards the data to a specialist.
Health Information Exchange
The coordination of appropriate electronic records for the health
needs of the patients and providers. Security is governed by patient and
facility permission levels.
State of Alaska Health and Social Services, Division of Public Health
www.hss.state.ak.us/dph/healthplanning/telehealth
11. Store & Forward vs Real-Time
Store & Forward Telehealth Real-Time (VtC)
• Asynchronous
Interaction • Face-to-Face
• Documents & Images Remote Interaction
consultation • Immediate
• Electronic Medical
Records Feedback
• Patient Education
• Radiology • Cardiology • Psychology/ Psychiatry
Clinical
specialties for
• Dermatology • ENT • Neurology
telemedicine • Pathology • GI • Speech therapy
• Oncology • Pulmonary • Physical therapy
• Ophthalmology • Rheumatology
• Dental
11
12. Store and Forward Telemedicine
Ear Disease
Audiometer, Tympanometer, Vide
o Otoscope
Heart Disease
ECG & Vital Signs Monitor
Respiratory Illness
Spirometer & Vital Signs Monitor
Trauma, Skin & Wound
Digital Camera
Dental Problems
Dental Camera
General
Scanner & Forms
12
16. Why Do You Use Telemedicine?
Best for patient care
Helps me communicate with a doctor
Saves my organization money
Most convenient to the patient
Improves patient satisfaction
Makes me more efficient
Gives me confidence in doing the right thing for
the patient
Increase access to care
0% 10% 20% 30% 40% 50% 60% 70%
Best for patient care
Increased access for care
16
22. Goals
Provide consultation
to rural providers in
Alaska
Promote education
about liver disease
CEUs/CMEs
Case study format
Relaxed setting for
asking questions
23. ANTHC Liver Early LiverConnect Meeting
Disease &
Hepatitis Staff
2 Physician Liver
Specialists
1 Nurse Practitioner
1 Microbiologist
5 Nurses
1 Information
Technologist
3 Administrative/
Support Staff
24. How does LiverConnect Work?
Case Created
by
Rural Provider LiverConnect LiverConnect
Staff Videoconference
Notified
Rural Provider LiverConnect
Copy of Of Case
Presents Case & Treatment
Relevant Recommendations
Powerpoint Liver Clinic Providers
Notes, Made by ANTHC
Slides Discuss Case.
Labs/Tests Liver Disease Providers
Scanned to Created
plus via AFHCAN
AFHCAN About
Case Liver Disease or
Related Topic
Presentation
Follow Up
Patient Form
Completed
for Future
LiverConnect
25. Case Types Presented at LiverConnect
Elevated LFTs
Autoimmune Hepatitis
Hepatitis C Treatment
Hepatitis B Treatment
Hepatocellular Carcinoma
Liver Transplant
Alcohol Hepatitis
Hepatitis C and HIV Coinfection
Patient with Liver Disease in Jail
26. Didactic Presentations Given at LiverConnect
Liver Disease Topics Related Topics
Elevated LFTs HIV Updates
Hepatitis B Elevated LFTs and HIV
Hepatitis C Depression
Autoimmune Hepatitis Rheumatologic
NAFLD Manifestations of HCV
Alcohol Hepatitis Motivating Patients with
Statins and Liver Disease SA and Liver Disease
Liver Transplantation Adverse Childhood
Experiences Study
Hepatocellular Carcinoma
Suicide Prevention
30. Recent LiverConnect Case Study
34 y.o. Alaska Native female
Presents with nausea/vomiting
Icterus
Afebrile
No abdominal pain
31. Case YK-8 Labs
Initial Labs 10/1/11 Initial Labs 10/1/11
ALT 1166 ANA Negative
AST 896 Actin Antibody 189
Alkaline phos 226 IgG 2320
Total bilirubin 7.43 IgM 222
Hemoglobin 12.2 Hepatitis A IgM Negative
Hematocrit 37.7 Hepatitis A Ab Total Reactive/Positive
WBCs 6.5 Hepatitis B Core IgM Negative
Platelets 347 Hepatitis B Surface Ag Negative
Prothrombin Time 12.9/Inr <1 CMV Negative
PTT 36.1 Monospot Negative
32. Case YK-8 Provider Questions
What’s the differential diagnosis?
What other labs/tests are needed?
Does patient need liver biopsy?
33. Case YK-8 Diagnosis - AIH
ANA negative, Actin antibody positive, IgG elevated
Liver Biopsy: AIH with marked activity and early
bridging fibrosis.
Initial Treatment:
Methylprednisolone 32mg and
Azathioprine 25mg.
34. Case YK-8 Follow Up Feb 2012
Current labs:
ALT: 36, AST: 32,
WBCs: 9.5, ANC: 7.5,
Hemoglobin: 10.5, Platelet Count: 425
Vitamin D 25OH Total: 10
DEXA Scan: Osteopenia
AIH Medications: Azathioprine 75mg p.o. daily and
Methylprednisolone 7mg p.o. daily
35. Case YK-8 Follow Up Provider Questions
What should I be concerned about?
What tests should I order on her and when?
How long should she stay on azathioprine and
methylprednisolone?
36. Contact Information
Past LiverConnect Presentations Viewable at ANTHC
Liver Disease & Hepatitis website:
http://www.anthctoday.org/community/hep/liverconnect.html
37. How Telehealth Can Be Used in HCV and HIV Care
Training Providers, Nurses, Health Aides
Disease Management Updates
Treatment Updates
Comorbid Diseases
Case Management
Consultation for Difficult Cases
Interactions Among Teams for Coordinated Care
Direct Patient Interactions
Check-in
Reiterate education given
Value of seeing patient face-to-face
38. Telehealth In Your Community
• Getting Started
• What do you want to
accomplish?
• What do you need to do this?
• What works best?
• Technology options
39. Establishing a Local Telehealth Program
Technology Requirements
Legal Requirements
Handling Protected Health Information
Advertisement
Feedback Mechanism
41. Creating better-informed consumers of
telehealth technology.
Kirt J Beck
Follow Us TTAC Director
kjbeck@TelehealthTAC.org
Main: 907.729.4703
TelehealthTAC www.telehealthtac.org
41
42. AFHCAN Training Options
AFHCAN offers a variety of training and
educational opportunities
Train the Trainer
Super User 3-day
Telehealth Technical Support
Videoconferencing user training
E-learning options:
Videoconferencing (VTC)
Webinar
AFHCAN computer-based training (CBT)
43. University of Alaska College Courses
• AFHCAN & University of Alaska offer three
college courses in telehealth
– Course 1- Telehealth Fundamentals
– Course 2 – Beyond the Basics of Telehealth
– Course 3 – Telehealth Program Management
• Completion of Courses 1&2 -certification as
Telehealth Coordinator
• Completion of all 3 courses -certification as
Telehealth Program Manager
• More information at www.afhcan.org
Statewide surveillance and vaccination programs, as well as present day clinical care can be a challenge in Alaska.This map here shows to scale, the State of Alaska in comparison to the contiguous United States. The red lines indicate our referral pattern for the Alaska Tribal Health System from village clinic all the way to our central hospital in Anchorage. The green lines depict our road systems in the state.We like to say that if Anchorage was Kansas City, Missouri – we have patients in Duluth Minnesota (Far North), Savannah Georgia (Southeast Atlantic Coast) and Los Angeles, California.A large proportion of our hepatitis B patients reside in southwest Alaska, where there is no road access. Access to these communities varies by season, and includes transportation by small aircraft, snow machine and boat.
Starting in the village clinic – these are the farthest satellites in the Alaska Tribal Health System. Village communities can range in population from < 100 to more than 500Medical care in the village is conducted by Community Health Aides – these are local residents who go through a rigorous 3 month didactic in basic medical care and techniques. Many village clinics are also equipped with telemedicine capabilities, by which Health Aides can work and communicate with regional doctors, as well as doctors and specialists in Anchorage during patient examination and treatment.
Regional Health Centers are in larger population hubs, populations ranging around 1000 to 20,000 residents.These are larger hospitals with greater capabilities, such as ultrasound, CT, small clinical laboratories, and limited operation.Those from village communities must usually fly by small aircraft to be transported to a regional health centerThe Maniilaq Health Center is a good example of Arctic Construction and Design – Buildings must sit up above ground because of the frozen tundra below, which causes instability during every freeze/thaw of the seasons. The permafrost below the top layer of the tundra also prohibits construction design from driving pilings for a firm foundation into the ground.
Anchorage is where the only centralized hospital in the state is located. ANMC is home to most specialized care and surgery services for the Alaska Tribal Health System.Patients from regional clinics most often travel to ANMC by commercial airline, which operate 1 or 2 flights a day from the region to Anchorage. (Weather dependent of course!).Alaska Native Medical Center is the highest trauma unit in the State of Alaska, at a Trauma 2 level. Thus, sometimes the patient must be transported once again, to Seattle, which is approximately 1500 miles away, and transported by commercial airline.
Not sure I get the links on side of this slide
The store and forward software developed by AFHCAN is used throughout the world (pics here showing that our software is being used by the space station; by providers travelling throughout Africa, using portable kits (both pics right and lower left).
There are two kinds of telemedicine, store and forward and Video teleconferencing (VTC). Some specialites are best suited for vtc and others for s&f or both. STORE AND FORWARD and vtc telemedicine are reimbursable in Alaska and Hawaii, unlike the lower 48 where only vtc is billable.
This is where it is created (rural clinic)
Cases received in rural hub or at ANMC specialty clinics. ENT and Dermatology are the two specialties that utlized telemedicine the most.
Provider surveyed report using telemedicine because it provides the best care and increased access to care
The goal of telehealth is improved patient care.
In 2011 over 30,000 telemedicine cases were created. Primary care (blue) are cases that stay within an organization, typically a case created in a village and sent to a provider in a regional hub. Specialty cases are consultations sent to and completed by a specialist at ANMC
When the telemedicine program began, a study was completed by the Audiology program showing a significant decrease in wait time. Pre-telemedicine, 47% of patients had to wait more than 4 months to be seen.Providers still travel to rural villages for field clinics. Specialties using telemedicine can spend less time with follow up visits and have more time for sicker patients.
Estimated travel savings. Blue line shows travel savings for primary care (not having to travel from village to regional hub) and specialty care (not having to travel to Anchorage to see specialist at ANMC).
Friends set-netting (personal subsistence) at the mouth of the Kasiof river.
We started LiverConnect on a wing and a prayer. It is a live telehealth program that we started without any grant funding. Myself and our other liver clinic providers participate in University of Washington’s Hepatitis C Project Echo. However, there were special needs to address in Alaska. We saw the need to discuss broader liver disease topics – not just hepatitis C and the 10:45am start time (11:45 Pacific time) didn’t work for us in Alaska.
So our staff consists of:
Participation in LiverConnect earns the participant 1 CEU/CME for each hour session attended.
So a variety of liver disease cases have been presented.
Also, we have a broad range of topics presented on liver disease, related topics and comorbid diseases.
Here are some of our distant participants visible on screen.
We had to move to a larger conference room as the word got out among local providers.
We’re working on expanding the program now. We’ll be adding AdobeConnect as a way to access LiverConnect through the internet. Also, we hope to be able to record future LiverConnect programs for later viewing and potentially CME/CEU credit to participants watching the recordings.
Possible diagnoses included: Autoimmune hepatitis, alcohol hepatitis. Case discussed among rural provider, participants and liver clinic specialists. Decision made to bring patient in for biopsy.
Currently, we have the presentations loaded onto our website – but there is no audio with those Powerpoint presentations, but you can read them.
We feel that LiverConnect is just the tip of the iceberg of ways telemedicine can be used to help improve HIV and hepatitis C patient care.Coord care: example – transplant coordination.
If you want to start your own program, these are some of the main questions we asked ourselves…
Items to consider:Do you have IT support?If you use a program such as Adobe Connect, do you need multiple licenses?Figure out how you will handle protected health information.Advertising – How? To Whom?Feedback – Complete evaluations after each session. How do you evaluate those who are not using the service?
Alaska also has a Telehealth Technology Assessment Center which evaluates telehealth equipment and works closely with telehealth resource centers to provide answers to questions about selecting appropriate technologies for telehealth programs. Website www.telehealthtac.org
The Telehealth Technology Assessment Center or TTAC provides an unbiased source of rich information on a wide variety of telehealth technologies. The TTAC serves to raise awareness of technologies, answer questions, compile information from vendors and other sources and perform in-house evaluations on technologies. The TTAC shares the information through local, regional and national channels. The TTAC tailors its service offerings based on collaboration with the 11 regional Telehealth Resource Centers or TRCs across the United States. Services rendered vary from simple phone consultations to highly complex toolkits covering the evaluation and selection of specific technologies. Their published works, recorded webinars and other resources can be found on their website at www.TelehealthTAC.org.
AFHCAN = Alaska Federal Health Care Access Network.www.afhcan.org for more information
AFHCAN offers a variety of training and educational opportunities. AFHCAN Training Program is accredited by the American Telemedicine AssociationStarting in 2011, the AFHCAN program, in collaboration with the University of Alaska began offering online certification courses in telehealth.www.afhcan.org for more information
Thank you. Brenna and I will be happy to take questions, comments about LiverConnect and telemedicine.