Telemedicine Programs
Show Program: Department of Veterans Affairs, Veterans Integrated Service Network 19
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| Address | |
| Address line 1 | 2360 E. Pershing Blvd |
| Address line 2 | Mail Stop (116) |
| City | Cheyenne |
| State or province, territory |
Wyoming |
| Country | United States |
| Postal code | 82001 |
| Contact | |
| Contact name | Jeffrey Lowe |
| Contact title | Telemedicine Coordinator, VISN 19 |
| Telephone | 307.778.7511 |
| jeff.lowe@med.va.gov | |
| Program demography | |
| Primary administering organization | VISN 19 Telemedicine |
| Organizational affiliations | Government organization |
| Countries in which program provides telemedicine | United States |
| States/Provinces in which program provides telemedicine | Colorado Idaho Montana Nebraska South Dakota Utah Wyoming |
| Year program began providing telemedicine services |
1997 |
| 3 most active clinical applications | Mental Health Home Health Ophthalmology |
| Program funding | ||
| Funding type | Funding source | % of total funding |
| federal | Dept. of Transportation (DOT) (Federal grant/contract) | 100 |
| Applications | Application | Service | Technology |
| Home Health (#2) |
home health medical management |
store and forward |
| Mental Health (#1) |
facilitate patient/family visits home health medical management |
interactive video |
| Ophthalmology (#3) |
patient screening specialist referrals |
store and forward |
| Pathology |
patient case review |
interactive video store and forward |
| Pulmonary Care |
home health |
store and forward telemetry |
| Radiology |
medical management medical/surgical follow-up |
store and forward |
| Rehabilitation Therapy |
facilitate patient/family visits patient case review |
interactive video store and forward |
| Speech Pathology |
facilitate patient/family visits medical/surgical follow-up |
interactive video |
| Non-clinical applications | |
| Application | Use |
| Administration | conferences meetings supervision training |
| Education | CME grand rounds tumor board |
| Research | evaluation research protocol development |
| Settings | |
| Total number of active sites | 39 |
| Of the total number of active sites, number that provide teleconsultation | 14 |
| Of the total number of active sites, number that request teleconsultation | 14 |
| Of the total number of active sites, number that provide other services | 0 |
| Facility types | |
| Hospital with 100 to 249 beds | 2 |
| Hospital with 99 or fewer beds | 4 |
| Outpatient clinic | 32 |
| Systems and equipment | ||
| System type | Technologies | Manufacturer |
| Desktop computers |
interactive video |
Dell |
| Home care unit |
telemetry |
other: Health Hero Network |
| Room-based videoconferencing |
interactive video |
Polycom |
| Teleradiology system |
store and forward |
other: Agfa |
| Videophone |
interactive video |
other: Panasonic |
| Peripherals | ||
| Peripheral device | Peripheral device | Peripheral device |
| blood pressure monitor |
document camera |
glucometer |
| microscope |
ophthalmology related |
ultrasound |
| video camera |
x-ray scanner |
|
| Communication services | |
| Primary communications service | ATM |
| Primary transmission speed | 512 kbps |
| Primary transmission medium | coaxial/broadband cable |
| Primary payer | VA System |
| Primary connection type | dedicated (leased) |
| Primary telecommunications provider | Multiple telcos |
| Internet and Web | |
| Disease management | online store & forward secure Web accounts Web pages |
| Patient education | Web pages |
| Barriers | |
| 2 main barriers to long term sustainability | Physician acceptance Integration of telemedicine into health care delivery |
| Evaluation | |
| Program is being evaluated | yes |
| Who is conducting evaluation | in-house personnel |
| What is being evaluated | clinical effectiveness clinician satisfaction cost effectiveness health outcomes patient satisfaction patient utilization |