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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
E-mail 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

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