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NC Telecom Industry Association

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University Health Systems

• Andy Anderson: Administrator – IT Operations, Information Services

• Kevin Cheston: Manager - Networks, Information Services

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University Health Systems• Pitt County Memorial Hospital• Heritage Hospital• Bertie Memorial Hospital• Chowan Hospital• Roanoke-Chowan Hospital• Outer Banks Hospital• Duplin General (managed)• 15 practices and clinics• Viquest fitness and health

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System Hospitals

Affiliate Hospitals

Managed Hospitals

Northampton

Hertford

Gates

Pasquotank

Camden

Currituck

Halifax

Nash

Bertie

Edgecombe

WilsonPitt

MartinWashington

Tyrrell

Dare

Hyde

Beaufort

Wayne

Lenoir

Greene

Craven

Pamlico

Jones

Carteret

Duplin

Onslow

Perquimans

Chow

an

Halifax Regional

Onslow Memorial Carteret General

Beaufort County Hospital

Pungo District

Duplin General

Roanoke-Chowan Hospital

Chowan Hospital

Bertie Memorial Hospital The Outer Banks

Hospital

Heritage Hospital

Pitt County Memorial Hospital

Brody School of Medicine at ECU

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Telemedicine

• ECU’s Telemedicine Center• Started in 1992 and supported by UHS• Recognized as a leader in Telemedicine• Located within Brody School of Medicine• Provides services to UHS facilities, Wilson

School for the Deaf, Onslow Memorial, Goldsboro-Cherry Hospital, and others

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Telemedicine

What is Telemedicine?

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Telemedicine

• The practice of medicine when the doctor and patient are widely separated using two-way voice and visual communication (as by satellite, computer, or closed-circuit television) - Merriam-Webster

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Telemedicine

• The application of telecommunications to the care of individual patients – FDA

• The simplest definition of telemedicine is that it uses multimedia (voice, video and data) technology to deliver medical services – Yale Telemedicine Center

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Telemedicine

• ECU’s definition:• Telemedicine has been traditionally defined as the

practice of medicine at a distance using videoconferencing, computer, and communications technologies.

• The terms, telehealth and e-health were later coined in an attempt to include allied health, distance education, and Internet applications.

• Our definition of telemedicine incorporates telehealth and e-health concepts and includes any use of electronic means to extend health care services and health sciences education to points of need in a timely manner.

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Telemedicine

What’s your definition of Telemedicine?

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Telemedicine

• ECU’s Telemedicine Center most common applications:• Dermatology• Cardiology (pediatric and adult)• Pediatrics (general and neonatal)• Psychiatry (mostly pediatric, some adult)• Rehabilitation medicine• Radiology

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Telemedicine

• Barriers to adoption:• Ease of use • Readily accessible• Real-time access to all patients data• Reimbursement for services• Availability and cost of broadband

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Telemedicine

• Tools of Telemedicine• Picture Archiving and Communications

System (PACS) for Medical Images

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Telemedicine

• Tools of Telemedicine• Electronic Medical Record (EMR)

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Telemedicine

• Tools of Telemedicine• Remote Health-Care Monitoring

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Telemedicine

• Tools of Telemedicine• Video Conferencing

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Telemedicine

• Tools of Telemedicine• Internet Resources

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Telemedicine

• Tools of Telemedicine• Health Pods

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Telemedicine

• UHS Initiatives:• Picture Archiving and Communications

System (PACS) for medical images • Connect with partners• Leverage FCC Rural Pilot Program to fund

broadband connections

• Provide HealthSpan Electronic Medical Record (EMR) system• All UHS hospitals “live”• ECU’s Brody School of Medicine in 2009• Other Clinics, Practices, and Hospitals to follow

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Telemedicine

• UHS Initiatives:• Video Conferencing

• Find solutions that are easy to use• Make the equipment accessible

• Internet Resources• My Chart personal medical record• Quality results – help patients make good

decisions• Pre and post procedure information

• Health Pods• Monitor industry trends• Many medical devices aren’t ready for IP

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Telemedicine

• Thoughts for this group:• Clinicians want to be able to access

information wherever they go• Healthcare customers want higher service

levels with their broadband products• Point-to-Point connections have been the

norm, but may be less so in the future due to cost

• As hospitals, clinics, and practices consolidate and partner, the need for connectivity between sites will increase

INFORMATION SERVICES

Telemedicine

Questions?