Mobile Digital Telemammography Dr. Joseph Gitlin Presentation at The Cancer Summit Rapid City, South...

Mobile Digital Telemammography

Dr. Joseph GitlinPresentation at The Cancer Summit

Rapid City, South DakotaOctober 12th, 2004

http://www.hopkinsmedicine.org/

http://www.ihs.gov/index.asp

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This is a demonstration and evaluation program to provide high quality mammography and other health services to women in underserved areas. It is based upon the premise that the value of early detection of breast cancer has been widely accepted by recognized authorities, and that

mammography is the most efficacious method of providing screening and diagnostic examinations.

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The concept is based upon the convergence of digital imaging, computer technology, and satellite telecommunications combined in a mobile setting to improve access to high quality care for women in underserved areas.

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With the support of the Komen foundation, Phase I was

completed in 2002. The objectives included testing the

feasibility of utilizing a mobile unit for:

• Digital mammography examinations

• Satellite transmission of images for interpretation

• Providing prompt results to the patients

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The design of the demonstration and evaluation

project was based upon the results of Phase I. In

addition to digital mammography, the services

available to participating women include:

• Breast examinations• PAP smears• Bone densitometry• Diabetes screening

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In addition to providing health services to women with limited access to high quality care, it is expected that the program will:

• Increase compliance with follow-up recommendations

• Mitigate the shortage of radiologists• Provide data on costs and benefits


A community outreach program will be developed with the participation of local Service and Tribal units. This will be aimed at:

• Increasing participation by eligible women• Compliance with follow-up recommendations • Emphasizing patient privacy measures

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Women’s Health Care Unit with Digital Mammography

Mobile Unit Functional Floor Plan


NIH Guidelines

Evaluate the role of the MDT program and its telecommunication capabilities in improving women’s access to breast cancer screening:

• Education about self-examination• Clinical breast examination• Expert mammography interpretation• Immediate consultation with sub-

specialists


Among the several evaluation measures of interest related to mammography and the other services in the health care delivery program are:

• Participation by eligible women • Compliance with follow-up recommendations• Analysis of abnormal findings• Short term outcome such as biopsy results• Costs and benefits

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The evaluation will be based upon selected data related to services provided on the mobile unit and comparable information from previous years. These data will be obtained from the Resource and Patient Medical System maintained for both Service and Tribal units. The data will be

processed under strict securitymeasures in accordance withHIPAA regulations to protectpatient privacy.

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It is expected that the mobile unit will be able

to provide mammography and other health services to 60 eligible women per week for a total of 2500 per year. The evaluation is planned for two years to support the collection of

sufficient data to determine the costs

and benefits of this innovative health

care delivery program.

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Tentative program schedule:

Acceptance testing of Mobile Unit 10/25/04 Dedication ceremony at Belcourt 10/27/04 Staff training, operational testing Nov. 2004 Begin health care delivery Dec. 2004 Begin evaluation Jan. 2004

“We are on the threshold of a very special and unprecedented undertaking-the opening of the National Museum of the American

Indian.” –W. Richard

West Jr.


Comments, Questions, Letters of Support, or Copies of the presentation, please contact:

Dr. Joseph N. Gitlin Associate Professor of Radiology Johns Hopkins Medical Institutions 14208 Northwyn Drive Silver Spring, Maryland 20904 Email: [email protected]

•“Early detection through screening is our best

defense against morbidity and mortality from breast and cervical

cancers and precancers.”

• Julie L. Gerberding, MD, MPH, Director Centers for Disease Control and Prevention

Mobile Digital Telemammography Dr. Joseph Gitlin Presentation at The Cancer Summit Rapid City, South...

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