Enhance regional presence with videoconferencing.
Reach out to rural areas and offer continuing medical education continuing medical education See CME. credits through videoconferencing
How does telemedicine differ from distance learning? Although both distance learning and telemedicine make use of interactive digital audiovisual communication, it is important to make the distinction between the two types of sites. Distance learning classrooms make use of a lower bandwidth, using just half of the T1 line, according to according to
1. As stated or indicated by; on the authority of: according to historians.
2. In keeping with: according to instructions.
3. R. Kevin Grigsby, D.S D.S Drainage Structure (flood protection) .W., L.C.S.W., the director of research and development at the Medical College of Georgia In 1828, it was chartered by the state of Georgia as the Medical Academy of Georgia, with plans to offer a single course of lectures leading to a bachelor's degree. It opened the following year on October 1st at the Augusta hospital. (MCG) Telemedicine Center in Augusta. A document camera may be used to show audiovisual resources, but no additional instruments are used.
On the other hand, a telemedicine system uses the full T1 because high-quality video is a key requirement and includes integrated medical telemetry telemetry
Highly automated communications process by which data are collected from instruments located at remote or inaccessible points and transmitted to receiving equipment for measurement, monitoring, display, and recording. that allows for the transmission of medically relevant information including real-time images seen through a series of scopes that have been specially adapted for use with a microcamera, Grigsby said.
The Pathway Health Network (PHN Postherpetic neuralgia (PHN)
The term used to describe the pain after the rash associated with herpes zoster is gone.
Mentioned in: Shingles
PHN Postherpetic neuralgia, see there ) is a regional health system linking health providers--from hospitals and clinics to physicians and therapists--to deliver high-quality, patient-centered care. Pathway currently includes five hospitals, their associated physician groups and a wide variety of community-based services, including a hospice and a visiting nurses association.
1. A Protestant woman who assists the minister in various functions.
2. Used as a title prefixed to the surname of such a woman: Deaconess Brown.
Noun 1. Hospital in Boston and Deaconess-Glover Hospital in Needham, Mass., became the first two Pathway Network members to communicate using videoconferencing. Deaconess Hospital is an adult, specialty referral, tertiary-care facility and a major teaching hospital of Harvard Medical School Harvard Medical School (HMS) is one of the graduate schools of Harvard University. It is a prestigious American medical school located in the Longwood Medical Area of the Mission Hill neighborhood of Boston, Massachusetts. . The hospital provides specialized medical and surgical services to patients who are then referred to their physicians and care providers for ongoing care and monitoring.
Two PictureTel System 4000s were purchased to strengthen relationships and enhance communications between network members. Other benefits today include:
* enhanced patient care,
* more efficient delivery of medical services,
* reduced travel and time savings for hospital staff,
* increased productivity, and
* enhanced educational opportunities/training.
Pathway will add more of its members to the networks based on funding. Besides group systems, Pathway is looking into desktop videoconferencing Using a PC or Mac for a videophone session or videoconference. Contrast with a "room videoconferencing system" where a group of participants congregate in one room. See videoconferencing. for tasks such as patient referrals, consultations and post-operative follow-up visits. Pathway hopes to extend videoconferencing to include:
* emergency room to emergency room support,
* emergency psychiatric consultation,
* network grand rounds,
* resident supervision at community hospitals,
* benefits consultations,
* administrative meetings, and
* clinical research collaborations.
Crossing geographic boundaries--Looking to improve communications and information sharing between geographically disparate organizations, PHN opted for videoconferencing. Today it provides educational opportunities, clinical collaboration, follow-up examinations for patients, tumor conferences and connections to resources outside the network. ln the case of referrals and consultations, doctors can share X-rays, pathology slides and other tests to jointly review them. Some applications include:
Rare tumor consultation--A woman was brought into Deaconess-Glover hospital with symptoms of lightheadedness, dizziness and fainting. A computed tomography Computed tomography (CT scan)
X rays are aimed at slices of the body (by rotating equipment) and results are assembled with a computer to give a three-dimensional picture of a structure. (CT) scan revealed a pancreatic tumor. A videoconference was held with an internationally recognized liver surgeon at Deaconess Hospital in Boston. Without videoconferencing, the diagnostic process up to the CT scan CT scan: see CAT scan.
See CAT scan. would have been the same as what occurred at Deaconess-Glover. However, since this was a rare tumor, they would have had to consult with specialists. Ultimately, the patient would have been transferred to Deaconess Hospital in Boston via costly ambulance transportation and additional tests would have been scheduled. Videoconferencing shortened the time between diagnosis and definitive treatment. It made the best people available for consultation, reduced the cost and the number of days in the hospital and kept the patient in her own community setting.
Tumor Board tumor board Tumor conference Oncology A multidisciplinary conference held in larger US hospitals in which mechanisms, diagnostic modalities, and therapeutic options for Pts with CA are discussed. See MDT. conferences--Deaconess-Glover uses videoconferencing for referrals, interactive consultations and educational sessions called "Tumor Board conferences." The conferences bring together personnel from both the Glover and Boston Deaconess hospitals to discuss case studies from different disciplines as they exchange data, including published papers and highlights of past experiences. Interns, residents, fellows and students benefit from these discussions. Specialists from both hospitals discuss patient cases and reevaluate prognoses during different phases of a patient's illness. Videoconferencing has brought the medical staffs closer together to form good working relationships, which ultimately will benefit patients and the quality of their care.
Continuing nursing education--Nurses at Deaconess-Glover have been able to tap into the educational resources of Deaconess Boston, including women's health Women's Health Definition
Women's health is the effect of gender on disease and health that encompasses a broad range of biological and psychosocial issues. issues, financial planning Financial planning
Evaluating the investing and financing options available to a firm. Planning includes attempting to make optimal decisions, projecting the consequences of these decisions for the firm in the form of a financial plan, and then comparing future performance against and dealing with the changes in healthcare from a nursing perspective. Besides an increased number of employee programs, morale is increased because people are able to stay informed and the approximate savings for 12 hours of usage is $10,580.
Georgia network focuses on distance learning
The Georgia Statewide Academic and Medical System (GSAMS GSAMS Georgia Statewide Academic and Medical System (a distance learning and health care network) ), is one of the largest distance learning and healthcare videoconferencing networks. The Georgia Department of Administrative Services (DOAS DOAS Department of Administrative Services
DOAS Differential Optical Absorption Spectroscopy
DOAS Death of A Salesman (book/play)
DOAS Differential Optical Absorption Spectrometer
DOAS Default Option-Adjusted Spread ) operates a communications network that can access cable systems, microwave systems and satellite dishes. A portion of this system is a telemedicine network that uses fiber-optic cable to link remote and isolated sites with secondary and tertiary care centers tertiary care center Hospital care A hospital or medical center for Pts often referred from secondary care centers, which provides subspecialty expertise
Tertiary care center
Surgery . Another portion of the system is a network of distance learning classrooms Iocated in colleges and universities, technical schools, K-12 schools, correctional facilities and special sites such as ZooAtlanta and studios of Georgia Public Television.
Both the Georgia Statewide Telemedicine Program (GSTP GSTP Global System of Trade Preferences
GSTP Global Straight-Through Processing
GSTP Generalised System of Tariff Preferences (United Kingdom)
GSTP Generic Switching Test Plan
GSTP General Support and Technology Programme ) and the distance learning network use the same fiber-optic telephone cable (T1) backbone. Both telemedicine and distance learning make use of videoconferencing and codecs The following is a list of codecs. Audio codecs
"GSAMS is the network [of telemedicine and distance learning sites] and the Georgia Statewide Telemedicine Program is the system that provides access to medical care in remote and isolated areas," said Laura Adams, operations director of the MCG Telemedicine Center.
History of telemedicine in Georgia--The Telemedicine System began in 1991 with a single remote site at Dodge County Hospital in Eastman, Ga., and has grown to 41 operational sites. More than 10,000 distance learning encounters have taken place since the inception of the program, Grigsby said.
Through linking patients and their clinicians through advanced telecommunications technology, patients remain in their own communities while receiving specialized medical consultation. The MCG Telemedicine Center is linked to rural hospitals, medical centers, physician ofrices and correctional facilities.
In effect, the referring physician is able to participate in a tutorial with the consulting physician who is also a member of the School of Medicine Faculty. Category 1 continuing medical education (CME CME
See: Chicago Mercantile Exchange
See Chicago Mercantile Exchange (CME). ) credits are awarded to the referring physician for their participation. All of the consultations are recorded on Super VHS (Video Home System) A half-inch, analog videocassette recorder (VCR) format introduced by JVC in 1976 to compete with Sony's Betamax, introduced a year earlier. videotape. A review panel at the medical school reviews the tape to be certain that all of the requirements for the award of CME credit have been met. The continuing medical education unit at the Medical College actually awards the credit.
"The elimination of the isolation of the rural practitioner takes place," said Max Stachura, M.D., a neuroendocrinologist and the clinical director at the Medical College of Georgia Telemedicine Center.
Deaconess assists consultations with videoconferencing
Challenge: Increase communications and specialty consultations between physicians at Deaconess Hospital in Boston and Deaconess-Glover Hospital in Neeham, Mass. Need technology solution to facilitate rare tumor consultation, Tumor Board conferences and continuing nursing education.
Solution: Purchase videoconferencing system to facilitate videoconferencing for referrals, interactive consultations and educational sessions.
Vendor Chosen: PictureTel Corporation, Danvers, Mass.
CMEs offered via videoconferencing through Medical College of Georgia
Challenge: Decrease the transportation of patients when specialist consultations are necessary. Offer clinicians the opportunity to learn by remotely working with other clinical specialists. Remotely offer continuing medical education (CME) credits.
Solution: Establish connections between facilities with fiber-optic telephone lines (TI). Implement videoconferencing solution.
Vendor Chosen: Compression Labs, Inc., San Jose, Calif.