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About CTEC eHealth Inventory
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Funded Projects/Networks
This project proposes to create a permanent, school-based eHealth network that will connect the rural communities of Tulare County -- Woodlake, Cutler-Orosi, and Lindsay -- with an eHealth center at Childrens Hospital Los Angeles. The overarching goal is to develop an eHealth network that will reduce oral health disparities and facilitate pediatric plastic surgical/craniofacial consultations and referrals for migrant children (ages 5-18) in rural, underserved areas, many of whom are undocumented and uninsured. The project will utilize telecommunications technology to provide oral health services, training to local providers, and education for families and children. Once established, the eHealth Network will continue to expand, incorporating other school districts in the region and linking to other existing healthcare deliver networks in California, to provide vital dental and medical care to additional rural and underserved agricultural populations.
The purpose of this project is to extend telemedicine services to rural community clinics and health centers in San Diego, Imperial, and Riverside Counties. This will be achieved through the use of video communications technology to ensure rural residents have access to clinical and specialty services not available in their local community, as well as to bring educational resources and training to rural healthcare providers. The Community Clinics Health Network (CCHN) and its Technical Services Organization (TSO) will be the technological hub for this project, and 5 community health center organizations with 13 sites located in 3 Southern California counties will serve as the spokes. Many of the participating clinics provide care to immigrants and seasonal workers, and experience unique healthcare issues due to their close proximity to the US-Mexico border. This project will seek to develop a survey tool that measures the utilization and patient satisfaction of telemedicine services among agricultural workers, as well as document the different ethnicities served.
The purpose of this project is to strengthen the operational infrastructure of the Del Norte Clinics Telemedicine Program by continuing to support the position of Telemedicine Coordinator. The coordinator will continue to standardize the telemedicine visit process, serve as a resource for providers, schedule patients, conduct referrals, and follow-up after patient visits. The outcome will be an assurance that the telemedicine encounter is an effective, efficient, and quality experience for both the patient and provider.
This project will link six geographically scattered spoke sites within the Central Valley, allowing access to critically needed psychiatric services. All remote sites are linked with each other through a secure network. Kings View developed its network to not only support its own behavioral health system, but also to provide application hosting services to county agencies and deliver Telepsychiatry services to rural areas in California.
The purpose of this project is to design, build, and implement a Regional Rural eHealth Network from the existing Telemedicine hub at Loma Linda University for the provision of specialty support via Telemedicine for clinical diagnosis and treatment in rural healthcare delivery sites in Southern California. This project will focus on the implementation of clinical Telemedicine capabilities at three hospitals and five primary care clinics on Native American reservations that comprise Indian Health, Inc., serving a 9-tribe consortium. The three hospital sites include Tehachapi Valley Hospital, Ridgecrest Regional Hospital, and Catalina Island Medical Center.
This project seeks to expand the provision of Behavioral Health (BH) Telemedicine services to 10 rural spoke sites. The goal of this project is to increase the number of BH services provided to member clinics by 115 consults during each grant period. The BH services encompass Telemedicine consults for psychiatric evaluations, counseling, and mental health medication management. Forty-five of these consults will be designated to provide BH services at Anderson Valley Health Center for boys who reside at a local group home near the clinic. The remaining 70 BH consults will be distributed, based on need, among the remaining remote clinic sites.
This project focuses on strengthening the regional Telemedicine infrastructure by adding four new Telemedicine sites, and also funding part of the Northern Sierra Rural Health Network (NSRHN) MCU bridge warranty. Theses activities will ensure continued access to specialty care for rural residents in the NSRHN service area by increasing capacity in the region, and expanding the ability to host successful videoconferencing by eliminating technical difficulties and providing technical support to rural Telemedicine site coordinators.
The purpose of this project is to provide specialty medical services to patients in rural California. The project funding supported agency-wide and site-specific telemedicine coordinators as well as enabling Del Norte Community Health Center and Redwoods Rural Health Center to connect with the Open Door Telemedicine Center in Eureka. This project also allowed Humboldt Open Door Clinic, Del Norte Community Health Center, Eureka Community Health Center, and Redwoods Rural Health Center to connect, via the Open Door Telemedicine Center, to outside telemedicine networks that provide a wider range of specialty consultations. See also the accompanying news story from The Eureka Reporter.
The goals of Oroville Hospital Telemedicine Upgrade Project are to provide Endocrine and Weight Management services to overweight children with co-morbidities such as high blood pressure and hyperlipidemia, in addition to providing behavioral health services to residents of rural communities. Through the Oroville Hospital Telemedicine Upgrade Project, patients have the capability of receiving a range of specialty care without leaving their local community. To date, two videoconferencing units and associated hardware and software have been installed at Oroville Hospital and are operational. The equipment upgrade from CTEC has increased Oroville’s capacity to provide specialty consult and distant learning events through Telemedicine.
The focus of this project is to expand specialty services in nutrition and adult psychiatry, to provide service/warranty contracts for bridge equipment, to provide funding support for Telemedicine Department staff, and to provide CME program support at the Shasta Community Health Center (SCHC). The expansion will improve access to specialty services at SCHC, reduce patient backlog, and ensure bridge access for telemedicine. Additionally, the expanded capacity of the CME program will provide video-based services to a greater number of Northern California rural healthcare facilities.
The purpose of this project is to develop a network of 14 self-sustaining diabetic retinopathy screening sites in existing primary care clinics that serve rural and agricultural communities in the California Central Valley. This network will be tied via EyePACS to the University of California, Berkeley Optometric Eye Center’s distributed network of clinicians. This project will also develop a web-based clinical communication site to allow other Central Valley primary care clinicians and specialists to collaborate freely using digital images and clinical information about their patients, regardless of location. By performing near real-time interpretation of retinal images, clinicians at UC Berkeley specifically trained in diabetic retinopathy detection can provide: detection and referral of patients with sight-threatening diabetic retinopathy at the time of their primary care visit; training for primary care physicians and staff in retinal image interpretation; and education for patients about their condition.
This project focused on strengthening the regional Telemedicine infrastructure by upgrading outdated Telemedicine equipment at six rural sites located in northeastern California. At several of the sites the physicians are now accessing the equipment directly. A major achievement has been the increase in confidence that this new technology has brought to the sites, which in turn will translate to increased access to specialty care for patients at the sites.
This project supported planning for the establishment of the North Coast Telemedicine Network. Open Door Community Health Centers announced the opening of its new Telehealth and Visiting Specialist Center in January 2006. The new Center is designed to provide both on-site and remote, Telemedicine-based specialty care to rural and underserved communities in Northern California.
This project purchased Telemedicine equipment for the North Coast Telemedicine Network. The equipment was purchased and installed for short-term use at four Open Door Community Health Centers (ODCHC) clinics to replace faulty or non-functional Telemedicine equipment and connected to existing Telemedicine networks while the TeSlehealth and Visiting Specialist Center was under construction. This allowed ODCHC to continue to provide patients with specialty health care through Telemedicine consultations with providers at tertiary care centers before the North Coast Telemedicine Network was operational.
This project created an easy to use, health information resource for patients at the point of care, the patient waiting area. The touch-screen Kiosk provides multimedia information on a variety of common health topics, including hypertension, cancer, stroke, back pain, cholesterol, and even a special module on pesticide protection, which has been specifically designed to target the large agricultural worker population in the nearby communities. One of the very unique features of the kiosk is its ability to provide printable vouchers redeemable for suitable clinical care, including diabetic eye and foot examinations, and flu and pneumonia shots. The eHealth Kiosk provides health education information in both English and Spanish and also allows for audio/visual presentations for people who may not be able to read.
This project provided same-day quality medical care for developmentally disabled adults in five rural Intermediate Care Facilities (ICF) located in the Redding area. By providing medical care via videoconferencing, Shasta Community Health Center (SCHC) offered timely medical care with little, if any, emotional stress or disruption in the lives of the patients. The residents of the ICF homes are medically fragile individuals with developmental and/or physical handicaps, who due to their medically fragile status, often require same-day medical care for illnesses. This program reduced travel and wait times, as well as the emotional stress for these patients.
This project allowed the UC Davis psychiatry department to provide mental health services using a consultation-liaison approach (advice an dconsultations) via multiple communication technologies. This project focused on ten existing Telemedicine-ready rural community clinics, whose organizations had a documented need for increased mental health care services and resources. The service had an educational focus as well as a clinical focus, to help the rural sites short and long term. It involved the employment and training of an accredited non-medical mental health professional, and offered a choice of urgent and non-urgent consultations by phone, fax, email/Internet, or videoconferencing. Pediatric psychiatric consultations accounted for approximately 50% of the clients. The eMental Health Project provided a total of 456 consultations, an overall increase of 165% over the previous year.
By utilizing satellite bandwidth donated by the California Office of Emergency Services (OES), coupled with the procurement of a portable satellite terminal, Telemedicine/eHealth services were provided in rural communities in California where the lack of or inferior existing telecommunications prevented these services from being provided. Together with this new technology, nurse practitioners already residing in these rural settings were able to provide a broad range of Telemedicine/eHealth services to patients in need of specialty consultations or patient education. The primary objective of the project was to bring Telemedicine services to communities facing geographic and/or telecommunication barriers via a protable satellite terminal. Along withnumerous clinical and educational deployments, the project team also participated in several emergency preparedness/Biodefense demonstration events. |
